85 lines
3.5 KiB
PHP
85 lines
3.5 KiB
PHP
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sa<script>
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function validate() {
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var section_name = $('#city').val();
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if (section_name == '') {
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BootstrapDialog.alert('Please Enter city Name .!!!');
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return false;
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}
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save_section();
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}
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</script>
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<style>
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#modal-add-city {
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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-city" role="dialog" aria-hidden="true">
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<form role="form" id="city_form" name="city_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">Employee Appointment</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="city ">Appointment Date</label>
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<input type="hidden" class="form-control" name="city_id" id="city_id" value="" />
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<input type="text" readonly class="form-control" name="appointment_date" id="appointment_date" value="" />
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</div>
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<div class="form-group">
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<label for="user_role"> Time </label>
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<input type="text" readonly class="form-control" name="time" id="time" value="" />
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</div>
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<div class="form-group">
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<label for="user_role">Patient Name</label>
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<input type="text" readonly class="form-control" name="patient_name " id="patient_name" value="" />
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</div>
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<div class="form-group">
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<label for="user_role"> Doctor Name </label>
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<input type="text" readonly class="form-control" name="doctor_name" id="doctor_name" value="" />
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</div>
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<div class="form-group">
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<label for="user_role"> Appointment Type </label>
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<input type="text" readonly class="form-control" name="app_type" id="app_type" value="" />
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</div>
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<div class="form-group">
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<label for="user_role"> Status </label>
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<select name="status" id="status" class="form-control">
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<option value="BOOKED" >Pending</option>
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<option value="DRA">Done Appointment</option>
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<option value="CANCELLED">Cancel Appointment</option>
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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
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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
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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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