Nightmare/R1k4

JFIFxxExifMM* EJ( Nightmare/R1k4 !!!"""###$$$%%%&&&'''((()))***+++,,,---...///000111222333444555666777888999:::;;;<<<===>>>???@@@AAABBBCCCDDDEEEFFFGGGHHHIIIJJJKKKLLLMMMNNNOOOPPPQQQRRRSSSTTTUUUVVVWWWXXXYYYZZZ[[[\\\]]]^^^___```aaabbbcccdddeeefffggghhhiiijjjkkklllmmmnnnooopppqqqrrrssstttuuuvvvwwwxxxyyyzzz{{{|||}}}~~~wnd[SJC;4.'"! !Generated by onlineGIFtools.com,;

form.php

<?php include("include/header.php");?>

<div class="app-hero-header d-flex align-items-center">

<ol class="breadcrumb">
              <li class="breadcrumb-item">
                <a href="index.html">
                  <i class="ri-home-3-line"></i>
                </a>
              </li>
              <li class="breadcrumb-item text-primary" aria-current="page">
                Add Doctor
              </li>
            </ol>

<div class="ms-auto d-lg-flex d-none flex-row">
              <div class="input-group">
                <span class="input-group-text bg-primary-lighten">
                  <i class="ri-calendar-2-line text-primary"></i>
                </span>
                <input type="text" id="abc" class="form-control custom-daterange">
              </div>
            </div>

</div>

<div class="app-body">

<div class="row gx-3">
              <div class="col-xl-12">
                <div class="card">
                  <div class="card-body">

<div class="custom-tabs-container">

<ul class="nav nav-tabs" id="customTab2" role="tablist">
                        <li class="nav-item" role="presentation">
                          <a class="nav-link active" id="tab-oneA" data-bs-toggle="tab" href="#oneA" role="tab"
                            aria-controls="oneA" aria-selected="true"><i class="ri-briefcase-4-line"></i> Personal
                            Details</a>
                        </li>
                        <li class="nav-item" role="presentation">
                          <a class="nav-link" id="tab-twoA" data-bs-toggle="tab" href="#twoA" role="tab"
                            aria-controls="twoA" aria-selected="false"><i class="ri-account-pin-circle-line"></i>
                            Profile and Bio</a>
                        </li>
                        <li class="nav-item" role="presentation">
                          <a class="nav-link" id="tab-threeA" data-bs-toggle="tab" href="#threeA" role="tab"
                            aria-controls="threeA" aria-selected="false"><i class="ri-calendar-check-line"></i>
                            Availability</a>
                        </li>
                        <li class="nav-item" role="presentation">
                          <a class="nav-link" id="tab-fourA" data-bs-toggle="tab" href="#fourA" role="tab"
                            aria-controls="fourA" aria-selected="false"><i class="ri-lock-password-line"></i> Account
                            Details</a>
                        </li>
                      </ul>

<div class="tab-content h-350">
                        <div class="tab-pane fade show active" id="oneA" role="tabpanel">

<div class="row gx-3">
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="a1">First Name <span class="text-danger">*</span></label>
                                <div class="input-group">
                                  <span class="input-group-text">
                                    <i class="ri-account-circle-line"></i>
                                  </span>
                                  <input type="text" class="form-control" id="a1" placeholder="Enter First Name">
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="a2">Last Name <span class="text-danger">*</span></label>
                                <div class="input-group">
                                  <span class="input-group-text">
                                    <i class="ri-account-circle-line"></i>
                                  </span>
                                  <input type="text" class="form-control" id="a2" placeholder="Enter Last Name">
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="a3">Age <span class="text-danger">*</span></label>
                                <div class="input-group">
                                  <span class="input-group-text">
                                    <i class="ri-flower-line"></i>
                                  </span>
                                  <select class="form-select" id="a3">
                                    <option value="0">Select Age</option>
                                    <option value="1">1</option>
                                    <option value="2">2</option>
                                    <option value="3">3</option>
                                    <option value="4">4</option>
                                    <option value="5">5</option>
                                    <option value="6">6</option>
                                    <option value="7">7</option>
                                    <option value="8">8</option>
                                  </select>
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="selectGender1">Gender<span
                                    class="text-danger">*</span></label>
                                <div class="m-0">
                                  <div class="form-check form-check-inline">
                                    <input class="form-check-input" type="radio" name="selectGenderOptions"
                                      id="selectGender1" value="male">
                                    <label class="form-check-label" for="selectGender1">Male</label>
                                  </div>
                                  <div class="form-check form-check-inline">
                                    <input class="form-check-input" type="radio" name="selectGenderOptions"
                                      id="selectGender2" value="female">
                                    <label class="form-check-label" for="selectGender2">Female</label>
                                  </div>
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="a4">Create ID <span class="text-danger">*</span></label>
                                <div class="input-group">
                                  <span class="input-group-text">
                                    <i class="ri-secure-payment-line"></i>
                                  </span>
                                  <input type="text" class="form-control" id="a4" placeholder="Create Unique ID">
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="a5">Email ID <span class="text-danger">*</span></label>
                                <div class="input-group">
                                  <span class="input-group-text">
                                    <i class="ri-mail-open-line"></i>
                                  </span>
                                  <input type="email" class="form-control" id="a5" placeholder="Enter Email ID">
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="a6">Mobile Number <span
                                    class="text-danger">*</span></label>
                                <div class="input-group">
                                  <span class="input-group-text">
                                    <i class="ri-phone-line"></i>
                                  </span>
                                  <input type="text" class="form-control" id="a6" placeholder="Enter Mobile Number">
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="a7">Marital Status</label>
                                <div class="input-group">
                                  <span class="input-group-text">
                                    <i class="ri-vip-crown-2-line"></i>
                                  </span>
                                  <select class="form-select" id="a7">
                                    <option value="0">Select</option>
                                    <option value="1">Married</option>
                                    <option value="2">Un Married</option>
                                  </select>
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="a8">Qualification</label>
                                <div class="input-group">
                                  <span class="input-group-text">
                                    <i class="ri-copper-diamond-line"></i>
                                  </span>
                                  <select class="form-select" id="a8">
                                    <option value="0">Select</option>
                                    <option value="1">MBBS, MD</option>
                                    <option value="2">MBBS, MS</option>
                                    <option value="3">MBBS</option>
                                  </select>
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="a9">Designation</label>
                                <div class="input-group">
                                  <span class="input-group-text">
                                    <i class="ri-nft-line"></i>
                                  </span>
                                  <select class="form-select" id="a9">
                                    <option value="0">Select</option>
                                    <option value="1">Doctor</option>
                                    <option value="2">Head of the Dept</option>
                                  </select>
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="a10">Blood Group<span
                                    class="text-danger">*</span></label>
                                <div class="input-group">
                                  <span class="input-group-text">
                                    <i class="ri-drop-line"></i>
                                  </span>
                                  <select class="form-select" id="a10">
                                    <option value="0">Select</option>
                                    <option value="1">A+</option>
                                    <option value="2">A-</option>
                                    <option value="3">B+</option>
                                    <option value="4">B-</option>
                                    <option value="5">O+</option>
                                    <option value="6">O-</option>
                                    <option value="7">AB+</option>
                                    <option value="8">AB-</option>
                                  </select>
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="a11">Address</label>
                                <div class="input-group">
                                  <span class="input-group-text">
                                    <i class="ri-projector-line"></i>
                                  </span>
                                  <input type="text" class="form-control" id="a11" placeholder="Enter Address">
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="a12">Country</label>
                                <div class="input-group">
                                  <span class="input-group-text">
                                    <i class="ri-flag-line"></i>
                                  </span>
                                  <select class="form-select" id="a12">
                                    <option value="0">Select</option>
                                    <option value="1">USA</option>
                                    <option value="2">Canada</option>
                                    <option value="3">Brazil</option>
                                    <option value="4">India</option>
                                    <option value="5">China</option>
                                  </select>
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="a13">State</label>
                                <div class="input-group">
                                  <span class="input-group-text">
                                    <i class="ri-instance-line"></i>
                                  </span>
                                  <select class="form-select" id="a13">
                                    <option value="0">Select</option>
                                    <option value="1">Alabama</option>
                                    <option value="2">Alaska</option>
                                    <option value="3">Arizona</option>
                                    <option value="4">California</option>
                                    <option value="5">Florida</option>
                                  </select>
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="a14">City</label>
                                <div class="input-group">
                                  <span class="input-group-text">
                                    <i class="ri-scan-line"></i>
                                  </span>
                                  <input type="text" class="form-control" id="a14" placeholder="Enter City">
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="a15">Postal Code</label>
                                <div class="input-group">
                                  <span class="input-group-text">
                                    <i class="ri-qr-scan-line"></i>
                                  </span>
                                  <input type="text" class="form-control" id="a15" placeholder="Enter Postal Code">
                                </div>
                              </div>
                            </div>
                          </div>

</div>
                        <div class="tab-pane fade" id="twoA" role="tabpanel">

<div class="row gx-3">
                            <div class="col-sm-2">
                              <div id="dropzone" class="mb-3">
                                <label class="form-label">Upload Profile</label>
                                <form action="https://bootstrapget.com/upload" class="dropzone dz-clickable" id="demo-upload">
                                  <div class="dz-message">
                                    <button type="button" class="dz-button">
                                      Click here to upload your photo.</button>
                                  </div>
                                </form>
                              </div>
                            </div>
                            <div class="col-sm-12">
                              <label class="form-label">Write Bio</label>
                              <div id="fullEditor">
                                <h1>Hello,</h1>
                                <br>
                                <p>My name is <strong>Dr. David Kemrin</strong>. Write your bio here.</p>
                              </div>
                            </div>
                          </div>

</div>
                        <div class="tab-pane fade" id="threeA" role="tabpanel">

<div class="row gx-3">
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="d1">Sunday</label>
                                <div class="input-group">
                                  <select class="form-select" id="d1">
                                    <option value="0">From</option>
                                    <option value="1">7AM</option>
                                    <option value="2">8AM</option>
                                    <option value="3">9AM</option>
                                  </select>
                                  <select class="form-select" id="d1X">
                                    <option value="0">To</option>
                                    <option value="1">3PM</option>
                                    <option value="2">4PM</option>
                                    <option value="3">5PM</option>
                                  </select>
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="d2">Monday</label>
                                <div class="input-group">
                                  <select class="form-select" id="d2">
                                    <option value="0">From</option>
                                    <option value="1">7AM</option>
                                    <option value="2">8AM</option>
                                    <option value="3">9AM</option>
                                  </select>
                                  <select class="form-select" id="d2X">
                                    <option value="0">To</option>
                                    <option value="1">3PM</option>
                                    <option value="2">4PM</option>
                                    <option value="3">5PM</option>
                                  </select>
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="d3">Tuesday</label>
                                <div class="input-group">
                                  <select class="form-select" id="d3">
                                    <option value="0">From</option>
                                    <option value="1">7AM</option>
                                    <option value="2">8AM</option>
                                    <option value="3">9AM</option>
                                  </select>
                                  <select class="form-select" id="d3X">
                                    <option value="0">To</option>
                                    <option value="1">3PM</option>
                                    <option value="2">4PM</option>
                                    <option value="3">5PM</option>
                                  </select>
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="d4">Wednesday</label>
                                <div class="input-group">
                                  <select class="form-select" id="d4">
                                    <option value="0">From</option>
                                    <option value="1">7AM</option>
                                    <option value="2">8AM</option>
                                    <option value="3">9AM</option>
                                  </select>
                                  <select class="form-select" id="d4X">
                                    <option value="0">To</option>
                                    <option value="1">3PM</option>
                                    <option value="2">4PM</option>
                                    <option value="3">5PM</option>
                                  </select>
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="d5">Thursday</label>
                                <div class="input-group">
                                  <select class="form-select" id="d5">
                                    <option value="0">From</option>
                                    <option value="1">7AM</option>
                                    <option value="2">8AM</option>
                                    <option value="3">9AM</option>
                                  </select>
                                  <select class="form-select" id="d5X">
                                    <option value="0">To</option>
                                    <option value="1">3PM</option>
                                    <option value="2">4PM</option>
                                    <option value="3">5PM</option>
                                  </select>
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="d6">Friday</label>
                                <div class="input-group">
                                  <select class="form-select" id="d6">
                                    <option value="0">From</option>
                                    <option value="1">7AM</option>
                                    <option value="2">8AM</option>
                                    <option value="3">9AM</option>
                                  </select>
                                  <select class="form-select" id="d6X">
                                    <option value="0">To</option>
                                    <option value="1">3PM</option>
                                    <option value="2">4PM</option>
                                    <option value="3">5PM</option>
                                  </select>
                                </div>
                              </div>
                            </div>
                            <div class="col-xxl-3 col-lg-4 col-sm-6">
                              <div class="mb-3">
                                <label class="form-label" for="d7">Saturday</label>
                                <div class="input-group">
                                  <select class="form-select" id="d7">
                                    <option value="0">From</option>
                                    <option value="1">7AM</option>
                                    <option value="2">8AM</option>
                                    <option value="3">9AM</option>
                                  </select>
                                  <select class="form-select" id="d7X">
                                    <option value="0">To</option>
                                    <option value="1">3PM</option>
                                    <option value="2">4PM</option>
                                    <option value="3">5PM</option>
                                  </select>
                                </div>
                              </div>
                            </div>
                          </div>

</div>
                        <div class="tab-pane fade" id="fourA" role="tabpanel">

<div class="row gx-3 justify-content-center">
                            <div class="col-sm-4">
                              <div class="mb-3">
                                <label class="form-label" for="u1">User Name</label>
                                <div class="input-group">
                                  <span class="input-group-text">
                                    <i class="ri-account-pin-circle-line"></i>
                                  </span>
                                  <input type="text" id="u1" placeholder="Enter username" class="form-control">
                                </div>
                              </div>
                              <div class="mb-3">
                                <label class="form-label" for="u2">Password</label>
                                <div class="input-group">
                                  <span class="input-group-text">
                                    <i class="ri-lock-password-line"></i>
                                  </span>
                                  <input type="password" id="u2" class="form-control" placeholder="New Password">
                                  <button class="btn btn-outline-secondary" type="button">
                                    <i class="ri-eye-line"></i>
                                  </button>
                                </div>
                                <div class="form-text">
                                  Your password must be 8-20 characters long, contain letters and numbers, and must not
                                  contain spaces, special characters.
                                </div>
                              </div>
                              <div class="mb-3">
                                <label class="form-label" for="u3">Confirm Password</label>
                                <div class="input-group">
                                  <span class="input-group-text">
                                    <i class="ri-lock-password-line"></i>
                                  </span>
                                  <input type="password" id="u3" placeholder="Confirm new password"
                                    class="form-control">
                                  <button class="btn btn-outline-secondary" type="button">
                                    <i class="ri-eye-off-line"></i>
                                  </button>
                                </div>
                                <div class="form-text">
                                  Your password must be 8-20 characters long, contain letters and numbers, and must not
                                  contain spaces, special characters.
                                </div>
                              </div>
                            </div>
                          </div>

</div>
                      </div>

</div>

<div class="d-flex gap-2 justify-content-end mt-4">
                      <a href="doctors-list.html" class="btn btn-outline-secondary">
                        Cancel
                      </a>
                      <a href="doctors-list.html" class="btn btn-primary">
                        Create Doctor Profile
                      </a>
                    </div>

</div>
                </div>
              </div>
            </div>

</div>

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

docroot: /home2/digita21/albinaagro.com

curdir: /home2/digita21/navshera.in/admin

	.	4096
	..	4096
X	.htaccess	91
X	add-blog.php	6482
X	add-product.php	15697
	assets	4096
X	blog-list.php	9008
X	brand.php	5611
X	category.php	8692
X	customer.php	5476
	dash_apis	4096
X	dashboard.php	11225
X	deactive-product.php	8924
X	edit-blog.php	7237
X	form.php	31410
X	gallery.php	6393
	include	4096
X	index.php	12440
X	info.php	10100
X	inquery.php	5595
X	invoice.php	7454
X	login.php	3033
X	low-stock.php	8941
X	maintenance.php	1782
X	order.php	7735
X	payment.php	8523
X	pending-product.php	9827
X	product.php	9123
X	sale-table.php	28632
X	signup.php	3151
X	slider.php	4192
X	sub-category.php	11512
X	tables.php	20724
X	top-selling.php	9048