File: /home/dmstechonline/crm.chaitanyahospitalvirar.com/application/views/admin/radio/_editBill.php
<?php
$currency_symbol = $this->customlib->getHospitalCurrencyFormat();
?>
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12">
<input name="pharmacy_bill_basic_id" id="pharmacy_bill_basic_id" type="hidden" class="form-control" value="<?php echo $bill['id']?>" />
<input name="patient_id" id="patienteditid" type="hidden" class="form-control" value="<?php echo $bill['patient_id'] ?>" />
<input name="action_type" id="action_type" value="update" type="hidden" class="form-control"/>
<a class="btn btn-sm btn-info pull-right add-record" data-added="0"><i class="fa fa-plus"></i> <?php echo $this->lang->line('add'); ?></a>
<div class="row">
<div class="col-md-12">
<div class="table-responsive">
<table class="table tableover table-striped table-bordered table-hover tablefull12 tblProducts" id="tableID">
<thead>
<tr class="font13">
<th width="15%"><?php echo $this->lang->line('test') . " " . $this->lang->line('name'); ?><small class="req" style="color:red;"> *</small></th>
<th width="15%"><?php echo $this->lang->line('report') . " " . $this->lang->line('day'); ?></th>
<th width="15%"><?php echo $this->lang->line('report') . " " . $this->lang->line('date'); ?><small class="req" style="color:red;"> *</small></th>
<th class="text-right" width="10%"><?php echo $this->lang->line('amount') . " (" . $currency_symbol . ")"; ?></th>
<th class="text-right" width="2%"></th>
</tr>
</thead>
<tbody>
<?php
$row_value=1;
foreach ($detail as $bill_detail_key => $bill_detail_value) {
?>
<input type="hidden" name="previous_ids[]" value="<?php echo $bill_detail_value['id'];?>">
<tr id="row<?php echo $row_value?>">
<td>
<input type="hidden" name="insert_id_<?php echo $row_value;?>" value="<?php echo $bill_detail_value['id'];?>">
<input type="hidden" name="total_rows[]" value="<?php echo $row_value;?>">
<select class="form-control medicine_category select2" style="width:100%" name='medicine_category_id_<?php echo $row_value;?>'>
<option value=""><?php echo $this->lang->line('select') ?></option>
<?php foreach ($testlist as $key => $value) {
?>
<option value="<?php echo $value["id"]; ?>" <?php echo set_select('test_name_id_<?php echo $row_value;?>', $value['id'], ($value["id"] == $bill_detail_value['test_name']) ? TRUE :FALSE); ?>><?php echo $value["test_name"] ?>
</option>
<?php
}
?>
</select>
<span class="text-danger"><?php echo form_error('test_name_id[]'); ?>
</span>
</td>
<td>
<input type="text" readonly name="report_day_<?php echo $row_value;?>" id="report_day0" class="form-control exp_date"/>
</td>
<td>
<input type="text" name="report_date_<?php echo $row_value;?>" id="report_date0" class="form-control exp_date"/>
</td>
<td class="text-right">
<input type="text" name="amount_<?php echo $row_value;?>" id="amount0" placeholder="" class="form-control text-right subtot" readonly>
<span class="text-danger"><?php echo form_error('amount[]'); ?></span>
</td>
<td><button type="button" class="closebtn delete_row" data-row-id="<?php echo $row_value;?>" autocomplete="off"><i class="fa fa-remove"></i></button></td>
</tr>
<?php
$row_value++;
}
?>
</tbody>
</table>
</div>
<div class="divider"></div>
<div class="row">
<div class="col-sm-6">
<div class="row">
<div class="col-sm-12">
<div class="row">
<div class="col-sm-6">
<div class="form-group">
<label for="exampleInputFile">
<?php echo $this->lang->line('hospital') . " " . $this->lang->line('doctor'); ?></label>
<div>
<select name='consultant_doctor' style="width:100%;" id="consultant_doctor" onchange="get_Docname(this.value)" class="form-control select2" <?php
if ($disable_option == true) {
echo "disabled";
}
?> style="width:100%" >
<option value=""><?php echo $this->lang->line('select') ?></option>
<?php foreach ($doctors as $dkey => $dvalue) {
?>
<option value="<?php echo $dvalue["id"]; ?>" <?php
if ((isset($doctor_select)) && ($doctor_select == $dvalue["id"])) {
echo "selected";
}
?>><?php echo $dvalue["name"] . " " . $dvalue["surname"] ?></option>
<?php }?>
</select>
</div>
<span class="text-danger"><?php echo form_error('refference'); ?></span>
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label><?php echo $this->lang->line('doctor') . " " . $this->lang->line('name'); ?></label>
<input name="doctor_name" id="doctname" type="text" class="form-control" value="<?php echo $bill['doctor_name']?>" />
<span class="text-danger"><?php echo form_error('doctor_name'); ?></span>
</div>
</div>
</div>
</div>
<div class="col-sm-12">
<div class="form-group">
<label><?php echo $this->lang->line('note'); ?></label>
<textarea name="note" rows="3" id="note" class="form-control"></textarea>
</div>
</div>
</div>
</div><!--./col-sm-6-->
<div class="col-sm-6">
<table class="printablea4">
<tr>
<th width="40%"><?php echo $this->lang->line('total') . " (" . $currency_symbol . ")"; ?></th>
<td width="60%" colspan="2" class="text-right ipdbilltable">
<input type="text" placeholder="Total" value="<?php echo $bill['total'];?>" name="total" id="total" style="width: 30%; float: right" class="form-control total"/></td>
</tr>
<tr>
<th><?php echo $this->lang->line('discount') . " (" . $currency_symbol . ")"; ?></th>
<td class="text-right ipdbilltable">
<h4 style="float: right;font-size: 12px; padding-left: 5px;"> %</h4>
<input type="text" placeholder="Discount" name="discount_percent" id="discount_percent" class="form-control discount_percent" value="<?php echo $bill['tax_percentage'] ?>" style="width: 70%; float: right;font-size: 12px;"/></td>
<td class="text-right ipdbilltable">
<input type="text" placeholder="Discount" value="<?php echo $bill['discount'];?>" name="discount" id="discount" style="width: 50%; float: right" class="form-control discount"/></td>
</tr>
<tr>
<th><?php echo $this->lang->line('tax') . " (" . $currency_symbol . ")"; ?></th>
<td class="text-right ipdbilltable">
<h4 style="float: right;font-size: 12px;padding-left: 5px;"> %</h4><input type="text" placeholder="Tax" name="tax_percent" value="<?php echo $bill['tax_percentage'] ?>" id="tax_percent" style="width: 70%; float: right;font-size: 12px;" class="form-control tax_percent"/>
</td>
<td class="text-right ipdbilltable">
<input type="text" placeholder="Tax" name="tax" value="<?php echo $bill['tax'] ?>" id="tax" style="width: 50%; float: right" class="form-control tax"/>
</td>
</tr>
<tr>
<th><?php echo $this->lang->line('net_amount') . " (" . $currency_symbol . ")"; ?></th>
<td colspan="2" class="text-right ipdbilltable">
<input type="text" placeholder="Net Amount" value="<?php echo $bill['net_amount'] ?>" name="net_amount" id="net_amount" style="width: 30%; float: right" class="form-control net_amount"/></td>
</tr>
</table>
</div>
</div><!--./row-->
</div><!--./col-md-12-->
</div><!--./row-->
</div><!--./box-footer-->
</div><!--./col-md-12-->