Current File : /home/inlingua/public_html/sensoriumpsychologists.com/diagnostics/admin/add_treatment_condition.php
<?php require_once("../franchise_between/admin_constants.php");?>
<?php require_once("../franchise_between/check_admin.php");?>
<?php require_once("../franchise_between/user_details_msg_setup.php");?>
<?php require_once("../franchise_back/connection.php");?>
<?php require_once("../franchise_back/database_admin.php");?>
<?php require_once("../franchise_back/validate_admin.php");?>
<?php require_once("../franchise_between/admin.php");?>
<?php
if(isset($_POST['submit_form']))
{
	extract($_POST);
	$fetch_obj=new admin;
	$response=$fetch_obj->add_treatment_condition($code,$std,$month,$week,$day);
	if($response=="ok")
	{
		$msg_print="Succssfully added...!!!";
		$temp_filename="index.php";
	}
	else
	{
		$msg_print=$response;
		$temp_filename="add_treatment_condition.php";
	}
	header("location:redirect_msg.php?q=".$temp_filename."&msg=".$msg_print);
	exit(EXIT_ERROR);
}
?>
<!DOCTYPE html>
<html>
  <head>
    <?php require("common/head_links.php");?>
    
  </head>
  <body class="hold-transition skin-blue sidebar-mini">
    <div class="wrapper">

      <?php require("common/header.php");?>
      
      <?php require("common/left_side_bar.php");?>

      <!-- Content Wrapper. Contains page content -->
      <div class="content-wrapper">
        <!-- Content Header (Page header) -->
        <section class="content-header">
          <h1>
            Add Treatment Condition
          </h1>
        </section>

        <!-- Main content -->
        <section class="content">
        	<div class="row" style="margin-top:20px;">
        <div class="col-xs-12">
          <div class="box box-primary">
            <div class="box-body table-responsive">
              
              <form method="post" onSubmit="return validate_form()">
              	<div class="form-group">
                	<label>Code</label>
                    <select name="code" id="code" class="form-control" style="width:auto;">
                    	<option value="">-Select Code-</option>
                        <option>ac</option>
                        <option>AD</option>
                        <option>vddl</option>
                        <option>vddm</option>
                        <option>vddn</option>
                        <option>vdds</option>
                        <option>vddw</option>
                        <option>vdll</option>
                        <option>vdlm</option>
                        <option>vdln</option>
                        <option>vdls</option>
                        <option>vdlw</option>
                        <option>VDR</option>
                        <option>VMC</option>
                    </select>
                </div>
              	<div class="form-group">
                	<label>Std</label>
                    <select name="std" id="std" class="form-control" style="width:auto;">
                    	<option value="">-Select Std-</option>
                        <option>1</option>
                        <option>2</option>
                        <option>3</option>
                        <option>4</option>
                    </select>
                </div>
              	<div class="form-group">
                	<label>Month</label>
                    <select name="month" id="month" class="form-control" style="width:auto;">
                    	<option value="">-Select Month-</option>
                        <option>1</option>
                        <option>2</option>
                        <option>3</option>
                        <option>4</option>
                        <option>5</option>
                    </select>
                </div>
              	<div class="form-group">
                	<label>Week</label>
                    <select name="week" id="week" class="form-control" style="width:auto;">
                    	<option value="">-Select Week-</option>
                        <option>1</option>
                        <option>2</option>
                        <option>3</option>
                        <option>4</option>
                        <option>5</option>
                    </select>
                </div>
              	<div class="form-group">
                	<label>Day</label>
                    <select name="day" id="day" class="form-control" style="width:auto;">
                    	<option value="">-Select Day-</option>
                        <option>1</option>
                        <option>2</option>
                        <option>3</option>
                        <option>4</option>
                        <option>5</option>
                        <option>6</option>
                        <option>7</option>
                    </select>
                </div>
                <div class="form-group">
                	<input type="submit" name="submit_form" class="btn btn-success" value="Add Now" />&nbsp;
                	<a href="index.php"><div class="btn btn-danger">Cancel</div></a>
                </div>
              </form>
              
            </div>
            <!-- /.box-body -->
          </div>
          <!-- /.box --> 
        </div>
        <!-- /.col --> 
      </div>
        </section><!-- /.content -->
      </div><!-- /.content-wrapper -->
      <?php require("common/footer.php");?>

      

    </div><!-- ./wrapper -->
<?php require("common/footer_links.php");?>



<script>
function validate_form()
{
	if($("#code").val()=="")
	{
		$("#error_msg_string_ajax").html("Error : Please select Code...");
		$("#blackout_error_ajax,#error_msg_div_ajax").css({'visibility':'visible'});
		return false;
	}
	if($("#std").val()=="")
	{
		$("#error_msg_string_ajax").html("Error : Please select Std...");
		$("#blackout_error_ajax,#error_msg_div_ajax").css({'visibility':'visible'});
		return false;
	}
	if($("#month").val()=="")
	{
		$("#error_msg_string_ajax").html("Error : Please select Month...");
		$("#blackout_error_ajax,#error_msg_div_ajax").css({'visibility':'visible'});
		return false;
	}
	if($("#week").val()=="")
	{
		$("#error_msg_string_ajax").html("Error : Please select Week...");
		$("#blackout_error_ajax,#error_msg_div_ajax").css({'visibility':'visible'});
		return false;
	}
	if($("#day").val()=="")
	{
		$("#error_msg_string_ajax").html("Error : Please select Day...");
		$("#blackout_error_ajax,#error_msg_div_ajax").css({'visibility':'visible'});
		return false;
	}
	$("#blackout").css({'visibility':'visible'});
}
</script>
  </body>
</html>