61 lines
2.9 KiB
PHP
61 lines
2.9 KiB
PHP
<style>
|
|
#modal-add-medicine {
|
|
overflow-y: scroll;
|
|
}
|
|
</style>
|
|
|
|
<div class="modal fade" id="model-checkup-parameter" role="dialog" aria-hidden="true">
|
|
<form role="form" id="checkup_parameter_form" name="checkup_parameter_form" action="#" method="post">
|
|
<div class="modal-dialog">
|
|
<div class="modal-content">
|
|
<div class="widget-header">
|
|
<h5 class="widget-title"> Checkup Parameter Group Form</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="row">
|
|
<div class="form-group col-sm-6">
|
|
<input type="hidden" name="group_id" id="group_id">
|
|
<label for="firm_code">Group Tital</label>
|
|
<input type="text" class="form-control" name="group_tital" id="group_tital"
|
|
autofocus="autofocus" value="" placeholder="Enter CheckUp Parameter group Tital."
|
|
required />
|
|
</div>
|
|
|
|
<div class="form-group col-sm-6">
|
|
<label for="group_section">Group Section</label>
|
|
<select name="group_section" id="group_section" class="form-control chosen-select">
|
|
<option value="" selected disabled> select section</option>
|
|
<?php echo generateOption('checkup_form_section', 'section_name', 'section_id', '', ''); ?>
|
|
</select>
|
|
</div>
|
|
<div class="form-group col-sm-6">
|
|
<input type="hidden" name="group_id" id="group_id">
|
|
<label for="firm_code">Group no</label>
|
|
<input type="text" class="form-control" name="group_no" id="group_no" autofocus="autofocus"
|
|
value="" placeholder="Enter CheckUp Parameter group no." required />
|
|
</div>
|
|
|
|
|
|
</div>
|
|
|
|
</div>
|
|
<div class="widget-toolbox padding-8 clearfix">
|
|
<button type="button" class="btn btn-info btn-sm save_button"
|
|
onclick="validate_checkup_parameter();"><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>
|