| Current Path : /home1/savoy/public_html/savoyglobal.net/eldertree/application/views/student/ |
Linux gator3171.hostgator.com 4.19.286-203.ELK.el7.x86_64 #1 SMP Wed Jun 14 04:33:55 CDT 2023 x86_64 |
| Current File : /home1/savoy/public_html/savoyglobal.net/eldertree/application/views/student/add_extra.php |
<?php
if (!defined('BASEPATH'))
exit('No direct script access allowed');
$this->load->view('documentreadyfunctions');
?>
<script src="<?= base_url() ?>assets/scripts/jquery.autocomplete.js"></script>
<script type="text/javascript">
$(document).ready(function()
{
suggestStudentInfo('#student');
suggestStudentPhysicalInfo('#physical_student');
});
$(".addRow_nutrition").btnAddRow({inputBoxAutoNumber: true}, function(row) {
$(row).find('.radio-button').remove();
$(row).find('input[type=radio]').removeClass();
$(row).find('input:radio').checkbox({
cls : 'radio-button',
empty :'<?= base_url(); ?>/assets/img/sprites/forms/checkboxes/empty.png'
});
});
$(".addRow_nappies").btnAddRow({inputBoxAutoNumber: true}, function(row) {
$(row).find('.radio-button').remove();
$(row).find('input[type=radio]').removeClass();
$(row).find('input:radio').checkbox({
cls : 'radio-button',
empty :'<?= base_url(); ?>/assets/img/sprites/forms/checkboxes/empty.png'
});
});
$(".addRow_food").btnAddRow({inputBoxAutoNumber: true}, function(row) {
$(row).find('.radio-button').remove();
$(row).find('input[type=radio]').removeClass();
$(row).find('input:radio').checkbox({
cls : 'radio-button',
empty :'<?= base_url(); ?>/assets/img/sprites/forms/checkboxes/empty.png'
});
});
$(".addRow_bottle").btnAddRow({inputBoxAutoNumber: true}, function(row) {
});
$(".addRow_sleep").btnAddRow({inputBoxAutoNumber: true}, function(row) {
});
$(".delRow_sleep").btnDelRow();
$(".delRow_sleep").on('click',function(e){
e.preventDefault();
if($(this).parents('tr').index() > 2)
$(this).parents('tr').remove();
// else
// alert('2 Row Mandate');
})
$(".delRow_food").btnDelRow();
$(".delRow_food").on('click',function(e){
e.preventDefault();
if($(this).parents('tr').index() > 4)
$(this).parents('tr').remove();
// else
// alert('4 Row Mandate');
})
$(".delRow_bottle").on('click',function(e){
e.preventDefault();
if($(this).parents('tr').index() > 4)
$(this).parents('tr').remove();
// else
// alert('4 Row Mandate');
});
$(".delRow_bottle").btnDelRow();
function suggestStudentInfo(div)
{
$(div).autocomplete("<?= site_url() ?>/master/autosuggeststudent/", {
width: 250,
selectFirst: false
});
}
function suggestStudentPhysicalInfo(div)
{
$(div).autocomplete("<?= site_url() ?>/master/autosuggeststudent/", {
width: 250,
selectFirst: false
});
}
</script>
<div class="row-fluid">
<div class="tab-pane " id="tab_2">
<div class="portlet box yellow">
<div class="portlet-title">
<div class="caption"><i class="icon-reorder"></i>Creating Daily Report</div>
<div class="tools">
<a href="#" onclick="viewdata('student','viewinstudentsearch','search_extra','view_extra','<?= $_SESSION['pagenum']; ?>')" class="remove"></a>
</div>
</div>
<div class="portlet-body form">
<!-- BEGIN FORM-->
<?php
$attributes = array('id' => 'validateform', 'class' => 'form-horizontal validate');
echo form_open('student/addinstudent/insert_extra/view_extra/1', $attributes);
$teacher = $this->mastermodel->get_data('employee', '1', 'employee_teacher');
//$nutrition_sleep_type = $this->mastermodel->getenumvalues('nutrition_sleep', 'nutrition_sleep_type');
//$nutrition_food_type = $this->mastermodel->getenumvalues('nutrition_food', 'nutrition_food_type');
$nutrition_food_status = $this->mastermodel->getenumvalues('nutrition_food', 'nutrition_food_status');
$nutrition_nappies_status = $this->mastermodel->getenumvalues('nutrition_nappies', 'nutrition_nappies_status');
$nutrition_nappies_cream = $this->mastermodel->getenumvalues('nutrition_nappies', 'nutrition_nappies_cream');
$physical_status = $this->mastermodel->getenumvalues('physical', 'physical_status');
?>
<h4 class="form-section"><span class="text bold">NUTRITION REPORTS </span></h4>
<div class="row-fluid">
<div class="span6">
<div class="portlet box yellow">
<div class="portlet-title">
<div class="caption">Child Details</div>
</div>
<div class="portlet-body">
<div class="row-fluid">
<div class="span12 ">
<div class="control-group">
<label class="control-label">Student Name </label>
<div class="controls">
<input type="text" name="student" id="student" value=''placeholder="Select Student" class="required reset" />
<input type="hidden" name="student_id" id="student_id" class="reset" />
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="span12 ">
<div class="control-group">
<label class="control-label">Looked After By</label>
<div class="controls">
<select name="nutrition_teacher_id" id="nutrition_teacher_id" class="chosen span12" style="min-width:160px;" >
<option value=''>Select</option>
<?php
foreach ($teacher as $list)
{
?>
<option value="<?= $list['employee_id'] ?>"><?= $list['employee_name'] ?></option>
<?php
}
?>
</select>
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="span12 ">
<div class="control-group">
<label class="control-label">Date</label>
<div class="controls">
<input name="nutrition_date" id="nutrition_date" type="text" value="<?= date("d-m-Y"); ?>" class="calfocus required" />
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="span6">
<div class="portlet box yellow">
<div class="portlet-title">
<div class="caption">Arr/Dep Details</div>
</div>
<div class="portlet-body">
<div class="row-fluid">
<div class="span12 ">
<div class="control-group">
<label class="control-label">Child Arrived At</label>
<div class="controls">
<label style="width: 150px;">
<?php echo createHours('nutrition_arrived_hour', '09'); ?>
<?php echo createMinutes('nutrition_arrived_minute', '00'); ?>
</label>
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="span12 ">
<div class="control-group">
<label class="control-label">Child Departed At </label>
<div class="controls">
<label style="width: 150px;">
<?php echo createHours('nutrition_departed_hour', '09'); ?>
<?php echo createMinutes('nutrition_departed_minute', '00'); ?>
</label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="span6">
<div class="portlet box yellow">
<div class="portlet-title">
<div class="caption">Sleep</div>
</div>
<div class="portlet-body">
<table class="table table-striped table-hover table-bordered" id="student_tb">
<tr>
<th> From</th>
<th> To</th>
<th><input type="button" id="button2" value="Add More" class="addRow_sleep" title="Add Row" style="width:75px;"/></th>
</tr>
<tr>
<td>
<?php echo createHours('nutrition_sleep_from_hour1', '24'); ?>
<?php echo createMinutes('nutrition_sleep_from_minute1', '61'); ?>
</td>
<td>
<?php echo createHours('nutrition_sleep_to_hour1', '24'); ?>
<?php echo createMinutes('nutrition_sleep_to_minute1', '61'); ?>
</td>
<td>
<img style="float: right; vertical-align: top;"src="<?= base_url() ?>assets/img/close.png" alt="Delete Row" class="delRow_food clickimage" title="Delete Row"/>
</td>
</tr>
<tr>
<td>
<?php echo createHours('nutrition_sleep_from_hour2', '24'); ?>
<?php echo createMinutes('nutrition_sleep_from_minute2', '61'); ?>
</td>
<td>
<?php echo createHours('nutrition_sleep_to_hour2', '24'); ?>
<?php echo createMinutes('nutrition_sleep_to_minute2', '61'); ?>
</td>
<td>
<img style="float: right; vertical-align: top;"src="<?= base_url() ?>assets/img/close.png" alt="Delete Row" class="delRow_sleep clickimage" title="Delete Row"/>
</td>
</tr>
</table>
</div>
</div>
</div>
<div class="span6">
<div class="portlet box yellow">
<div class="portlet-title">
<div class="caption">Food</div>
</div>
<div class="portlet-body">
<table class="table table-striped table-hover table-bordered" id="student_tb">
<tr>
<th>Time</th>
<th>Consumption</th>
<th><input type="button" id="button2" value="Add More" class="addRow_food" title="Add Row" style="width:75px;"/></th>
</tr>
<tr>
<td>
<?php echo createHours('nutrition_food_time_hour1', '24'); ?>
<?php echo createMinutes('nutrition_food_time_minute1', '61'); ?>
</td>
<td>
<table>
<tr>
<?php
if (count($nutrition_food_status['val']) > 0)
{
foreach ($nutrition_food_status['val'] as $method)
{
echo "<td style='padding: 7px 0px;border: 0px;width:1px'><input type='radio' id='nutrition_food_status1' name='nutrition_food_status1' value='" . $method . "'/></td><td style='border: 0px;width:55px'>" . $method . "</td>";
?>
<?php
}
}
?>
</tr>
</table>
</td>
<td>
<img style="float: right; vertical-align: top;"src="<?= base_url() ?>assets/img/close.png" alt="Delete Row" class="delRow_food clickimage" title="Delete Row"/>
</td>
</tr>
<tr>
<td>
<?php echo createHours('nutrition_food_time_hour2', '24'); ?>
<?php echo createMinutes('nutrition_food_time_minute2', '61'); ?>
</td>
<td>
<table>
<tr>
<?php
if (count($nutrition_food_status['val']) > 0)
{
foreach ($nutrition_food_status['val'] as $method)
{
echo "<td style='padding: 7px 0px;border: 0px;width:1px'><input type='radio' id='nutrition_food_status2' name='nutrition_food_status2' value='" . $method . "'/></td><td style='border: 0px;width:55px'>" . $method . "</td>";
}
}
?>
</tr>
</table>
</td>
<td>
<img style="float: right; vertical-align: top;"src="<?= base_url() ?>assets/img/close.png" alt="Delete Row" class="delRow_food clickimage" title="Delete Row"/>
</td>
</tr>
<tr>
<td>
<?php echo createHours('nutrition_food_time_hour3', '24'); ?>
<?php echo createMinutes('nutrition_food_time_minute3', '61'); ?>
</td>
<td>
<table>
<tr>
<?php
if (count($nutrition_food_status['val']) > 0)
{
foreach ($nutrition_food_status['val'] as $method)
{
echo "<td style='padding: 7px 0px;border: 0px;width:1px'><input type='radio' id='nutrition_food_status3' name='nutrition_food_status3' value='" . $method . "'/></td><td style='border: 0px;width:55px'>" . $method . "</td>";
}
}
?>
</tr>
</table>
</td>
<td>
<img style="float: right; vertical-align: top;"src="<?= base_url() ?>assets/img/close.png" alt="Delete Row" class="delRow_food clickimage" title="Delete Row"/>
</td>
</tr>
<tr>
<td>
<?php echo createHours('nutrition_food_time_hour4', '24'); ?>
<?php echo createMinutes('nutrition_food_time_minute4', '61'); ?>
</td>
<td>
<table>
<tr>
<?php
if (count($nutrition_food_status['val']) > 0)
{
foreach ($nutrition_food_status['val'] as $method)
{
echo "<td style='padding: 7px 0px;border: 0px;width:1px'><input type='radio' id='nutrition_food_status4' name='nutrition_food_status4' value='" . $method . "'/></td><td style='border: 0px;width:55px'>" . $method . "</td>";
}
}
?>
</tr>
</table>
</td>
<td>
<img style="float: right; vertical-align: top;"src="<?= base_url() ?>assets/img/close.png" alt="Delete Row" class="delRow_food clickimage" title="Delete Row"/>
</td>
</tr>
<tr>
<td>
<?php echo createHours('nutrition_food_time_hour5', '24'); ?>
<?php echo createMinutes('nutrition_food_time_minute5', '61'); ?>
</td>
<td>
<table>
<tr>
<?php
if (count($nutrition_food_status['val']) > 0)
{
foreach ($nutrition_food_status['val'] as $method)
{
echo "<td style='padding: 7px 0px;border: 0px;width:1px'><input type='radio' id='nutrition_food_status5' name='nutrition_food_status5' value='" . $method . "'/></td><td style='border: 0px;width:55px'>" . $method . "</td>";
}
}
?>
</tr>
</table>
</td>
<td>
<img style="float: right; vertical-align: top;"src="<?= base_url() ?>assets/img/close.png" alt="Delete Row" class="delRow_food clickimage" title="Delete Row"/>
</td>
</tr>
</table>
<div class="row-fluid">
<div class="span6 ">
<div class="control-group">
<label class="control-label">Any Dislikes?</label>
<div class="controls">
<input name="nutrition_food_dislike" id="nutrition_food_dislike" type="text"/>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="span6">
<div class="portlet box yellow">
<div class="portlet-title">
<div class="caption">Bottles</div>
</div>
<div class="portlet-body">
<table class="table table-striped table-hover table-bordered" id="student_tb">
<tr>
<th> Time</th>
<th> Amount</th>
<th><input type="button" id="button2" value="Add More" class="addRow_bottle" title="Add Row" style="width:75px;"/></th>
</tr>
<tr>
<td>
<?php echo createHours('nutrition_bottle_time_hour1', '24'); ?>
<?php echo createMinutes('nutrition_bottle_time_minute1', '61'); ?>
</td>
<td>
<input type="text" name="nutrition_bottle_amount1" id="nutrition_bottle_amount1" />
</td>
<td>
<img style="float: right; vertical-align: top;"src="<?= base_url() ?>assets/img/close.png" alt="Delete Row" class="delRow_bottle clickimage" title="Delete Row"/>
</td>
</tr>
<tr>
<td>
<?php echo createHours('nutrition_bottle_time_hour2', '24'); ?>
<?php echo createMinutes('nutrition_bottle_time_minute2', '61'); ?>
</td>
<td>
<input type="text" name="nutrition_bottle_amount2" id="nutrition_bottle_amount2" />
</td>
<td>
<img style="float: right; vertical-align: top;"src="<?= base_url() ?>assets/img/close.png" alt="Delete Row" class="delRow_bottle clickimage" title="Delete Row"/>
</td>
</tr>
</table>
</div>
</div>
</div>
<div class="span6">
<div class="portlet box yellow">
<div class="portlet-title">
<div class="caption">Nappies</div>
</div>
<div class="portlet-body">
<table class="table table-striped table-hover table-bordered" id="student_tb">
<tr>
<th width="50%">Time</th>
<th width="30%">Status</th>
<th width="20%">Cream Applied?</th>
<th><input type="button" id="button2" value="Add More" class="addRow_nappies" title="Add Row" style="width:55px;"/></th>
</tr>
<tr>
<td>
<?php echo createHours('nutrition_nappies_time_hour1', '24'); ?>
<?php echo createMinutes('nutrition_nappies_time_minute1', '61'); ?>
</td>
<td>
<table>
<tr>
<?php
if (count($nutrition_nappies_status['val']) > 0)
{
foreach ($nutrition_nappies_status['val'] as $method)
{
echo "<td style='padding: 7px 0px;border: 0px;width:1px'><input type='radio' id='nutrition_nappies_status1' name='nutrition_nappies_status1' value='" . $method . "'/></td><td style='border: 0px;width:55px'>" . $method . "</td>";
}
}
?>
</tr>
</table>
</td>
<td>
<table>
<tr>
<?php
if (count($nutrition_nappies_cream['val']) > 0)
{
foreach ($nutrition_nappies_cream['val'] as $method)
{
echo "<td style='padding: 7px 0px;border: 0px;width:1px'><input type='radio' id='nutrition_nappies_cream1' name='nutrition_nappies_cream1' value='" . $method . "'/></td><td style='border: 0px;width:55px'>" . $method . "</td>";
}
}
?>
</tr>
</table>
</td>
<td>
<img style="float: right; vertical-align: top;"src="<?= base_url() ?>assets/img/close.png" alt="Delete Row" class="delRow clickimage" title="Delete Row"/>
</td>
</tr>
<tr>
<td>
<?php echo createHours('nutrition_nappies_time_hour2', '24'); ?>
<?php echo createMinutes('nutrition_nappies_time_minute2', '61'); ?>
</td>
<td>
<table>
<tr>
<?php
if (count($nutrition_nappies_status['val']) > 0)
{
foreach ($nutrition_nappies_status['val'] as $method)
{
echo "<td style='padding: 7px 0px;border: 0px;width:1px'><input type='radio' id='nutrition_nappies_status2' name='nutrition_nappies_status2' value='" . $method . "'/></td><td style='border: 0px;width:55px'>" . $method . "</td>";
}
}
?>
</tr>
</table>
</td>
<td>
<table>
<tr>
<?php
if (count($nutrition_nappies_cream['val']) > 0)
{
foreach ($nutrition_nappies_cream['val'] as $method)
{
echo "<td style='padding: 7px 0px;border: 0px;width:1px'><input type='radio' id='nutrition_nappies_cream2' name='nutrition_nappies_cream2' value='" . $method . "'/></td><td style='border: 0px;width:55px'>" . $method . "</td>";
}
}
?>
</tr>
</table>
</td>
<td>
<img style="float: right; vertical-align: top;"src="<?= base_url() ?>assets/img/close.png" alt="Delete Row" class="delRow clickimage" title="Delete Row"/>
</td>
</tr>
<tr>
<td>
<?php echo createHours('nutrition_nappies_time_hour3', '24'); ?>
<?php echo createMinutes('nutrition_nappies_time_minute3', '61'); ?>
</td>
<td>
<table>
<tr>
<?php
if (count($nutrition_nappies_status['val']) > 0)
{
foreach ($nutrition_nappies_status['val'] as $method)
{
echo "<td style='padding: 7px 0px;border: 0px;width:1px'><input type='radio' id='nutrition_nappies_status3' name='nutrition_nappies_status3' value='" . $method . "'/></td><td style='border: 0px;width:55px'>" . $method . "</td>";
}
}
?>
</tr>
</table>
</td>
<td>
<table>
<tr>
<?php
if (count($nutrition_nappies_cream['val']) > 0)
{
foreach ($nutrition_nappies_cream['val'] as $method)
{
echo "<td style='padding: 7px 0px;border: 0px;width:1px'><input type='radio' id='nutrition_nappies_cream3' name='nutrition_nappies_cream3' value='" . $method . "'/></td><td style='border: 0px;width:55px'>" . $method . "</td>";
}
}
?>
</tr>
</table>
</td>
<td>
<img style="float: right; vertical-align: top;"src="<?= base_url() ?>assets/img/close.png" alt="Delete Row" class="delRow clickimage" title="Delete Row"/>
</td>
</tr>
<tr>
<td>
<?php echo createHours('nutrition_nappies_time_hour4', '24'); ?>
<?php echo createMinutes('nutrition_nappies_time_minute4', '61'); ?>
</td>
<td>
<table>
<tr>
<?php
if (count($nutrition_nappies_status['val']) > 0)
{
foreach ($nutrition_nappies_status['val'] as $method)
{
echo "<td style='padding: 7px 0px;border: 0px;width:1px'><input type='radio' id='nutrition_nappies_status4' name='nutrition_nappies_status4' value='" . $method . "'/></td><td style='border: 0px;width:55px'>" . $method . "</td>";
}
}
?>
</tr>
</table>
</td>
<td>
<table>
<tr>
<?php
if (count($nutrition_nappies_cream['val']) > 0)
{
foreach ($nutrition_nappies_cream['val'] as $method)
{
echo "<td style='padding: 7px 0px;border: 0px;width:1px'><input type='radio' id='nutrition_nappies_cream4' name='nutrition_nappies_cream4' value='" . $method . "'/></td><td style='border: 0px;width:55px'>" . $method . "</td>";
}
}
?>
</tr>
</table>
</td>
<td>
<img style="float: right; vertical-align: top;"src="<?= base_url() ?>assets/img/close.png" alt="Delete Row" class="delRow clickimage" title="Delete Row"/>
</td>
</tr>
</table>
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="span6">
<div class="portlet box yellow">
<div class="portlet-title">
<div class="caption">Other</div>
</div>
<div class="portlet-body">
<div class="row-fluid">
<div class="span6 ">
<div class="control-group">
<label class="control-label">Outside Play/Indoor Activities</label>
<div class="controls">
<textarea name="nutrition_play" id="nutrition_play"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="span6">
<div class="portlet box yellow">
<div class="portlet-title">
<div class="caption">Other</div>
</div>
<div class="portlet-body">
<div class="row-fluid">
<div class="span6 ">
<div class="control-group">
<label class="control-label">Requirements</label>
<div class="controls">
<textarea name="nutrition_requirement" id="nutrition_requirement"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<h4 class="form-section"><span class="text bold">PHYSICAL REPORTS</span></h4>
<div class="row-fluid">
<div class="span6">
<div class="portlet box yellow">
<div class="portlet-title">
<div class="caption">Physical Details </div>
</div>
<div class="portlet-body">
<div class="row-fluid">
<div class="span6 ">
<div class="control-group">
<label class="control-label">Child appeared to be</label>
<div class="controls">
<label style="width: 225px;">
<?php
if (count($physical_status['val']) > 0)
{
foreach ($physical_status['val'] as $method)
{
echo "<td style='padding: 7px 0px;border: 0px;width:1px'><input type='radio' id='physical_status' name='physical_status' value='" . $method . "'/></td><td style='border: 0px;width:55px'>" . $method . "</td>";
}
}
?> </label>
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="span6 ">
<div class="control-group">
<label class="control-label">Essentials Required</label>
<div class="controls"><label style="width: 265px;">
<input type="checkbox" name="physical_essentials[]" value="Spare Clothes"/>Spare Clothes
<input type="checkbox" name="physical_essentials[]" value="Underwear"/>Underwear
<input type="checkbox" name="physical_essentials[]" value="Nappies"/>Nappies
</label> </div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="span6 ">
<div class="control-group">
<label class="control-label">Essentials Other</label>
<div class="controls">
<textarea name="physical_essentials_other" id="physical_essentials_other"></textarea>
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="span6 ">
<div class="control-group">
<label class="control-label">Nappies or Toileting</label>
<div class="controls">
<textarea name="physical_nappies" id="physical_nappies"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="span6">
<div class="portlet box yellow">
<div class="portlet-title">
<div class="caption">Physical Details </div>
</div>
<div class="portlet-body">
<div class="row-fluid">
<div class="span6 ">
<div class="control-group">
<label class="control-label">Play and Learning</label>
<div class="controls">
<textarea name="physical_learning" id="physical_learning"></textarea>
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="span6 ">
<div class="control-group">
<label class="control-label">Any Comments</label>
<div class="controls">
<textarea name="physical_meal_comments" id="physical_meal_comments"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<h4 class="form-section"><span class="text bold">MEDICAL REPORTS</span></h4>
<div class="row-fluid">
<div class="span6">
<div class="portlet box yellow">
<div class="portlet-title">
<div class="caption">Medical Details</div>
</div>
<div class="portlet-body">
<div class="row-fluid">
<div class="span6 ">
<div class="control-group">
<label class="control-label">Medical Health Status</label>
<div class="controls">
<textarea name="medical_health_status" id="Medical"></textarea>
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="span6 ">
<div class="control-group">
<label class="control-label">Medical Medication</label>
<div class="controls">
<textarea name="medical_medication" id="Medical"></textarea>
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="span6 ">
<div class="control-group">
<label class="control-label">Medical Special Requirements</label>
<div class="controls">
<textarea name="medical_special_requirements" id="Medical"></textarea>
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="span6 ">
<div class="control-group">
<label class="control-label">Medical Notes</label>
<div class="controls">
<textarea name="medical_notes" id="Medical" ></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="form-actions">
<input type="hidden" name="tab_name" value="nutrition"/>
<input type="hidden" name="resfunction" value="search_extra"/>
<button type="submit" class="btn blue" onclick="addformdata('validateform')"> Save</button>
<button type="button" onclick="viewdata('student','viewinstudentsearch','search_extra','view_extra','<?= $_SESSION['pagenum']; ?>')" class="btn">Cancel</button>
</div>
<?php
echo form_close();
?>
<!-- END FORM-->
</div>
</div>
</div>
</div>