<?php require_once("../include/class.php");?>
<?php require_once("../include/header.php");?>
<?php require_once("../include/nav_top.php");?>
<?php require_once("../include/sidebar.php");?>
<?php include("table_name.php");?>


<div id="main-content">
  <div class="container-fluid">
  
    <ul class="breadcrumb">
      <li><a href="../<?php echo $name_folder ?>/list.php"><?php echo ucfirst($name_table) ?></a><span class="divider">&raquo;</span></li>
      <li class="active">Add</li>
    </ul>
    
    
    
    
    <div class="row-fluid">
			<div class="span12">
				<div class="nonboxy-widget">
					<div class="widget-head">
						<h5><i class="black-icons blocks_images"></i> From  </h5>
					</div>
                    
					
                    
                   
					<div class="widget-content">
						<div class="widget-box">
                        	<form class="form-horizontal well" id="signupform_product" action="add_save.php" method="post" enctype="multipart/form-data">
								<fieldset>
									
                                
                                    <div class="control-group">
										<label class="control-label">จำนวน รหัสที่ต้องการ</label>
										<div class="controls">
											<input id="num_code" name="num_code" type="text" class="span8"/>
                                          
										</div>
									</div>
                                    <div class="control-group">
										<label class="control-label">ราคาส่วนลด</label>
										<div class="controls">
											<input id="money" name="money" type="text" class="span4"/>
                                            <select name="type">
                                            	<option value="1">บาท</option>
                                                <option value="2">เปอร์เซ็นต์</option>
                                            </select>
                                          
										</div>
									</div>
									 <?php
                                    $today_calendar = date('d-m-Y');
									?>
                                     <div class="input-append date" id="datepicker" data-date="<?php echo $today_calendar; ?>" data-date-format="dd-mm-yyyy">
                                    <div class="control-group">
                                        <label class="control-label"> วันหมดอายุ </label>
                                        <div class="controls">
                                            <div class="input-append">
                                                <input size="16" type="text"  name="expirationdate" value="<?php echo $today_calendar; ?>">
                                                <span class="add-on margin-fix"><i class="icon-th"></i></span>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                                    
								</fieldset>
								<div class="form-actions">
									<button class="btn btn-primary" type="submit">Save changes</button>
									<a href="list.php" class="btn" role="button">Cancel</a>
								</div>
							</form>
                           
                            
							</div>
						</div>
					</div>
				</div>
			</div>
			
	</div>
    
    
    
    
    
  </div>
</div>

<?php require_once("../include/footer_js.php");?>
</body>
</html>