| Current Path : /home1/savoy/www/savoyglobal.net/drafthr/system/application/views/Report/ |
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/www/savoyglobal.net/drafthr/system/application/views/Report/claimsinscompwise.php |
<?php if ( ! defined('BASEPATH')) exit('No direct script access allowed');?> <script type="text/javascript">
jQuery(document).ready(function () {
$('.one').datepick({dateFormat: 'dd-mm-yyyy'});
$('.two').datepick({dateFormat: 'dd-mm-yyyy'});
suggestcover('cover');
});
</script>
<form id="customForm" name="customForm">
<fieldset>
<div class="leftalign">
<ul>
<li><label>Insurance Company</label><label><?php
$company=$this->mastermodel->getdatas('insurance_company');
echo "<select name='insurance_company_id' id='insurance_company_id' >";
if($companyname->company_name)
echo "<option value='".$companyname->id."'>$companyname->company_name</option>";
else
echo "<option value='0'>Select Company</option>";
if (count($company))
{
foreach ($company as $key => $list)
{
if($list['company_name']!=$companyname->company_name)
echo "<option value='". $list['id'] . "'>" . $list['company_name'] . "</option>";
}
echo "</select>";
}
?></label></li>
<li>
<label>Type of Cover</label><input type="text" name="cover" id="cover" size="35" />
<input type="hidden" id="cover_id" name="cover_id" />
</li>
</ul>
</div>
<div class="rightalign">
<ul>
<?php
echo "<li>
<label>Branch</label><select name='branchid' id='branchid'><option value=''>Select</option>";
$stat=$this->mastermodel->getdatas('ourbranch');
foreach($stat as $sta)
{
echo "<option value='". $sta['id'] . "'>" . $sta['branchname'] . "</option>";
}
echo "</select></li>";
?>
<li><label>Date:</label> </li>
<li><label>Start Date</label><label><input class="one" id="fromdate" name="fromdate" readonly="true" type="text" style="background-image: url(../../../../assets/images/datefocus.gif);"></label></li>
<li><label>End Date</label><label><input class="two" id="todate" name="todate" readonly="true" type="text" style="background-image: url(../../../../assets/images/datefocus.gif);"></label></li>
</ul>
</div>
<div class="centeralign"><ul>
<li><label><input type="button" value="Generate Report" onclick="generateclaimsinscompwise();"></label></li>
</ul>
</div>
</fieldset>
</form>