Untitled

<!DOCTYPE html>
<html lang="nl">
<head>
    <title>PXL Ticketing</title>
    <script src="<?php echo get_js_asset_url('jquery-2.2.3.min.js'); ?>"></script>
    <script src="<?php echo get_js_asset_url('bootstrap.js'); ?>"></script>
    <link href="<?php echo get_css_asset_url('bootstrap.css'); ?>" rel="stylesheet"/>
    <link href="<?php echo get_css_asset_url('bootstrap-responsive.css'); ?>" rel="stylesheet"/>
    <script src="<?php echo get_js_asset_url('functions.js'); ?>"></script>
    <script type="text/javascript">
        function annuleren() {

            window.open('<?php echo base_url('overview'); ?>');
        }
    </script>
</head>
<body>
<div class="modal-dialog">
    <div class="modal-content">
        <div class="modal-header">
            <button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button>
            <h4 class="modal-title">Ticket bijwerken</h4>
        </div>
        <div class="modal-body">
            <form class="form-horizontal">
                <fieldset>
                    <div class="form-group">
                        <label for="inputTitle" class="col-lg-2 control-label">Titel</label>
                        <div class="col-lg-10">
                            <input class="form-control" id="inputTitle" placeholder="Titel" type="text">
                        </div>
                    </div>
                    <div class="form-group">
                        <label for="inputLocation" class="col-lg-2 control-label">Locatie</label>
                        <div class="col-lg-10">
                            <input class="form-control" id="inputLocation" placeholder="Locatie: vb: EB046" type="text">
                        </div>
                    </div>
                    <div class="form-group">
                        <label for="inputPriority" class="col-lg-2 control-label">Status</label>
                        <div class="col-lg-10">
                            <select name="priority" id="inputPriority" class="form-control">
                                <option value="1">Open</option>
                                <option value="2">Parked</option>
                                <option value="3">Started</option>
                                <option value="4">Closed</option>
                            </select>
                            <span class="help-block">Bepaal de huidige status</span>
                        </div>
                    </div>
                    <div class="form-group">
                        <label for="inputDescription" class="col-lg-2 control-label">Omschrijving</label>
                        <div class="col-lg-10">
                            <textarea class="form-control" rows="3" id="inputDescription"></textarea>
                            <span class="help-block">Omschrijf zo goed mogelijk het probleem, vermeld ook wat u al geprobeerd heeft.</span>
                        </div>
                    </div>
                    <div class="form-group">
                        <label for="inputPriority" class="col-lg-2 control-label">Prioriteit</label>
                        <div class="col-lg-10">
                            <select name="priority" id="inputPriority" class="form-control">
                                <option value="1">1</option>
                                <option value="2">2</option>
                                <option value="3">3</option>
                                <option value="4">4</option>
                                <option value="5">5</option>
                            </select>
                            <span class="help-block">Vermeld de prioriteit op een schaal tussen 1 en 5</span>
                        </div>
                    </div>
                </fieldset>
            </form>
        </div>
        <div class="modal-footer">
            <button type="button" class="btn btn-default" data-dismiss="modal">Annuleren</button>
            <button type="button" class="btn btn-success" id="createTicket">Ticket bijwerken</button>
        </div>
    </div>
</div>
</body>
</html>