wecuro_blog/application/modules/initial_assesment/views/add_new.php

<?php 

$documentsarr=array();
$documentsrem=array();
$documentsid=array();
$documentsno=array();
foreach($documents as $document){
    $documentsarr[$document->documents_type][]=$document->path.$document->file_name;
    $documentsrem[$document->documents_type][]=$document->remarks;
    $documentsid[$document->documents_type][]=$document->id;
    $documentsno[$document->documents_type][]=$document->documents_no;
    //echo '<pre>'; print_r($document); echo '</pre>';   
}
$traing_doc_count=count($documentsarr[_DOC_TRAININGCODE_]);
$other_doc_count=count($documentsarr[_DOC_OTHERCODE_]);
$additional_certificate_count=count($documentsarr[_ADDL_CERTIFICATE_]);
//die;
//echo '<pre>'; print_r($nurse); echo '</pre>';die;
?>
<!--sidebar end-->
<!--main content start-->
<style type="text/css">
    .required-field:after {
    content: "*";
    color: red;
}
.form-control.multiselect-class{
    height: 100px !important;
}
.app-content .wizard > .steps > ul > li.active .step {
    background-color: #666EE8;
    border-color: #666EE8;
    color: #fff;
}
.has-error input[type="text"], .has-error input[type="email"], .has-error input[type="password"], .has-error input[type="date"], .has-error select[multiple], .has-error select {
    border: 1px solid #a94442;
}
.help-block.with-errors {
    color: #a94442;
}
.full-height-view{
    height: 500px !important;
}
</style>
<div class="app-content content">
    <section class="content-wrapper">
<div class="content-body">
    <div class="row">
        <div class="col-12">
            <div class="card">
                <div class="card-header card-header-title-part card_mrgn">
                    <div class="row">
                        <div class="col-md-12">
                            <header class="panel-heading font-weight-bold">
                            <h3 class="mar_cus">
                                <?php

                                    echo lang('Initial Assesment');
                                ?>
                            </h3>
                            </header> 
                        </div>
                    </div>
                </div> 
                <hr class="mt-0 mb-0" />
            <section id="main-content">
            <section class="wrapper site-min-height mt-20">
            <!-- page start-->            
                <section class="row col-md-12">   
                    <div class="panel-body col-md-12">
                        <?php if($this->session->flashdata('feedback_error')){ ?>
                            <script>
                            Swal.fire({
                                      position: 'center',
                                      icon: 'error',
                                      title: '<?php echo $this->session->flashdata('feedback_error'); ?>',
                                      showConfirmButton: false,
                                      timer: 3500
                                    })
                            </script>
                        <?php } ?>  
                        <?php if($this->session->flashdata('feedback_success')){ ?>
                            <script>
                            Swal.fire({
                                      position: 'center',
                                      icon: 'success',
                                      title: '<?php echo $this->session->flashdata('feedback_success'); ?>',
                                      showConfirmButton: false,
                                      timer: 3500
                                    })
                            </script>
                        <?php } ?>   
                        <!-- <div class="col-lg-3"></div>
                        <div class="col-lg-6"> -->
                            <?php echo validation_errors(); ?>
                            <?php //echo $this->session->flashdata('feedback'); ?>
                    </div>
                    <div class="col-lg-12">
                        <?php if (!empty($nurse->caregiver_table_id)){ ?>
                            <a href="<?php echo base_url(); ?>caregivers/ChangePassword?id=<?php echo $nurse->caregiver_table_id; ?>" class=" float-right"><?php echo lang('Change Password of this Caregiver');?></a>
                        <?php } $tab=1; ?>
                    </div> 
                    <div class="col-md-12">
                        <div class="wizard wizard-circle">
                            <div class="steps">        
                                <ul class="nav nav-tabs" id="myTab" role="tablist" style="border: none;">
                                  <li class="nav-item <?php if ($tab==1) echo 'active'; ?> first current">
                                    <a class="nav-link " id="tab1-tab" data-toggle="tab" href="#tab1" role="tab" aria-selected="true" style="padding-top: 52px !important; border: none; cursor: pointer;"><span class="step">1</span>Visit Info</a>
                                  </li>
                                </ul>
                            </div>
                        </div>
                        <div class="tab-content" id="myTabContent">
                            <div class="tab-pane fade <?php if ($tab==1) echo 'active in show'; ?>" id="tab1" role="tabpanel" aria-labelledby="" style="padding: 20px;">
                                <form role="form" action="" id="visitInfoForm" method="post" enctype="multipart/form-data" class="needs-validation" >
                                    <input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
                                    <input type="hidden" name="form_status" value="1">
                                    <input type="hidden" name="form_mode" value="">
                                 
                                            <div class="row">
                                            <div class="row col-md-12">
                                            <div class="form-group col-md-4">
                                                <label for="exampleInputEmail1" class="required-field"><?php echo lang('Date of Visit'); ?></label>
                                                <input type="date" class="form-control" name="visit_date" id="" value="" required data-error="Please enter a valid Date of Visit.">
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="exampleInputEmail1" class="required-field"><?php echo lang('Start time'); ?></label>
                                                <input type="date" class="form-control" name="visit_start_time" value="" required data-error="Please enter a valid start time.">
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="exampleInputEmail1" class="required-field"><?php echo lang('End Time'); ?></label>
                                                <input type="date" class="form-control" name="visit_end_time" value="" required data-error="Please enter a valid end time.">
                                            </div>
                                            <div class="col-md-12">
                                                <button type="submit" name="submit" class="btn btn-info"><?php echo lang('submit'); ?></button>
                                            </div>
                                            </div>
                                            </div>
                                </form>
                            </div>
                           
                            
                        </div>    
                    </div>    
                </section>
            <!-- page end-->
            </section>
            </section>
            </div>
        </div>
    </div>
</div>           
    </section>
</div>



<script>
        
$( document ).ready(function() {
    $(".nav-item").click(function(){
        $(".nav-item").removeClass("active");
        $(this).addClass("active");
    })  
});
</script>  

<!--main content end-->
<!--footer start-->