| Şuanki Dizin: /home/wwwdreamtechnolo/public_html/kitchenfoodrecipes.com/disha/disha-foundation/ |
| Şuanki Dosya : /home/wwwdreamtechnolo/public_html/kitchenfoodrecipes.com/disha/disha-foundation/a.php |
<?php
require_once("lib/function.php");
$db = new login_function();
if(isset($_GET['update_id'])) {
$up_id = $_GET['update_id'];
$_SESSION['current_update_id'] = $up_id;
} elseif(isset($_SESSION['current_update_id'])) {
$up_id = $_SESSION['current_update_id'];
}
?>
<!DOCTYPE html>
<html lang="en">
<head>
<link rel="preconnect" href="https://fonts.googleapis.com">
<link rel="preconnect" href="https://fonts.gstatic.com" crossorigin>
<link href="https://fonts.googleapis.com/css2?family=Yatra+One&display=swap" rel="stylesheet">
<style>
.main_container{
border-radius: 30px;
background-color: white;
width: 900px;
border: 3px solid black ;
padding: 50px;
margin-left: 0px;
text-align: justify;
}
.container{
border-radius: 0px;
background-color: white;
width: 750px;
border: 2px solid black ;
padding: 30px;
margin: 20px;
line-height: 20px;
}
.container
hr {
border: none;
border-top: 1px dotted black;
color: #fff;
background-color: #fff;
height: 1px;
width: 50%;
}
.container_2{
display:flex;
}
.container_3{
display:flex;
}
input {
font-weight: 600;
font-size: 18px;
border: none;
border-bottom: 1px solid #000;
}
input:focus {
border-bottom: 1px solid #000;
}
input
{
background-color:rgba(255,255,255,0.1);
}
table, td{
border: 1px solid black;
border-collapse: collapse;
}
h4{
font-weight: normal;
margin: 10px;
}
hr.custom-hr {
height: 2px;
width: 100%;
background-color: black;
border: none;
}
p{
font-size: 18.2px;
font-weight: 800;
}
@media print {
hr.custom-hr {
height: 2px;
width: 100%;
background-color: black;
border: none;
}
}
@media print {
.backimg {
background-image: url('logo/logoo-back.png');
background-size: 100% 150%;
background-repeat: no-repeat;
-webkit-print-color-adjust: exact;
print-color-adjust: exact;
}
}
</style>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link rel="preconnect" href="https://fonts.googleapis.com">
<link rel="preconnect" href="https://fonts.gstatic.com" crossorigin>
<link href="https://fonts.googleapis.com/css2?family=Tiro+Devanagari+Marathi:ital@0;1&display=swap" rel="stylesheet">
<title>Home</title>
<link rel="stylesheet" href="D:\style.css">
</head>
<body>
<div style="width:1000px; margin:auto; padding: 15px; ">
<div style="text-align: center; margin-top: -120px">
<div style="float:right; font-size:14px; position: relative; width: 250px; text-align: center;margin-top: 120px; ">
रजि. नं. महा / ५९३/२०२० ता. २२/१२/२०२० <br /> नोंदणी क्र. एफ. ३०८३४ (सोलापूर)
</div>
<center>
<div style="position: relative; width: 500px;">
<div class="" style="position: relative; right:79%; top: 140px; ">
<img src="logo\disha.jpg" alt="" height="200px" width="200px" style="border-radius: 150px;" >
</div>
<h1 style="margin: 0px; margin-top: -100px; font-weight: 1100; font-size: 60px;font-family: Yatra One, system-ui;">दिशा फाऊंडेशन</h1>
<h2 style="margin: 0px;"><b>व्यसनमुक्ती व पुनर्वसन केंद्र</b></h2>
</div>
</center>
--------------------------------------------------------------------------------------------------------------<br />
<div style="font-size: 16px; font-weight: 600;"> दारु व आम्लीय पदार्थ * शारीरीक व मानसिक उत्कृष्ठ अध्यात्मिक मार्गदर्शन<br /></div>
--------------------------------------------------------------------------------------------------------------<br />
<div style="font-weight:bold; line-height: 30px;border-bottom: 3px solid black;" >
सोलापूर - पुणे हायवे रोड, मु. पो. केगांव, ता. उ. सोलापूर <br />
<span style="font-size:19px;">मो. 8999973160, 9359781303, 92847974037 * सेंटर -7620848123</span>
</div>
</div>
<hr style="border: none; height: 2px; background-color: black;margin-top: 0px">
<?php
$report_details = $db->get_all_admission_report_for_print($up_id);
if(!empty($report_details))
{
foreach($report_details as $record)
{
$id = $record[0];
$date_of_admission = $record[1];
$center = $record[2];
$name_patient = $record[3];
$gender = $record[4];
$address = $record[5];
$is_rural = $record[6];
$city = $record[7];
$state = $record[8];
$pin = $record[9];
$phone = $record[10];
$mobile = $record[11];
$email = $record[12];
$date_of_birth = $record[13];
$age = $record[14];
$religion = $record[15];
$education_qualification = $record[16];
$occupation = $record[17];
$income_per_month = $record[18];
$family = $record[19];
$marital_status = $record[20];
$living_arrangements = $record[21];
$name_family_member = $record[22];
$address_family_mem = $record[23];
$phone_family = $record[24];
$mobile_family = $record[25];
$email_family = $record[26];
$referred_by = $record[27];
$reason_of_addiction = $record[28];
$type_addiction = $record[29];
$jaundice = $record[30];
$malena = $record[31];
$hemelemesis = $record[32];
$convulsion = $record[33];
$ascitis = $record[34];
$chronic_pedal_oedems = $record[35];
$psychiatric_problem = $record[36];
$heart_attack = $record[37];
$shock = $record[38];
$tia = $record[39];
$kochs = $record[40];
$ht = $record[41];
$dm = $record[42];
$aadhar_no = $record[43];
$pratidnya_name = $record[44];
$pratidnya_address = $record[45];
$pratidnya_mobile = $record[46];
$pratidnya_age = $record[47];
$date = $record[48];
$time = $record[49];
$status = $record[50];
$totalamount = $record[51];
$doctor_name = $record[52];
$discharge_date = $record[53];
$samupdaykl_name = $record[54];
$relation = $record[57];
$pratidnya_p_name = $record[58];
?>
<style type="text/css">
/* @media print {
.backimg {
background-image: url('logo/logoo-back.png');
background-size: 100px 100px;
background-repeat: no-repeat;
-webkit-print-color-adjust: exact;
print-color-adjust: exact;
}
}*/
.tableinput{
text-align:center;
border-bottom:none;
width:25px;
}
.flex-item
{
padding:10px;
}
</style>
<!-- <hr style="border: none; height: 2px; background-color: black;margin-top: 0px"> -->
<!-- style=" background-image: url('logo/logoo-back.png'); background-repeat: no-repeat;background-size: 1900px 1800px;" -->
<center>
<div class="backimg" >
<h1 style="text-align:center;">प्रतिज्ञापत्र</h1>
<div class="main_container"> <div class="backimg" style="background-image: url('logo/logoo-back - Copy.png');background-repeat: no-repeat; background-size: 100% 100%;">
<p > मी<input type="text" value="<?php echo $pratidnya_name; ?>" class="bottom-textbox" style="margin-left:10px; width:680px;"> असे लिहून देतो / देते की,</p>
<p style="line-height: 60px;"> माझे पेशंट श्री.<input type="text" value="<?php echo $pratidnya_p_name ?>" class="bottom-textbox" style="margin-left:20px; width:770px;"></p>
<p style="line-height: 30px;"> पत्ता<input type="text" value="<?php echo $pratidnya_address ?>" class="bottom-textbox" style="margin-left:20px; width:640px;"> यांनी उपचाराचे कालावधीत </p>
<p style="line-height: 60px;">
काहीही उपद्रव केल्यास अथवा आत्महत्या करण्याचा प्रयत्न केल्यास त्याच्या कृतीची संपूर्ण जबाबदारी माझेवर राहील. तसेच प्रकृती बिघाडामुळे त्यास रुग्णालयात भरती
(ॲडमीट) करावे लागल्यास अथवा त्यापुर्वीच त्यांचा आकस्मित मृत्यु झाल्यास त्याची पुर्ण जबाबदारी माझेवर राहील व त्यासाठी येणाऱ्या खर्चाची जबाबदारी माझेवर राहील व
मी संस्थेस कोणत्याही प्रकारे जबाबदार धरणार नाही. त्याचप्रमाणे संस्थेने नमुद केलेल्या फी चे व इतर खर्चाचे पैसे वेळेत न भरल्यास, कायदेशीर कारवाईस पात्र ठरेन व सदर कारवाई मला मान्य आहे.
</p>
<div class="container">
<p>संस्थेने नमुद केलेली फी व खर्च (खालीलप्रमाणे)</p>
<p style="margin-left: 0px"> प्रत्येक महिन्याची फी <span style="margin-left: 140px;"> रु. </span> <input type="" name=""></p>
<p>+ पेशंटच्या चेकअपचा खर्च <span style="margin-left: 111px;"> रु. </span><input type="" name=""> </p>
<p>+ औषधांचा व इतर होणारा खर्च <span style="margin-left: 85px;"> रु. (जो काही होईल तो) </span> </p>
</div>
<?php $array = str_split($aadhar_no); ?>
<div class="wrapper">
<h4>पेशंटचा आधार क्र. :</h4>
<div class="wrapper">
<div class="flex-container">
<?php
foreach ($array as $value) {
echo '<input class="flex-item" type="text" value="' . htmlspecialchars($value) . '" maxlength="1">';
}
?>
</div>
</div>
</div>
<br>
<style>
.wrapper
{
display: flex;
align-items: center;
}
.flex-container
{
display: flex;
flex-wrap: wrap;
margin-left: 10px;
}
.flex-item
{
width: 40px;
height: 40px;
border: 0.1px solid black;
box-sizing: border-box;
display: flex;
align-items: center;
justify-content: center;
}
.date
{
border:none;
}
</style>
<br>
<br>
<div class="container_2">
<h4> नातेवाईकाचे नाव :<input type="text" value="<?php echo $pratidnya_name ?>" class="bottom-textbox" style="margin-left:20px; width:510px;"></h4>
<h4 style="margin-top: 27px;margin-left: 0px;">सही :</h4>
</div>
<div class="container_3">
<h4> पेशंटची नाते :<input type="text" value="<?php echo $relation ?>" class="bottom-textbox" style="margin-left:20px; width:540px;"></h4>
<h4 style="margin-top: 27px; margin-left: -5px;">दिनांक <?php echo $date_of_admission = date("d/m/Y", strtotime($date_of_admission)); ?>
</h4>
</div>
<h4>मो. नंबर : <input type="text" value="<?php echo htmlspecialchars($pratidnya_mobile . ', ' . $mobile); ?>" class="bottom-textbox" style="margin-left:20px; width:570px;"></h4>
</div>
<?php
}
}
?>
</div>
</body>
</html>
Linux 65-254-81-4.cprapid.com 5.14.0-284.11.1.el9_2.x86_64 #1 SMP PREEMPT_DYNAMIC Tue May 9 05:49:00 EDT 2023 x86_64
Apache
65.254.81.4