Edit Modal

<div class="modal fade" id="edit" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true">
                <div class="modal-dialog">
                    <div class="modal-content">
                    <form action="<?php echo site_url('blood/updatedate'); ?>" class="form-horizontal" method="post">
                    <input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>">
                    <input type="hidden" name="blood_id">

                        <div class="modal-header">
                            <button type="button" class="close" data-dismiss="modal" aria-hidden="true"></button>
                            <h4 class="modal-title"><i class="fa fa-edit"></i> Form Edit Blood</h4>
                        </div>
                        <div class="modal-body">
                            <div class="form-group">
                                <label class="col-md-3 control-label">Blood ID</label>
                                <div class="col-md-2 has-error">
                                    <input type="text" class="form-control blood_id" placeholder="" name="id" autocomplete="off" readonly>
                                </div>
                            </div>
                            <div class="form-group">
                                <label class="col-md-3 control-label">Blood Name</label>
                                <div class="col-md-8 has-error">
                                    <input type="text" class="form-control blood_name" placeholder="Enter Blood Name" name="name" autocomplete="off" required autofocus>
                                </div>
                            </div>
                        </div>

                        <div class="modal-footer">
                            <button type="submit" class="btn btn-primary"><span class="glyphicon glyphicon-floppy-disk"></span> Update</button>
                            <button type="button" class="btn btn-default" data-dismiss="modal"><span class="glyphicon glyphicon-chevron-left"></span> Close</button>
                        </div>
                    </form>
                    </div>
                    <!-- /.modal-content -->
                </div>
                <!-- /.modal-dialog -->
            </div>