<form name="form1" method="post" action="admin.php?target=eczaneekle-islem">
<div class="nav-tabs-custom">
                                <ul class="nav nav-tabs">
                                    <li class="active">
										 <a href="#tab_1" data-toggle="tab">Eczane Bilgileri</a></li>
         
                             
                                    <li class="pull-right"><a href="#" class="text-muted"><i class="fa fa-gear"></i></a></li>
                                </ul>
                                <div class="tab-content" >

 <div class="tab-pane active" id="tab_1">


<?php

session_start();
ob_start();

echo $_SESSION["kullanici_adi"];

?>



<div class="box box-success">
                <div class="box-header with-border">
                  <h3 class="box-title">Eczane Bilgileri</h3>
                </div>


 <div class="box-body">
<input name="DOKTOR_ID" type="hidden" id="DOKTOR_ID" size="20" />
<input name="DOKTOR_SORUMLU_KODU" type="hidden" id="DOKTOR_SORUMLU_KODU" size="20" value="<?php echo $_SESSION["kullanici_adi"];?>" />
  <label>Eczane Durum</label>
 
<select name="DOKTOR_DURUM" id="DOKTOR_DURUM" class="form-control   select2-hidden-accessible"   aria-hidden="true">
<option value="Aktif">Aktif</option>
<option value="Pasif">Pasif</option>

</select>
<br>

<input name="DOKTOR_ADI" id="DOKTOR_ADI" class="form-control" type="text" placeholder="Eczane Adư"><br>

 <input name="DOKTOR_MAIL" id="DOKTOR_MAIL" class="form-control" type="text" placeholder="E-mail Adresi" ><br>
<input name="DOKTOR_TELEFON" id="DOKTOR_TELEFON" class="form-control" type="text" placeholder="GSM" data-inputmask='"mask": "(9999) 999-99-99"' data-mask ><br>
 
  
                    
                    <br>
                </div><!-- /.box-body -->
              </div><!-- /.box -->



</div>

 
<input name="button" type="submit"  class="btn btn-block btn-success" id="button" value="Eczane  Ekle" />
 
                            </div><!-- nav-tabs-custom -->
                        </div>

</form>


