<script>
function ailment_system_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;
	}
ailment_system_save();
}
</script>
<style>
#modal-add-ailment{
	overflow-y:scroll;
}
</style>
<div class="modal fade" id="modal-add-ailment-system" name="modal-add-ailment-system" role="dialog" aria-hidden="true">
	<form role="form" id="ailment_system_form" name="ailment_system_form" action="#" method="post">
		<div class="modal-dialog">
			<div class="modal-content">
				<div class="widget-header">
					<h5 class="widget-title"> Ailment System</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-12">
						 <div class="form-group">
							<label for="role">Ailment System Name</label>
					           <input type="hidden" id="ailment_system_id" name="ailment_system_id"/>
							<input type="text" autofocus="autofocus" class="form-control" name="ailment_system_name"
									id="ailment_system_name" maxlength="100" placeholder="Enter ailment Name" required/>
						</div>
					     </div>
						<div class="col-sm-12">	
						<div class="form-group">
							<label for="ailment">Ailment System Description</label>
							<input type="text" class="form-control" name="ailment_system_description"
									id="ailment_system_description" maxlength="400" placeholder="Enter Ailment Description" required/>
						</div>
					   </div>
				
						<div class="col-sm-12">	   
						<div class="form-group">
							<label for="ailment">Ailment System Code</label>
							<input type="text" class="form-control" name="ailment_system_code"
									id="ailment_system_code" maxlength="10" placeholder="Enter Ailment Code" required/>
						</div>
					   </div>
				</div>	   
				</div>
				<div class="widget-toolbox padding-8 clearfix" >
					<button type="button" style="margin-left:400px" class="btn btn-info btn-sm save_button" onclick="ailment_system_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>