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<?php session_start(); require_once('../DBManager.php'); require_once('../LoginManager.php'); include 'dashboarddocument.php'; include 'header.php'; ?> <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 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> <?php $narayan=LoginManager::currentUser(); $usertype=LoginManager::getUserTypeByuname("$narayan"); $sql ="SELECT * FROM patient WHERE patientid='54'"; $qsql = mysqli_query($con,$sql); while($rs = mysqli_fetch_array($qsql)) { echo " <div class='content-wrapper'> <!-- Content Header (Page header) --> <section class='content-header'> <div class='center'> <table id='example2' class='table table-bordered table-hover' width='100%'> <fieldset><legend>OT CHECK-LIST</legend> <tr> <td width='50%'> Patient Name </td> <td width='50%'>$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%'>$rs[gendor]</td> </tr> <tr> <td width='50%'> IPD No. : </td> <td width='50%'><input type='text' name'ipdno'></td> </tr> <tr> <td width='50%'> Procedure : </td> <td width='50%'>$rs[Locality]</td> </tr> <tr> <td width='50%'> Consent : </td> <td width='50%'><select name='Consent'> <option value=''disabled selected>Consent </option> <option value='Present'> Present</option> <option value='Not Present'>Not Present</option> </select> </td> </tr> <tr> <td width='50%'> Nothing By Mouth Form : </td> <td width='50%'><select name='mouth_form'> <option value=''disabled selected>Nothing By Mouth Form </option> <option value='Present'> Present</option> <option value='Not Present'>Not Present</option> </select> </td> </tr> <tr> <td width='50%'> Dental Hygiene : </td> <td width='50%'><select name='Hygiene'> <option value=''disabled selected>Dental Hygiene </option> <option value='Adequate'> Adequate</option> <option value='Poor'>Poor</option> </select> </td> </tr> <tr> <td width='50%'> Denture : </td> <td width='50%'><select name='Denture'> <option value=''disabled selected>Denture </option> <option value=' Present if present is should be removed'> Present if present is should be removed</option> <option value='Not Present'>Not Present</option> <option value='Non Removable'>Non Removable</option> </select> </td> </tr> <tr> <td width='50%'> Investigation : </td> <td width='50%'><select name='Investigation'> <option value=''disabled selected>Investigation </option> <option value=' Present'> Present</option> <option value='Not Present'>Not Present</option> </select> </td> </tr> <tr> <td width='50%'> Nail Paint/Ornament : </td> <td width='50%'><select name='Investigation'> <option value=''disabled selected>Nail Paint/Ornament </option> <option value=' Present'> Present</option> <option value='Not Present'>Not Present</option> <option value='Not Reovable'>Not Reovable</option> </select> </td> </tr> <tr> <td width='50%'> Pre medication : </td> <td width='50%'><select name='Pre_medication'> <option value=''disabled selected>Pre medication </option> <option value='given'> given</option> <option value='Not Present'>Not Given</option> </select> </td> </tr> <tr> <td width='50%'> Blood Arrange : </td> <td width='50%'><select name='Pre_medication'> <option value=''disabled selected>Blood Arrange </option> <option value='PRBC'> PRBC </option> <option value='FFP'> FFP </option> <option value='FFP'> FFP </option> <option value='Platelet'>Platelet </option> <option value='Platelet'>Albumin </option> </select> </td> </tr> <tr> <td width='50%'> Part preparation : </td> <td width='50%'><select name='preparation'> <option value=''disabled selected>Part preparation </option> <option value='Done'> Done</option> <option value='Not Done'>Not Done</option> </select> </td> </tr> <tr> <td width='50%'> Account clearance : </td> <td width='50%'><select name='clearance'> <option value=''disabled selected>Account clearance </option> <option value='Done'> Done</option> <option value='Not Done'>Not Done</option> </select> </td> </tr> <tr> <td><div class='checkbox'> <input type='checkbox' name='Drugs_Allergies' id='myCheck4' onclick='myFunction4()'><span>Any Drugs Allergies</span> </td> <td><div class='checkbox'> <input type='checkbox' name='Previous_surgery' id='myCheck3' onclick='myFunction3()'><span>Previous any surgery`s</span> </td></td></div> </tr> <tr> <td><div class='checkbox'> <input type='checkbox' name='History_of_DM' id='myCheck2' onclick='myFunction2()'><span>History of DM, HTN</span> </td> <td><div class='checkbox'> <input type='checkbox' name='ICU_Available ' id='myCheck3' onclick='myFunction3()'><span>ICU Bed & Vent. Available </span> </td></td></div> </tr> </table> <div id='text4' style='display:none'> <label>Specify (Any Drugs Allergies)</label> <input type='text' name='Allergies_specify'> </div> <div id='text3' style='display:none'> <label>Specify (Previous any surgery`s)</label> <input type='text' name='surgery_specify'> <div id='text2' style='display:none'> <label>Specify (History of DM, HTN )</label> <input type='text' name='DM_specify'> </div> </table> </fieldset> </div> "; echo "</td></tr>"; } ?> <br> <table id='example2' class='table table-bordered table-hover' width='100%'> <tr> <td width='50%'> Handover given by </td> <td width='50%'><input type="text" name="Handover_given_by"</td> </tr> <tr> <td width='50%'> Handover taken by : </td> <td width='50%'><input type="text" name="Handover_taken_by"</td> </tr> <tr> <td width='50%'> Staff Nurse name : </td> <td width='50%'><input type="text" name="Nurse_name"></td> </tr> <tr> <td width='50%'> Sex : </td> <td width='50%'><input type="text" name="Handover_given_by"</td> </tr> </table> </form> <input type="submit" value="Submit" name="submit">