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<?php session_start(); include("header.php"); include("dbconnection.php"); if(isset($_POST[submit])) { { $sql ="INSERT INTO allergy(patientid,Allergen,Category,Severity,Startdt,StopDate,Reaction,Reactiontype,ReactionSeverity,dsReaction,Reactionstdate) values('$_POST[patientid]','$_POST[Allergen]','$_POST[Category]','$_POST[Severity]','$_POST[Startdt]','$_POST[StopDate]','$_POST[Reaction]','$_POST[Reactiontype]','$_POST[ReactionSeverity]','$_POST[dsReaction]','$_POST[Reactionstdate]')"; if($qsql = mysqli_query($con,$sql)) { echo "<script>alert('Appointment record inserted successfully...');</script>"; } else { echo mysqli_error($con); } } } if(isset($_GET[editid])) { $sql="SELECT * FROM appointment WHERE appointmentid='$_GET[editid]' "; $qsql = mysqli_query($con,$sql); $rsedit = mysqli_fetch_array($qsql); } if(isset($_SESSION[patientid])) { $sqlpatient = "SELECT * FROM patient WHERE patientid='$_SESSION[patientid]' "; $qsqlpatient = mysqli_query($con,$sqlpatient); $rspatient = mysqli_fetch_array($qsqlpatient); $readonly = " readonly"; } ?> <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.3.1/jquery.min.js"></script> <div class="wrapper col2"> <div id="breadcrumb"> <ul> <li class="first">Add your allergy</li></ul> </div> </div> <div class="wrapper col4"> <div id="container"> <div class="content-wrapper"> <!-- Content Header (Page header) --> <section class="content-header"> <form method="post" action="" name="submit" onSubmit="return validateform()"> <table width="532" border="3"> <table id="example2" class="table table-bordered table-hover"> <tbody> <td>UHID NO</td> <td> <?php $sqlpatient= "SELECT * FROM patient WHERE status='Active' AND patientid='$_GET[patientid]'"; $qsqlpatient = mysqli_query($con,$sqlpatient); while($rspatient=mysqli_fetch_array($qsqlpatient)) { echo "<input type='text' name='patientid' id='patientid' value=patientid='$_GET[patientid]'></td>"; } ?> </tr> <tr> <td height="62">Allergen</td> <td><input type="text" name="Allergen" id="Allergen"></td> </tr> <tr> <td height="62">Category</td> <td> <select class="w3-select w3-border" name="Category"> <option value="" disabled selected>Category type </option> <option value="Drug">Drug</option> <option value="Food">Food</option> <option value="Environment">Environment</option> <option value="Other">Other</option> </select></td> </tr> <tr> <td height="62">Severity</td> <td> <select class="w3-select w3-border" name="Severity"> <option value="" disabled selected>Severity type </option> <option value="Mild">Mild</option> <option value="Moderate">Moderate</option> <option value="Severe">Severe</option> </select></td> </tr> <tr> <td height="62">Start Date</td> <td><input type="date" min="<?php echo date("Y-m-d"); ?>" name="Startdt" id="Startdt" ></textarea></td> </tr> <tr> <td>Stop Date</td> <td><input type="Date" min="<?php echo date("Y-m-d"); ?>" name="StopDate" id="StopDate"></td> </tr> <tr> <td>Reaction</td> <td><input type="text" name="Reaction" id="Reaction"></td> </tr> <tr> <td height="62">Reaction Type</td> <td> <select class="w3-select w3-border" name="Reactiontype"> <option value="" disabled selected>Reaction Type </option> <option value="Allergy">Allergy</option> <option value="Adverse effect">Adverse effect</option> <option value="Unknown">Unknown</option> </select></td> </tr> <tr> <td height="62">Reaction Severity</td> <td> <select class="w3-select w3-border" name="ReactionSeverity"> <option value="" disabled selected>Reaction Severity </option> <option value="Mild">Mild</option> <option value="Moderate">Moderate</option> <option value="Severe">Severe</option> </select></td> </tr> <tr> <td>Reaction Description</td> <td><textarea name="dsReaction" rows="2" cols="50" id="dsReaction"></textarea></td> </tr> <tr> <td>Reaction Start Date</td> <td><input type="Date" name="Reactionstdate" id="Reactionstdate" ></td> </tr> <tr> <td colspan="2" align="center"><input type="submit" name="submit" id="submit" value="Submit" /></td> </tr> </tbody> </table> </form> <p> </p> </div> </div> </div> <div class="clear"></div> </div> </div> <?php include("footer.php"); ?> <script type="application/javascript"> var alphaExp = /^[a-zA-Z]+$/; //Variable to validate only alphabets var alphaspaceExp = /^[a-zA-Z\s]+$/; //Variable to validate only alphabets and space var numericExpression = /^[0-9]+$/; //Variable to validate only numbers var alphanumericExp = /^[0-9a-zA-Z]+$/; //Variable to validate numbers and alphabets var emailExp = /^[\w\-\.\+]+\@[a-zA-Z0-9\.\-]+\.[a-zA-z0-9]{2,4}$/; //Variable to validate Email ID function validateform() { if(document.frmpatapp.patiente.value == "") { alert("Patient name should not be empty.."); document.frmpatapp.patiente.focus(); return false; } else if(!document.frmpatapp.patiente.value.match(alphaspaceExp)) { alert("Patient name not valid.."); document.frmpatapp.patiente.focus(); return false; } else if(document.frmpatapp.textarea.value == "") { alert("Address should not be empty.."); document.frmpatapp.textarea.focus(); return false; } else if(document.frmpatapp.city.value == "") { alert("City should not be empty.."); document.frmpatapp.city.focus(); return false; } else if(!document.frmpatapp.city.value.match(alphaspaceExp)) { alert("City name not valid.."); document.frmpatapp.city.focus(); return false; } else if(document.frmpatapp.mobileno.value == "") { alert("Mobile number should not be empty.."); document.frmpatapp.mobileno.focus(); return false; } else if(!document.frmpatapp.mobileno.value.match(numericExpression)) { alert("Mobile number not valid.."); document.frmpatapp.mobileno.focus(); return false; } else if(document.frmpatapp.loginid.value == "") { alert("login ID should not be empty.."); document.frmpatapp.loginid.focus(); return false; } else if(!document.frmpatapp.loginid.value.match(alphanumericExp)) { alert("login ID not valid.."); document.frmpatapp.loginid.focus(); return false; } else if(document.frmpatapp.password.value == "") { alert("Password should not be empty.."); document.frmpatapp.password.focus(); return false; } else if(document.frmpatapp.password.value.length < 8) { alert("Password length should be more than 8 characters..."); document.frmpatapp.password.focus(); return false; } else if(document.frmpatapp.select6.value == "") { alert("Gender should not be empty.."); document.frmpatapp.select6.focus(); return false; } else if(document.frmpatapp.dob.value == "") { alert("Date Of Birth should not be empty.."); document.frmpatapp.dob.focus(); return false; } else if(document.frmpatapp.appointmentdate.value == "") { alert("Appointment date should not be empty.."); document.frmpatapp.appointmentdate.focus(); return false; } else if(document.frmpatapp.appointmenttime.value == "") { alert("Appointment time should not be empty.."); document.frmpatapp.appointmenttime.focus(); return false; } else { return true; } } function loaddoctor(deptid) { if (window.XMLHttpRequest) { // code for IE7+, Firefox, Chrome, Opera, Safari xmlhttp = new XMLHttpRequest(); } else { // code for IE6, IE5 xmlhttp = new ActiveXObject("Microsoft.XMLHTTP"); } xmlhttp.onreadystatechange = function() { if (this.readyState == 4 && this.status == 200) { document.getElementById("divdoc").innerHTML = this.responseText; } }; xmlhttp.open("GET","departmentDoctor.php?deptid="+deptid,true); xmlhttp.send(); } </script> <script> $(function () { $("#example1").DataTable({ "responsive": true, "autoWidth": false, }); $('#example2').DataTable({ "paging": true, "lengthChange": false, "searching": false, "ordering": true, "info": true, "autoWidth": false, "responsive": true, }); }); </script>