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

72 lines
2.4 KiB
PHP

<script>
function validate(){
var disease_name = $('#disease_name').val();
if(disease_name == ''){
BootstrapDialog.alert('Please Enter Disease Category Name.!!!');
return false;
}
var disease_desc = $('#disease_description').val();
if(disease_desc == ''){
BootstrapDialog.alert('Please Enter Disease Category Description.!!!');
return false;
}
var disease_code = $('#disease_code').val();
if(disease_code == ''){
BootstrapDialog.alert('Please Enter Disease Code.!!!');
return false;
}
save_disease();
}
</script>
<style>
#modal-add-disease{
overflow-y:scroll;
}
</style>
<div class="modal fade" id="modal-add-disease" name="modal-add-disease" role="dialog" aria-hidden="true">
<form role="form" id="disease_form" name="disease_form" action="#" method="post">
<div class="modal-dialog">
<div class="modal-content">
<div class="widget-header">
<h5 class="widget-title">Disease</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">Disease Categories Name</label>
<input type="hidden" class="form-control" name="disease_id"
id="disease_id" value="" required/>
<input type="text" class="form-control" name="disease_name"
id="disease_name" placeholder="Enter Disease Categories Name" required/>
</div>
<div class="form-group">
<label for="disease">Disease Categories Description</label>
<input type="text" class="form-control" name="disease_description"
id="disease_description" placeholder="Enter Disease Description" required/>
</div>
<div class="form-group">
<label for="disease">Disease Categories Code</label>
<input type="text" class="form-control" name="disease_code"
id="disease_code" placeholder="Enter Disease code" required/>
</div>
</div>
<div class="widget-toolbox padding-8 clearfix" >
<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>
<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>