File: /storage/v6964/avoxlive/public_html/application/views/backend/newuser.php
<!-- <?php
$system_name = $this->db->get_where('settings', array('type' => 'system_name'))->row()->description;
$system_title = $this->db->get_where('settings', array('type' => 'system_title'))->row()->description;
?> -->
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<meta name="description"
content="We ddevelop creative software, eye catching software. We also train to become a creative thinker">
<meta name="author" content="OPTIMUM LINKUP COMPUTERS">
<link rel="icon" sizes="16x16" href="<?php echo base_url() ?>uploads/logo.png">
<title><?php echo $system_title;?></title>
<!-- Bootstrap Core CSS -->
<link href="bootstrap/dist/css/bootstrap.min.css" rel="stylesheet">
<link
href="<?php echo base_url(); ?>optimum/plugins/bower_components/bootstrap-extension/css/bootstrap-extension.css"
rel="stylesheet">
<!-- animation CSS -->
<link href="<?php echo base_url(); ?>optimum/css/animate.css" rel="stylesheet">
<!-- Custom CSS -->
<link href="<?php echo base_url(); ?>optimum/css/style.css" rel="stylesheet">
<!-- color CSS -->
<link href="<?php echo base_url(); ?>optimum/css/colors/megna.css" id="theme" rel="stylesheet">
<link href="<?php echo base_url();?>optimum/plugins/bower_components/toast-master/css/jquery.toast.css"
rel="stylesheet">
<!-- HTML5 Shim and Respond.js IE8 support of HTML5 elements and media queries -->
<!-- WARNING: Respond.js doesn't work if you view the page via file:// -->
<!--[if lt IE 9]>
<script src="https://oss.maxcdn.com/libs/html5shiv/3.7.0/html5shiv.js"></script>
<script src="https://oss.maxcdn.com/libs/respond.js/1.4.2/respond.min.js"></script>
<![endif]-->
</head>
<body>
<!-- Preloader -->
<div class="preloader">
<div class="cssload-speeding-wheel"></div>
</div>
<section id="wrapper" class="newuser-register">
<div class="newuser-block">
<div class="newuser-block-inn">
<h2>HOSPITAL REGISTRATION FORM</h2>
<h3>
Lorem Ipsum has been the industry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged.
</h3>
<a href="#">wwww.narayanahospital@gmail.com</a>
</div>
<div class="newuser-block-in">
<div class="">
<h4 class="box-title m-b-20" align="center">
<img src="<?php echo base_url() ?>uploads/logo.png" class="img-circle" width="70" height="70" />
</h4>
<h5 align="center"><a href=""><?php echo $system_name;?></a></h5>
<!-- <?php echo form_open(base_url() . 'admin/newuser/create' , array('newuser' => 'form-horizontal form-groups-bordered validate', 'enctype' => 'multipart/form-data'));?> -->
<!-- <form method="post" role="form" id="loginform" class="form-horizontal form-material"
action="<?php echo base_url();?>login/validate_login"> -->
<form method="post" class="form-horizontal form-material" action="<?php echo base_url();?>Newuser/data_insert">
<div class="form-group">
<div class="col-xs-12">
<input class="form-control" type="text" name="name"
placeholder="<?php echo get_phrase('Name');?>" style="width:100%">
</div>
</div>
<div class="form-group">
<div class="col-sm-12">
<select name="gender" placeholder="" class="form-control select2" style="width:100%">
<option value=""><?php echo get_phrase('Gender');?></option>
<option value="male"><?php echo get_phrase('male');?></option>
<option value="female"><?php echo get_phrase('female');?></option>
</select>
</div>
</div>
<div class="form-group">
<div class="col-sm-12">
<input type="text" class="form-control" name="blood_group" value=""
placeholder="<?php echo get_phrase('Blood group');?>" style="width:100%">
</div>
</div>
<div class="form-group">
<div class="col-xs-12">
<input class="form-control" type="text" name="phone"
placeholder="<?php echo get_phrase('Phone Number');?>" style="width:100%">
</div>
</div>
<div class="form-group ">
<div class="col-xs-12">
<input class="form-control" type="email" name="email" required=""
placeholder="<?php echo get_phrase('email');?>" style="width:100%">
</div>
</div>
<!-- <div class="form-group">
<div class="col-xs-12">
<input class="form-control" type="password" name="password" required=""
placeholder="<?php echo get_phrase('password');?>" style="width:100%">
</div>
</div> -->
<div class="form-group">
<div class="col-xs-12">
<input class="form-control" type="text" name="address"
placeholder="<?php echo get_phrase('Address');?>" style="width:100%">
</div>
</div>
<div class="form-group text-center m-t-20">
<div class="col-xs-12">
<button
class="btn btn-infoo btn-rounded btn-sm btn-block text-uppercase waves-effect waves-light"
type="submit" style="width:40%; color:white"><a href="<?php echo base_url() ?>">Submit</a>
<!-- <?php echo get_phrase('Submit');?> -->
</button>
<div align="center"><img id="install_progress"
src="<?php echo base_url() ?>assets/images/preloader.gif"
style="margin-left: 20px; display: none" /></div>
</div>
</div>
<!-- <div class="form-group">
<div class="col-md-12">
<div class="checkbox checkbox-primary pull-left">
<input id="checkbox-signup" type="checkbox">
<label for="checkbox-signup"> <?php echo get_phrase('remember_me');?> </label>
</div>
<a href="javascript:void(0)" id="to-recover" class="text-dark pull-right"><i
class="fa fa-lock m-r-5"></i> <?php echo get_phrase('forgot_password?');?></a>
</div>
</div> -->
<?php echo form_close();?>
<!-- <form method="post" role="form" id="recoverform" class="form-horizontal form-material"
action="<?php echo base_url();?>login/reset_password">
<input type="email" name="email" class="form-control"
placeholder="<?php echo get_phrase('email');?>" style="width:100%" required>
<div class="form-group text-center m-t-20">
<div class="col-xs-6">
<a href="<?php echo base_url();?>"><button
class="btn btn-info btn-rounded btn-sm text-uppercase" type="button"
style="color:white"><i
class="fa fa-mail-reply-all"></i> <?php echo get_phrase('back_to_login');?></button></a>
<button class="btn btn-success btn-rounded btn-sm text-uppercase" type="submit"
style="color:white"><i
class="fa fa-key"></i> <?php echo get_phrase('reset_password');?></button>
</div>
</div>
<?php echo form_close();?>
</form> -->
</form>
</div>
</div>
</div>
</section>
<script src="js/index.js"></script>
<!-- jQuery -->
<script src="<?php echo base_url(); ?>optimum/plugins/bower_components/jquery/dist/jquery.min.js"></script>
<!-- Bootstrap Core JavaScript -->
<script src="<?php echo base_url(); ?>optimum/bootstrap/dist/js/tether.min.js"></script>
<script src="<?php echo base_url(); ?>optimum/bootstrap/dist/js/bootstrap.min.js"></script>
<script
src="<?php echo base_url(); ?>optimum/plugins/bower_components/bootstrap-extension/js/bootstrap-extension.min.js">
</script>
<!-- Menu Plugin JavaScript -->
<script src="<?php echo base_url(); ?>optimum/plugins/bower_components/sidebar-nav/dist/sidebar-nav.min.js">
</script>
<!--slimscroll JavaScript -->
<script src="<?php echo base_url(); ?>optimum/js/jquery.slimscroll.js"></script>
<!--Wave Effects -->
<script src="<?php echo base_url(); ?>optimum/js/waves.js"></script>
<!-- Custom Theme JavaScript -->
<script src="<?php echo base_url(); ?>optimum/js/custom.min.js"></script>
<!--Style Switcher -->
<script src="<?php echo base_url(); ?>optimum/plugins/bower_components/styleswitcher/jQuery.style.switcher.js">
</script>
<script src="<?php echo base_url(); ?>optimum/plugins/bower_components/toast-master/js/jquery.toast.js"></script>
<?php if (($this->session->flashdata('error_message')) !=''):?>
<script type="text/javascript">
$(document).ready(function() {
$.toast({
heading: 'Error Message',
text: '<?php echo $this->session->flashdata('error_message');?>',
position: 'top-right',
loaderBg: '#ff6849',
icon: 'warning',
hideAfter: '3500',
stack: 6
});
});
</script>
<?php endif;?>
</body>
</html>