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

76 lines
3.0 KiB
PHP

<script>
function validate() {
var section_name = $('#city').val();
if (section_name == '') {
BootstrapDialog.alert('Please Enter city Name .!!!');
return false;
}
save_section();
}
</script>
<style>
#modal-add-city {
overflow-y: scroll;
}
</style>
<div class="modal fade" id="modal-add-city" role="dialog" aria-hidden="true">
<form role="form" id="city_form" name="city_form" action="#" method="post">
<div class="modal-dialog">
<div class="modal-content">
<div class="widget-header">
<h5 class="widget-title">Add City Details</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="city ">City</label>
<input type="hidden" class="form-control" name="city_id" id="city_id" value="" />
<input type="text" class="form-control" name="city" id="city" value="" />
</div>
<!-- <div class="form-group">
<label for="user_role"> AC Per KM Cost </label>
<input type="text" class="form-control" name="AC_cost" id="AC_cost" value="" />
</div>
<div class="form-group">
<label for="user_role"> AC Ambulance Charge </label>
<input type="text" class="form-control" name="AC_amb_charge" id="AC_amb_charge" value="" />
</div>
<div class="form-group">
<label for="user_role"> NON-AC Per KM Cost </label>
<input type="text" class="form-control" name="NON_AC_cost" id="NON_AC_cost" value="" />
</div>
<div class="form-group">
<label for="user_role"> NON-AC Ambulance Charge </label>
<input type="text" class="form-control" name="NON_AC_amb_charge" id="NON_AC_amb_charge"
value="" />
</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>