<!-- Breadcrumb -->
<nav class="hk-breadcrumb" aria-label="breadcrumb">
    <ol class="breadcrumb breadcrumb-light bg-transparent">
        <li class="breadcrumb-item"><a href="<?php echo site_url('dashboard'); ?>"><?php echo $this->lang->line('dashboard'); ?></a></li>
        <li class="breadcrumb-item active" aria-current="page"><?php echo $this->lang->line('supplier'); ?></li>
    </ol>
</nav>
<!-- /Breadcrumb -->

<!-- Container -->
<div class="container">
    <!-- Title -->
    <div class="hk-pg-header">
        <h4 class="hk-pg-title">
            <span class="pg-title-icon"><i class="fa fa-arrow-circle-o-down"></i></span>
            <?php echo $this->lang->line('manage_supplier'); ?>
        </h4>
    </div>
    <!-- /Title -->

    <!-- Row -->
    <div class="row">
        <?php $this->load->view('pharmacy/left-side'); ?>
        <!-- col-xl-8 -->
        <div class="col-lg-9">
            <div class="card">
                <div class="card-header d-flex justify-content-between">
                    <?php if (has_permission(ADD, 'pharmacy', 'supplier')) { ?>
                        <h6 class="card-header d-flex align-items-center">
                            <i class="fa fa-users font-30 mr-10"></i>
                            <?php echo $this->lang->line('add'); ?> <?php echo $this->lang->line('supplier'); ?>
                        </h6>
                    <?php } ?>
                    <?php if (has_permission(VIEW, 'pharmacy', 'supplier')) { ?>
                        <div class="align-items-center">
                            <a href="<?php echo site_url('pharmacy/supplier'); ?>" class="btn btn-xs btn-primary">
                                <i class="fa fa-list font-12 mr-5"></i>
                                <?php echo $this->lang->line('supplier'); ?> <?php echo $this->lang->line('list'); ?>
                            </a>
                        </div>
                    <?php } ?>
                </div>

                <?php echo form_open_multipart(site_url('pharmacy/supplier/add'), array('name' => 'add', 'id' => 'add', 'class' => 'needs-validation', 'novalidate' => 'novalidate'), ''); ?>
                <div class="card-body">
                    <div class="form-row">
                        <div class="col-md-8 mb-10">
                            <label for="name"><?php echo $this->lang->line('supplier'); ?> <?php echo $this->lang->line('name'); ?></label>
                            <input type="text" class="form-control" name="name" id="name" value="<?php echo isset($name) ?  $name : ''; ?>" placeholder="<?php echo $this->lang->line('supplier'); ?> <?php echo $this->lang->line('name'); ?>" required>
                            <div class="valid-feedback">
                                <?php echo $this->lang->line('looks_good'); ?>
                            </div>
                            <div class="invalid-feedback">
                                <?php echo $this->lang->line('required_field'); ?>
                            </div>
                            <small id="name" class="form-text text-muted">
                                <?php echo form_error('name'); ?>
                            </small>
                        </div>
                        <div class="col-md-4 mb-10">
                            <label for="phone"><?php echo $this->lang->line('phone'); ?></label>
                            <input type="text" class="form-control" name="phone" id="phone" value="<?php echo isset($phone) ?  $phone : ''; ?>" placeholder="<?php echo $this->lang->line('phone'); ?>">
                        </div>
                        <div class="col-md-4 mb-10">
                            <label for="email"><?php echo $this->lang->line('email'); ?></label>
                            <input type="email" class="form-control" name="email" id="email" value="<?php echo isset($email) ?  $email : ''; ?>" placeholder="<?php echo $this->lang->line('email'); ?>">
                        </div>
                        <div class="col-md-4 mb-10">
                            <label for="fax"><?php echo $this->lang->line('fax'); ?></label>
                            <input type="text" class="form-control" name="fax" id="fax" value="<?php echo isset($fax) ?  $fax : ''; ?>" placeholder="<?php echo $this->lang->line('fax'); ?>">
                        </div>
                        <div class="col-md-4 mb-10">
                            <label for="web"><?php echo $this->lang->line('web'); ?></label>
                            <input type="text" class="form-control" name="web" id="web" value="<?php echo isset($web) ?  $web : ''; ?>" placeholder="<?php echo $this->lang->line('web'); ?>">
                        </div>
                        <div class="col-md-6 mb-10">
                            <label for="address"><?php echo $this->lang->line('address'); ?></label>
                            <input type="text" class="form-control" name="address" id="address" value="<?php echo isset($address) ?  $address : ''; ?>" placeholder="<?php echo $this->lang->line('address'); ?>">
                        </div>
                        <div class="col-md-3 mb-10">
                            <label for="sort_by"><?php echo $this->lang->line('sort_by'); ?></label>
                            <input type="number" class="form-control" name="sort_by" id="sort_by" value="<?php echo isset($sort_by) ?  $sort_by : ''; ?>" placeholder="<?php echo $this->lang->line('sort_by'); ?>">
                        </div>
                        <div class="col-md-3 mt-40">
                            <div class="custom-control custom-checkbox checkbox-cyan">
                                <input type="checkbox" class="custom-control-input" name="status" id="status" value="1" checked>
                                <label class="custom-control-label" for="status"><?php echo $this->lang->line('status'); ?></label>
                            </div>
                        </div>
                        <div class="col-md-12 mt-10 mb-10">
                            <div class="input-group">
                                <div class="input-group-prepend">
                                    <span class="input-group-text"><?php echo $this->lang->line('note'); ?></span>
                                </div>
                                <textarea class="form-control" name="note" id="note" aria-label="<?php echo $this->lang->line('note'); ?>"><?php echo isset($note) ?  $note : ''; ?></textarea>
                            </div>
                        </div>
                    </div>
                </div>
                <!-- Card Footer -->
                <div class="card-footer pt-0">
                    <div class="button-list">
                        <a class="btn btn-gradient-danger" href="<?php echo site_url('pharmacy/supplier'); ?>"><?php echo $this->lang->line('cancel'); ?></a>
                        <button class="btn btn-gradient-primary" type="submit"><?php echo $this->lang->line('submit'); ?></button>
                    </div>
                </div>
                <?php echo form_close(); ?>
            </div>
        </div>
    </div>
    <!-- /Row -->
</div>
<!-- /Container -->