<div class="content-wrapper"> <section class="content-header"> <h1> <?= $pTitle ?> <small><?= $pDescription ?></small> </h1> <ol class="breadcrumb"> <li><a href="<?= base_url() ?>"><i class="fa fa-star-o" aria-hidden="true"></i>Home</a></li> <li><?= $menu ?></li> <li class="active"><?= $smenu ?></li> </ol> </section> <section class="content"> <div class="row"> <div class="col-md-12"> <?php $url = (!isset($customer_id) || empty($customer_id))?'Customer/createCustomer':'Customer/updateCustomer/'.$customer_id; if($this->session->flashdata('message')) { $flashdata = $this->session->flashdata('message'); ?> <div class="alert alert-<?= $flashdata['class'] ?>"> <button class="close" data-dismiss="alert" type="button">×</button> <?= $flashdata['message'] ?> </div> <?php } ?> </div> <div class="col-md-12"> <div class="box box-warning"> <div class="box-body"> <form role="form" action="<?= base_url($url) ?>" method="post" class="validate" data-parsley-validate="" enctype="multipart/form-data"> <!-- Customer Data --> <div class="col-md-12"> <div class="box-header with-border padUnset"> <h3 class="box-title">Personal Details</h3> </div><br> </div> <div class="col-md-6"> <div class="form-group"> <label>Customer Name</label> <input type="text" class="form-control required" data-parsley-trigger="change" data-parsley-minlength="2" data-parsley-pattern="^[a-zA-Z0-9\ . _ - ' \/]+$" name="name" required="" value="<?= (isset($customer_data->name))?$customer_data->name:'' ?>"placeholder="Enter Customer Name"> </div> <div class="form-group"> <label>Email</label> <input type="email" class="form-control required" data-parsley-trigger="change" data-parsley-minlength="2" required="" name="email" placeholder="Enter email ID" value="<?= (isset($customer_data->email))?$customer_data->email:'' ?>"> </div> <div class="form-group"> <label>Phone</label> <input type="text" class="form-control required" data-parsley-trigger="change" data-parsley-minlength="2" data-parsley-pattern="^[0-9\ , - + \/]+$" required="" value="<?= (isset($customer_data->phone))?$customer_data->phone:'' ?>" name="phone" placeholder="Enter Phone Number" > </div> <div class="form-group"> <label>City</label> <input type="text" class="form-control required" data-parsley-trigger="change" id="loc_search_1" name="profile_city" placeholder="City" value="<?= (isset($customer_data->profile_city))?$customer_data->profile_city:'' ?>" required autocomplete="off"> </div> </div> <div class="col-md-6"> <div class="form-group"> <label>Profile Picture</label> <div class="col-md-12" style="padding-bottom:10px;"> <div class="col-md-3"> <img id="image_id" src="<?= (isset($customer_data->profile_image))?base_url($customer_data->profile_image):'' ?>" onerror="this.src='<?=base_url("assets/images/user_avatar.jpg")?>';" height="75" width="75" /> </div> <div class="col-md-9" style="padding-top: 25px;"> <input name="profile_image" type="file" accept="image/*" onchange="setImg(this,'image_id');" /> </div> </div> </div> <div class="form-group" style="margin-top: 124px;"> <label>Gender</label> <select name="gender" class="form-control"> <?php $gender = ''; if(!isset($customer_data->gender)){ echo '<option selected disabled>Choose Gender</option>'; } else { $gender = $customer_data->gender; } ?> <option value="1" <?= ($gender=='1')?'selected':'' ?>>Male</option> <option value="2" <?= ($gender=='2')?'selected':'' ?>>Female</option> <option value="3" <?= ($gender=='3')?'selected':'' ?>>Others</option> </select> </div> <div class="input-group date" data-provide="datepicker"> <label>Date of Birth</label> <input id="date" type="text" class="form-control required" required data-parsley-trigger="change" data-parsley-minlength="5" name="dob" placeholder="Date of Birth" autocomplete="off" value="<?= (isset($customer_data->dob))?$customer_data->dob:'' ?>"> <div class="input-group-addon"> <i class="fa fa-calendar"></i> </div> </div> </div> <div class="col-md-12"> <div class="box-footer textCenterAlign"> <button type="submit" class="btn btn-primary">Submit</button> <a href="<?= base_url('Customer/viewCustomers') ?>" class="btn btn-primary">Cancel</a> </div> </div> </form> </div> </div> </div> </div> </section> </div> <!-- Basic Details --> <!-- <div class="col-md-12"> <div class="box-header with-border padUnset"> <h3 class="box-title">Admin User Details</h3> </div><br> </div> <div class="col-md-6"> <div class="form-group"> <label>Display Name</label> <input type="text" class="form-control required" data-parsley-trigger="change" data-parsley-minlength="2" name="display_name" required="" placeholder="Enter Display Name" value="<?= (isset($customer_data->display_name))?$customer_data->display_name:'' ?>"> <span class="glyphicon form-control-feedback"></span> </div> <div class="form-group"> <label>User Name</label> <input type="text" class="form-control required" data-parsley-trigger="change" data-parsley-minlength="2" name="username" required="" value="<?= (isset($customer_data->username))?$customer_data->username:'' ?>" data-parsley-pattern="^[a-zA-Z0-9\ . _ @ \/]+$" placeholder="Enter User Name"> <span class="glyphicon form-control-feedback"></span> </div> <?php if(!isset($customer_id)){ ?> <div class="form-group"> <label>Password</label> <input type="password" class="form-control required" name="password" placeholder="Password" required=""> <span class="glyphicon form-control-feedback"></span> </div> <?php } ?> </div> <div class="col-md-6"> <div class="form-group"> <label>Profile Picture</label> <div class="col-md-12" style="padding-bottom:10px;"> <div class="col-md-3"> <img id="image_id" src="<?= (isset($customer_data->profile_image))?base_url($customer_data->profile_image):'' ?>" onerror="this.src='<?=base_url("assets/images/user_avatar.jpg")?>';" height="75" width="75" /> </div> <div class="col-md-9" style="padding-top: 25px;"> <input name="profile_image" type="file" accept="image/*" onchange="setImg(this,'image_id');" /> </div> </div> </div> </div> -->