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<script type="text/javascript">
function submit_local_form() {
var form = document.forms['input_form'];
var output = form.output.value;
var return_code = form.return_code.value;
submit_check("{{name}}", return_code, output);
$('#modal').modal('hide')
}
</script>
<div class="modal-dialog">
<div class="modal-content">
<div class="modal-header">
<a class="close" data-dismiss="modal">×</a>
<h3>Submit check for {{name}}</h3>
</div>
<div class="modal-body">
<form name="input_form" class="form-horizontal" role="form">
<div class="form-group">
<label class="col-sm-2 control-label">Status</label>
<select name='return_code'>
%if obj_type == 'host':
<option value='0'>UP</option>
<option value='1'>DOWN</option>
%else:
<option value='0'>OK</option>
<option value='1'>WARNING</option>
<option value='2'>CRITICAL</option>
<option value='3'>UNKNOWN</option>
%end
</select>
</div>
<div class="form-group">
<label class="col-sm-2 control-label">Output</label>
<input type="text" name='output' class="col-sm-9" placeholder="Check output...">
</div>
<!--
<div class="form-group">
<label class="col-sm-2 control-label">Perfdata</label>
<input type="text" name='perfdata' class="col-sm-9" placeholder="Perfdata...">
</div>
-->
</form>
</div>
<div class="modal-footer">
<a href="javascript:submit_local_form();" class="btn btn-primary"> <i class="icon-save"></i> Submit</a>
<a href="#" class="btn" data-dismiss="modal">Close</a>
</div>
</div>
</div>
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