Server IP : 162.240.98.243 / Your IP : 18.222.119.168 Web Server : Apache System : Linux server.bti.yaw.mybluehostin.me 3.10.0-1160.119.1.el7.x86_64 #1 SMP Tue Jun 4 14:43:51 UTC 2024 x86_64 User : btiyawmy ( 1003) PHP Version : 7.2.34 Disable Function : NONE MySQL : OFF | cURL : ON | WGET : ON | Perl : ON | Python : ON | Sudo : ON | Pkexec : ON Directory : /home/btiyawmy/.trash/ |
Upload File : |
<?php if(isset($_POST['getpass'])) { PatientManager::Gatepassfinal("$_GET[prescriptionid]","$_GET[patientid]","$_POST[Checklist_Filed]","$_POST[Ambulance_Required]","$_POST[Discharge_Handover]","$_POST[Time_Exit]","$_POST[Follow_Visit]","$_POST[entered_by]"); } ?> <form name="getpass" method="post" > <h2 align="center">Create Gate pass </h2> <br> <table id="example2" class="table table-bordered table-hover"> <tr><td><span style="font-size: 20px">Discharge Checklist Filed </span> </td><td><label > <input type="checkbox" class='ace ace-switch ace-switch-6' name='Checklist_Filed'> <span class="lbl"></span> </label> </td> </tr> <tr><td><span style="font-size: 20px">Ambulance Required and Booked </span> </td><td><label > <input type="checkbox" class='ace ace-switch ace-switch-6' name='Ambulance_Required'> <span class="lbl"></span> </label> </td> </tr> <tr><td><span style="font-size: 20px">Discharge Handover with NOC </span> </td><td><label > <input type="checkbox" class='ace ace-switch ace-switch-6' name='Discharge_Handover'> <span class="lbl"></span> </label> </td> </tr> <tr><td><span style="font-size: 20px">Time of Exit</span> </td><td> <input type="time" name='Time_Exit' class='form-control'> </td> </tr> </thead> </tbody> <tfoot> </tfoot> </table> <input type="submit" name="getpass" value="Save" class='btn btn-success'> </form>