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Upload File : |
<?php
session_start();
require_once('../LoginManager.php');
require_once('../DBManager.php');
include('menu.php');
include('header.php');
$target_dir = "uploads/";
$filename = basename($_FILES["sign"]["name"]);
$target_file = $target_dir . basename($_FILES["sign"]["name"]);
$uploadOk = 1;
$imageFileType = strtolower(pathinfo($target_file,PATHINFO_EXTENSION));
$filename1 = basename($_FILES["Upload_Consent"]["name"]);
$target_file1 = $target_dir . basename($_FILES["Upload_Consent"]["name"]);
$uploadOk1 = 1;
$imageFileType1 = strtolower(pathinfo($target_file1,PATHINFO_EXTENSION));
if(isset($_POST['signup']))
{
LoginManager::registerdr("$filename1","$_POST[typevisit]","$_POST[Drname]","$_POST[regi_nm]","$_POST[Qualification]","$_POST[user_id]","$_POST[numbers]","$_POST[Specialty]","$_POST[hindi]","$_POST[english]","$_POST[local]","$_POST[VideoConsultation]","$_POST[Video_fee]","$_POST[Video_tat]","$_POST[Teleconsultation]","$_POST[Tele_fee]","$_POST[Tele_tat]","$_POST[VisitConsultant]","$_POST[Visit_fee]","$_POST[routin_fee]","$_POST[opd_EMG_fee]","$_POST[Visit_tat]","$_POST[ipd]","$_POST[ipd_visit_fee]","$_POST[ipd_EMG_fee]","$_POST[hsname]","$filename","$_POST[entered_by]");
$to = $_POST['uemail'];
$subject = "Email Verification";
// Compose a simple HTML email message
$message = '';
$message .= 'Hi '.$_POST['uname']."\r\n\r\n";
$message .= 'Your OTP to varify email for Ease-n-up patient console is '.$user_otp.'. This is secret and can be used only once.';
$from = 'noreply@easenup.in';
// Sending email
mail($to, $subject, $message);
move_uploaded_file($_FILES["Upload_Consent"]["tmp_name"], $target_file1);
if (move_uploaded_file($_FILES["sign"]["tmp_name"], $target_file)) {
echo "The file ". basename( $_FILES["sign"]["name"]). " has been uploaded.";
} else {
echo "Sorry, there was an error uploading your file.";
}
}
?>
<!DOCTYPE html>
<html lang="en">
<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>
<script src="https://code.jquery.com/jquery-2.1.1.min.js" type="text/javascript"></script>
<script>
function checkAvailability() {
$("#loaderIcon").show();
jQuery.ajax({
url: "dr_check.php",
data:'uname='+$("#user_id").val(),
type: "POST",
success:function(data){
$("#user-availability-status").html(data);
$("#loaderIcon").hide();
},
error:function (){}
});
}
</script>
<script>
function isNumber(evt) {
evt = (evt) ? evt : window.event;
var charCode = (evt.which) ? evt.which : evt.keyCode;
if (charCode > 31 && (charCode < 48 || charCode > 57)) {
alert("Please enter only Numbers.");
return false;
}
return true;
}
function ValidateNo() {
var phoneNo = document.getElementById('numbers');
if (phoneNo.value == "" || phoneNo.value == null) {
alert("Please enter your Mobile No.");
return false;
}
if (phoneNo.value.length < 10 || phoneNo.value.length > 10) {
alert("Mobile No. is not valid, Please Enter 10 Digit Mobile No.");
return false;
}
return true;
}
</script>
<meta http-equiv="content-type" content="text/html;charset=UTF-8" />
<title> Pt Signup</title>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<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";
}
}
function myFunction1() {
var checkBox = document.getElementById("myCheck1");
var text = document.getElementById("text1");
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 myFunction21() {
var checkBox = document.getElementById("myCheck21");
var text = document.getElementById("text21");
if (checkBox.checked == true){
text.style.display = "block";
} else {
text.style.display = "none";
}
}
</script>
</head>
<body>
<div class="content-wrapper">
<section class="content-header">
<div style = "display:none;" id = "loaderImg"> <div class="loader"> </div> </div>
<form name="signup" method="post" id="myForm" enctype="multipart/form-data">
<h3><i class="fa fa-angle-right"></i> Doctors Registration </h3>
<label for="item"> Type of Visit <span>*</span></label>
<select name="typevisit" required>
<option value="" disabled selected>Type of Visit</option>
<option value="Regular Consultancy">Regular Consultancy</option>
<option value="Visit Consultancy">Visit Consultancy</option>
<option value="On call">On call</option>
</select>
<label for="item"> Doctors name <span>*</span></label>
<input class="input100" type="text" name="Drname" placeholder="Enter your Name" required>
<label for="item">Registration Number<span>*</span></label>
<input class="input100" type="text" name="regi_nm" placeholder="Registration Number" >
<label for="item">Education Qualification <span>*</span></label>
<input class="input100" type="text" name="Qualification" placeholder="Education Qualification" required>
<div id="frmCheckUsername">
<label for="item"> Email id<span>*</span></label>
<input class="input100" type="email" name="user_id" id="user_id" placeholder="Enter Your Email id" class="demoInputBox" onBlur="checkAvailability()" required>
<span id="user-availability-status"></span>
<p><img src="LoaderIcon.gif" id="loaderIcon" style="display:none"/></p>
</div>
<label for="item"> Mobile Number<span>*</span></label>
<input type="text" name="numbers" id="numbers" onkeypress="return isNumber(event)" required>
<label for="item"> Specialty<span>*</span></label>
<select onclick="ValidateNo();" name="Specialty" class="form-control" required>
<option value="" disabled selected>Choose Specialty </option>
<option> General Physician</option>
<option>General Medicine</option>
<option> General Surgery</option>
<option> ENT</option>
<option> Opthalmology/Eye Care</option>
<option>Obstetrics & Gynaecology</option>
<option>Orthopaedics</option>
<option>Paediatric </option>
<option>Paediatric Surgery</option>
<option> Genitourinary Surgery</option>
<option>Neurology</option>
<option> Neuro Surgery</option>
<option> Medical Oncology</option>
<option> Surgical Oncology</option>
<option>Paediatrics Cancer</option>
<option> Radiation Oncology</option>
<option> Burns,Plastic& reconstructive Surgery</option>
<option>Polytrauma</option>
<option> Dental Surgery</option>
<option>Critical Care Unit</option>
<option>Paediatrics</option>
<option> child specialist </option>
<option> Neonatology</option>
<option> Cardiology</option>
<option>Cardio Thoracic Surgery</option>
<option>Nephrology</option>
<option>Urology</option>
<option>Radiology</option>
<option>Pathology</option>
<option>Laparoscopy Surgeon</option>
<option>Anesthesia</option>
<option>Chest diseases and respiratory medicine (Pulmonology)</option>
</select>
<h4>Known Language</h4>
<div class="checkbox">
<input type="checkbox" name="hindi" value="Hindi"><span>Hindi</span>
</div>
<div class="checkbox">
<input type="checkbox" name="english" value="English"><span>English</span>
</div>
<div class="checkbox">
<input type="checkbox" name="local" value="Local"><span>Local</span>
</div>
<div class='checkbox'> <input name='VisitConsultant' id='myCheck2' onclick='myFunction2()' type='checkbox'> In-Person Consultations </div>
<div id='text2' style='display:none' class='w3-row-padding'>
<label for="item">In-Person Consultations fee</label>
<input class="input100" type="text" name="Visit_fee" placeholder="Consultation fee">
<label for="item">Routine fee</label>
<input class="input100" type="text" name="routin_fee" placeholder="Routine Fee">
<label for="item">In-Person Emergency fee</label>
<input class="input100" type="text" name="opd_EMG_fee" placeholder="Emergency fee">
<label for="item">TAT (in minutes)</label>
<input class="input100" type="text" name="Visit_tat" placeholder="TAT">
</div>
<div class='checkbox'> <input name='ipd' id='myCheck21' onclick='myFunction21()' type='checkbox'> IPD Consultations </div>
<div id='text21' style='display:none' class='w3-row-padding'>
<label for="item">Visit fee</label>
<input class="input100" type="text" name="ipd_visit_fee" placeholder="Visit fee">
<label for="item">Emergency fee</label>
<input class="input100" type="text" name="ipd_EMG_fee" placeholder="Emergency fee">
</div>
<div onclick="ValidateNo();" class='checkbox'> <input name='VideoConsultation' id='myCheck' onclick='myFunction()' type='checkbox'><span>Video Consultation </span></div>
<div id='text' style='display:none' class='w3-row-padding'>
<label for="item"> Video Consultation fee</label>
<input class="input100" type="text" name="Video_fee" placeholder="Consultation fee">
<label for="item">TAT (in minutes)</label>
<input class="input100" type="text" name="Video_tat" placeholder="TAT">
</div>
<div class='checkbox'> <input name='Teleconsultation' id='myCheck1' onclick='myFunction1()' type='checkbox'>Tele Consultation</div>
<div id='text1' style='display:none' class='w3-row-padding'>
<label for="item">Tele Consultation fee</label>
<input class="input100" type="text" name="Tele_fee" placeholder="Consultation fee">
<label for="item">TAT (in minutes)</label>
<input class="input100" type="text" name="Tele_tat" placeholder="TAT">
</div>
<?php
$narayan=LoginManager::currentUser();
$anilka=LoginManager::getUserTypeByuname("$narayan");
$entered_by="$anilka";
$sql ="select * from admin where id='$anilka'";
$qsql = mysqli_query($con,$sql);
while($qsql3=mysqli_fetch_array($qsql))
{
echo"
<input type='hidden' name='hsname' value='$qsql3[hsname]'>
";
}
?>
<tr>
<td width='50%'>Upload Signature</td><td width='50%'><input name="sign" type="file">
</td></tr>
<tr><td><label>Photo:</label></td><td>
<input name="Upload_Consent" type="file" multiple>
</td></tr>
<input type="submit" id="clicknow" value="Submit" name="signup">
</form>