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: /var/www/zenithentcare/testapp/cpanel/ [ drwxrwxr-x ]
name : add_appointment.php <?php include "top.php";?> <style> /* The Modal (background) */ .modalnew { display: none; /* Hidden by default */ position: fixed; /* Stay in place */ z-index: 1500; /* Sit on top */ left: 0; top: 0; width: 100%; /* Full width */ height: 100%; /* Full height */ overflow: auto; /* Enable scroll if needed */ background-color: rgb(0, 0, 0); /* Fallback color */ background-color: rgba(0, 0, 0, 0.4); /* Black w/ opacity */ } /* Modal Content/Box */ .modalnew-content { background-color: #fefefe; margin: 5% auto; /* 15% from the top and centered */ padding: 20px; border: 1px solid #888; width: 80%; /* Could be more or less, depending on screen size */ } /* The Close Button */ .close { color: #aaa; float: right; font-size: 28px; font-weight: bold; } .close:hover, .close:focus { color: black; text-decoration: none; cursor: pointer; } </style> <div id="layoutSidenav_content"> <main> <div class="container-fluid px-4"> <h1 class="mt-4">Add Appointment</h1> <ol class="breadcrumb mb-4 justify-content-between"> <li class="breadcrumb-item active">Please fill details.</li> <a class="btn btn-primary">Appointment List</a> </ol> <!-- Trigger/Open The Modal --> <button id="myBtn">Open Modal</button> <!-- The Modal --> <div class="row"> <div class="col-lg-12"> <div class="card shadow-lg border-0 rounded-lg mb-5"> <div class="card-body"> <form> <div class="row"> <div class="col-md-6"> <div class="form-floating mb-3"> <input class="form-control" name="txtPatientName" id="txtPatientName" type="text" placeholder="Ex. Sanjeev Kumar Singh" required /> <label for="txtPatientName">Patient Name</label> </div> </div> <div class="col-md-6"> <div class="form-floating mb-3"> <input class="form-control" name="txtMobileNo" id="txtMobileNo" type="number" placeholder="Ex. 9999999999" required /> <label for="txtMobileNo">Mobile No.</label> </div> </div> </div> <div class="row"> <div class="col-md-6"> <div class="row"> <div class="col-md-6"> <div class="form-floating mb-3"> <input class="form-control" name="txtAge" id="txtAge" type="number" placeholder="Ex. 25" /> <label for="txtAge">Age</label> </div> </div> <div class="col-md-6"> <div class="form-floating mb-3"> <select class="form-control" name="ddlYears" id="ddlYears"> <option value="Year">Year</option> <option value="Month">Month</option> <option value="Days">Days</option> </select> <label for="ddlYears">Years</label> </div> </div> </div> </div> <div class="col-md-6"> <div class="form-floating mb-3"> <select class="form-control" name="ddlGender" id="ddlGender"> <option value="Male">Male</option> <option value="Female">Female</option> <option value="Other">Other</option> </select> <label for="ddlGender">Gender</label> </div> </div> </div> <div class="form-floating mb-3"> <input class="form-control" name="txtAppointmentDate" id="txtAppointmentDate" type="date" placeholder="Ex. dd/mm/yyyy" /> <label for="inputEmail">Appointment Date</label> </div> <div class="row"> <div class="col-md-6"> <div class="form-floating mb-3"> <select class="form-control" name="ddlDepartmentName" id="ddlDepartmentName"> <option value="Male">Male</option> <option value="Female">Female</option> <option value="Other">Other</option> </select> <label for="ddlDepartmentName">Department Name</label> </div> </div> <div class="col-md-6"> <div class="form-floating mb-3"> <select class="form-control" name="ddlDoctorName" id="ddlDoctorName"> <option value="Male">Male</option> <option value="Female">Female</option> <option value="Other">Other</option> </select> <label for="ddlDoctorName">Doctor Name</label> </div> </div> </div> <!-- <div class="form-floating mb-3"> <input class="form-control" id="inputEmail" type="date" placeholder="name@example.com" /> <label for="inputEmail">Date</label> </div> <div class="form-floating mb-3"> <select class="form-control" name="cars" id="cars"> <option value="volvo">Volvo</option> <option value="saab">Saab</option> <option value="mercedes">Mercedes</option> <option value="audi">Audi</option> </select> <label for="inputEmail">Select</label> </div> <div class="form-check mb-3"> <input class="form-check-input" id="inputRememberPassword" type="checkbox" value="" /> <label class="form-check-label" for="inputRememberPassword">Remember Password</label> </div>--> <div class="align-items-center text-center mt-4 mb-0"> <!-- <a class="small" href="password.html">Forgot Password?</a> --> <button class="btn btn-primary" href="index.html">Save Appointment</button> </div> </form> </div> <div class="card-footer text-center py-3"> <!-- <div class="small"> <a href="register.html">Need an account? Sign up!</a> </div> --> </div> </div> </div> </div> </div> <!-- The Modal --> <div id="myModal" class="modalnew"> <!-- Modal content --> <div class="modalnew-content"> <span class="close">&times;</span> <div class="container-fluid px-4"> <h1 class="mt-4">Appointment List</h1> <ol class="breadcrumb mb-4 justify-content-between"> <li class="breadcrumb-item active">List of booked appointment.</li> <a class="btn btn-primary">Add Appointment</a> </ol> <div class="card mb-4"> <div class="card-header"> <i class="fas fa-table me-1"></i> Appointment </div> <div class="card-body"> <table id="datatablesSimple"> <thead> <tr> <th>Name</th> <th>Position</th> <th>Office</th> <th>Age</th> <th>Start date</th> <th>Salary</th> </tr> </thead> <tfoot> <tr> <th>Name</th> <th>Position</th> <th>Office</th> <th>Age</th> <th>Start date</th> <th>Salary</th> </tr> </tfoot> <tbody> <tr> <td>Tiger Nixon</td> <td>System Architect</td> <td>Edinburgh</td> <td>61</td> <td>2011/04/25</td> <td>$320,800</td> </tr> <tr> <td>Garrett Winters</td> <td>Accountant</td> <td>Tokyo</td> <td>63</td> <td>2011/07/25</td> <td>$170,750</td> </tr> <tr> <td>Ashton Cox</td> <td>Junior Technical Author</td> <td>San Francisco</td> <td>66</td> <td>2009/01/12</td> <td>$86,000</td> </tr> <tr> <td>Cedric Kelly</td> <td>Senior Javascript Developer</td> <td>Edinburgh</td> <td>22</td> <td>2012/03/29</td> <td>$433,060</td> </tr> <tr> <td>Airi Satou</td> <td>Accountant</td> <td>Tokyo</td> <td>33</td> <td>2008/11/28</td> <td>$162,700</td> </tr> <tr> <td>Brielle Williamson</td> <td>Integration Specialist</td> <td>New York</td> <td>61</td> <td>2012/12/02</td> <td>$372,000</td> </tr> <tr> <td>Herrod Chandler</td> <td>Sales Assistant</td> <td>San Francisco</td> <td>59</td> <td>2012/08/06</td> <td>$137,500</td> </tr> <tr> <td>Rhona Davidson</td> <td>Integration Specialist</td> <td>Tokyo</td> <td>55</td> <td>2010/10/14</td> <td>$327,900</td> </tr> <tr> <td>Colleen Hurst</td> <td>Javascript Developer</td> <td>San Francisco</td> <td>39</td> <td>2009/09/15</td> <td>$205,500</td> </tr> <tr> <td>Sonya Frost</td> <td>Software Engineer</td> <td>Edinburgh</td> <td>23</td> <td>2008/12/13</td> <td>$103,600</td> </tr> <tr> <td>Jena Gaines</td> <td>Office Manager</td> <td>London</td> <td>30</td> <td>2008/12/19</td> <td>$90,560</td> </tr> <tr> <td>Quinn Flynn</td> <td>Support Lead</td> <td>Edinburgh</td> <td>22</td> <td>2013/03/03</td> <td>$342,000</td> </tr> <tr> <td>Charde Marshall</td> <td>Regional Director</td> <td>San Francisco</td> <td>36</td> <td>2008/10/16</td> <td>$470,600</td> </tr> <tr> <td>Haley Kennedy</td> <td>Senior Marketing Designer</td> <td>London</td> <td>43</td> <td>2012/12/18</td> <td>$313,500</td> </tr> <tr> <td>Tatyana Fitzpatrick</td> <td>Regional Director</td> <td>London</td> <td>19</td> <td>2010/03/17</td> <td>$385,750</td> </tr> <tr> <td>Michael Silva</td> <td>Marketing Designer</td> <td>London</td> <td>66</td> <td>2012/11/27</td> <td>$198,500</td> </tr> <tr> <td>Paul Byrd</td> <td>Chief Financial Officer (CFO)</td> <td>New York</td> <td>64</td> <td>2010/06/09</td> <td>$725,000</td> </tr> <tr> <td>Gloria Little</td> <td>Systems Administrator</td> <td>New York</td> <td>59</td> <td>2009/04/10</td> <td>$237,500</td> </tr> <tr> <td>Bradley Greer</td> <td>Software Engineer</td> <td>London</td> <td>41</td> <td>2012/10/13</td> <td>$132,000</td> </tr> <tr> <td>Dai Rios</td> <td>Personnel Lead</td> <td>Edinburgh</td> <td>35</td> <td>2012/09/26</td> <td>$217,500</td> </tr> <tr> <td>Jenette Caldwell</td> <td>Development Lead</td> <td>New York</td> <td>30</td> <td>2011/09/03</td> <td>$345,000</td> </tr> <tr> <td>Yuri Berry</td> <td>Chief Marketing Officer (CMO)</td> <td>New York</td> <td>40</td> <td>2009/06/25</td> <td>$675,000</td> </tr> <tr> <td>Caesar Vance</td> <td>Pre-Sales Support</td> <td>New York</td> <td>21</td> <td>2011/12/12</td> <td>$106,450</td> </tr> <tr> <td>Doris Wilder</td> <td>Sales Assistant</td> <td>Sidney</td> <td>23</td> <td>2010/09/20</td> <td>$85,600</td> </tr> <tr> <td>Angelica Ramos</td> <td>Chief Executive Officer (CEO)</td> <td>London</td> <td>47</td> <td>2009/10/09</td> <td>$1,200,000</td> </tr> <tr> <td>Gavin Joyce</td> <td>Developer</td> <td>Edinburgh</td> <td>42</td> <td>2010/12/22</td> <td>$92,575</td> </tr> <tr> <td>Jennifer Chang</td> <td>Regional Director</td> <td>Singapore</td> <td>28</td> <td>2010/11/14</td> <td>$357,650</td> </tr> <tr> <td>Brenden Wagner</td> <td>Software Engineer</td> <td>San Francisco</td> <td>28</td> <td>2011/06/07</td> <td>$206,850</td> </tr> <tr> <td>Fiona Green</td> <td>Chief Operating Officer (COO)</td> <td>San Francisco</td> <td>48</td> <td>2010/03/11</td> <td>$850,000</td> </tr> <tr> <td>Shou Itou</td> <td>Regional Marketing</td> <td>Tokyo</td> <td>20</td> <td>2011/08/14</td> <td>$163,000</td> </tr> <tr> <td>Michelle House</td> <td>Integration Specialist</td> <td>Sidney</td> <td>37</td> <td>2011/06/02</td> <td>$95,400</td> </tr> <tr> <td>Suki Burks</td> <td>Developer</td> <td>London</td> <td>53</td> <td>2009/10/22</td> <td>$114,500</td> </tr> <tr> <td>Prescott Bartlett</td> <td>Technical Author</td> <td>London</td> <td>27</td> <td>2011/05/07</td> <td>$145,000</td> </tr> <tr> <td>Gavin Cortez</td> <td>Team Leader</td> <td>San Francisco</td> <td>22</td> <td>2008/10/26</td> <td>$235,500</td> </tr> <tr> <td>Martena Mccray</td> <td>Post-Sales support</td> <td>Edinburgh</td> <td>46</td> <td>2011/03/09</td> <td>$324,050</td> </tr> <tr> <td>Unity Butler</td> <td>Marketing Designer</td> <td>San Francisco</td> <td>47</td> <td>2009/12/09</td> <td>$85,675</td> </tr> <tr> <td>Howard Hatfield</td> <td>Office Manager</td> <td>San Francisco</td> <td>51</td> <td>2008/12/16</td> <td>$164,500</td> </tr> <tr> <td>Hope Fuentes</td> <td>Secretary</td> <td>San Francisco</td> <td>41</td> <td>2010/02/12</td> <td>$109,850</td> </tr> <tr> <td>Vivian Harrell</td> <td>Financial Controller</td> <td>San Francisco</td> <td>62</td> <td>2009/02/14</td> <td>$452,500</td> </tr> <tr> <td>Timothy Mooney</td> <td>Office Manager</td> <td>London</td> <td>37</td> <td>2008/12/11</td> <td>$136,200</td> </tr> <tr> <td>Jackson Bradshaw</td> <td>Director</td> <td>New York</td> <td>65</td> <td>2008/09/26</td> <td>$645,750</td> </tr> <tr> <td>Olivia Liang</td> <td>Support Engineer</td> <td>Singapore</td> <td>64</td> <td>2011/02/03</td> <td>$234,500</td> </tr> <tr> <td>Bruno Nash</td> <td>Software Engineer</td> <td>London</td> <td>38</td> <td>2011/05/03</td> <td>$163,500</td> </tr> <tr> <td>Sakura Yamamoto</td> <td>Support Engineer</td> <td>Tokyo</td> <td>37</td> <td>2009/08/19</td> <td>$139,575</td> </tr> <tr> <td>Thor Walton</td> <td>Developer</td> <td>New York</td> <td>61</td> <td>2013/08/11</td> <td>$98,540</td> </tr> <tr> <td>Finn Camacho</td> <td>Support Engineer</td> <td>San Francisco</td> <td>47</td> <td>2009/07/07</td> <td>$87,500</td> </tr> <tr> <td>Serge Baldwin</td> <td>Data Coordinator</td> <td>Singapore</td> <td>64</td> <td>2012/04/09</td> <td>$138,575</td> </tr> <tr> <td>Zenaida Frank</td> <td>Software Engineer</td> <td>New York</td> <td>63</td> <td>2010/01/04</td> <td>$125,250</td> </tr> <tr> <td>Zorita Serrano</td> <td>Software Engineer</td> <td>San Francisco</td> <td>56</td> <td>2012/06/01</td> <td>$115,000</td> </tr> <tr> <td>Jennifer Acosta</td> <td>Junior Javascript Developer</td> <td>Edinburgh</td> <td>43</td> <td>2013/02/01</td> <td>$75,650</td> </tr> <tr> <td>Cara Stevens</td> <td>Sales Assistant</td> <td>New York</td> <td>46</td> <td>2011/12/06</td> <td>$145,600</td> </tr> <tr> <td>Hermione Butler</td> <td>Regional Director</td> <td>London</td> <td>47</td> <td>2011/03/21</td> <td>$356,250</td> </tr> <tr> <td>Lael Greer</td> <td>Systems Administrator</td> <td>London</td> <td>21</td> <td>2009/02/27</td> <td>$103,500</td> </tr> <tr> <td>Jonas Alexander</td> <td>Developer</td> <td>San Francisco</td> <td>30</td> <td>2010/07/14</td> <td>$86,500</td> </tr> <tr> <td>Shad Decker</td> <td>Regional Director</td> <td>Edinburgh</td> <td>51</td> <td>2008/11/13</td> <td>$183,000</td> </tr> <tr> <td>Michael Bruce</td> <td>Javascript Developer</td> <td>Singapore</td> <td>29</td> <td>2011/06/27</td> <td>$183,000</td> </tr> <tr> <td>Donna Snider</td> <td>Customer Support</td> <td>New York</td> <td>27</td> <td>2011/01/25</td> <td>$112,000</td> </tr> </tbody> </table> </div> </div> </div> </div> </div> </main> <script> // Get the modal var modal = document.getElementById("myModal"); // Get the button that opens the modal var btn = document.getElementById("myBtn"); // Get the <span> element that closes the modal var span = document.getElementsByClassName("close")[0]; // When the user clicks on the button, open the modal btn.onclick = function() { modal.style.display = "block"; } // When the user clicks on <span> (x), close the modal span.onclick = function() { modal.style.display = "none"; } // When the user clicks anywhere outside of the modal, close it window.onclick = function(event) { if (event.target == modal) { modal.style.display = "none"; } } </script> <?php include "footer.php";?>