Olusesan Ameye
53 lines
2.4 KiB
PHP
53 lines
2.4 KiB
PHP
<?
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$read_level = " readonly "
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?>
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<div class="card card-statistics">
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<div class="card-header">
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<div class="card-heading">
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<h4 class="card-title">Practice Name :<span style="color:green;"> <?=$name?></span> </h4>
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</div>
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</div>
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<div class="card-body">
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<form id="signupForm" method="post" class="form-horizontal">
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<div class="form-group">
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<label class="control-label" for="fname">First name</label>
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<div class="mb-2">
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<input type="text" class="form-control" id="fname" name="firstname" value="<?=$lastname?>" placeholder="First name" />
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</div>
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</div>
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<div class="form-group">
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<label class="control-label" for="lname">Last name</label>
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<div class="mb-2">
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<input type="text" class="form-control" id="lname" name="lastname" value="<?=$lastname?>" placeholder="Last name" />
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</div>
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</div>
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<div class="form-group">
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<label class="control-label" for="uname">Username</label>
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<div class="mb-2">
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<input type="text" class="form-control" id="uname" name="username" value="<?=$username?>" <?=$read_level?> placeholder="Username" />
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</div>
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</div>
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<div class="form-group">
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<label class="control-label" for="uemail">Email</label>
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<div class="mb-2">
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<input type="text" class="form-control" id="uemail" name="email" value="<?=$email?>" <?=$read_level?> placeholder="Email" />
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</div>
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</div>
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<div class="form-group">
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<label class="control-label" for="upassword">Date Added</label>
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<div class="mb-2">
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<input type="text" class="form-control" id="upassword" name="added" value="<?=$added?>" <?=$read_level?> placeholder="added" />
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</div>
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</div>
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<div class="form-group">
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<button type="submit" class="btn btn-secondary" name="signup" value="Sign up">Update</button>
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<a href="/practice/viewPracticeDetail/<?=$id?>" class="btn btn-primary" > Manage</a>
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</div>
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</form>
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</div>
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</div>
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