mvc/view/pharmacy/form.php

<?php
require_once('../view/template/header.php');
?>
    <form method="POST" action="index.php?action=<?= $action ?>-pharmacy">
        <input type="hidden" id="id" name="id" value="<?= isset($pharmacy->id) ? $pharmacy->id : '' ?>">
        <div class="form-group">
            <label for="firstName">Наименование</label>
            <input type="text" class="form-control" id="pharmacy-name" name="pharmacyName" placeholder="Наименование"
                   value="<?= isset($pharmacy->name) ? $pharmacy->name : '' ?>">
        </div>
        <div class="form-group">
            <label for="lastName">Город</label>
            <input type="text" class="form-control" id="pharmacy-city" name="pharmacyCity" placeholder="Город"
                   value="<?= isset($pharmacy->city) ? $pharmacy->city : '' ?>">
        </div>
        <div class="form-group">
            <label for="class">Улица</label>
            <input type="text" class="form-control" id="pharmacy-street" name="pharmacyStreet" placeholder="Улица"
                   value="<?= isset($pharmacy->street) ? $pharmacy->street : '' ?>">
        </div>
        <div class="form-group">
            <label for="lastName">Дом</label>
            <input type="text" class="form-control" id="pharmacy-house" name="pharmacyHouse" placeholder="Дом"
                   value="<?= isset($pharmacy->house) ? $pharmacy->house : '' ?>">
        </div>
        <div class="form-group">
            <label for="class">Телефон</label>
            <input type="text" class="form-control" id="pharmacy-phone" name="pharmacyPhone" placeholder="Телефон"
                   value="<?= isset($pharmacy->phone) ? $pharmacy->phone : '' ?>">
        </div>
        <button type="submit" class="btn btn-default">Отправить</button>
    </form>
<?php
require_once('../view/template/footer.php');
?>