Files
2019-05-25 23:11:05 -04:00

161 lines
6.6 KiB
PHP

<!-- Main content -->
<div class="content-wrapper">
<!-- Dashboard content -->
<div class="row">
<div class="col-lg-6">
<!-- Daily sales -->
<div class="panel panel-flat">
<div class="panel-heading">
<div class="table-responsive">
<fieldset class="content-group">
<legend id="translator_name" class="text-bold">Edit Profile</legend>
<input type="hidden" id="interpreter_id" name="interpreter_id" value="0">
<!-- Basic text input -->
<div class="form-group">
<label class="control-label col-lg-3">Email <span class="text-danger">*</span></label>
<div class="col-lg-9">
<input type="email" id="email" name="email" class="form-control" required="required" placeholder="Email">
</div>
</div>
<!-- /basic text input -->
<!-- Basic text input -->
<div class="form-group">
<label class="control-label col-lg-3">Firstname <span class="text-danger">*</span></label>
<div class="col-lg-9">
<input type="text" id="firstname" name="firstname" class="form-control" required="required" placeholder="Firstname">
</div>
</div>
<!-- /basic text input -->
<!-- Basic text input -->
<div class="form-group">
<label class="control-label col-lg-3">Lastname <span class="text-danger">*</span></label>
<div class="col-lg-9">
<input type="text" id="lastname" name="lastname" class="form-control" required="required" placeholder="Lastname">
</div>
</div>
<!-- /basic text input -->
<!-- Basic text input -->
<div class="form-group">
<label class="control-label col-lg-3">Phone <span class="text-danger">*</span></label>
<div class="col-lg-9">
<input type="text" id="phone" name="phone" class="form-control" required="required" placeholder="phone">
</div>
</div>
<!-- /basic text input -->
<!-- Input with icons -->
<div class="form-group has-feedback">
<label class="control-label col-lg-3">Address <span class="text-danger">*</span></label>
<div class="col-lg-9">
<input type="text" id="street" name="street" class="form-control" required="required" placeholder="Address">
</div>
</div>
<!-- /input with icons -->
<!-- Input with icons -->
<div class="form-group has-feedback">
<label class="control-label col-lg-3">City <span class="text-danger">*</span></label>
<div class="col-lg-9">
<input type="text" id="city" name="city" class="form-control" required="required" placeholder="City">
</div>
</div>
<!-- /input with icons -->
<!-- Multiple select -->
<div class="form-group">
<label class="control-label col-lg-3">State <span class="text-danger">*</span></label>
<div class="col-lg-9">
<select id="stat" name="state" class="form-control" required="required">
<option value="GA">Georgia</option>
</select>
</div>
</div>
<!-- /multiple select -->
<!-- Input group -->
<div class="form-group">
<label class="control-label col-lg-3">Zipcode <span class="text-danger">*</span></label>
<div class="col-lg-9">
<div class="input-group">
<input type="text" id="zipcode" name="zipcode" class="form-control" required="required" placeholder="Zipcode">
</div>
</div>
</div>
<!-- /input group -->
<div class="text-right">
<button type="submit" class="btn btn-primary btn-xs">Update</button>
</div>
</fieldset>
</div>
</div>
</div>
<!-- /daily sales -->
</div>
<div class="col-lg-3">
<!-- Daily sales -->
<div class="panel panel-flat">
<div class="panel-body">
<a href="#"><img src="/assets/images/placeholder.jpg" class="img-circle img-responsive" alt=""></a>
<h6>IMPLEMENT CHANGE PICTURE</h6>
</div>
<div class="table-responsive">
</div>
</div>
<!-- /daily sales -->
</div>
<div class="col-lg-3">
<!-- Daily sales -->
<div class="panel panel-flat">
<div class="panel-body">
<div id="sales-heatmap"></div>
</div>
<div class="table-responsive">
</div>
</div>
<!-- /daily sales -->
</div>
</div>
<!-- /dashboard content -->
</div>
<!-- /main content -->