41 lines
1.5 KiB
PHP
41 lines
1.5 KiB
PHP
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<script>
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</script>
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<style>
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#modal-add-health_advice {
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overflow-y: scroll;
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}
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</style>
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<div class="modal fade" id="modal-add-health_advice" name="modal-add-health_advice" role="dialog" aria-hidden="true">
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<form role="form" id="communication_master_form" name="communication_master_form" action="#" method="post">
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<div class="modal-dialog">
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<div class="modal-content">
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<div class="widget-header">
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<h5 class="widget-title">Communication Item</h5>
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<div class="widget-toolbar">
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<div class="widget-menu">
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<a href="#" class="close" data-action="close" data-dismiss="modal">
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<i class="ace-icon fa fa-times"></i>
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</a>
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</div>
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</div>
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</div>
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<div class="modal-body">
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<div class="form-group">
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<label for="health_advice">Communication Item Name</label>
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<input type="hidden" class="form-control" name="communication_id" id="communication_id" />
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<input type="text" class="form-control" name="com_item" id="com_item" maxlength="255" placeholder="Enter Communication Item Name" required />
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</div>
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<div class="widget-toolbox padding-8 clearfix">
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<button type="button" class="btn btn-info btn-sm save_button" onclick="validate();"><i class="ace-icon fa fa-floppy-o bigger-110"></i>Save </button>
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<button type="button" class="btn btn-danger btn-sm" data-dismiss="modal"><i class="ace-icon fa fa-times bigger-110"></i>Cancel</button>
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</div>
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</div>
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</div>
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</form>
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</div>
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