ikan Uploader :
Directory : /var/www/html/shardahospital_old.org/application/views/admin/
Upload File : |
| Current File : /var/www/html/shardahospital_old.org/application/views/admin/AddMedicalPackage.php |
<?php
include("includes/header.php");
include("includes/sidebar.php");
?>
<!-- Page Content -->
<div class="right_col" role="main">
<div class="">
<!-- Page Title Bar -->
<div class="page-title">
<div class="title_left">
<h3>Medical Packages</h3>
</div>
<div class="title_right">
<div class="col-md-5 col-sm-5 col-xs-12 form-group pull-right top_search">
<div class="input-group">
<input type="text" class="form-control" placeholder="Search for...">
<span class="input-group-btn">
<button class="btn btn-default" type="button">Go!</button>
</span>
</div>
</div>
</div>
</div>
<!-- End of Page Title Bar -->
<div class="clearfix"></div>
<!-- Content Section -->
<div class="row">
<div class="col-md-12 col-sm-12 col-xs-12">
<div class="x_panel">
<!-- Panel Title -->
<div class="x_title">
<h2>Add Medical Package</h2>
<ul class="nav navbar-right panel_toolbox">
<li><a class="collapse-link"><i class="fa fa-chevron-up"></i></a>
</li>
</ul>
<div class="clearfix"></div>
</div>
<!-- End of Panel Title -->
<!-- Panel Content -->
<div class="x_content">
<div class="left-margin">
<?php if(isset($data_string)){ echo $data_string;} ?>
<?php echo validation_errors(); ?>
<?php echo form_open_multipart('admin/MedicalPackage/add_medical_package', 'class="form-vertical form-label-left" id="addMedicalPackage"'); ?>
<div class="clearfix"></div>
<!-- Hidden Field for Doctor ID if updating Doctor -->
<?php if(isset($MedicalPackageID)){?>
<input type="hidden" name="MedicalPackageID" value="<?php echo $MedicalPackageID;?>">
<?php }?>
<!-- Patient Story Title Required -->
<div class="form-group col-md-8">
<label>Title<span class="required">*</span></label>
<input type="text" class="form-control" name="MedicalPackageTitle" id="title" required="required" placeholder="Enter Title for Medical Package" value="<?php if(isset($MedicalPackageTitle)){echo $MedicalPackageTitle;} ?>">
</div>
<!-- Slug Required -->
<div class="form-group col-md-8">
<label>Slug<span class="required">*</span></label>
<input type="text" class="form-control" name="MedicalPackagePageURL" id="link" required="required" placeholder="Enter Slug" value="<?php if(isset($MedicalPackagePageURL)){echo $MedicalPackagePageURL;} ?>">
</div>
<!-- Price -->
<div class="form-group col-md-8">
<label>Price<span class="required">*</span></label>
<input type="text" class="form-control" id="link" name="MedicalPackagePrice" required="required" placeholder="Enter Price" value="<?php if(isset($MedicalPackagePrice)){echo $MedicalPackagePrice;} ?>">
</div>
<!-- Description -->
<div class="form-group col-md-12">
<label>Description</label>
<textarea class="form-control" placeholder="" name="MedicalPackageDescription" id="MedicalPackageDescription" rows="10"><?php echo (isset($MedicalPackageDescription))?$MedicalPackageDescription:''?></textarea>
</div>
<script>
// Replace the <textarea id="editor1"> with a CKEditor
// instance, using default configuration.
CKEDITOR.replace( 'MedicalPackageDescription' );
</script>
<!-- Excerpt -->
<div class="form-group col-md-12">
<label>Excerpt</label>
<textarea class="form-control" placeholder="" name="MedicalPackageExcerpt" id="MedicalPackageExcerpt" rows="4" max-length="200"><?php echo (isset($MedicalPackageExcerpt))?$MedicalPackageExcerpt:''?></textarea>
</div>
<!-- Poster Image -->
<div class="form-group col-md-8">
<label>Upload Poster Image</label>
<input name="poster" type="file" id="poster" />
<?php if((isset($MedicalPackageBanner))&&($MedicalPackageBanner)){ ?>
<img src="<?php echo base_url();?>uploads/medical_packages/<?php echo $MedicalPackageBanner; ?>" style="height:60px;" />
<a href="<?php echo base_url();?>uploads/medical_packages/<?php echo $MedicalPackageBanner; ?>"><?php echo $MedicalPackageBanner; ?></a>
<?php } ?>
</div>
<!-- Display Order -->
<div class="form-group col-md-8">
<label>Display Order </label>
<input type="text" name="MedicalPackagePriorityOrder" class="" id="priority-order" size="3" value="<?php echo (isset($MedicalPackagePriorityOrder))?$MedicalPackagePriorityOrder:'0' ?>">
</div>
<!-- Display Status -->
<div class="form-group col-md-8">
<label>Display Status</label>
<?php if(!(isset($Status))){$Status="A";} ?>
<div class="radio">
<label>
<input type="radio" class="flat" name="Status" value="A" <?php if((isset($Status))&&($Status=="A")){echo 'checked';} ?>> Active
</label>
<label>
<input type="radio" class="flat" name="Status" value="I" <?php if((isset($Status))&&($Status=="I")){echo 'checked';} ?>> Inactive
</label>
</div>
</div>
<div class="clearfix"></div>
<!-- Buttons -->
<div class="form-group col-md-12">
<button type="submit" class="btn btn-success btn-md">Submit</button>
<button class="btn btn-primary btn-md" type="button">Cancel</button>
<button class="btn btn-primary btn-md" type="reset">Reset</button>
</div>
<?php echo form_close(); ?>
</div>
</div>
<!-- End of Panel Content -->
</div>
</div>
</div>
<!-- End of Content Section -->
</div>
</div>
<!-- End of Page Content -->
<?php
include("includes/footer.php");
?>
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