ikan Uploader :
Directory : /var/www/html/shardahospital_old.org/application/views/includes/
Upload File : |
| Current File : /var/www/html/shardahospital_old.org/application/views/includes/get_enquiry.php |
<div class="modal fade" id="getAnEnquiry" tabindex="-1" role="dialog" aria-labelledby="exampleModalCenterTitle" aria-hidden="true">
<div class="modal-dialog modal-dialog-centered" role="document">
<div class="modal-content">
<div class="modal-header">
<h2 class="modal-title text-md-center" id="exampleModalCenterTitle">Get An Enquiry</h2>
</div>
<div class="clearfix"></div>
<div class="modal-body">
<h4 class="res_special" id="emailerror" style="text-align:center"> <?php echo validation_errors(); ?></h4>
<form name="getEnquiry" method="POST" id="getEnquiry" >
<div class="col-md-12 float-none mx-auto">
<div class="form-group">
<input type="text" class="form-control" id="patient_name" name="patient_name" required placeholder="Patient Name">
</div>
<div class="form-group">
<input type="email" class="form-control" id="email_id" name="email_id" required placeholder="Email Id">
</div>
<div class="form-group">
<input type="text" class="form-control" id="phone_no" name="phone_no" required maxlength="10" placeholder="Phone No.">
<span id='errmsg' style="color:#900; font-size:12px;"> </span>
</div>
<div class="form-group">
<textarea class="form-control" id="enquiry_msg" name="enquiry_msg" required rows="3"></textarea>
</div>
</div>
</form>
<div class="clearfix"></div>
</div>
<div class="modal-footer">
<button type="button" class="btn btn-secondary" data-dismiss="modal">Close</button>
<input type="submit" class="btn btn-primary" name="submit_data" id="submit_data" value="Submit">
</div>
</div>
</div>
</div>
<script typ="text/javascript">
function ValidateEmail(SubscriptionEmail) {
var expr = /^([\w-\.]+)@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.)|(([\w-]+\.)+))([a-zA-Z]{2,4}|[0-9]{1,3})(\]?)$/;
return expr.test(SubscriptionEmail);
};
$('#submit_data').click(function(event) {
event.preventDefault();
var patient_name = $("#patient_name").val();
var email_id = $("#email_id").val();
var phone_no = $("#phone_no").val();
var enquiry_msg = $("#enquiry_msg").val();
var urlnew = '<?php echo $ses;?>';
var dataString = 'patient_name='+patient_name+'&email_id='+email_id+'&phone_no='+phone_no+'&enquiry_msg='+enquiry_msg+'&urls='+urlnew;
$.ajax({
type: "POST",
dataType: "html",
url: "<?php echo base_url();?>get_enquiry",
data: dataString,
'contentType': "application/x-www-form-urlencoded; charset=UTF-8",
cache: false,
beforeSend: function() {
$('#res3').html('Please Wait');
},
success: function(data) {
// $('.res_special').html(data);
$('.res_special').fadeIn().html(data);
}
});
});
$("#phone_no").keypress(function (e) {
if (e.which != 8 && e.which != 0 && (e.which < 48 || e.which > 57)) {
//display error message
$("#errmsg").html("<strong>Enter Number Only</strong>").show().fadeOut("slow");
return false;
}
});
</script>
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