Files
Dental-Assistant/templates/patient_create.html
2025-11-08 19:52:13 +01:00

232 lines
11 KiB
HTML

{% extends 'base.html' %}
{% load static %}
{% block content %}
<div class="page-wrapper">
<!-- HEADER MOBILE-->
<header class="header-mobile d-block d-lg-none">
<div class="header-mobile__bar">
<div class="container-fluid">
<div class="header-mobile-inner"
<a class="logo" href="index.html">
<img src="{% static 'images/icon/logo.png' %}" alt="King Dental" />
</a>
<button class="hamburger hamburger--slider" type="button">
<span class="hamburger-box">
<span class="hamburger-inner"></span>
</span>
</button>
</div>
</div>
</div>
<nav class="navbar-mobile">
<div class="container-fluid">
{% if request.user.is_authenticated %}
<ul class="navbar-mobile__list list-unstyled">
<li>
<a href="chart.html">
<i class="fas fa-chart-bar"></i>Patients List</a>
</li>
</ul>
{% endif %}
</div>
</nav>
</header>
<!-- END HEADER MOBILE-->
<!-- MENU SIDEBAR-->
<aside class="menu-sidebar d-none d-lg-block">
<div class="logo">
<a href="#">
<img src="{% static 'images/icon/logo.png' %}" alt="King Dental" />
</a>
</div>
{% if request.user.is_authenticated %}
<div class="menu-sidebar__content js-scrollbar1">
<nav class="navbar-sidebar">
<ul class="list-unstyled navbar__list">
<li class="has-sub">
<a class="js-arrow" href="#">
<i class="fas fa-plus"></i>Add new Patient
</a>
</li>
</ul>
</nav>
</div>
{% endif %}
</aside>
<!-- END MENU SIDEBAR-->
<!-- PAGE CONTAINER-->
<div class="page-container">
<!-- HEADER DESKTOP-->
<header class="header-desktop">
<div class="section__content section__content--p30">
<div class="container-fluid">
<div class="header-wrap">
<form class="form-header" action="" method="POST">
<input class="au-input au-input--xl" type="text" name="search" placeholder="Search for datas &amp; reports..." />
<button class="au-btn--submit" type="submit">
<i class="zmdi zmdi-search"></i>
</button>
</form>
<div class="header-button">
{% if request.user.is_authenticated %}
<div class="account-wrap">
<div class="account-item clearfix js-item-menu">
<div class="image">
<img src="{% static 'images/icon/avatar-01.jpg' %}" alt="John Doe" />
</div>
<div class="content">
<a class="js-acc-btn" href="#">{{ request.user.username }}</a>
</div>
<div class="account-dropdown js-dropdown">
<div class="info clearfix">
<div class="image">
<a href="#">
<img src="{% static 'images/icon/avatar-01.jpg' %}" alt="John Doe" />
</a>
</div>
<div class="content">
<h5 class="name">
<a href="#">{{ request.user.username }}</a>
</h5>
<span class="email">{{ request.user.email }}</span>
</div>
</div>
<div class="account-dropdown__footer">
<a href="{% url 'user_logout' %}">
<i class="zmdi zmdi-power"></i>Logout</a>
</div>
</div>
</div>
</div>
{%else%}
<div class="account-wrap">
<div class="account-item clearfix">
<a class="zmdi zmdi-account mr-2 " href="{% url 'user_login' %}"> Login</a>
<span> | </span>
<a class="zmdi zmdi-account ml-2" href="{% url 'user_register' %}"> Register</a>
</div>
</div>
{% endif %}
</div>
</div>
</header>
<!-- END HEADER DESKTOP-->
<!-- MAIN CONTENT-->
<!-- MAIN CONTENT-->
{% if request.user.is_authenticated %}
<div class="main-content">
<div class="section__content section__content--p30 ">
<div class="container-fluid">
<div class="col-lg-6">
<div class="card">
<div class="card-header">
Creating new <strong>Patient</strong>
</div>
<div class="card-body card-block">
<form action="" method="post" enctype="multipart/form-data" class="form-horizontal">
{% csrf_token %}
<div class="row form-group">
<div class="col col-md-3">
<label for="text-input" class=" form-control-label">Name</label>
</div>
<div class="col-12 col-md-9">
{{form.name}}
<small class="form-text text-muted">Please enter patient's name</small>
</div>
</div>
<div class="row form-group">
<div class="col col-md-3">
<label for="email-input" class=" form-control-label">National ID</label>
</div>
<div class="col-12 col-md-9">
{{form.nationalID}}
<small class="help-block form-text">Please enter patient's National ID</small>
</div>
</div>
<div class="row form-group">
<div class="col col-md-3">
<label for="textarea-input" class=" form-control-label">Description</label>
</div>
<div class="col-12 col-md-9">
{{ form.description }}
<small class="help-block form-text">Please enter patient's Description</small>
</div>
</div>
<div class="row form-group">
<div class="col col-md-3">
<label for="file-input" class=" form-control-label">Patient's Image</label>
</div>
<div class="col-12 col-md-9">
{{form.image}}
</div>
</div>
<button type="submit" class="btn btn-primary btn-sm">
<i class="fa fa-dot-circle-o"></i> Submit
</button>
</form>
</div>
</div>
</div>
</div>
</div>
{% endif %}
</div>
<!-- END PAGE CONTAINER-->
</div>
{% endblock content %}