<?php session_start();
require_once("../patientmanager.php");
require_once("../DBManager.php");
if(isset($_POST['ortray_checklist'])) 
{
   PatientManager::Ortrayce("$_GET[prescriptionid]","$_GET[patientid]","$_GET[surgeryid]","$_POST[sponege]","$_POST[Sponge_Holder]","$_POST[Gauge_and_Bandage]","$_POST[Antiseptic]","$_POST[BP_Handle]","$_POST[Mop]","$_POST[Towel]","$_POST[Towel_Clip]","$_POST[Long_forceps]","$_POST[Small_Forceps]","$_POST[Allis_forceps]","$_POST[Mayo_Scissors]","$_POST[Suture]","$_POST[Cutting]","$_POST[Needle_Holder]","$_POST[Tooth_Forceps]","$_POST[Doyens_Retractors]","$_POST[Suction_Tube]","$_POST[Cautery_pencil]","$_POST[Right_angle_Forceps]","$_POST[Tenaculum]","$_POST[Kocher_Forceps]","$_POST[Babcock]","$_POST[Absorb_Suture]","$_POST[Suture_V1]","$_POST[Suture_V2]","$_POST[Non_Absorb_Suture]","$_POST[Blade]","$_POST[Bowl]","$_POST[Suture_Cutting_scissors]","$_POST[Cord_Cutting_scissors]","$_POST[entered_by]");
}
?>

 <form name="ortray_checklist" method="post" >
 
 <h5 align="center">Part Preparation</h5>
  <table id="example2" class="table table-bordered table-hover"> 
  <div class="center">
     
      <tr><td><h3>Part Preparation</h3></td><td><h3>Count – In</h3></td></tr>
      <tr>
          <td><span style="font-size: 20px">Sponge 
</span></h3></td>
<td><input type="number" placeholder="SPONGE" name="sponege">
</td>
 
</tr>
    <tr>
          <td><span style="font-size: 20px">Sponge Holder 
</span></h3></td><td><input type="number" placeholder="Sponge Holder" name="Sponge_Holder">
</td>
</tr>
 <tr>
          <td><span style="font-size: 20px">Gauge and Bandage 
</span></h3></td><td><input type="number" placeholder="Gauge and Bandage " name="Gauge_and_Bandage">
</td>
</tr>
 <tr>
          <td><span style="font-size: 20px">Antiseptic
</span></h3></td><td><input name="Antiseptic" placeholder="Antiseptic" type="number">
</td>
</tr>
 <tr>
          <td><span style="font-size: 20px">BP Handle 
</span></h3></td><td> <input name="BP_Handle" placeholder="BP Handle" type="number">
</td>
</tr>
 <tr>
          <td><span style="font-size: 20px">Blade 
</span></h3></td><td> <input name="Blade" placeholder="Blade" type="number">
</td>
</tr>
 <tr>
          <td><span style="font-size: 20px">Bowl
</span></h3></td><td> <input name="Bowl" placeholder="Bowl" type="number">
</td>
</tr>
 <tr>
          <td><span style="font-size: 20px">Mop
</span></h3></td><td> <input name="Mop" placeholder="Mop" type="number">
</td>
</tr>
 <tr>
          <td><span style="font-size: 20px">Towel
</span></h3></td><td> <input name="Towel"  placeholder="Towel" type="number">
</td>
</tr>
 <tr>
          <td><span style="font-size: 20px">Towel Clip 
</span></h3></td><td><input name="Towel_Clip" placeholder="Towel Clip" type="number">
</td>
</tr>
 <tr>
          <td><span style="font-size: 20px">Long Artery forceps 
</span></h3></td><td> <input name="Long_forceps" placeholder="Long Artery forceps" type="number">
</td>
</tr>
 <tr>
          <td><span style="font-size: 20px">Small Artery Forceps 
</span></h3></td><td><input name="Small_Forceps" placeholder="Small Artery Forceps" type="number">
</td>
</tr>
 <tr>
          <td><span style="font-size: 20px">Allis forceps 
</span></h3></td><td>  <input name="Allis_forceps" placeholder="Allis forceps" type="number">
</td>
</tr>
<tr>
          <td><span style="font-size: 20px">Mayo Scissors 
</span></h3></td><td> <input name="Mayo_Scissors" placeholder="Mayo Scissors " type="number">
</td>
</tr>
<tr>
          <td><span style="font-size: 20px">Suture Cutting scissors 
</span></h3></td><td><input name="Suture_Cutting_scissors" placeholder="Suture Cutting scissors " type="number">
</td>
</tr>
<tr>
          <td><span style="font-size: 20px">Cord Cutting scissors
</span></h3></td><td><input name="Cord_Cutting_scissors" placeholder="Cord Cutting scissors" type="number">
</td>
</tr>
<tr>
          <td><span style="font-size: 20px">Needle Holder
</span></h3></td><td><input name="Needle_Holder" placeholder="Needle Holder" type="number">
</td>
</tr>
<tr>
          <td><span style="font-size: 20px">Tooth Forceps
</span></h3></td><td><input name="Tooth_Forceps" placeholder="Tooth Forceps" type="number">
</td>
</tr>
<tr>
          <td><span style="font-size: 20px">Doyens Retractors 
</span></h3></td><td><input name="Doyens_Retractors" placeholder="Doyens Retractors " type="number">
</td>
</tr>
<tr>
          <td><span style="font-size: 20px">Suction Tube 
</span></h3></td><td> <input name="Suction_Tube" placeholder="Suction Tube" type="number">
</td>
</tr>
<tr>
          <td><span style="font-size: 20px">Cautery pencil 
</span></h3></td><td> <input name="Cautery_pencil" placeholder="Cautery pencil" type="number">
</td>
</tr>
<tr>
          <td><span style="font-size: 20px">Right angle Forceps 
</span></h3></td><td> <input name="Right_angle_Forceps" placeholder="Right angle Forceps" type="number">
</td>
</tr>
<tr>
          <td><span style="font-size: 20px">Tenaculum
</span></h3></td><td> <input name="Tenaculum" placeholder="Tenaculum" type="number">
</td>
</tr>
<tr>
          <td><span style="font-size: 20px">Kocher’s Forceps 
</span></h3></td><td> <input name="Kocher_Forceps" placeholder="Kocher’s Forceps " type="number">
 
</td>
</tr>
<tr>
          <td><span style="font-size: 20px">Babcock  
</span></h3></td><td> <input name="Babcock" placeholder="Babcock" type="number">
</td>
</tr><tr>

          <td><span style="font-size: 20px">Absorb Suture V 2-0 90CM
</span></h3></td><td><input name="Absorb_Suture" placeholder="Absorb Suture V 2-0 90CM" type="number">
</td>
</tr>

<tr>

          <td><span style="font-size: 20px">Absorb Suture V-1 90CM
</span></h3></td><td><input name="Suture_V1" placeholder="Absorb Suture V-1 90CM" type="number">
</td>
</tr>

<tr>

          <td><span style="font-size: 20px">Absorb Suture V 2-0 90CM
</span></h3></td><td><input name="Suture_V2" placeholder="Absorb Suture V 2-0 90CM" type="number">
</td>
</tr>

<tr>
          <td><span style="font-size: 20px">Non Absorb Suture 
</span></h3></td><td> <input name="Non_Absorb_Suture" placeholder="Non Absorb Suture" type="number">
</td>
</tr>

          </table>  
          
          <input type='submit' name='ortray_checklist' value='Submit'>
          
          </form>