<?php
session_start();
require_once('../DBManager.php');
require_once('../LoginManager.php');
require_once('../patientmanager.php');
include 'dashboarddocument.php';
include 'header.php';
if(isset($_POST['signup'])) 
{
   PatientManager::bloodtransfusion("$_POST[prescriptionid]","$_POST[patientid]","$_POST[blood]","$_POST[Diagnosis]","$_POST[Indications_Transfusion]","$_POST[blood_group]","$_POST[advers_reaction]","$_POST[Blood_Bag_Number]","$_POST[Products_Blood_Group]","$_POST[product_name]","$_POST[blood_bank_name]","$_POST[date_of_expiry]","$_POST[Blood_Checked_Doctor]","$_POST[doctor_id_no]","$_POST[Nurse_name]","$_POST[Nurse_Id_No]","$_POST[blood_start]","$_POST[blood_stop]","$_POST[entered_by]");
}

?>
 <style>

.center {
   border: 1px solid grey;
   text-align:;
}

</style>
<script>
function myFunction() {
  var checkBox = document.getElementById("myCheck");
  var text = document.getElementById("text");
  if (checkBox.checked == true){
    text.style.display = "block";
  } else {
     text.style.display = "none";
  }
}
</script>
  <meta charset="UTF-8">
<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>
 <div class='content-wrapper'>
    <section class='content-header'>		
<?php 
$sql ="SELECT * FROM patient WHERE patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
  	    $sql1 ="SELECT * FROM request_for_admission_ipd WHERE patientid='$rs[patientid]' AND prescriptionid='$_GET[prescriptionid]'";
		$qsql1 = mysqli_query($con,$sql1);
		while($rsr = mysqli_fetch_array($qsql1))
		{
     echo "
<div class='center'>
    <table id='example2' class='table table-bordered table-hover' width='100%'>
<h3 align='center'>Surgical Site Infection Reporting Form</h3>
<tr>
<td width='50%'> Ward: </td>
<td width='50%'>$rsr[Ward]</td>
</tr>
<tr>
<td width='50%'> Date of Admission: </td>
<td width='50%'>$rsr[created_at]</td>
</tr>
<tr>
<td width='50%'> Doctor: </td>
<td width='50%'>$rsr[Admitted_Under]</td>
</tr>
<tr>
<td width='50%'> Operation: </td>
<td width='50%'>$rsr[created_at]</td>
</tr>
<tr>
<td width='50%'> Pt. Name: </td>
<td width='50%'>$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>

		<form name='signup' method='post'>
<tr>
<td width='50%'> Diagnosis: </td>
<td width='50%'><input type='text' placeholder='Diagnosis' name='Diagnosis'></td>
</tr>
<tr>
<td width='50%'> Indications of Transfusion: </td>
<td width='50%'><input type='text' placeholder='Indications of Transfusion' name='Indications_Transfusion'></td>
</tr>
<tr>
<td width='50%'> Patient Blood Group: </td>
<td width='50%'>$rs[bloodgroup]</td>
<input type='hidden' name='blood_group' value='$rs[bloodgroup]'>
</tr>
</table>
";
	  echo "</td></tr>";	}
		}
		?>
<div class="checkbox">
&nbsp;  &nbsp; &nbsp; &nbsp;<input type="checkbox" id="myCheck" onclick="myFunction()" name="Wound_Class"><span style="font-size: 17px;"> History of Previous BT</span>
</div>
<p id="text" style="display:none">
<label>Adverse Reaction During Previous Transfusion & its Nature</label>
    
    <input type="text" placeholder="Adverse Reaction During" name="advers_reaction"></p>

	    	<?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>
 <table id='example2' class='table table-bordered table-hover' width='100%'>
     <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>

<tr>
 <td width='50%'> Nurse: </td>
 <td width='50%'><input type='text' placeholder='Nurse' name='Nurse_name'></td>
</tr>

<tr>
 <td width='50%'> Nurse Id No.: </td>
 <td width='50%'><input type='text' placeholder=' Nurse Id No.' name=' Nurse_Id_No'></td>
</tr>
<tr>
 <td width='50%'> Blood Started at: </td>
 <td width='50%'><input type='datetime-local'  name='blood_start'></td>
</tr>
<tr>
 <td width='50%'> Blood End at: </td>
 <td width='50%'><input type='datetime-local'  name='blood_stop'></td>
</tr>
</table>
<br>
<br>
<input type="submit" name="signup" value="Submit">
</form>
	<script>
n =  new Date();
y = n.getFullYear();
m = n.getMonth() + 1;
d = n.getDate();
document.getElementById("date").innerHTML = m + "/" + d + "/" + y;
</script>