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<?php $id = $this->session->userdata('admin'); ?>
<div class="content-wrapper">
<!-- Content Header (Page header) -->
<section class="content-header">
<h1>
Add Hospital Profile Translation
</h1>
<ol class="breadcrumb">
<li><a href="<?php echo base_url();?>Welcome/"><i class="fa fa-user-md"></i>Home</a></li>
<li><a href="<?php echo base_url(); ?>Hospitalprofile_Translation/view_hospitalprofile"> Hospital Profile Translation </a></li>
<li class="active">Add Hospital Profile Translation</li>
</ol>
</section>
<!-- Main content -->
<section class="content">
<div class="row">
<!-- left column -->
<div class="col-md-12">
<?php
if($this->session->flashdata('message')) {
$message = $this->session->flashdata('message');
?>
<div class="alert alert-<?php echo $message['class']; ?>">
<button class="close" data-dismiss="alert" type="button">×</button>
<?php echo $message['message']; ?>
</div>
<?php
}
?>
</div>
<form role="form" method="post" id="hospitalprofile_add" data-parsley-validate="" class="validate">
<input type="hidden" name="created_by" value="<?php echo $id; ?>">
<input type="hidden" name="created_date" value="<?php echo date('Y-m-d H:i:s'); ?>" >
<input type="hidden" name="lang['home_lang']" value="home_lang" >
<input type="hidden" name="lang['login_lang']" value="login_lang" >
<input type="hidden" name="lang['search_lang']" value="search_lang" >
<input type="hidden" name="lang['doctorfilter_lang']" value="doctorfilter_lang" >
<input type="hidden" name="lang['clinicfilter_lang']" value="clinicfilter_lang" >
<input type="hidden" name="lang['medicalfilter_lang']" value="medicalfilter_lang" >
<input type="hidden" name="lang['hospitalfilter_lang']" value="hospitalfilter_lang" >
<input type="hidden" name="lang['doctorprofile_lang']" value="doctorprofile_lang" >
<input type="hidden" name="lang['clinicprofile_lang']" value="clinicprofile_lang" >
<input type="hidden" name="lang['medicalprofile_lang']" value="medicalprofile_lang" >
<input type="hidden" name="lang['hospital_lang']" value="hospital_lang" >
<input type="hidden" name="lang['doctor_lang']" value="doctor_lang" >
<input type="hidden" name="lang['patient_lang']" value="patient_lang" >
<input type="hidden" name="lang['about_lang']" value="about_lang" >
<input type="hidden" name="lang['terms_lang']" value="terms_lang" >
<div class="col-md-12">
<!-- general form elements -->
<div class="box">
<div class="box-header with-border">
<h3 class="box-title">Add General Doctor Profile Details</h3>
<div class="edituser" tabindex='1'></div>
</div>
<!-- /.box-header -->
<!-- form start -->
<div class="box-body">
<div class="col-md-12">
<div class="form-group has-feedback">
<label for="exampleInputEmail1">Language Name</label>
<input class="form-control required regcom sample" placeholder="Language Name" name="lang['language']" type="text" required="">
<span class="glyphicon form-control-feedback"></span>
</div>
<!-- Home page Tab 1 -->
<input class="form-control required regcom sample" placeholder="Page Name" value="hospitalprofile_lang" name="lang['page_name']" type="hidden">
<div class="form-group has-feedback">
<label for="exampleInputEmail1">Rate Us</label>
<input class="form-control required regcom sample" placeholder="Rate Us" name="lang['hospitalprofile_slide_A1']" type="text" required="">
<span class="glyphicon form-control-feedback"></span>
</div>
<div class="form-group has-feedback">
<label for="exampleInputEmail1">Gallery</label>
<input class="form-control required regcom sample" placeholder="Gallery" name="lang['hospitalprofile_slide_A2']" type="text" required="">
<span class="glyphicon form-control-feedback"></span>
</div>
<div class="form-group has-feedback">
<label for="exampleInputEmail1">About</label>
<input type="text" name="lang['hospitalprofile_slide_A3']" placeholder="About" class="form-control required regcom" required="">
<span class="glyphicon form-control-feedback"></span>
</div>
<div class="form-group has-feedback">
<label for="exampleInputEmail1">Specialities</label>
<input type="text" name="lang['hospitalprofile_slide_A4']" placeholder="Specialities" class="form-control required regcom" required="" >
<span class="glyphicon form-control-feedback"></span>
</div>
<div class="form-group has-feedback">
<label for="exampleInputEmail1">Amenities</label>
<input type="text" name="lang['hospitalprofile_slide_A7']" placeholder="Amenities" class="form-control required regcom" required="">
<span class="glyphicon form-control-feedback"></span>
</div>
<div class="form-group has-feedback">
<label for="exampleInputEmail1">Insurance Partner</label>
<input type="text" name="lang['hospitalprofile_slide_A8']" placeholder="Insurance Partner" class="form-control required regcom" required="">
<span class="glyphicon form-control-feedback"></span>
</div>
<div class="form-group has-feedback">
<label for="exampleInputEmail1">Affiliations</label>
<input type="text" name="lang['hospitalprofile_slide_A5']" placeholder="Affiliations" class="form-control required regcom" required="" >
<span class="glyphicon form-control-feedback"></span>
</div>
<div class="form-group has-feedback">
<label for="exampleInputEmail1">Memberships</label>
<input type="text" name="lang['hospitalprofile_slide_A6']" placeholder="Memberships" class="form-control required regcom" required="" >
<span class="glyphicon form-control-feedback"></span>
</div>
<div class="form-group has-feedback">
<label for="exampleInputEmail1">Awards</label>
<input type="text" name="lang['hospitalprofile_slide_A14']" placeholder="Awards" class="form-control required regcom" required="" >
<span class="glyphicon form-control-feedback"></span>
</div>
<div class="form-group has-feedback">
<label for="exampleInputEmail1">Select a Speciality Doctor</label>
<input type="text" name="lang['hospitalprofile_slide_A15']" placeholder="Select a Speciality Doctor" class="form-control required regcom" required="" >
<span class="glyphicon form-control-feedback"></span>
</div>
<div class="form-group has-feedback">
<label for="exampleInputEmail1">View Profile</label>
<input type="text" name="lang['hospitalprofile_slide_A9']" placeholder="View Profile" class="form-control required regcom" required="" >
<span class="glyphicon form-control-feedback"></span>
</div>
<div class="form-group has-feedback">
<label for="exampleInputEmail1">Book Online</label>
<input type="text" name="lang['hospitalprofile_slide_A10']" placeholder="Book Online" class="form-control required regcom" required="" >
<span class="glyphicon form-control-feedback"></span>
</div>
<div class="form-group has-feedback">
<label for="exampleInputEmail1">Sorry, No records found. Please try with different keywords.</label>
<input type="text" name="lang['hospitalprofile_slide_A11']" placeholder="Sorry, No records found. Please try with different keywords." class="form-control required regcom" required="" >
<span class="glyphicon form-control-feedback"></span>
</div>
<div class="form-group has-feedback">
<label for="exampleInputEmail1">Appointment Details</label>
<input type="text" name="lang['hospitalprofile_slide_A12']" placeholder="Appointment Details" class="form-control required regcom" required="" >
<span class="glyphicon form-control-feedback"></span>
</div>
<div class="form-group has-feedback">
<label for="exampleInputEmail1">Close</label>
<input type="text" name="lang['hospitalprofile_slide_A13']" placeholder="Close" class="form-control required regcom" required="" >
<span class="glyphicon form-control-feedback"></span>
</div>
<!---Home page Tab 4-->
</div>
</div>
<div class="box">
<div class="box-body">
<div class="col-md-12">
<div class="form-group has-feedback">
<input type="button" class="btn btn-primary" value="Submit" name="Save" id="hospitalprofileadd">
<button type="reset" class="btn btn-primary">Reset </button>
</div>
</div>
</div>
</div>
<!-- /.box -->
</div>
</form>
</div>
<!-- /.row -->
</section>
<!-- /.content -->
</div>
<script>
base_url = "<?php echo base_url(); ?>";
config_url = "<?php echo base_url(); ?>";
</script>