-
Notifications
You must be signed in to change notification settings - Fork 116
/
patient.html
199 lines (185 loc) · 8.83 KB
/
patient.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1">
<meta name="description" content="Bootstrap Admin App + jQuery">
<meta name="keywords" content="app, responsive, jquery, bootstrap, dashboard, admin">
<title>HospitalManagementSystem</title>
<!-- =============== VENDOR STYLES ===============-->
<!-- FONT AWESOME-->
<link rel="stylesheet" href="vendor/fontawesome/css/font-awesome.min.css">
<!-- SIMPLE LINE ICONS-->
<link rel="stylesheet" href="vendor/simple-line-icons/css/simple-line-icons.css">
<!-- ANIMATE.CSS-->
<link rel="stylesheet" href="vendor/animate.css/animate.min.css">
<!-- WHIRL (spinners)-->
<link rel="stylesheet" href="vendor/whirl/dist/whirl.css">
<link rel="stylesheet" href="vendor/sweetalert/dist/sweetalert.css">
<!-- DATATABLES-->
<link rel="stylesheet" href="vendor/datatables-colvis/css/dataTables.colVis.css">
<link rel="stylesheet" href="vendor/datatables/media/css/dataTables.bootstrap.css">
<link rel="stylesheet" href="vendor/dataTables.fontAwesome/index.css">
<!-- =============== PAGE VENDOR STYLES ===============-->
<!-- =============== BOOTSTRAP STYLES ===============-->
<link rel="stylesheet" href="app/css/bootstrap.css" id="bscss">
<!-- =============== APP STYLES ===============-->
<link rel="stylesheet" href="app/css/app.css" id="maincss">
</head>
<body class="layout-h">
<div class="wrapper">
<!-- top navbar-->
<header class="topnavbar-wrapper">
<!-- START Top Navbar-->
<nav role="navigation" class="navbar topnavbar">
<!-- START navbar header-->
<div class="navbar-header">
<a href="/" class="navbar-brand">
<div class="brand-logo">
HospitalManagementSystem
</div>
<div class="brand-logo-collapsed">
<img src="img/logo-single.png" alt="App Logo" class="img-responsive">
</div>
</a>
</div>
<!-- END navbar header-->
<!-- START Nav wrapper-->
<div class="nav-wrapper">
</div>
<!-- END Nav wrapper-->
<!-- START Search form-->
<form role="search" action="search.html" class="navbar-form">
<div class="form-group has-feedback">
<input type="text" placeholder="Type and hit enter ..." class="form-control">
<div data-search-dismiss="" class="fa fa-times form-control-feedback"></div>
</div>
<button type="submit" class="hidden btn btn-default">Submit</button>
</form>
<!-- END Search form-->
</nav>
<!-- END Top Navbar-->
</header>
<!-- sidebar-->
<!-- offsidebar-->
<!-- Main section-->
<section>
<!-- Page content-->
<div class="content-wrapper">
<div class="content-heading">
<!-- START Language list-->
<!-- END Language list -->
Patient
<small data-localize="dashboard.WELCOME"></small>
<div class="pull-right">
<div class="btn-group">
<button style="bottom: 27px;" id="addpatient" class="mb-sm btn btn-primary" type="button">Add Patient</button>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<div class="panel panel-default" style="padding: 15px;">
<div class="table-responsive">
<table id="datatable4" class="table table-striped">
<thead>
<tr>
<th style="width:20%">First Name</th>
<th style="width:25%">Last Name</th>
<th style="width:25%">Insurance</th>
<th style="width:15%">Adress</th>
<th style="width:15%">Phone Number</th>
<th style="width:15%"></th>
<th style="width:15%"></th>
</tr>
</thead>
<tbody></tbody>
</table>
</div>
</div>
</div>
</div>
</div>
</section>
<!-- Page footer-->
<footer>
<span>© 2016 - Angle</span>
</footer>
</div>
<div id="myModal" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true" class="modal fade">
<div class="modal-dialog">
<div class="modal-content">
<div class="modal-header">
<button type="button" data-dismiss="modal" aria-label="Close" class="close">
<span aria-hidden="true">×</span>
</button>
<h4 id="myModalLabel" class="modal-title">Patient</h4>
</div>
<div class="modal-body">
<form data-parsley-validate="" novalidate="" class="form-horizontal" id="detailform">
<div class="form-group">
<label class="col-lg-2 control-label">First Name</label>
<div class="col-lg-10">
<input required type="text" name="pat_first_name" class="form-control" placeholder="First Name">
</div>
</div>
<div class="form-group">
<label class="col-lg-2 control-label">Last name</label>
<div class="col-lg-10">
<input required type="text" name="pat_last_name" class="form-control" placeholder="Last name">
</div>
</div>
<div class="form-group">
<label class="col-lg-2 control-label">Insurance No</label>
<div class="col-lg-10">
<input required type="text" name="pat_insurance_no" class="form-control" placeholder="Insurance No">
</div>
</div>
<div class="form-group">
<label class="col-lg-2 control-label">Phone Number</label>
<div class="col-lg-10">
<input required name="pat_ph_no" type="text" class="form-control" placeholder="Phone Number">
</div>
</div>
<div class="form-group">
<label class="col-lg-2 control-label">Address</label>
<div class="col-lg-10">
<textarea required name="pat_address" class="form-control" placeholder="Address"></textarea>
</div>
</div>
</form>
</div>
<div class="modal-footer">
<button type="button" data-dismiss="modal" class="btn btn-default">Close</button>
<button id="savethepatient" type="button" class="btn btn-primary">Save changes</button>
</div>
</div>
</div>
</div>
<!-- =============== VENDOR SCRIPTS ===============-->
<!-- MODERNIZR-->
<script src="vendor/modernizr/modernizr.custom.js"></script>
<!-- JQUERY-->
<script src="vendor/jquery/dist/jquery.js"></script>
<!-- BOOTSTRAP-->
<script src="vendor/bootstrap/dist/js/bootstrap.js"></script>
<script src="vendor/datatables/media/js/jquery.dataTables.min.js"></script>
<script src="vendor/datatables-colvis/js/dataTables.colVis.js"></script>
<script src="vendor/datatables/media/js/dataTables.bootstrap.js"></script>
<script src="vendor/serialize/jquery.serializejson.js"></script>
<!-- STORAGE API-->
<script src="vendor/jQuery-Storage-API/jquery.storageapi.js"></script>
<!-- JQUERY EASING-->
<script src="vendor/jquery.easing/js/jquery.easing.js"></script>
<!-- ANIMO-->
<script src="vendor/animo.js/animo.js"></script>
<script src="vendor/parsley/parsley.min.js"></script>
<script src="vendor/sweetalert/dist/sweetalert.min.js"></script>
<!-- LOCALIZE-->
<script src="vendor/jquery-localize-i18n/dist/jquery.localize.js"></script>
<!-- =============== PAGE VENDOR SCRIPTS ===============-->
<!-- =============== APP SCRIPTS ===============-->
<script src="app/js/app.js"></script>
<script src="js/patient.js"></script>
</body>
</html>