01.
<!DOCTYPE html>
02.
<html lang=
"en"
dir=
"ltr"
>
03.
<head>
04.
<meta charset=
"utf-8"
>
05.
<title></title>
06.
<link rel=
"stylesheet"
href=
"inputHerBack"
>
07.
<link rel=
"stylesheet"
href=
"css/cssAdmin.css"
08.
</head>
09.
<body>
10.
<div
class
=
"white"
>
11.
<ul>
12.
<li><a href=
"forAdmin.php"
>ค้นหา</a></li>
13.
<li><a
class
=
"active"
href=
"inputHer.php"
>จัดการสมุนไพร</a></li>
14.
<li><a href=
"inputDis.php"
>จัดการโรค</a></li>
15.
<li><a href=
"outShow.php"
>รายงาน</a>
16.
<li><a href=
"index.php"
>ออกจากระบบ</a></li>
17.
</ul>
18.
</div>
19.
<div style=
"margin-left:25%;padding:1px 16px;height:1000px;"
>
20.
<form id=
"formRegister"
name=
"formRegister"
method=
"post"
action=
"inputHerBack.php"
>
21.
<p><br />
22.
<br />
23.
</p>
24.
<table width=
"700"
border=
"0"
align=
"center"
cellpadding=
"0"
cellspacing=
"0"
>
25.
<tr>
26.
<td height=
"40"
colspan=
"2"
align=
"center"
bgcolor=
"#D6D5D6"
><b>เพิ่มข้อมูลสมุนไพร</b></td>
27.
</tr>
28.
<tr>
29.
<td align=
"right"
> </td>
30.
<td> </td>
31.
</tr>
32.
<tr>
33.
<td width=
"117"
align=
"right"
>ชื่อสมุนไพร
34.
:</td>
35.
<td width=
"583"
><input name=
"herName"
type=
"text"
id=
"herName"
size=
"30"
required=
"required"
/></td>
36.
</tr>
37.
<tr>
38.
<td align=
"right"
> </td>
39.
<td> </td>
40.
</tr>
41.
<tr>
42.
<td align=
"right"
>อาการ
43.
<label> :</label></td>
44.
<td><input name=
"herMai"
type=
"text"
id=
"herMai"
size=
"30"
required=
"required"
/></td>
45.
</tr>
46.
<tr>
47.
<td align=
"right"
> </td>
48.
<td> </td>
49.
</tr>
50.
<tr>
51.
<td align=
"right"
>รูปภาพ :</td>
52.
<td><input type=
"text"
name=
"herPic"
id=
"herPic"
required=
"required"
/></td>
53.
</tr>
54.
<tr>
55.
<td align=
"right"
> </td>
56.
<td> </td>
57.
</tr>
58.
<tr>
59.
<td align=
"right"
>ชื่อโรค:
60.
<label> </label></td>
61.
<td><input type=
"text"
name=
"disName"
id=
"disName"
required=
"required"
/></td>
62.
</tr>
63.
<tr>
64.
<td> </td>
65.
<td>
66.
67.
<input type=
"submit"
name=
"Register"
id=
"Register"
value=
"SAVE"
/></td>
68.
</tr>
69.
</table>
70.
</form>
71.
</div>
72.
</body>
73.
</html>