| Şuanki Dizin: /home/wwwdreamtechnolo/public_html/kitchenfoodrecipes.com/disha/disha-foundation/ |
| Şuanki Dosya : /home/wwwdreamtechnolo/public_html/kitchenfoodrecipes.com/disha/disha-foundation/add_follow_up.php |
<?php
ini_set('display_errors', 1);
ini_set('display_startup_errors', 1);
error_reporting(E_ALL);
$succ_flag=0;
require_once('lib/function.php');
$db = new login_function();
if(isset($_POST['submit']))
{
$follow_id = "";
$title = $_POST['title'];
$description = $_POST['description'];
$next_follow_date = $_POST['next_follow_date'];
$name = $_POST['name'];
$mobile_no = $_POST['mobile_no'];
if($db->save_follow_up_data($follow_id,$title,$description,$next_follow_date,$name,$mobile_no))
{
$flag = 1;
}
}
?>
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width initial-scale=1.0">
<title>Scrap</title>
<!-- GLOBAL MAINLY STYLES-->
<link href="css/bootstrap.min.css" rel="stylesheet" />
<link href="css/font-awesome.min.css" rel="stylesheet" />
<link href="css/line-awesome.min.css" rel="stylesheet" />
<link href="css/themify-icons.css" rel="stylesheet" />
<link href="css/animate.min.css" rel="stylesheet" />
<link href="css/toastr.min.css" rel="stylesheet" />
<link href="css/bootstrap-select.min.css" rel="stylesheet" />
<link rel="stylesheet" href="https://use.fontawesome.com/releases/v5.8.2/css/all.css">
<!-- THEME STYLES-->
<link href="css/main.min.css" rel="stylesheet" />
<link href="datatable/datatables.min.css" rel="stylesheet" />
<link href="css/animate.css" rel="stylesheet" type="text/css" media="all">
<script src="js/wow.min.js"></script>
</head>
<body class="fixed-navbar">
<div class="page-wrapper" style="min-height:500px;">
<?php include('header.php'); ?>
<?php include('side-bar.php'); ?>
<div class="content-wrapper">
<div class="row" style="padding:0px; margin:0px; margin-top:15px; border-radius:15px;">
<?php
if ($succ_flag == 1) {
?>
<div class="alert alert-success">
Follow Up Added Successfully
</div>
<?php
}
if ($succ_flag == 2) {
?>
<div class="alert alert-warning">
Failed to Add.
</div>
<?php
}
if ($succ_flag == 3) {
?>
<div class="alert alert-warning">
This is already assigned to this site.
</div>
<?php
}
?>
<div class="ibox" style="border-radius:5px; padding:7px; width:100%;">
<form class="form-pink" method="post" action="<?php echo $_SERVER['PHP_SELF']?>"
name="myForm" onsubmit="return validateForm()" autocomplete="off"
enctype="multipart/form-data">
<div class="ibox-head">
<div class="ibox-title"><i class="fas fa-user-tie"
style="margin-right:10px;"></i>Add Follow-Up</div>
</div>
<div class="ibox-body">
<div class="row">
<!-- <div class="col-sm-6 col-md-6 col-lg-6 form-group mb-6">
<label class="form-group mb-4 set-row label_marg"><b>Follow Up Id</b></label>
<div class="input-group-icon input-group-icon-left set-row">
<span class="input-icon input-icon-left"><i
class="fas fa-user"></i></span>
<input type="text" name="follow_id"
class="form-control form-control-air"
placeholder="Follow Up Id" /></td>
</div>
</div> -->
<div class="col-lg-2">
<div class="form-group">
<label class="form-label">Patient Name</label>
<select name="name" class="form-control form-control-air" id="project_list">
<option value="Select"> All </option>
<?php
$data = array();
$data = $db->get_all_admission_report();
$counter = 1;
if(!empty($data))
{
foreach($data as $record)
{
$res_id = $record[0];
$name_patient = $record[3];
?>
<option value="<?php echo $res_id; ?>" ><?php echo $name_patient; ?></option>
<?php
}
}
?>
</select>
</div>
</div>
<!-- <div class="col-sm-6 col-md-6 col-lg-6 form-group mb-6">
<label class="form-group mb-4 set-row label_marg"><b>Full Name</b></label>
<div class="input-group-icon input-group-icon-left set-row">
<span class="input-icon input-icon-left"><i
class="fas fa-user"></i></span>
<input type="text" name="name"
class="form-control form-control-air"
placeholder="Full Name" /></td>
</div>
</div> -->
<div class="col-sm-2 col-md-2 col-lg-2 form-group mb-2">
<label class="form-group mb-4 set-row label_marg"><b>Mobile No</b></label>
<div class="input-group-icon input-group-icon-left set-row">
<span class="input-icon input-icon-left"><i
class="fas fa-user"></i></span>
<input type="text" name="mobile_no"
class="form-control form-control-air"
placeholder="Mobile No" /></td>
</div>
</div>
<div class="col-sm-2 col-md-2 col-lg-2 form-group mb-2">
<label
class="form-group mb-4 set-row label_marg"><b>Title</b></label>
<div class="input-group-icon input-group-icon-left set-row">
<span class="input-icon input-icon-left"><i
class="fas fa-user"></i></span>
<input type="text" name="title"
class="form-control form-control-air"
placeholder="Enter Title" /></td>
</div>
</div>
<div class="col-sm-2 col-md-2 col-lg-2 form-group mb-2">
<label
class="form-group mb-4 set-row label_marg"><b>Description</b></label>
<div class="input-group-icon input-group-icon-left set-row">
<span class="input-icon input-icon-left"><i
class="fas fa-user"></i></span>
<input type="text" name="description"
class="form-control form-control-air"
placeholder="Enter Description" /></td>
</div>
</div>
<div class="col-sm-2 col-md-2 col-lg-2 form-group mb-2">
<label
class="form-group mb-4 set-row label_marg"><b>Next Follow Up Date</b></label>
<div class="input-group-icon input-group-icon-left set-row">
<span class="input-icon input-icon-left"><i
class="fas fa-user"></i></span>
<input type="date" name="next_follow_date"
class="form-control form-control-air"
placeholder="Enter Next Follow Up Date" /></td>
</div>
</div>
<div class="col-sm-10 form-group mb-10"
style="text-align:center; padding-left:0px; padding-right:0px; padding-top:20px;">
<div class="col-sm-4 form-group mb-4" style="margin:auto;">
<button class="btn btn-pink btn-air" type="submit"
name="submit" style="width:100%;">SAVE DETAILS</button>
</div>
</div>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
<?php include('footer.php'); ?>
</div>
</div>
<?php //include('search.php'); ?>
<div class="sidenav-backdrop backdrop"></div>
<div class="preloader-backdrop">
<div class="page-preloader">Loading</div>
</div>
<script src="js/jquery.min.js"></script>
<script src="js/popper.min.js"></script>
<script src="js/bootstrap.min.js"></script>
<script src="js/metisMenu.min.js"></script>
<script src="js/jquery.slimscroll.min.js"></script>
<script src="js/idle-timer.min.js"></script>
<script src="js/toastr.min.js"></script>
<script src="js/jquery.validate.min.js"></script>
<script src="js/bootstrap-select.min.js"></script>
<script src="datatable/datatables.min.js"></script>
<script src="js/app.min.js"></script>
</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
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