<script> function validate() { var employer_contractor = $('#employer_contractor').val(); if (employer_contractor == '') { BootstrapDialog.alert('Please Enter Employer/Contractor Name.!!!'); return false; } // var remarks = $('#remarks').val(); // if(remarks == ''){ // BootstrapDialog.alert('Please Enter Remarks.!!!'); // return false; // } save_employer_contractor(); } </script> <style> #modal-add-patient { overflow-y: scroll; } </style> <div class="modal fade" id="modal-add-employer-contractor" name="modal-add-employer-contractor" role="dialog" aria-hidden="true"> <form role="form" id="employer-contractor_form" name="employer-contractor_form" action="#" method="post"> <div class="modal-dialog"> <div class="modal-content"> <div class="widget-header"> <h5 class="widget-title">Employer / Contractor 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">Employer / Contractor Name</label> <input type="hidden" class="form-control" name="id" id="id" value="" required /> <input type="text" class="form-control" name="employer_contractor" id="employer_contractor" maxlength="70" placeholder="Enter employer / Contractor Name" required /> </div> <div class="form-group"> <label for="role">Code</label> <input type="text" class="form-control" name="employer_contractor_code" id="employer_contractor_code" maxlength="70" placeholder="Enter employer / Contractor Code" required /> </div> <div class="form-group"> <label for="role">Address</label> <input type="text" class="form-control" name="employer_contractor_address" id="employer_contractor_address" maxlength="70" placeholder="Enter Address details " required /> </div> <div class="form-group"> <label for="role">Contact</label> <input type="text" class="form-control" name="employer_contractor_contact" id="employer_contractor_contact" maxlength="70" placeholder="Enter Contact details" required /> </div> <div class="form-group"> <label for="role">Email</label> <input type="text" class="form-control" name="employer_contractor_email" id="employer_contractor_email" maxlength="70" placeholder="Enter Email details" required /> </div> <div class="form-group"> <label for="ailment">Remarks</label> <input type="text" class="form-control" name="remarks" id="remarks" maxlength="70" 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>