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supplies_add_form.php
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<?php include 'server/server.php' ?>
<?php
// category
$query = "SELECT * FROM tbl_med_supply_category ORDER BY id DESC";
$result = $conn->query($query);
$med_supp_category = array();
while($row = $result->fetch_assoc()){
$med_supp_category[] = $row;
}
?>
<!DOCTYPE html>
<html lang="en">
<head>
<?php include 'templates/header.php' ?>
<title>Medical Supplies - Masili Health Service System</title>
</head>
<body>
<div class="wrapper">
<?php include 'templates/main-header.php' ?>
<?php include 'templates/sidebar.php' ?>
<div class="main-panel">
<div class="content">
<div class="page-inner">
<div class="row mt--2">
<div class="col-md-12">
<?php include 'templates/loading_screen.php' ?>
<div class="card">
<div class="card-header">
<div class="card-head-row">
<div class="card-title">
<h1>
<a href="supplies.php" class="text-primary">MEDICAL SUPPLY</a> > <strong class="text-default">CREATE</strong></h1>
</div>
</div>
</div>
<div class="card-body">
<form method="POST" action="supply_add_record.php">
<div class="row">
<div class="col-md-6">
<div class="form-group">
<label for="inputSupplyName">Supply Name</label>
<input type="text" class="form-control" id="inputSupplyName" name="supply_name" required>
</div>
<div class="form-group">
<label for="inputDescription">Description</label>
<textarea class="form-control" id="inputDescription" rows="3" name="description" required></textarea>
</div>
<div class="form-group">
<label for="exampleFormControlSelect1">Category</label>
<select class="form-control" id="exampleFormControlSelect1" name="category" required>
<option selected="true" disabled="disabled">--</option>
<?php foreach($med_supp_category as $row): ?>
<option value="<?= ucwords($row['category']) ?>"><?= ucwords($row['category']) ?></option>
<?php endforeach ?>
</select>
</div>
<div class="form-group">
<label for="inputQuantity">Quantity</label>
<input type="number" class="form-control" id="inputQuantity" name="quantity" required>
</div>
<div class="form-group">
<button type="submit" class="btn btn-primary mt-2 mb-2">Create</button>
</div>
<input type="hidden" value="<?php echo $id ?>" name="id">
</div>
<div class="col-md-6"></div>
</div>
</form>
</div>
<!-- end of medicine table -->
</div>
</div>
</div>
</div>
</div>
<!-- Main Footer -->
<?php include 'templates/main-footer.php' ?>
<!-- End Main Footer -->
</div>
</div>
<?php include 'templates/footer.php' ?>
<script src="assets/js/plugin/datatables/datatables.min.js"></script>
<style>
.text-primary, .text-primary a{
color: #1c9790 !important;
}
.btn-primary, .btn-primary:hover, .btn-primary:focus, .btn-primary:disabled{
background: #1c9790 !important;
border-color: #1c9790 !important;
}
.text-primary:hover, .text-primary a:hover{
color: #1c9790 !important;
}
</style>
</body>
</html>