| Şuanki Dizin: /home/wwwdreamtechnolo/public_html/qrscandoctor.in/ |
| Şuanki Dosya : /home/wwwdreamtechnolo/public_html/qrscandoctor.in/registration.php |
<?php
include("header.php");
ini_set('display_errors', 1);
ini_set('display_startup_errors', 1);
error_reporting(E_ALL);
?>
<style>
h3
{
}
.frm
{
width:100%;
}
.col, .col-1, .col-10, .col-11, .col-12, .col-2, .col-3, .col-4, .col-5, .col-6, .col-7, .col-8, .col-9, .col-auto, .col-lg, .col-lg-1, .col-lg-10, .col-lg-11, .col-lg-12, .col-lg-2, .col-lg-3, .col-lg-4, .col-lg-5, .col-lg-6, .col-lg-7, .col-lg-8, .col-lg-9, .col-lg-auto, .col-md, .col-md-1, .col-md-10, .col-md-11, .col-md-12, .col-md-2, .col-md-3, .col-md-4, .col-md-5, .col-md-6, .col-md-7, .col-md-8, .col-md-9, .col-md-auto, .col-sm, .col-sm-1, .col-sm-10, .col-sm-11, .col-sm-12, .col-sm-2, .col-sm-3, .col-sm-4, .col-sm-5, .col-sm-6, .col-sm-7, .col-sm-8, .col-sm-9, .col-sm-auto, .col-xl, .col-xl-1, .col-xl-10, .col-xl-11, .col-xl-12, .col-xl-2, .col-xl-3, .col-xl-4, .col-xl-5, .col-xl-6, .col-xl-7, .col-xl-8, .col-xl-9, .col-xl-auto {
position: relative;
width: 100%;
min-height: 1px;
padding-right: 0px !important;
padding-left: 0px !important;
}
@media only screen and (max-width: 800px) {
.col-xs-3 {
margin-top:20px;
}
}
</style>
<!-- blog -->
<?php
$flag =0;
$full_name ="";
$address ="";
$city ="";
$post ="";
$state ="";
$pincode ="";
$medical_qualification="";
$dob ="";
$age ="";
$blood_group ="";
$mobile_no ="";
$email ="";
$photo ="";
$adhar ="";
$voter ="";
$medical_certificate="";
$id = "";
$blood_group_error ="";
$get_id=$db->get_max_id();
if($get_id=='')
{
$id_no='1001';
}
else
{
$id_no=$get_id+1;
}
if(isset($_POST['add_btn']))
{
$full_name = $_POST['full_name'];
$address = $_POST['address'];
$city = "";//$_POST['city'];
$post = "";//$_POST['post'];
$state = "";//$_POST['state'];
$pincode = "";//$_POST['pincode'];
$medical_qualification = $_POST['medical_qualification'];
$dob = ""; //$_POST['dob'];
$age = "";//$_POST['age'];
$blood_group = ""; //$_POST['blood_group'];
$mobile_no = $_POST['mobile_no'];
$email = $_POST['email'];
// if($blood_group=="Select Blood Group")
// {
// $blood_group_error = "Please select blood group";
// $flag = 1;
// }
// $valid_formats = array("jpg","png","gif","bmp","jpeg","pdf","JPEG","JPG","BMP","PNG","GIF","PDF");
// if(isset($_POST) and $_SERVER['REQUEST_METHOD'] == "POST")
// {
// $name = $_FILES['photo']['name'];
// $size = $_FILES['photo']['size'];
// if(strlen($name))
// {
// list($txt, $ext) = explode(".", $name);
// if(in_array($ext,$valid_formats))
// {
// $files = array();
// function generateRandomString($length = 10) {
// $characters = '0123456789abcdefghijklmnopqrstuvwxyzABCDEFGHIJKLMNOPQRSTUVWXYZ';
// $charactersLength = strlen($characters);
// $randomString = '';
// for ($i = 0; $i < $length; $i++)
// {
// $randomString .= $characters[rand(0, $charactersLength - 1)];
// }
// return $randomString;
// }
// $current_random_string = generateRandomString();
// $actual_image_name = $current_random_string.".".strtolower($ext);
// $tmp = $_FILES['photo']['tmp_name'];
// $img_Dir = "registration/";
// if(!file_exists($img_Dir))
// {
// mkdir($img_Dir);
// }
// if(move_uploaded_file($tmp,$img_Dir.$actual_image_name))
// {
// }
// else
// {
// $image_error = "failed" ;
// $flag = 1;
// }
// }
// else
// {
// $image_error = "Invalid file format";
// $flag = 1;
// }
// }
// }
// //2
// $valid_formats = array("jpg","png","gif","bmp","jpeg","pdf","JPEG","JPG","BMP","PNG","GIF","PDF");
// if(isset($_POST) and $_SERVER['REQUEST_METHOD'] == "POST")
// {
// $name = $_FILES['adhar']['name'];
// $size = $_FILES['adhar']['size'];
// if(strlen($name))
// {
// list($txt, $ext) = explode(".", $name);
// if(in_array($ext,$valid_formats))
// {
// $files = array();
// function generateRandomString1($length = 10) {
// $characters = '0123456789abcdefghijklmnopqrstuvwxyzABCDEFGHIJKLMNOPQRSTUVWXYZ';
// $charactersLength = strlen($characters);
// $randomString = '';
// for ($i = 0; $i < $length; $i++)
// {
// $randomString .= $characters[rand(0, $charactersLength - 1)];
// }
// return $randomString;
// }
// $current_random_string = generateRandomString1();
// $actual_image_name1 = $current_random_string.".".strtolower($ext);
// $tmp = $_FILES['adhar']['tmp_name'];
// $img_Dir = "registration/";
// if(!file_exists($img_Dir))
// {
// mkdir($img_Dir);
// }
// if(move_uploaded_file($tmp,$img_Dir.$actual_image_name1))
// {
// }
// else
// {
// $image_error = "failed" ;
// $flag = 1;
// }
// }
// else
// {
// $image_error = "Invalid file format";
// $flag = 1;
// }
// }
// }
// //3
// $valid_formats = array("jpg","png","gif","bmp","jpeg","pdf","JPEG","JPG","BMP","PNG","GIF","PDF");
// if(isset($_POST) and $_SERVER['REQUEST_METHOD'] == "POST")
// {
// $name = $_FILES['voter']['name'];
// $size = $_FILES['voter']['size'];
// if(strlen($name))
// {
// list($txt, $ext) = explode(".", $name);
// if(in_array($ext,$valid_formats))
// {
// $files = array();
// function generateRandomString2($length = 10) {
// $characters = '0123456789abcdefghijklmnopqrstuvwxyzABCDEFGHIJKLMNOPQRSTUVWXYZ';
// $charactersLength = strlen($characters);
// $randomString = '';
// for ($i = 0; $i < $length; $i++)
// {
// $randomString .= $characters[rand(0, $charactersLength - 1)];
// }
// return $randomString;
// }
// $current_random_string = generateRandomString2();
// $actual_image_name2 = $current_random_string.".".strtolower($ext);
// $tmp = $_FILES['voter']['tmp_name'];
// $img_Dir = "registration/";
// if(!file_exists($img_Dir))
// {
// mkdir($img_Dir);
// }
// if(move_uploaded_file($tmp,$img_Dir.$actual_image_name2))
// {
// }
// else
// {
// $image_error = "failed" ;
// $flag = 1;
// }
// }
// else
// {
// $image_error = "Invalid file format";
// $flag = 1;
// }
// }
// }
// //4
// $valid_formats = array("jpg","png","gif","bmp","jpeg","pdf","JPEG","JPG","BMP","PNG","GIF","PDF");
// if(isset($_POST) and $_SERVER['REQUEST_METHOD'] == "POST")
// {
// $name = $_FILES['medical_certificate']['name'];
// $size = $_FILES['medical_certificate']['size'];
// if(strlen($name))
// {
// list($txt, $ext) = explode(".", $name);
// if(in_array($ext,$valid_formats))
// {
// $files = array();
// function generateRandomString3($length = 10) {
// $characters = '0123456789abcdefghijklmnopqrstuvwxyzABCDEFGHIJKLMNOPQRSTUVWXYZ';
// $charactersLength = strlen($characters);
// $randomString = '';
// for ($i = 0; $i < $length; $i++)
// {
// $randomString .= $characters[rand(0, $charactersLength - 1)];
// }
// return $randomString;
// }
// $current_random_string = generateRandomString3();
// $actual_image_name3 = $current_random_string.".".strtolower($ext);
// $tmp = $_FILES['medical_certificate']['tmp_name'];
// $img_Dir = "registration/";
// if(!file_exists($img_Dir))
// {
// mkdir($img_Dir);
// }
// if(move_uploaded_file($tmp,$img_Dir.$actual_image_name3))
// {
// }
// else
// {
// $image_error = "failed" ;
// $flag = 1;
// }
// }
// else
// {
// $image_error = "Invalid file format";
// $flag = 1;
// }
// }
// }
/*if(strlen($pincode)!=6)
{
?>
<script>
alert("Enter 6 Digit Pin Code No");
</script>
<?php
$flag=1;
}*/
if(strlen($mobile_no)!=10)
{
?>
<script>
alert("Enter 10 Digit Contact No");
</script>
<?php
$flag=1;
}
if($flag==0)
{
$db_id=$db->get_registration_id($mobile_no);
if($db_id=="")
{
$actual_image_name = "";
$actual_image_name1 = "";
$actual_image_name2 = "";
$actual_image_name3= "";
if($db->add_registration($full_name,$address,$city,$post,$state,$pincode,$medical_qualification,$dob,$age,$blood_group,$mobile_no,$email,$actual_image_name,$actual_image_name1,$actual_image_name2,$actual_image_name3,$id_no))
{
?>
<script>
alert("Member Registered Successfully.. Kindly Pay The Fees To Download ID Card and Certificate.");
window.location="pay-the-fees.php";
</script>
<?php
$full_name ="";
$address ="";
$city ="";
$post ="";
$state ="";
$pincode ="";
$medical_qualification="";
$dob ="";
$age ="";
$blood_group ="";
$mobile_no ="";
$email ="";
}
}
else
{
?>
<script>
alert("Member Alerady Exist");
</script>
<?php
}
}
}
?>
<!-- mail -->
<div style="background-color:#f9f9ff;">
<div class="container">
<div class="h3-head text-center">
<br />
<h3 class="title-2">MEMBER REGISTRATION</h3>
</div>
<div >
<div class="row" style="min-height:700px;">
<div class="frm" >
<form action="<?php echo $_SERVER['PHP_SELF']; ?>" method="POST" autocomplete="off" enctype="multipart/form-data" >
<h3 style="color:red !important;">MEMBERSHIP FORM</h3>
<div class="col-md-12 col-md-12">
<label>Name</label>
<input type="text" name="full_name" placeholder="Your Name" required="" class="form-control" value="<?php echo $full_name; ?>"> <br />
</div>
<div class="col-md-12 col-md-12">
<label>Address</label>
<input type="text" name="address" placeholder="Permanent Resident Address " required="" class="form-control" value="<?php echo $address; ?>" > <br />
</div>
<!--<div class="col-md-12 col-md-12">
<div class="col-md-3 col-md-3 col-xs-3" style="display:inline-table;">
<label>City</label>
<input type="text" name="city" placeholder="City" required="" class="form-control" style="display:inline-table;" value="<?php echo $city; ?>" >
</div>
<div class="col-md-3 col-md-3 col-xs-3" style="display:inline-table;">
<label>Post</label>
<input type="text" name="post" placeholder="Post" required="" class="form-control" style="display:inline-table;" value="<?php echo $post; ?>" >
</div>
<div class="col-md-3 col-md-3 col-xs-3" style="display:inline-table;">
<label>State</label>
<input type="text" name="state" placeholder="State" required="" class="form-control" style="display:inline-table;" value="<?php echo $state; ?>" >
</div>
<div class="col-md-2 col-md-2 col-xs-3" style="display:inline-table;">
<label>PinCode</label>
<input type="number" name="pincode" placeholder="PinCode" required="" class="form-control" style="display:inline-table;" value="<?php echo $pincode; ?>" >
</div>
</div>-->
<br />
<div class="col-md-12 col-md-12">
<div class="col-md-12 col-md-12" style="display:inline-table;">
<label>Medical Qualification</label>
<input type="text" name="medical_qualification" placeholder="Medical Qualification " required="" class="form-control" style="display:inline-table;"
value="<?php echo $medical_qualification; ?>" >
</div>
<!--<div class="col-md-3 col-md-3 col-xs-3" style="display:inline-table;">-->
<!--<label>Date Of Birth</label>-->
<!--<input type="date" id="from_date" name="dob" placeholder="Date Of Birth" required="" class="form-control" style="display:inline-table;" value="<?php echo $dob; ?>">-->
<!-- </div>-->
<!--<div class="col-md-3 col-md-3 col-xs-3" style="display:inline-table;">
<label>Age</label>
<input type="number" name="age" placeholder="Enter Age" required="" class="form-control" style="display:inline-table;" value="<?php echo $age; ?>" >
</div>-->
<!-- <div class="col-md-2 col-md-2 col-xs-2" style="display:inline-table;">-->
<!-- <label>Select Blood Group</label>-->
<!-- <select name="blood_group" class="form-control">-->
<?php
if($blood_group!="")
{
?>
<option value="<?php echo $blood_group; ?>"><?php echo $blood_group; ?></option>
<?php
}
?>
<!-- <option value="Select Blood Group">Blood Group</option>-->
<!-- <option value="A+">A+</option>-->
<!-- <option value="B+">B+</option>-->
<!-- <option value="AB+">AB+</option>-->
<!-- <option value="O+">O+</option>-->
<!-- <option value="A-">A-</option>-->
<!-- <option value="B-">B-</option>-->
<!-- <option value="AB-">AB-</option>-->
<!-- <option value="O-">O-</option>-->
<!--</select>-->
<!-- <span class="error_indicator"><?php echo $blood_group_error; ?></span>-->
<!-- </div>-->
</div>
<br />
<div class="col-md-12 col-md-12">
<div class="col-md-12 col-md-12">
<label>Mobile No</label>
<input type="number" name="mobile_no" placeholder="Mobile No " required="" class="form-control" style="display:inline-table;" value="<?php echo $mobile_no; ?>" >
</div>
<br />
<div class="col-md-12 col-md-12">
<label>College/Institute University Name : </label>
<input type="text" name="email" placeholder="College/Institute University Name" required="" class="form-control" style="display:inline-table;" value="<?php echo $email; ?>" >
</div>
</div>
<br />
<!--<div class="col-md-12 col-md-12">-->
<!--<div class="col-md-4 col-md-4 col-xs-3" style="display:inline-table;">-->
<!--<label>Photo Image</label>-->
<!--<input type="file" name="photo" placeholder="Photo Image " required="" class="form-control" style="display:inline-table;" >-->
<!-- </div>-->
<!--<div class="col-md-4 col-md-4 col-xs-3" style="display:inline-table;">-->
<!--<label>Adhar Card Image</label>-->
<!--<input type="file" name="adhar" placeholder="Adhar Card Image " required="" class="form-control" style="display:inline-table;" >-->
<!-- </div>-->
<!-- </div>-->
<!-- <br />-->
<!-- <div class="col-md-12 col-md-12">-->
<!-- <div class="col-md-4 col-md-4 col-xs-3" style="display:inline-table;">-->
<!-- <label>Voter ID Image</label>-->
<!--<input type="file" name="voter" placeholder="Voter ID Image " required="" class="form-control" style="display:inline-table;" >-->
<!-- </div>-->
<!-- <div class="col-md-4 col-md-4 col-xs-3" style="display:inline-table;">-->
<!-- <label>Medical Education Certificate Image</label>-->
<!--<input type="file" name="medical_certificate" placeholder="Medical Education Certificate Image " required="" class="form-control" style="display:inline-table;" >-->
<!-- </div>-->
<!--</div>-->
<p>
<b>प्रतिज्ञापत्र <b/>
<br />
उपर दी गई सभी मालूमात सच है!
अगर झूठ निकली है तो मै, भारतीय दंड विधान कलम 199, 193/2,200 के अनुसार शिक्षा एवंम दंड के लिए प्रार्थनीय रहुंगा / रहुंगी !
</p>
<br > <br >
<center> <input type="submit" value="Register" name="add_btn" class="btn btn-primary"> </center>
<br />
<br />
<div class="clearfix"> </div>
</form>
</div>
</div>
<div class="clearfix"></div>
</div>
</div>
</div>
<!-- //mail -->
<!-- map -->
<?php
include('footer.php');
?>
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
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