ESH/add_diagnosis.php
2024-10-23 18:28:06 +05:30

72 lines
2.5 KiB
PHP

<script>
function validate_diagnosis(){
var designation_name = $('#ailment_name').val();
if(designation_name == ''){
BootstrapDialog.alert('Please Enter diagnosis Name.!!!');
return false;
}
/*var designation_desc = $('#designation_desc').val();
if(designation_desc == ''){
BootstrapDialog.alert('Please Enter Designation Discription.!!!');
return false;
}*/
/*var designation_code = $('#designation_code').val();
if(designation_code == ''){
BootstrapDialog.alert('Please Enter Designation Code.!!!');
return false;
}*/
save_diagnosis();
}
</script>
<style>
#modal-add-diagnosis{
overflow-y:scroll;
}
</style>
<div class="modal fade" id="modal-add-diagnosis" name="modal-add-diagnosis" role="dialog" aria-hidden="true">
<form role="form" id="diagnosis_form" name="diagnosis_form" action="#" method="post">
<div class="modal-dialog">
<div class="modal-content">
<div class="widget-header">
<h5 class="widget-title">Diagnosis</h5>
<div class="widget-toolbar">
<div class="widget-menu">
<a href="#" class="close" data-action="close" data-dismiss="modal">
<i class="ace-icon fa fa-times"></i>
</a>
</div>
</div>
</div>
<div class="modal-body">
<div class="form-group">
<label for="role">Diagnosis Name</label>
<input type="hidden" class="form-control" name="ailment_id" style="text-transform:uppercase"
id="ailment_id" value="" required/>
<input type="text" autofocus="autofocus" class="form-control" name="ailment_name"
id="ailment_name" placeholder="Enter Diagnosis Name" required/>
</div>
<div class="form-group">
<label for="ailment">Diagnosis Description</label>
<input type="text" class="form-control" name="ailment_desc"
id="ailment_desc" placeholder="Enter Designation Discription" required/>
</div>
<div class="form-group">
<label for="ailment">Diagnosis Code</label>
<input type="text" class="form-control" name="ailment_code"
id="ailment_code" placeholder="Enter Designation Code" required/>
</div>
</div>
<div class="widget-toolbox padding-8 clearfix" >
<button type="button" class="btn btn-info btn-sm save_button" onclick="validate_diagnosis();"><i class="ace-icon fa fa-floppy-o bigger-110"></i>Save </button>
<button type="button" class="btn btn-danger btn-sm" data-dismiss="modal"><i class="ace-icon fa fa-times bigger-110"></i>Cancel</button>
</div>
</div>
</div>
</form>
</div>