MOON
Server: Apache
System: Linux e2e-78-16.ssdcloudindia.net 3.10.0-1160.45.1.el7.x86_64 #1 SMP Wed Oct 13 17:20:51 UTC 2021 x86_64
User: imensosw (1005)
PHP: 8.0.30
Disabled: exec,passthru,shell_exec,system
Upload Files
File: /home/imensosw/public_html/imenso.co/dev/lavender-old/charges.php
<!doctype html>
<html lang="en-US" >
<head>
  <meta charset="UTF-8">
  <meta name="viewport" content="width=device-width, initial-scale=1">
  <link rel="profile" href="http://gmpg.org/xfn/11">
  <title>Lavender Medical</title>
  <link rel='stylesheet' href='css/bootstrap.min.css'  media='all' />
  <link rel='stylesheet' href='css/style.css'  media='all' />
  <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.css"  media="all">
  <link href="https://fonts.googleapis.com/css2?family=Sen:wght@400;700;800&display=swap" rel="stylesheet">

</head>
<body>

<?php include('header.php'); ?>


<div class="container">
    
      <div class="pt-4 row align-items-center">
        <div class="col-lg-3">
          <h1 class="heading">Charges</h1>
        </div>
        <div class="col-lg-6">
        	<form class="form-search">
            <input class="form-control mr-sm-2" type="search" placeholder="Search.." aria-label="Search">             
          </form>
        </div>  
        <div class="col-lg-3 text-right">
          <a href="javascript:;" data-toggle="modal" data-target="#addCustomer" class="btn btn-primary"><i class="fa fa-plus"></i> Add New</a>
        </div>
      </div>
      <div id="table-scroll" class="table-scroll mt-4">
        <table id="main-table" class="main-table">
          <thead>
            <tr>
              <th scope="col" width="200">Booking Number</th>
              <th scope="col">Hospital Name </th>
              <th scope="col">Hire Charge</th>
              <th scope="col">Shipping Charge</th>               
              <th scope="col" class="text-right">Actions</th>                
            </tr>
          </thead>
          <tbody>
            <tr>
              <td width="200">
                <div class="">                   
                  <span><strong>B001</strong></span>
                </div>
              </td>
              <td>
                Louth Hospital
              </td>
              <td>$150</td>
              <td>$20</td>
              <td class="text-right">
                <div class="action-area dropdown">
                  <a class="dropdown-toggle" href="#" id="navbarDropdown" role="button" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">
                   <span class="dots">...</span>
                 </a>
                  <div class="dropdown-menu" aria-labelledby="navbarDropdown">                       
                    <a class="dropdown-item" href="javascript:;" data-toggle="modal" data-target="#addCustomer">Edit</a>
                    <a class="dropdown-item" href="javascript:;" data-toggle="modal" data-target="#deleteUser">Delete</a>
                    
                  </div>
                </div>
              </td>
            </tr>
            <tr>
              <td width="200">
                <div class="">                   
                  <span><strong>B003</strong></span>
                </div>
              </td>
              <td>
               Spire Gatwick Park
              </td>
              <td>$150</td>
              <td>$20</td>
              <td class="text-right">
                <div class="action-area dropdown">
                  <a class="dropdown-toggle" href="#" id="navbarDropdown" role="button" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">
                   <span class="dots">...</span>
                 </a>
                  <div class="dropdown-menu" aria-labelledby="navbarDropdown">                       
                    <a class="dropdown-item" href="javascript:;" data-toggle="modal" data-target="#addCustomer">Edit</a>
                    <a class="dropdown-item" href="javascript:;" data-toggle="modal" data-target="#deleteUser">Delete</a>
                    
                  </div>
                </div>
              </td>
            </tr>
            <tr>
              <td width="200">
                <div class="">                   
                  <span><strong>B003</strong></span>
                </div>
              </td>
              <td>
                Hillsborough Clinic 
              </td>
              <td>$150</td>
              <td>$20</td>
              <td class="text-right">
                <div class="action-area dropdown">
                  <a class="dropdown-toggle" href="#" id="navbarDropdown" role="button" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">
                   <span class="dots">...</span>
                 </a>
                  <div class="dropdown-menu" aria-labelledby="navbarDropdown">                       
                    <a class="dropdown-item" href="javascript:;" data-toggle="modal" data-target="#addCustomer">Edit</a>
                    <a class="dropdown-item" href="javascript:;" data-toggle="modal" data-target="#deleteUser">Delete</a>
                    
                  </div>
                </div>
              </td>
            </tr>
        </tbody>
      </table>
    </div>
 
</div>

<!-- Add Modal -->
<div class="modal fade" id="addCustomer" tabindex="-1" role="dialog" aria-labelledby="" aria-hidden="true">
  <div class="modal-dialog" role="document">
    <div class="modal-content">
      <div class="modal-header">
        <h5 class="modal-title" id="">Add New Charge</h5>
        <button type="button" class="close" data-dismiss="modal" aria-label="Close">
          <span aria-hidden="true">&times;</span>
        </button>
      </div>
      <div class="modal-body">
        <form class="">
          <div class="form-group">
            <label>Hospital Name</label>
            <select class="chosen-select">
              <option>Select Hospital</option>
              <option>Hillsborough Clinic</option>
              <option>Freeman Hospital</option>
              <option>Bupa Cromwell</option>                 
            </select>                
          </div>
                  
          <div class="form-group">
            <label>Booking Number</label>
            <input type="text" class="form-control" name="">
          </div>
          <div class="form-group">
            <label>Hire Charge</label>
            <input type="text" class="form-control" name="">
          </div>
          <div class="form-group">
            <label>Shipping Charge</label>
            <input type="text" class="form-control" name="">
          </div>
         

        </form>
      </div>
      <div class="modal-footer">
        <a href="" class="btn btn-secondary" data-dismiss="modal">Cancel</a>
        <a href="" class="btn btn-primary">Submit</a>
      </div>
      
    </div>
  </div>
</div>


<!-- Reset Password -->
<div class="modal fade" id="resetPassword" tabindex="-1" role="dialog" aria-labelledby="" aria-hidden="true">
  <div class="modal-dialog" role="document">
    <div class="modal-content">
      <div class="modal-header">
        <h5 class="modal-title" id="">Add New User</h5>
        <button type="button" class="close" data-dismiss="modal" aria-label="Close">
          <span aria-hidden="true">&times;</span>
        </button>
      </div>
      <div class="modal-body">
        <form class="">

         <div class="form-group">
          <label for="">New Password</label>
          <input type="text" class="form-control" id="" placeholder="">
        </div> 
        <div class="form-group">
          <label for="">Confirm Password</label>
          <input type="text" class="form-control" id="" placeholder="">
        </div>      
      </form>
    </div>
    <div class="modal-footer">
      <a href="" class="btn btn-secondary" data-dismiss="modal">Cancel</a>
      <a href="" class="btn btn-primary">Submit</a>
    </div>
  </div>
</div>
</div>

<!-- Delete confirmation -->
<div class="modal fade" id="deleteUser" tabindex="-1" role="dialog" aria-labelledby="" aria-hidden="true">
  <div class="modal-dialog" role="document">
    <div class="modal-content">
      <div class="modal-header">
        <h5 class="modal-title" id="">Delete User</h5>
        <button type="button" class="close" data-dismiss="modal" aria-label="Close">
          <span aria-hidden="true">&times;</span>
        </button>
      </div>
      <div class="modal-body">
        <div class="my-2">Please confirm if you want to delete this user?</div>
      </div>
      <div class="modal-footer">
        <a href="" class="btn btn-secondary" data-dismiss="modal">Cancel</a>
        <a href="" class="btn btn-primary">Delete</a>
      </div>
    </div>
  </div>
</div>

<?php include("footer.php");?>

<script> 
    $(function(){     
       setTimeout(function(){      
        $('.nav-item').removeClass('active');
        $('.nav-item').eq(4).addClass('active');
       },100); 
    });
  </script>

</body>
</html>