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Current File : /home/btiyawmy/public_html/login.easenup.in//Risk_Assessment_Status.php
<?php session_start();
include 'dbconnection.php';
require_once("../patientmanager.php");
require_once("../DBManager.php");
if(isset($_POST['riskass'])) 
{
   PatientManager::RiskStatus("$_GET[prescriptionid]","$_GET[patientid]","$_GET[surgeryid]","$_POST[Fitness_Procedure]","$_POST[Risk_Factors_Present]","$_POST[Arranged_units_blood]","$_POST[RequisitionForm]","$_POST[abo_rh]","$_POST[units]","$_POST[group_name]","$_POST[address]","$_POST[Ref_Dr]","$_POST[Nurse_Name]","$_POST[Blood_Bag_Number]","$_POST[Products_Blood_Group]","$_POST[product_name]","$_POST[blood_bank_name]","$_POST[date_of_expiry]","$_POST[Blood_Checked_Doctor]","$_POST[doctor_id_no]","$_POST[Plan_Action]","$_POST[entered_by]");
}
?>
<!DOCTYPE html>
<html lang="en">
<head><meta charset="ibm866">
     <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>
  
<meta name="viewport" content="width=device-width, initial-scale=1">
  <link rel="stylesheet" href="https://www.w3schools.com/w3css/4/w3.css">
  <title>Document</title>
   <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.1.1/jquery.min.js"></script>

     <script type="text/javascript">
$(document).ready(function(){
    $('#Risk_Assessment_Status').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>
<script>
function myFunction1031() {
  var checkBox = document.getElementById("myCheck1031");
  var text = document.getElementById("text1031");
  if (checkBox.checked == true){
    text.style.display = "block";
  } else {
     text.style.display = "none";
  }
}
function myFunction2() {
  var checkBox = document.getElementById("myCheck2");
  var text = document.getElementById("text2");
  if (checkBox.checked == true){
    text.style.display = "block";
  } else {
     text.style.display = "none";
  }
}
function myFunction3() {
  var checkBox = document.getElementById("myCheck3");
  var text = document.getElementById("text3");
  if (checkBox.checked == true){
    text.style.display = "block";
  } else {
     text.style.display = "none";
  }
}
function myFunction4() {
  var checkBox = document.getElementById("myCheck4");
  var text = document.getElementById("text4");
  if (checkBox.checked == true){
    text.style.display = "block";
  } else {
     text.style.display = "none";
  }
}


</script>
	<style>

.center {
   border: 1px solid grey;
   text-align:;
}
 </style>
 
   </head>
  <body>
<div style = "display:none;" id = "loaderImg"> <div class="loader"> </div> </div>
<form name="riskass" method="post" id="Risk_Assessment_Status" >
   
               <h2 align="center">Risk Assessment Status </h2>
               <br>
               <div class="center">
      <table id="example2" class="table table-bordered table-hover"> 
                  <thead>
 <tr> <td width='50%'>Fitness for Procedure
</td>
<td width='50%'><select name='Fitness_Procedure'>
        <option value='Fit for Procedure' >Fit for Procedure</option>
       <option value='Decline'>Decline</option>
        <option value='Accepted with High Risk'>Accepted with High Risk</option>
        <option value='Accepted with Mild risk'>Accepted with Mild Risk</option>
             </select></td>
          </tr>
          
           <tr>
                      <div class='account-details'>
            <tr><td style="width:29%"><div><h5>Risk Factors Present : </h5> </td></div><td  style="width:46%"><div>
                <textarea name="Risk_Factors_Present" rows="2" cols="70"></textarea>
            </div></td></tr>
                  <tr>
                      <div class='account-details'>
            <tr><td style="width:29%"><div><h5>Plan of Action : </h5> </td></div><td  style="width:46%"><div>
                <textarea name="Plan_Action" rows="2" cols="70"></textarea>
            </div></td></tr>
            <tr> <td width='50%'>Arranged units of blood to be kept ready in BTO  
</td>
<td width='50%'><select name='Arranged_units_blood'>
       
       <option value='0'>0</option>
        <option value='1'>1</option>
        <option value='2'>2</option>
        <option value='3'>3</option>
        <option value='4'>4</option>
        <option value='5'>5</option>
        <option value='6'>6</option>
         <option value='7'>7</option>
    <option value='8'>8</option>
    <option value='9'>9</option>
    <option value='10'>10</option>
           </select></td>
          </tr>
<tr><td><span style="font-size: 20px">Generate Blood Requisition Form </span></h3></td><td><label class="switch">
  <input type="checkbox" name='RequisitionForm'  id="myCheck1031" onclick="myFunction1031()">
  <span class="slider"></span>
</label>
</td>
</tr>

</table>

      <div id="text1031" style="display:none">
         <table id="example2" class="table table-bordered table-hover"> 
       <tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; ABO & Rh: </td>
<td width='50%'><input type="text" placeholder="ABO & Rh" name="abo_rh"></td>
</tr>
<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Advice: </td>
<td width='50%'>Please provide <input type='text' name='units'> Units <input type='text' name='group'> After grouping and cross matching </td>
</tr>
<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Address: </td>
<td width='50%'><input type='text' placeholder='Address' name='address'></td>
</tr>
<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Ref.by Dr: </td>
<td width='50%'><input type='text' placeholder='Ref.by Dr' name='Ref_Dr'></td>
</tr>
 
		    	<?php
		$sql ="SELECT * FROM addaspatient WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
            echo "
            <input type='hidden' name='prescriptionid' value='$rs[prescriptionid]'>
                <input type='hidden' name='patientid' value='$rs[patientid]'>
            ";
		}
		?>
<br>
<tr><td>
<label>Nurse Name</label></td><td><input type="text" name='Nurse_Name' placeholder='Nurse Name'> </td></tr>

<br>
<br>
  <tr>
<td width='50%'> Blood Bag Number: </td>
<td width='50%'><input type='text' placeholder='Blood Bag Number' name='Blood_Bag_Number'></td>
</tr>
   <tr>
<td width='50%'> Product's Blood Group: </td>
<td width='50%'><input type='text' placeholder='Product Blood Group' name='Products_Blood_Group'></td>
</tr>
   <tr>
<td width='50%'> Product's Name(PL. encircle): </td>
<td width='50%'><select name="product_name">
    <option value="Whole Blood">Whole Blood</option>
    <option value="RBC">RBC</option>
    <option value="PRC">PRC</option>
    <option value="FFP">FFP</option>
    <option value="CPP">CPP</option>
    <option value="Cryoprecipitate">Cryoprecipitate</option>
</select></td>
</tr>

<tr>
 <td width='50%'> Name of the Blood Bank: </td>
 <td width='50%'><input type='text' placeholder='Name of the Blood Bank' name='blood_bank_name'></td>
</tr>
<tr>
 <td width='50%'> Date of expiry: </td>
 <td width='50%'><input type='date' placeholder='Date of expiry' name='date_of_expiry'></td>
</tr>
<tr>
 <td width='50%'> Blood Checked by the Doctor: </td>
 <td width='50%'><input type='text' placeholder='Blood Checked by the Doctor' name='Blood_Checked_Doctor'></td>
</tr>
<tr>
 <td width='50%'>  Doctor ID No.: </td>
 <td width='50%'><input type='text' placeholder='Doctor ID No.' name='doctor_id_no'></td>
</tr>

</table>

      </div>
<input type="submit" name="riskass" value="Submit">

	
</div>
</form>
</body>
</html> 

Anon7 - 2022
AnonSec Team