Viewing file:  forms-add-person.php (10.05 KB) -rw-r--r--
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<!doctype html>
<html class="fixed">
<head>
<!-- Basic -->
<meta charset="UTF-8">
<title>Administrator | สมาคมนักกฎหมายสาธารณสุข</title>
<meta name="keywords" content="HTML5 Admin Template" />
<meta name="description" content="สมาคมนักกฎหมายสาธารณสุข,กฎหมายกระทรวงสาธารณสุข">
<meta name="author" content="mophlawyer.com">
<!-- Mobile Metas -->
<meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=no" />
<!-- Web Fonts -->
<link href="https://fonts.googleapis.com/css?family=Mitr:300" rel="stylesheet">
<!-- Vendor CSS -->
<link rel="stylesheet" href="assets/vendor/bootstrap/css/bootstrap.css" />
<link rel="stylesheet" href="assets/vendor/font-awesome/css/font-awesome.css" />
<link rel="stylesheet" href="assets/vendor/magnific-popup/magnific-popup.css" />
<link rel="stylesheet" href="assets/vendor/bootstrap-datepicker/css/datepicker3.css" />
<!-- Specific Page Vendor CSS -->
<link rel="stylesheet" href="assets/vendor/bootstrap-fileupload/bootstrap-fileupload.min.css" />
<!-- Theme CSS -->
<link rel="stylesheet" href="assets/stylesheets/theme.css" />
<!-- Skin CSS -->
<link rel="stylesheet" href="assets/stylesheets/skins/default.css" />
<!-- Theme Custom CSS -->
<link rel="stylesheet" href="assets/stylesheets/theme-custom.css">
<!-- Head Libs -->
<script src="assets/vendor/modernizr/modernizr.js"></script>
</head>
<body>
<section class="body">
<?php require_once("topnav.php"); ?>
<div class="inner-wrapper">
<?php require_once("sidebar.php"); ?>
<section role="main" class="content-body">
<header class="page-header">
<h2>แบบฟอร์มเพิ่มข้อมูล</h2>
<div class="right-wrapper pull-right">
<ol class="breadcrumbs">
<li>
</li>
</ol>
</div>
</header>
<!-- start: page -->
<div class="row">
<div class="col-lg-12">
<section class="panel panel-featured panel-featured-primary">
<header class="panel-heading ">
<h2 class="panel-title"></h2>
</header>
<!--?php
require_once('db.php');
$r_id=$_GET['id'];
$result1 = $conn->prepare("SELECT * FROM tbl_members WHERE id='$r_id'");
$result1->execute();
for($i=0; $row1 = $result1->fetch(); $i++ ){
//for($i=0; $row = $result->fetch(); $i++){
$id1 = $row1['id'];
?-->
<div class="panel-body">
<form class="form-horizontal form-bordered" method="post" action="addperson.php" enctype="multipart/form-data">
<div class="form-group">
<label class="col-md-2 control-label" for="inputname">คำนำหน้า</label>
<div class="col-md-2">
<input type="text" class="form-control" id="inputpname" name="inputpname" value="">
</div>
<label class="col-md-1 control-label" for="inputfname">ชื่อ</label>
<div class="col-md-3">
<input type="text" class="form-control" id="inputfname" name="inputfname" value="">
</div>
<label class="col-md-1 control-label" for="inputlname">นามสกุล</label>
<div class="col-md-3">
<input type="text" class="form-control" id="inputlname" name="inputlname" value="">
</div>
</div>
<div class="form-group">
<label class="col-md-2 control-label">รูปภาพ</label>
<div class="col-md-6">
<div class="fileupload fileupload-new" data-provides="fileupload">
<div class="input-append">
<div class="uneditable-input">
<i class="fa fa-file fileupload-exists"></i>
<span class="fileupload-preview"></span>
</div>
<span class="btn btn-default btn-file">
<span class="fileupload-exists">Change</span>
<span class="fileupload-new">Select file</span>
<input type="file" name="inputfile" />
<input type="hidden" name="oldfile" value="">
</span>
<a href="#" class="btn btn-default fileupload-exists" data-dismiss="fileupload">Remove</a>
</div>
</div>
</div>
</div>
<div class="form-group">
<label class="col-md-2 control-label" for="inputname">ตำแหน่ง</label>
<div class="col-md-3">
<input type="text" class="form-control" id="inputposition" name="inputposition" value="">
</div>
</div>
<div class="form-group">
<label class="col-md-2 control-label" for="inputname">ที่ทำงาน</label>
<div class="col-md-3">
<input type="text" class="form-control" id="inputsection" name="inputsection" value="">
</div>
</div>
<div class="form-group">
<label class="col-md-2 control-label" for="inputname">จังหวัด</label>
<div class="col-md-3">
<input type="text" class="form-control" id="inputprovince" name="inputprovince" value="">
</div>
</div>
<div class="form-group">
<label class="col-md-2 control-label" for="inputname">เขต</label>
<div class="col-md-3">
<input type="text" class="form-control" id="inputarea" name="inputarea" value="">
</div>
</div>
<div class="form-group">
<label class="col-md-2 control-label" for="inputname">ประเภทสมาชิก</label>
<div class="col-md-3">
<input type="text" class="form-control" id="inputptype" name="inputptype" value="">
</div>
</div>
<div class="form-group">
<label class="col-md-2 control-label" for="inputname">วันที่ลงทะเบียน</label>
<div class="col-md-3">
<input type="text" class="form-control" id="inputd_start" name="inputd_start" value="">
</div>
</div>
<div class="form-group">
<label class="col-md-2 control-label" for="inputname"> <font color="red">วันหมดอายุ</font></label>
<div class="col-md-3">
<input type="text" class="form-control" id="inputd-expire" name="inputd_expire" value="">
</div>
</div>
<div class="form-group">
<div class="panel-body">
<div class="col-md-3"> </div>
<div class="col-md-6">
<button type="submit" class="mb-xs mt-xs mr-xs btn btn-success"><i class="fa fa-hand-o-right"></i> เพิ่มข้อมูล</button>
<button type="reset" class="mb-xs mt-xs mr-xs btn btn-danger"> <i class="fa fa-times"> </i> ยกเลิก</button>
</div>
</div>
</div>
</form>
</div>
</section>
</div>
</div>
<!-- end: page -->
</section>
</div>
</section>
<!-- Vendor -->
<script src="assets/vendor/jquery/jquery.js"></script>
<script src="assets/vendor/jquery-browser-mobile/jquery.browser.mobile.js"></script>
<script src="assets/vendor/bootstrap/js/bootstrap.js"></script>
<script src="assets/vendor/nanoscroller/nanoscroller.js"></script>
<script src="assets/vendor/bootstrap-datepicker/js/bootstrap-datepicker.js"></script>
<script src="assets/vendor/magnific-popup/magnific-popup.js"></script>
<script src="assets/vendor/jquery-placeholder/jquery.placeholder.js"></script>
<!-- Specific Page Vendor -->
<script src="assets/vendor/jquery-autosize/jquery.autosize.js"></script>
<script src="assets/vendor/bootstrap-fileupload/bootstrap-fileupload.min.js"></script>
<!-- Theme Base, Components and Settings -->
<script src="assets/javascripts/theme.js"></script>
<!-- Theme Custom -->
<script src="assets/javascripts/theme.custom.js"></script>
<!-- Theme Initialization Files -->
<script src="assets/javascripts/theme.init.js"></script>
</body>
</html>
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