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

68 lines
2.2 KiB
PHP

<script>
function validate(){
var class_name = $('#patient_cat_name').val();
if(class_name == ''){
BootstrapDialog.alert('Please Enter Patient Category Name.!!!');
return false;
}
/*var class_shortcode = $('#class_shortcode').val();
if(class_shortcode == ''){
BootstrapDialog.alert('Please Enter Patient Type Code.!!!');
return false;
}
var remarks = $('#remarks').val();
if(remarks == ''){
BootstrapDialog.alert('Please Enter Remarks.!!!');
return false;
}*/
save_patient_category();
}
</script>
<style>
#modal-add-patient{
overflow-y:scroll;
}
</style>
<div class="modal fade" id="modal-add-patient-category" name="modal-add-patient-category" role="dialog" aria-hidden="true">
<form role="form" id="patient_category_form" name="patient_category_form" action="#" method="post">
<div class="modal-dialog">
<div class="modal-content">
<div class="widget-header">
<h5 class="widget-title">Patient Category 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="form-group">
<label for="role">Patient Category Name</label>
<input type="hidden" class="form-control" name="patient_cat_id"
id="patient_cat_id" value="" required/>
<input type="text" class="form-control" name="patient_cat_name"
id="patient_cat_name" placeholder="Enter Patient Category Name" required/>
</div>
<div class="form-group">
<label for="ailment">Remarks</label>
<input type="text" class="form-control" name="remarks"
id="remarks" placeholder="Enter Remarks" 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>