<?php
	include('common/header.php');
?>
	<div class="">
		<div class="col-xm-12">
			<div class="widget-box light-border">
				<div class="widget-header header-color-grey">
					<h4 class="smaller">
						Reports
					</h4>
				</div>
				<div class="widget-body">
					<div class="widget-main">
						<div class="row">
							<div class="col-sm-12">
								<form class="form-horizontal" role="form" name="module_form" id="module_form">
								<div class="">
									<!-- PAGE CONTENT BEGINS -->

																								
									<div class="form-group">  
										<label class="col-sm-5 control-label" for="form-field-2" ><?php echo 'Master Sales Data Report';?><font style="color:red">*</font></label>
										<div class="col-sm-7">	
											<select>
												<option>Select Master Sales Data Report</option>
												<option>Branch wise</option>
												<option>Sales By</option>
												<option>Product Name Dispenser</option>
											</select>
										</div>
									</div>

									


								<div class="form-group">  
										<label class="col-sm-5 control-label" for="form-field-2" ><?php echo 'Refill Due Report';?><font style="color:red">*</font></label>
										<div class="col-sm-7">	
											<select>
												<option>Select Refill Due Report</option>
												<option>Next 7 days refill due</option>
												<option>Next 15 days refill due</option>
												<option>Next 30 days refill due</option>
												<option>Past refill due</option>
												<option>Product Name Refill</option>
											</select>
										</div>
									</div>
 


									<div class="form-group">  
										<label class="col-sm-5 control-label" for="form-field-2" ><?php echo 'Refill History';?><font style="color:red">*</font></label>
										<div class="col-sm-7">	
											<?php	
												$admin_type_name_data=array('name'=>'refill_ history',
																		'id'=>'refill_ history',
																		'placeholder'=>'Refill History',
																		'value'=> ''
																		);
												echo form_input($admin_type_name_data,'');
												echo form_error('admin_type_name');
											?>
										</div>
									</div>										
								</div>
								</form>	
							</div>
						</div>
					</div>	
				</div>
			</div>
		</div>
		<!-- /.col -->
	</div>
	<div class="clearfix form-actions">
		<div class="col-md-offset-5 col-md-5">
			<button class="btn btn-info" type="button" onclick="javascript:window.location='<?php echo base_url();?>index.php/gc/reports/list_reports'">
				Back
			</button>
			<button class="btn btn-info" type="button">
				<!-- <?php echo $purpose;?> --> Search Reports
			</button>
		</div>
	</div>
	<div class="space-4"></div>
		<!-- /.page-row -->
        <!-- /.page-content --> 
    </div>
    <!-- /.main-content --> 
	</div>
    <!-- /#ace-settings-container --> 
	</div>
	<!-- /.main-container-inner --> 
<script>
function hide()
{
	document.getElementById("admin_type_code").style.display="none";
}
function show()
{
	document.getElementById("admin_type_code").style.display="";
}
</script>
<script type="text/javascript">
$(document).ready(function() {
    $('form:first *:input[type!=hidden]:first').focus();
});
 $( function() {
    $( "#datepicker" ).datepicker();
  } );
</script>	
<?php
	include('common/footer.php');
?>