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Server: Apache
System: Linux e2e-78-16.ssdcloudindia.net 3.10.0-1160.45.1.el7.x86_64 #1 SMP Wed Oct 13 17:20:51 UTC 2021 x86_64
User: imensosw (1005)
PHP: 7.4.33
Disabled: exec,passthru,shell_exec,system
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File: /home/imensosw/www/imenso.co/dev/lavender-old/kit-details.php
<!doctype html>
<html lang="en-US" >
<head>
  <meta charset="UTF-8">
  <meta name="viewport" content="width=device-width, initial-scale=1">
  <link rel="profile" href="http://gmpg.org/xfn/11">
  <title>Lavender Medical</title>
  <link rel='stylesheet' href='css/bootstrap.min.css'  media='all' />
  <link rel='stylesheet' href='css/style.css'  media='all' />
  <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.css"  media="all">
  <link href="https://fonts.googleapis.com/css2?family=Sen:wght@400;700;800&display=swap" rel="stylesheet">

</head>
<body>

<?php include('header.php'); ?>

<section class="b-burger">
<div class="container"> 

      <h1 class="date-scroll pt-4"> <a href="kits.php"><i class="fa fa-long-arrow-left smbtn"></i> <strong>Back</strong></a></h1>
      <form>
        <div class="row pt-4">
          <div class="col-lg-8">
               <div class="d-card">
                  <h4>Basic Details</h4>
                  <div class="form-group">
                    <label>Kit Name</label>
                    <input type="text" class="form-control" name="">
                  </div>
                  <div class="form-group">
                    <label>Kit Unique Identifier</label>
                    <input type="text" class="form-control" name="">
                  </div>
                  <div class="form-group">
                    <label>Kit Description</label>
                    <textarea class="form-control" rows="5"></textarea>
                  </div>
               </div>
               <div class="d-card mt-4">
                  <h4>Products</h4>            
                  <div class="form-group">
                    <label>Select Products</label>
                    <select class="chosen-select">
                      <option>Select Product</option>
                      <option>M04 S0001 - RTS Lesser MTP Instrument Kit - Size 1-3</option>
                      <option>M40 SE010 - RTS Lesser MTP Implant Size 1</option>
                      <option>M40 SE020 - RTS Lesser MTP Implant Size 2</option>                 
                    </select>   
                  </div>
                  <div class="mt-4">
                    <table class="table">
                      <thead>
                        <tr>
                          <th>Product Code</th>
                          <th>Product Name</th>
                          <th>Qty</th>
                          <th></th>
                        </tr>
                      </thead>
                      <tbody>
                        <tr>
                          <td>M04 S0001</td>
                          <td>RTS Lesser MTP Instrument Kit - Size 1-3</td>
                          <td><input type="text" class="form-control sml-input" name="" value="2"></td>
                          <td><a href=""><i class="fa fa-trash"></i> </a></td>
                        </tr>
                        <tr>
                          <td>M04 S0001</td>
                          <td>RTS Lesser MTP Implant Size 1</td>
                          <td><input type="text" class="form-control sml-input" name="" value="2"></td>
                          <td><a href=""><i class="fa fa-trash"></i> </a></td>
                        </tr>
                        <tr>
                          <td>M04 S0001</td>
                          <td>RTS Lesser MTP Instrument Kit - Size 1-3</td>
                          <td><input type="text" class="form-control sml-input" name="" value="2"></td>
                          <td><a href=""><i class="fa fa-trash"></i> </a></td>
                        </tr>
                      </tbody>
                    </table>
                  </div> 
                         
               </div>
           
          </div>
          <div class="col-lg-4">    
             <div class="d-card">
                <h4>Kit Image</h4>            
                <div class="uploader">
                  <i class="fa fa-upload fa-2x"></i>
                    Upload Image
                </div>          
             </div>
             <div class="mt-5 text-right">
                <a href="kits.php" class="btn btn-secondary mr-2">Cancel</a>
                <a href="kits.php" class="btn btn-primary">Save Changes</a>
             </div>      
       </form>

    </div>
    
  </div><!--/row-->
      

 
</div>
</section>


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

<script> 
    $(function(){     
       setTimeout(function(){      
        $('.nav-item').removeClass('active');
        $('.nav-item').eq(5).addClass('active');
       },100); 
    });
  </script>

</body>
</html>