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

132 lines
4.0 KiB
PHP

<script>
function validate(){
var ailment_name = $('#ailment_system_name').val();
if(ailment_name == ''){
BootstrapDialog.alert('Please Enter Ailment Name.!!!');
return false;
}
var ailment_desc = $('#ailment_system_description').val();
if(ailment_desc == ''){
BootstrapDialog.alert('Please Enter Ailment Description.!!!');
return false;
}
var ailment_code = $('#ailment_system_code').val();
if(ailment_code == ''){
BootstrapDialog.alert('Please Enter Ailment Code.!!!');
return false;
}
save_bio_medical_waste();
}
</script>
<style>
#modal-add-bio-medical-waste-form {
overflow-y: scroll;
}
</style>
<div class="modal fade" id="modal-add-bio-medical-waste-form"
name="modal-add-bio-medical-waste-from" role="dialog"
aria-hidden="true">
<form role="form" id="bio_medical_waste_form"
name="bio_medical_waste_form" action="#" method="post">
<div class="modal-dialog">
<div class="modal-content">
<div class="widget-header">
<h5 class="widget-title">Bio Medical Waste Generation Form</h5>
<div class="widget-toolbar">
<div class="widget-menu">
<button type="button" class="close" style="" data-dismiss="modal">
<i class="ace-icon fa fa-times"></i>
</button>
</div>
</div>
</div>
<div class="modal-body">
<div class="row">
<div class="col-sm-6">
<div class="form-group">
<label for="role">Waste Generation Date</label>
<div class="input-group">
<input class="form-control date-picker" id="waste_generation_date" name="waste_generation_date"
type="text" data-date-format="dd-mm-yyyy"> <span
class="input-group-addon"> <i
class="fa fa-calendar bigger-110"></i>
</span>
</div>
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label for="ailment">Waste Category</label> <select
class="chosen-select form-control" id="waste_category"
name="waste_category" data-placeholder="Choose Category...">
<option value=""></option>
<?php echo generateOption(' waste_category','waste_category_name','waste_category_id','',''); ?>
</select>
<input type="hidden" name="waste_id" id="waste_id" />
</div>
</div>
</div>
<div class="row">
<div class="col-sm-6">
<div class="form-group">
<label for="ailment">Qty(grams)</label> <input type="text"
class="form-control" name="waste_qty" id="waste_qty"
placeholder="Enter Qty " required />
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label for="ailment">Comments</label> <textarea rows="4"
class="form-control" name="waste_comments" id="waste_comments"
placeholder="Comment" ></textarea>
</div>
</div>
</div>
<div class="row">
<div class="col-sm-6">
<div class="form-group">
<label for="ailment">IsDisposed</label> <select
class="chosen-select form-control" id="is_disposed"
name="is_disposed" data-placeholder="Choose a State...">
<option value=""></option>
<option value="1">Yes</option>
<option value="0">No</option>
</select>
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label for="ailment">Disposal Comments</label> <textarea rows="4"
class="form-control" name="disposal_comments" id="disposal_comments"
placeholder="Disposal Comments" ></textarea>
</div>
</div>
</div>
<div class="widget-toolbox padding-8 clearfix" >
<button type="button" class="btn btn-info btn-sm " id="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>
</div>
</form>
</div>