-
Notifications
You must be signed in to change notification settings - Fork 1
/
Copy pathuser.php
184 lines (173 loc) · 9.55 KB
/
user.php
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
<?php
error_reporting(0);
// include header
include 'header-nav.php';
$uid = $_GET['uid'];
?>
<p id="uid"><?php echo $uid; ?></p>
<div class="content">
<div class="container-fluid">
<div class="row">
<div class="col-md-8">
<div class="card">
<div class="header">
<h4 class="title">User Profile</h4>
</div>
<div class="content">
<form>
<!-- <div class="row">
<div class="col-md-5">
<div class="form-group">
<label>Company (disabled)</label>
<input type="text" class="form-control" disabled placeholder="Company" value="FindMe.Inc">
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label>Username</label>
<input type="text" class="form-control" placeholder="Username" id='user_name'>
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label for="exampleInputEmail1">Email address</label>
<input type="email" class="form-control" placeholder="Email" id="user_email">
</div>
</div>
</div> -->
<div class="row">
<div class="col-md-6">
<div class="form-group">
<label>First Name</label>
<input disabled type="text" class="form-control" placeholder="Company" id="prof_fname">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label>Last Name</label>
<input disabled type="text" class="form-control" placeholder="Last Name" id="prof_lname">
</div>
</div>
</div>
<div class="row">
<div class="col-md-6">
<div class="form-group">
<label>Phone Number</label>
<input disabled type="text" class="form-control" placeholder="Phone number" id="prof_phone">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label>Conditions</label>
<input disabled type="text" class="form-control" placeholder="Other Conditions" id="prof_condition">
</div>
</div>
</div>
<div class="row">
<div class="col-md-4">
<div class="form-group">
<label>Blood Group</label>
<input disabled type="text" class="form-control" placeholder="Blood Group" id="prof_blood">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label>Med. Allergies</label>
<input disabled type="text" class="form-control" placeholder="Medical Allergies" id="prof_medallergies">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label>Other Allergies</label>
<input disabled type="text" class="form-control" placeholder="Other Allergies" id="prof_allergies">
</div>
</div>
</div>
<hr>
<h4>Emagency Contacts</h4>
<div class="row">
<div class="col-md-4">
<div class="form-group">
<label id="prof_em1name">User 1</label>
<input disabled type="text" class="form-control" placeholder="Emagency 1" id="prof_em1">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label id="prof_em2name">User 2</label>
<input disabled type="text" class="form-control" placeholder="Emagency 2" id="prof_em2">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label id="prof_em3name">User 3</label>
<input disabled type="text" class="form-control" placeholder="Emagency 3" id="prof_em3">
</div>
</div>
</div>
<hr>
<h4>Insurance Details</h4>
<div class="row">
<div class="col-md-6">
<div class="form-group">
<label id="prof_em1name">Medical Cover</label>
<input disabled type="text" class="form-control" placeholder="Emagency 1" id="prof_cover">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label id="prof_em2name">Policy Number</label>
<input disabled type="text" class="form-control" placeholder="Emagency 2" id="prof_policy">
</div>
</div>
</div>
<div class="row">
<div class="col-md-6">
<div class="form-group">
<label id="prof_em1name">Preffered Hospital</label>
<input disabled type="text" class="form-control" placeholder="Preffered Hospital" id="prof_hospital">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label id="prof_em2name">National Id</label>
<input disabled type="text" class="form-control" placeholder="National Id" id="prof_natid">
</div>
</div>
</div>
<div class="clearfix"></div>
</form>
</div>
</div>
</div>
<div class="col-md-4">
<div class="card card-user">
<div class="image">
<img src="https://ununsplash.imgix.net/photo-1431578500526-4d9613015464?fit=crop&fm=jpg&h=300&q=75&w=400" alt="..."/>
</div>
<div class="content">
<div class="author">
<a href="#">
<img class="avatar border-gray" src="assets/img/default-avatar.png" alt="..."/>
<h4 class="title" id="prof_fullname"><br />
<small class="user_name"></small>
</h4>
</a>
</div>
<p class="description text-center"> Email: <span class="user_email"></span> <br></p>
</div>
<hr>
<div class="text-center">
<button href="#" class="btn btn-simple"><i class="fa fa-facebook-square"></i></button>
<button href="#" class="btn btn-simple"><i class="fa fa-twitter"></i></button>
<button href="#" class="btn btn-simple"><i class="fa fa-google-plus-square"></i></button>
</div>
</div>
</div>
</div>
</div>
</div>
<?php
// include footer
include 'footer.php';
?>