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<?php session_start(); require_once("../patientmanager.php"); require_once("../DBManager.php"); if(isset($_POST['Confirmation_Sheet'])) { PatientManager::ConfirmationSheet("$_GET[prescriptionid]","$_GET[patientid]","$_GET[surgeryid]","$_POST[verify_pt_identity]","$_POST[time_surgery]","$_POST[name_tag]","$_POST[site_marked]","$_POST[Operation_consent]","$_POST[operative_assessment]","$_POST[Medical_fitness]","$_POST[Last_meal]","$_POST[Bladder_voided]","$_POST[topical_antibiotics]","$_POST[Lab_investigation]","$_POST[General_systematic]","$_POST[infection_present]","$_POST[Xylocaine_sensitivity]","$_POST[Hospital_dress]","$_POST[jewelry_removed]","$_POST[Dentures_removed]","$_POST[Hair_clips]","$_POST[Allergy_noted]","$_POST[Operation_site_marked]","$_POST[reports_checked]","$_POST[enteredby]"); } ?> <!DOCTYPE html> <html lang="en"> <head> <meta charset="UTF-8"> <meta name="viewport" content="width=device-width, initial-scale=1"> <style> .switch { position: relative; display: inline-block; width: 90px; height: 34px; } .switch input {display:none;} .slider { position: absolute; cursor: pointer; top: 0; left: 0; right: 0; bottom: 0; background-color: #ca2222; -webkit-transition: .4s; transition: .4s; border-radius: 34px; } .slider:before { position: absolute; content: ""; height: 26px; width: 26px; left: 4px; bottom: 4px; background-color: white; -webkit-transition: .4s; transition: .4s; border-radius: 50%; } input:checked + .slider { background-color: #2ab934; } input:focus + .slider { box-shadow: 0 0 1px #2196F3; } input:checked + .slider:before { -webkit-transform: translateX(26px); -ms-transform: translateX(26px); transform: translateX(55px); } /*------ ADDED CSS ---------*/ .slider:after { content:'No'; color: white; display: block; position: absolute; transform: translate(-50%,-50%); top: 50%; left: 50%; font-size: 10px; font-family: Verdana, sans-serif; } input:checked + .slider:after { content:'Yes'; } .center { border: 1px solid grey; text-align:; } </style> <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.1.1/jquery.min.js"></script> <script type="text/javascript"> $(document).ready(function(){ $('#myForm').submit(function() { $('#loaderImg').show(); return true; }); }); </script> <style> #loaderImg { position: absolute; top: 0; bottom: 0; left: 0; right: 0; margin: auto; border: 10px solid grey; border-radius: 50%; border-top: 10px solid black; width: 100px; height: 100px; animation: spin 1s linear infinite; } @keyframes spin { 0% { -webkit-transform: rotate(0deg); transform: rotate(0deg); } 100% { -webkit-transform: rotate(360deg); transform: rotate(360deg); } } </style> </head> <?php $sql ="SELECT * FROM patient WHERE patientid='$_GET[patientid]'"; $qsql = mysqli_query($con,$sql); while($rs = mysqli_fetch_array($qsql)) { echo " <div class='center'> <table id='example2' class='table table-bordered table-hover' width='100%'> <h3 align='center'> Pre-Operative Checklist at OT </h3> <tr> <td width='50%'> Pt. Name: </td> <td width='50%'>$rs[patientname]</td> </tr> <tr> <td width='50%'> W/O,D/O,S/O. : </td> <td width='50%'>$rs[HusbandName]</td> </tr> <tr> <td width='50%'> DOB: </td> <td width='50%'>$rs[dob]</td> </tr> <tr> <td width='50%'> Sex : </td> <td width='50%'>$rs[gendor]</td> </tr> "; echo "</td></tr>"; } ?> <div style = "display:none;" id = "loaderImg"> <div class="loader"> </div> </div> <form name="Confirmation_Sheet" method="post" id="myForm" > <p> <table id="example2" class="table table-bordered table-hover"> <tr><td><span style="font-size: 20px">Verify the identity of patient </span></h3></td><td><label class="switch"> <input name="verify_pt_identity" type="checkbox"> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Time of surgery verified </span></h3></td><td><label class="switch"> <input name="time_surgery" type="checkbox"> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Name and tag in position & correct </span></h3></td><td><label class="switch"> <input name="name_tag" type="checkbox"> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Site Marked </span></h3></td><td><label class="switch"> <input name="site_marked" type="checkbox"> <span class="slider"></span> </label> </td> </tr> <tr><td><span style="font-size: 20px">Operation consent form signed patient & relative present</span></h3></td><td><label class="switch"> <input type="checkbox" name='Operation_consent'> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Pre-operative assessment sheet checked </span></h3></td><td><label class="switch"> <input type="checkbox" name='operative_assessment'> <span class="slider"></span> </label> </td> </tr><tr> <td><span style="font-size: 20px">Medical fitness </span></h3></td><td><label class="switch"> <input type="checkbox" name='Medical_fitness'> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Last meal & drink taken Known</span></h3></td><td><label class="switch"> <input type="checkbox" name='Last_meal'> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Bladder voided </span></h3></td><td><label class="switch"> <input type="checkbox" name='Bladder_voided'> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Pre-op topical antibiotics given </span></h3></td><td><label class="switch"> <input type="checkbox" name='topical_antibiotics'> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Lab investigation </span></h3></td><td><label class="switch"> <input type="checkbox" name='Lab_investigation'> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">General systematic examination & op</span></h3></td><td><label class="switch"> <input type="checkbox" name='General_systematic'> <span class="slider"></span> </label> </td> </tr><tr> <td><span style="font-size: 20px">Checked Whether infection present in or around eye/face/body </span></h3></td><td><label class="switch"> <input type="checkbox" name='infection_present'> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Xylocaine sensitivity </span></h3></td><td><label class="switch"> <input type="checkbox" name='Xylocaine_sensitivity'> <span class="slider"></span> </label> </td></tr> <tr> <td><span style="font-size: 20px">Hospital dress </span></h3></td><td><label class="switch"> <input type="checkbox" name='Hospital_dress'> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">jewelry removed </span></h3></td><td><label class="switch"> <input type="checkbox" name='jewelry_removed'> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Dentures removed </span></h3></td><td><label class="switch"> <input type="checkbox" name='Dentures_removed'> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Hair clips eye makeup nail polish removed</span></h3></td><td><label class="switch"> <input type="checkbox" name='Hair_clips'> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Allergy noted for paper </span></h3></td><td><label class="switch"> <input type="checkbox" name='Allergy_noted'> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Operation site marked</span></h3></td><td><label class="switch"> <input type="checkbox" name='Operation_site_marked'> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">All reports checked </span></h3></td><td><label class="switch"> <input type="checkbox" name='reports_checked'> <span class="slider"></span> </label> </td> </tr> </table> <input type='submit' name='Confirmation_Sheet' value='Submit'> </form> </div>