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

62 lines
2.0 KiB
PHP

<script>
function validate(){
var ailment_name = $('#ailment_name').val();
if(ailment_name == ''){
BootstrapDialog.alert('Please Enter Ailment Name.!!!');
return false;
}
var ailment_desc = $('#ailment_desc').val();
if(ailment_desc == ''){
BootstrapDialog.alert('Please Enter Ailment Description.!!!');
return false;
}
save_ailment();
}
</script>
<style>
#modal-add-ailment{
overflow-y:scroll;
}
</style>
<div class="modal fade" id="modal-add-ailment" name="modal-add-ailment" role="dialog" aria-hidden="true">
<form role="form" id="ailment_form" name="ailment_form" action="#" method="post">
<div class="modal-dialog">
<div class="modal-content">
<div class="widget-header">
<h5 class="widget-title">Ailment</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">Ailment Name</label>
<input type="hidden" class="form-control" name="ailment_id"
id="ailment_id" value="" required/>
<input type="text" class="form-control" name="ailment_name"
id="ailment_name" placeholder="Enter ailment Name" required/>
</div>
<div class="form-group">
<label for="ailment">Ailment Description</label>
<input type="text" class="form-control" name="ailment_description"
id="ailment_description" placeholder="Enter Ailment Description" 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>