126 lines
4.3 KiB
PHP
126 lines
4.3 KiB
PHP
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<script>
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function validate(){
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var checkup_mgmt_name = $('#checkup_mgmt_name').val();
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if(checkup_mgmt_name == ''){
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BootstrapDialog.alert('Please Enter Checkup Mgmt Name.!!!');
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return false;
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}
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save_checkup_mgmt();
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}
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</script>
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<style>
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#modal-add-ailment{
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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-checkup-mgmt" name="modal-add-checkup-mgmt" role="dialog" aria-hidden="true">
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<form role="form" id="checkup_mgmt_form" name="checkup_mgmt_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">Checkup Schedule Form</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="role">Checkup Mgmt Name</label>
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<input type="hidden" class="form-control" name="checkup_mgmt_id"
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id="checkup_mgmt_id" value="" required/>
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<select class="form-control"
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id="checkup_mgmt_name" name="checkup_mgmt_name"
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data-placeholder="Chose Checkup Type" onchange="load_checkup_header(this.value)">
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<option value="" selected disabled>--Select Checkup Type--</option>
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<?php
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if($_REQUEST['checkup_mgmt_name']==''){
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echo generateOption('checkup_type','checkup_type_name','checkup_type_id',$_REQUEST['checkup_type_id_db'],'');
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}else{
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echo generateOption('checkup_type','checkup_type_name','checkup_type_id',$_REQUEST['checkup_type_id'],'');
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}
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?>
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</select>
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</div>
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<div class="form-group">
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<div class="row">
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<div class="col-sm-6">
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<label for="ailment">From Date</label>
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<div class="input-group">
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<input style=" height:30px" class="form-control date-picker" name="from_date" id="from_date" type="text" data-date-format="dd/mm/yyyy" />
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<span class="input-group-addon">
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<i class="fa fa-calendar bigger-110"></i>
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</span>
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</div>
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</div>
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<div class="col-sm-6">
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<label for="ailment">To Date</label>
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<div class="input-group">
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<input style=" height:30px" class="form-control date-picker" name="to_date" id="to_date" type="text" data-date-format="dd/mm/yyyy" />
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<span class="input-group-addon">
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<i class="fa fa-calendar bigger-110"></i>
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</span>
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</div>
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</div>
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</div>
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<div class="form-group">
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<label for="ailment">Checkup By</label>
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<input type="text" class="form-control" name="checkup_by"
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id="checkup_by" placeholder="" required/>
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</div>
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<div class="form-group">
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<label for="ailment"> Location</label>
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<input type="text" class="form-control" name="checkup_location"
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id="checkup_location" placeholder="" required/>
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</div>
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<div class="form-group">
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<label for="ailment"> Remarks</label>
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<input type="text" class="form-control" name="remarks"
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id="remarks" placeholder="" required/>
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</div>
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<!-- <div class="form-group">
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<label for="ailment">Checkup Mode</label>
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<select class="chosen-select form-control" id="training_mode_id" name="training_mode_id" data-placeholder="Chose Checkup Type" >
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<option value=""></option>
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<?php // echo generateOption('training_mode','training_mode_name','training_mode_id','',''); ?>
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</select>
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</div>-->
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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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