72 lines
2.4 KiB
PHP
72 lines
2.4 KiB
PHP
<script>
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function validate(){
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var medical_form_name = $('#medical_form_name').val();
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if(medical_form_name == ''){
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BootstrapDialog.alert('Please Enter medical_form Name.!!!');
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return false;
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}
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var medical_form_code = $('#medical_form_code').val();
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if(medical_form_code == ''){
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BootstrapDialog.alert('Please Enter medical_form Code.!!!');
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return false;
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}
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save_medical_form();
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}
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</script>
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<style>
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#modal-add-medical_form{
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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-medical-form" name="modal-add-medical-form" role="dialog" aria-hidden="true">
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<form role="form" id="medical_form_form" name="medical_form_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">Medical Form</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="role">Medical Form Name</label>
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<input type="hidden" class="form-control" name="medical_form_id"
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id="medical_form_id" value="" required/>
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<input type="text" class="form-control" autofocus="autofocus" name="medical_form_name"
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id="medical_form_name" maxlength="30" placeholder="Enter Medical Name" required/>
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</div>
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<div class="form-group">
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<label for="medical_form">Medical Form code</label>
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<input type="text" class="form-control" name="medical_form_code"
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id="medical_form_code" maxlength="20" placeholder="Enter Medical Code" required/>
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</div>
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<div class="form-group">
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<label for="is_qty_fixed">Is Qty Fixed</label>
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<select name="is_qty_fixed" id="is_qty_fixed" class="form-control">
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<option value="NO">NO</option>
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<option value="YES">YES</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 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 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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