ESH/company_profile1.php

<?php  include('techsyn_header.php'); ?>
<!-- Main Content Container for side bar and body-->
<div class="main-container ace-save-state" id="main-container">
	<script type="text/javascript">
			try{ace.settings.loadState('main-container')}catch(e){}
		</script>
<?php  include('techsyn_sidebar.php'); ?>    




<!--breadcrumb-->
	<div class="main-content">
		<div class="main-content-inner">
			<div class="breadcrumbs ace-save-state" id="breadcrumbs">
				<ul class="breadcrumb">
					<li><i class="ace-icon fa fa-home home-icon"></i> <a href="#">Home</a>
					</li>
					<li class="#">Patient List</li>
					<li class="active">OPD/Injury List</li>
				</ul>


			</div>
			<!-- End of breadcrumb -->

			<div class="hr hr-18 hr-double dotted"></div>
			<div  class="widget-box" style="margin:5px; padding:5px;">


				<div class="widget-body">
					<form action="#" name="company_profile" id="company_profile">
						<div class="form-group">
							<label for="logo">Upload logo</label> <input type="file"
								class="form-control" id="logo" placeholder="upload logo"
								name="logo" style="width: 400px;">
						</div>
						<div class="form-group">
							<label for="name">Name</label> <input type="text"
								class="form-control" id="name" placeholder="Enter name"
								name="name" style="width: 400px;">
						</div>
						<div class="form-group">
							<label for="code">Code</label> <input type="text"
								class="form-control" id="code" placeholder="Enter Code"
								name="code" style="width: 400px;">
						</div>
						<div class="form-group">
							<label for="Adress">Address</label> <input type="text"
								class="form-control" id="address" placeholder="Enter Address"
								name="address" style="width: 400px;">
						</div>
						<div class="form-group">
							<label for="contact name">Contact name</label> <input type="text"
								class="form-control" id="contact_name"
								placeholder="Enter contact name" name="contact_name"
								style="width: 400px;">
						</div>
						<div class="form-group">
							<label for="phone">Phone</label> <input type="text"
								class="form-control" id="phone" placeholder="Enter Phone"
								name="phone" style="width: 400px;">
						</div>
						<div class="form-group">
							<label for="email">Email</label> <input type="text"
								class="form-control" id="email" placeholder="Enter email"
								name="email" style="width: 400px;">
						</div>
						<div class="form-group">
							<label for="website">Website</label> <input type="url"
								class="form-control" id="website" placeholder="Enter Website "
								name="website" style="width: 400px;">
						</div>

						<button type="save" onclick="save();" class="btn btn-default"
							style="position: relative; left: 170px;">Save</button>
						<button type="open" onclick="open();" class="btn btn-default"
							style="position: relative; left: 170px;">Open</button>
					</form>
				</div>


			</div>



		</div>
		<!-- /.page-content -->
	</div>
</div>
<!-- /.main-content -->

<link rel="stylesheet"
	href="assets/font-awesome/4.5.0/css/font-awesome.min.css" />

<!-- page specific plugin styles -->
<link rel="stylesheet" href="assets/css/jquery-ui.custom.min.css" />
<link rel="stylesheet" href="assets/css/chosen.min.css" />
<link rel="stylesheet" href="assets/css/bootstrap-datepicker3.min.css" />
<link rel="stylesheet" href="assets/css/bootstrap-timepicker.min.css" />
<link rel="stylesheet" href="assets/css/daterangepicker.min.css" />
<link rel="stylesheet"
	href="assets/css/bootstrap-datetimepicker.min.css" />
<link rel="stylesheet" href="assets/css/bootstrap-colorpicker.min.css" />
<script type="text/javascript" src="js/typeahead.bundle.js"></script>
<script src="assets/js/jquery-ui.custom.min.js"></script>
<script src="assets/js/jquery.ui.touch-punch.min.js"></script>
<script src="assets/js/chosen.jquery.min.js"></script>
<script src="assets/js/spinbox.min.js"></script>
<script src="assets/js/bootstrap-datepicker.min.js"></script>
<script src="assets/js/bootstrap-timepicker.min.js"></script>
<script src="assets/js/jquery.dataTables.min.js"></script>
<script src="assets/js/jquery.dataTables.bootstrap.min.js"></script>
<script src="assets/js/dataTables.buttons.min.js"></script>
<script src="assets/js/buttons.flash.min.js"></script>
<script src="assets/js/buttons.html5.min.js"></script>
<script src="assets/js/buttons.print.min.js"></script>
<script src="assets/js/buttons.colVis.min.js"></script>
<script src="assets/js/dataTables.select.min.js"></script>


<script src="assets/js/moment.min.js"></script>
<script src="assets/js/daterangepicker.min.js"></script>
<script src="assets/js/bootstrap-datetimepicker.min.js"></script>
<script src="assets/js/bootstrap-colorpicker.min.js"></script>
<script src="assets/js/jquery.knob.min.js"></script>
<script src="assets/js/autosize.min.js"></script>
<script src="assets/js/jquery.inputlimiter.min.js"></script>
<script src="assets/js/jquery.maskedinput.min.js"></script>
<script src="assets/js/bootstrap-tag.min.js"></script>
<script src="assets/js/ace-elements.min.js"></script>
<style>
.emergency {
	background-color: red;
}

.injury {
	background-color: red;
}
</style>


<?php  include('techsyn_footer.php'); ?>