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Upload File : |
<?php session_start();
require_once('../LoginManager.php');
require_once('../DBManager.php');
include('menu.php');
include('header.php');
include("dbconnection.php");
$target_dir = "uploads/";
$filename = basename($_FILES["fileToUpload"]["name"]);
$target_file = $target_dir . basename($_FILES["fileToUpload"]["name"]);
$uploadOk = 1;
$imageFileType = strtolower(pathinfo($target_file,PATHINFO_EXTENSION));
$Ntarget_dir = "uploads/";
$Nfilename = basename($_FILES["NursefileToUpload"]["name"]);
$Ntarget_file = $Ntarget_dir . basename($_FILES["NursefileToUpload"]["name"]);
$NuploadOk = 1;
$NimageFileType = strtolower(pathinfo($Ntarget_file,PATHINFO_EXTENSION));
$Fronttarget_dir = "uploads/";
$Frontfilename = basename($_FILES["FrontfileToUpload"]["name"]);
$Fronttarget_file = $Fronttarget_dir . basename($_FILES["FrontfileToUpload"]["name"]);
$FrontuploadOk = 1;
$FrontimageFileType = strtolower(pathinfo($Fronttarget_file,PATHINFO_EXTENSION));
$HRtarget_dir = "uploads/";
$HRfilename = basename($_FILES["HRfileToUpload"]["name"]);
$HRtarget_file = $HRtarget_dir . basename($_FILES["HRfileToUpload"]["name"]);
$HRuploadOk = 1;
$HRimageFileType = strtolower(pathinfo($HRtarget_file,PATHINFO_EXTENSION));
$OTtarget_dir = "uploads/";
$OTfilename = basename($_FILES["OTfileToUpload"]["name"]);
$OTtarget_file = $OTtarget_dir . basename($_FILES["OTfileToUpload"]["name"]);
$OTuploadOk = 1;
$OTimageFileType = strtolower(pathinfo($OTtarget_file,PATHINFO_EXTENSION));
$Labtarget_dir = "uploads/";
$Labfilename = basename($_FILES["LabfileToUpload"]["name"]);
$Labtarget_file = $Labtarget_dir . basename($_FILES["LabfileToUpload"]["name"]);
$LabuploadOk = 1;
$LabimageFileType = strtolower(pathinfo($Labtarget_file,PATHINFO_EXTENSION));
$Diagnostictarget_dir = "uploads/";
$Diagnosticfilename = basename($_FILES["DiagnosticfileToUpload"]["name"]);
$Diagnostictarget_file = $Diagnostictarget_dir . basename($_FILES["DiagnosticfileToUpload"]["name"]);
$DiagnosticuploadOk = 1;
$DiagnosticimageFileType = strtolower(pathinfo($Diagnostictarget_file,PATHINFO_EXTENSION));
$Optometristtarget_dir = "uploads/";
$Optometristfilename = basename($_FILES["OptometristfileToUpload"]["name"]);
$Optometristtarget_file = $Optometristtarget_dir . basename($_FILES["OptometristfileToUpload"]["name"]);
$OptometristuploadOk = 1;
$OptometristimageFileType = strtolower(pathinfo($Optometristtarget_file,PATHINFO_EXTENSION));
if(isset($_POST['submit']))
{
$CheckPatient = $con->query("SELECT * FROM `rmo_document` WHERE `RMOId` = '$_GET[userno]' AND `dateofissue` = '$_POST[dateofissue]' AND `issueby` = '$_POST[issueby]' ");
$numSU=mysqli_num_rows($CheckPatient);
if($numSU > 0){
echo "<script>alert('Already Exists');</script>";
}else{
$created_at=date("F d, Y / h:i:s A");
$sql="INSERT INTO `rmo_document`(`RMOId`, `dateofissue`, `issueby`, `typedocument`, `Specify`, `fileToUpload`, `Created_at`) VALUES ('$_GET[userno]','$_POST[dateofissue]','$_POST[issueby]','$_POST[typedocument]','$_POST[Specify]','$filename','$created_at')";
//echo $sql;
if($qsql = mysqli_query($con,$sql))
{
if (move_uploaded_file($_FILES["fileToUpload"]["tmp_name"], $target_file)) {
// echo "<script>alert('Immunization record inserted successfully...');</script>";
echo "<script>window.location='ProfessionalProfile.php?userno=$_GET[userno]'</script>;";
}
}
else {
echo "Sorry, there was an error uploading your file.";
}
}
}
// Nurse
if(isset($_POST['AddNurseDoc']))
{
$CheckPatient = $con->query("SELECT * FROM `nurse_doc` WHERE `NurseId` = '$_GET[userno]' AND `dateofissue` = '$_POST[Nursedateofissue]' AND `issueby` = '$_POST[Nurseissueby]' ");
$numSU=mysqli_num_rows($CheckPatient);
if($numSU > 0){
echo "<script>alert('Already Exists');</script>";
}else{
$created_at=date("F d, Y / h:i:s A");
$Nurse="INSERT INTO `nurse_doc`(`NurseId`, `dateofissue`, `issueby`, `typedocument`, `Specify`, `fileToUpload`, `Created_at`) VALUES ('$_GET[userno]','$_POST[Nursedateofissue]','$_POST[Nurseissueby]','$_POST[Nursetypedocument]','$_POST[NurseSpecify]','$Nfilename','$created_at')";
echo $Nurse;
if($qNurse = mysqli_query($con,$Nurse))
{
if (move_uploaded_file($_FILES["NursefileToUpload"]["tmp_name"], $Ntarget_file)) {
// echo "<script>alert('Immunization record inserted successfully...');</script>";
echo "<script>window.location='ProfessionalProfile.php?userno=$_GET[userno]'</script>;";
}
}
else {
echo "Sorry, there was an error uploading your file.";
}
}
}
// Front Office
if(isset($_POST['AddFrontDoc']))
{
$CheckPatient = $con->query("SELECT * FROM `front_office_doc` WHERE `FrontId` = '$_GET[userno]' AND `dateofissue` = '$_POST[Frontdateofissue]' AND `issueby` = '$_POST[Frontissueby]'");
$numSU=mysqli_num_rows($CheckPatient);
if($numSU > 0){
echo "<script>alert('Already Exists');</script>";
}else{
$created_at=date("F d, Y / h:i:s A");
$Front="INSERT INTO `front_office_doc`(`FrontId`, `dateofissue`, `issueby`, `typedocument`, `Specify`, `fileToUpload`, `Created_at`) VALUES ('$_GET[userno]','$_POST[Frontdateofissue]','$_POST[Frontissueby]','$_POST[Fronttypedocument]','$_POST[FrontSpecify]','$Frontfilename','$created_at')";
echo $Front;
if($qFront = mysqli_query($con,$Front))
{
if (move_uploaded_file($_FILES["FrontfileToUpload"]["tmp_name"], $Fronttarget_file)) {
// echo "<script>alert('Immunization record inserted successfully...');</script>";
echo "<script>window.location='ProfessionalProfile.php?userno=$_GET[userno]'</script>;";
}
}
else {
echo "Sorry, there was an error uploading your file.";
}
}
}
// Human Recources
if(isset($_POST['AddHRDoc']))
{
$CheckPatient = $con->query("SELECT * FROM `hr_doc` WHERE `hrId` = '$_GET[userno]' AND `dateofissue` = '$_POST[HRdateofissue]' AND `issueby` = '$_POST[HRissueby]' ");
$numSU=mysqli_num_rows($CheckPatient);
if($numSU > 0){
echo "<script>alert('Already Exists');</script>";
}else{
$created_at=date("F d, Y / h:i:s A");
$HR="INSERT INTO `hr_doc`(`hrId`, `dateofissue`, `issueby`, `typedocument`, `Specify`, `fileToUpload`, `Created_at`) VALUES ('$_GET[userno]','$_POST[HRdateofissue]','$_POST[HRissueby]','$_POST[HRtypedocument]','$_POST[HRSpecify]','$HRfilename','$created_at')";
echo $HR;
if($qHR = mysqli_query($con,$HR))
{
if (move_uploaded_file($_FILES["HRfileToUpload"]["tmp_name"], $HRtarget_file)) {
// echo "<script>alert('Immunization record inserted successfully...');</script>";
echo "<script>window.location='ProfessionalProfile.php?userno=$_GET[userno]'</script>;";
}
}
else {
echo "Sorry, there was an error uploading your file.";
}
}
}
// OT
if(isset($_POST['AddOTDoc']))
{
$CheckPatient = $con->query("SELECT * FROM `ot_doc` WHERE `otid` = '$_GET[userno]' AND `dateofissue` = '$_POST[OTdateofissue]' AND `issueby` = '$_POST[OTissueby]'");
$numSU=mysqli_num_rows($CheckPatient);
if($numSU > 0){
echo "<script>alert('Already Exists');</script>";
}else{
$created_at=date("F d, Y / h:i:s A");
$OT="INSERT INTO `ot_doc`(`otid`, `dateofissue`, `issueby`, `typedocument`, `Specify`, `fileToUpload`, `Created_at`) VALUES ('$_GET[userno]','$_POST[OTdateofissue]','$_POST[OTissueby]','$_POST[OTtypedocument]','$_POST[OTSpecify]','$OTfilename','$created_at')";
echo $OT;
if($qOT = mysqli_query($con,$OT))
{
if (move_uploaded_file($_FILES["OTfileToUpload"]["tmp_name"], $OTtarget_file)) {
// echo "<script>alert('Immunization record inserted successfully...');</script>";
echo "<script>window.location='ProfessionalProfile.php?userno=$_GET[userno]'</script>;";
}
}
else {
echo "Sorry, there was an error uploading your file.";
}
}
}
// Lab
if(isset($_POST['AddLabDoc']))
{
$CheckPatient = $con->query("SELECT * FROM `lab_doc` WHERE `Labid` = '$_GET[userno]' AND `dateofissue` = '$_POST[Labdateofissue]' AND `issueby` = '$_POST[Labissueby]' ");
$numSU=mysqli_num_rows($CheckPatient);
if($numSU > 0){
echo "<script>alert('Already Exists');</script>";
}else{
$created_at=date("F d, Y / h:i:s A");
$Lab="INSERT INTO `lab_doc`(`Labid`, `dateofissue`, `issueby`, `typedocument`, `Specify`, `fileToUpload`, `Created_at`) VALUES ('$_GET[userno]','$_POST[Labdateofissue]','$_POST[Labissueby]','$_POST[Labtypedocument]','$_POST[LabSpecify]','$Labfilename','$created_at')";
echo $Lab;
if($qLab = mysqli_query($con,$Lab))
{
if (move_uploaded_file($_FILES["LabfileToUpload"]["tmp_name"], $Labtarget_file)) {
// echo "<script>alert('Immunization record inserted successfully...');</script>";
echo "<script>window.location='ProfessionalProfile.php?userno=$_GET[userno]'</script>;";
}
}
else {
echo "Sorry, there was an error uploading your file.";
}
}
}
// Diagnostic
if(isset($_POST['AddDiagnosticDoc']))
{
$CheckPatient = $con->query("SELECT * FROM `diagnostic_doc` WHERE `Diagnosticid` = '$_GET[userno]' AND `dateofissue` = '$_POST[Diagnosticdateofissue]' AND `issueby` = '$_POST[Diagnosticissueby]'");
$numSU=mysqli_num_rows($CheckPatient);
if($numSU > 0){
echo "<script>alert('Already Exists');</script>";
}else{
$created_at=date("F d, Y / h:i:s A");
$Diagnostic="INSERT INTO `diagnostic_doc`(`Diagnosticid`, `dateofissue`, `issueby`, `typedocument`, `Specify`, `fileToUpload`, `Created_at`) VALUES ('$_GET[userno]','$_POST[Diagnosticdateofissue]','$_POST[Diagnosticissueby]','$_POST[Diagnostictypedocument]','$_POST[DiagnosticSpecify]','$Diagnosticfilename','$created_at')";
echo $Diagnostic;
if($qDiagnostic = mysqli_query($con,$Diagnostic))
{
if (move_uploaded_file($_FILES["DiagnosticfileToUpload"]["tmp_name"], $Diagnostictarget_file)) {
// echo "<script>alert('Immunization record inserted successfully...');</script>";
echo "<script>window.location='ProfessionalProfile.php?userno=$_GET[userno]'</script>;";
}
}
else {
echo "Sorry, there was an error uploading your file.";
}
}
}
// Optometrist
if(isset($_POST['AddOptometristDoc']))
{
$CheckPatient = $con->query("SELECT * FROM `Optometrist_doc` WHERE `Optometristid` = '$_GET[userno]' AND `dateofissue` = '$_POST[Optometristdateofissue]' AND `issueby` = '$_POST[Optometristissueby]'");
$numSU=mysqli_num_rows($CheckPatient);
if($numSU > 0){
echo "<script>alert('Already Exists');</script>";
}else{
$created_at=date("F d, Y / h:i:s A");
$Optometrist="INSERT INTO `Optometrist_doc`(`Optometristid`, `dateofissue`, `issueby`, `typedocument`, `Specify`, `fileToUpload`, `Created_at`) VALUES ('$_GET[userno]','$_POST[Optometristdateofissue]','$_POST[Optometristissueby]','$_POST[Optometristtypedocument]','$_POST[OptometristSpecify]','$Optometristfilename','$created_at')";
echo $Optometrist;
if($qOptometrist = mysqli_query($con,$Optometrist))
{
if (move_uploaded_file($_FILES["OptometristfileToUpload"]["tmp_name"], $Optometristtarget_file)) {
// echo "<script>alert('Immunization record inserted successfully...');</script>";
echo "<script>window.location='ProfessionalProfile.php?userno=$_GET[userno]'</script>;";
}
}
else {
echo "Sorry, there was an error uploading your file.";
}
}
}
?>
<!DOCTYPE html>
<html>
<head>
<meta http-equiv="content-type" content="text/html;charset=UTF-8" />
<title> Laboratory access</title>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="new2.css">
<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;
z-index:1000000000;
}
@keyframes spin {
0% {
-webkit-transform: rotate(0deg);
transform: rotate(0deg);
}
100% {
-webkit-transform: rotate(360deg);
transform: rotate(360deg);
}
}
</style>
<script>
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";
}
}</script>
</head>
<body>
<div class="content-wrapper">
<section class="content-header">
<div style = "display:none;" id = "loaderImg"> <div class="loader"> </div> </div>
<?php
session_start();
require_once('../DBManager.php');
require_once('../LoginManager.php');
$narayan=LoginManager::currentUser();
$harilal=LoginManager::getUserTypeByuname("$narayan");
$sql ="SELECT * FROM site_users WHERE userno='$harilal'";
$qsql = mysqli_query($con,$sql);
$re = mysqli_fetch_array($qsql);
if($re['usertype']=='RMO'){
?>
<a href='ProfessionalProfile.php' style="float:right;font-size:25px;"><i class="fa fa-window-close-o" aria-hidden="true"></i></a>
<form method="post" id="myForm" enctype="multipart/form-data">
<label>Date of issue</label>
<input type="date" name="dateofissue" id="dateofissue">
<label>Issue By</label>
<input type="text" name="issueby" id="issueby" placeholder='Issue By'>
<label>Type of Document</label>
<select name="typedocument" id="typedocument">
<option value="" disabled selected> Education Qualification</option>
<option value='Higher Secondary School / High School'>Higher Secondary School / High School</option>
<option value='Diploma'>Diploma</option>
<option value='Graduation'>Graduation</option>
<option value='Post Graduation'>Post Graduation</option>
<option value='Doctrate'>Doctorate</option>
<option value='Technical Qualification'>Technical Qualification</option>
</select>
<br>
<label>Specify</label>
<input type="text" name="Specify" id="Specify" placeholder='Certificate Details With Registration Number'>
<label>Upload Document</label>
<input type="file" name="fileToUpload" id="fileToUpload">
<button type="submit" value="" id="btn" name="submit" class='btn btn-info'>Upload Document</button>
</form>
<?php }
if($re['usertype']=='Nurse'){ ?>
<a href='ProfessionalProfile.php' style="float:right;font-size:25px;"><i class="fa fa-window-close-o" aria-hidden="true"></i></a>
<form method="post" id="myForm" enctype="multipart/form-data">
<label>Date of issue</label>
<input type="date" name="Nursedateofissue" id="dateofissue">
<label>Issue By</label>
<input type="text" name="Nurseissueby" id="issueby" placeholder='Issue By'>
<label>Type of Document</label>
<select name="Nursetypedocument" id="typedocument">
<option value="" disabled selected> Education Qualification</option>
<option value='Higher Secondary School / High School'>Higher Secondary School / High School</option>
<option value='Diploma'>Diploma</option>
<option value='Graduation'>Graduation</option>
<option value='Post Graduation'>Post Graduation</option>
<option value='Doctrate'>Doctorate</option>
<option value='Technical Qualification'>Technical Qualification</option>
</select>
<br>
<label>Specify</label>
<input type="text" name="NurseSpecify" id="Specify" placeholder='Certificate Details With Registration Number'>
<label>Upload Document</label>
<input type="file" name="NursefileToUpload" id="fileToUpload">
<button type="submit" value="" id="btn" name="AddNurseDoc" class='btn btn-info'>Upload Document</button>
</form>
<?php }
if($re['usertype']=='FrontOffice'){ ?>
<a href='ProfessionalProfile.php' style="float:right;font-size:25px;"><i class="fa fa-window-close-o" aria-hidden="true"></i></a>
<form method="post" id="myForm" enctype="multipart/form-data">
<label>Date of issue</label>
<input type="date" name="Frontdateofissue" id="dateofissue">
<label>Issue By</label>
<input type="text" name="Frontissueby" id="issueby" placeholder='Issue By'>
<label>Type of Document</label>
<select name="Fronttypedocument" id="typedocument">
<option value="" disabled selected> Education Qualification</option>
<option value='Higher Secondary School / High School'>Higher Secondary School / High School</option>
<option value='Diploma'>Diploma</option>
<option value='Graduation'>Graduation</option>
<option value='Post Graduation'>Post Graduation</option>
<option value='Doctrate'>Doctorate</option>
<option value='Technical Qualification'>Technical Qualification</option>
</select>
<br>
<label>Specify</label>
<input type="text" name="FrontSpecify" id="Specify" placeholder='Certificate Details With Registration Number'>
<label>Upload Document</label>
<input type="file" name="FrontfileToUpload" id="fileToUpload">
<button type="submit" value="" id="btn" name="AddFrontDoc" class='btn btn-info'>Upload Document</button>
</form>
<?php }
if($re['usertype']=='HR'){ ?>
<a href='ProfessionalProfile.php' style="float:right;font-size:25px;"><i class="fa fa-window-close-o" aria-hidden="true"></i></a>
<form method="post" id="myForm" enctype="multipart/form-data">
<label>Date of issue</label>
<input type="date" name="HRdateofissue" id="dateofissue">
<label>Issue By</label>
<input type="text" name="HRissueby" id="issueby" placeholder='Issue By'>
<label>Type of Document</label>
<select name="HRtypedocument" id="typedocument">
<option value="" disabled selected> Education Qualification</option>
<option value='Higher Secondary School / High School'>Higher Secondary School / High School</option>
<option value='Diploma'>Diploma</option>
<option value='Graduation'>Graduation</option>
<option value='Post Graduation'>Post Graduation</option>
<option value='Doctrate'>Doctorate</option>
<option value='Technical Qualification'>Technical Qualification</option>
</select>
<br>
<label>Specify</label>
<input type="text" name="HRSpecify" id="Specify" placeholder='Certificate Details With Registration Number'>
<label>Upload Document</label>
<input type="file" name="HRfileToUpload" id="fileToUpload">
<button type="submit" value="" id="btn" name="AddHRDoc" class='btn btn-info'>Upload Document</button>
</form>
<?php }
if($re['usertype']=='OT'){ ?>
<a href='ProfessionalProfile.php' style="float:right;font-size:25px;"><i class="fa fa-window-close-o" aria-hidden="true"></i></a>
<form method="post" id="myForm" enctype="multipart/form-data">
<label>Date of issue</label>
<input type="date" name="OTdateofissue" id="dateofissue">
<label>Issue By</label>
<input type="text" name="OTissueby" id="issueby" placeholder='Issue By'>
<label>Type of Document</label>
<select name="OTtypedocument" id="typedocument">
<option value="" disabled selected> Education Qualification</option>
<option value='Higher Secondary School / High School'>Higher Secondary School / High School</option>
<option value='Diploma'>Diploma</option>
<option value='Graduation'>Graduation</option>
<option value='Post Graduation'>Post Graduation</option>
<option value='Doctrate'>Doctorate</option>
<option value='Technical Qualification'>Technical Qualification</option>
</select>
<br>
<label>Specify</label>
<input type="text" name="OTSpecify" id="Specify" placeholder='Certificate Details With Registration Number'>
<label>Upload Document</label>
<input type="file" name="OTfileToUpload" id="fileToUpload">
<button type="submit" value="" id="btn" name="AddOTDoc" class='btn btn-info'>Upload Document</button>
</form>
<?php }
if($re['usertype']=='Lab'){ ?>
<a href='ProfessionalProfile.php' style="float:right;font-size:25px;"><i class="fa fa-window-close-o" aria-hidden="true"></i></a>
<form method="post" id="myForm" enctype="multipart/form-data">
<label>Date of issue</label>
<input type="date" name="Labdateofissue" id="dateofissue">
<label>Issue By</label>
<input type="text" name="Labissueby" id="issueby" placeholder='Issue By'>
<label>Type of Document</label>
<select name="Labtypedocument" id="typedocument">
<option value="" disabled selected> Education Qualification</option>
<option value='Higher Secondary School / High School'>Higher Secondary School / High School</option>
<option value='Diploma'>Diploma</option>
<option value='Graduation'>Graduation</option>
<option value='Post Graduation'>Post Graduation</option>
<option value='Doctrate'>Doctorate</option>
<option value='Technical Qualification'>Technical Qualification</option>
</select>
<br>
<label>Specify</label>
<input type="text" name="LabSpecify" id="Specify" placeholder='Certificate Details With Registration Number'>
<label>Upload Document</label>
<input type="file" name="LabfileToUpload" id="fileToUpload">
<button type="submit" value="" id="btn" name="AddLabDoc" class='btn btn-info'>Upload Document</button>
</form>
<?php }
if($re['usertype']=='Diagnostic'){ ?>
<a href='ProfessionalProfile.php' style="float:right;font-size:25px;"><i class="fa fa-window-close-o" aria-hidden="true"></i></a>
<form method="post" id="myForm" enctype="multipart/form-data">
<label>Date of issue</label>
<input type="date" name="Diagnosticdateofissue" id="dateofissue">
<label>Issue By</label>
<input type="text" name="Diagnosticissueby" id="issueby" placeholder='Issue By'>
<label>Type of Document</label>
<select name="Diagnostictypedocument" id="typedocument">
<option value="" disabled selected> Education Qualification</option>
<option value='Higher Secondary School / High School'>Higher Secondary School / High School</option>
<option value='Diploma'>Diploma</option>
<option value='Graduation'>Graduation</option>
<option value='Post Graduation'>Post Graduation</option>
<option value='Doctrate'>Doctorate</option>
<option value='Technical Qualification'>Technical Qualification</option>
</select>
<br>
<label>Specify</label>
<input type="text" name="DiagnosticSpecify" id="Specify" placeholder='Certificate Details With Registration Number'>
<label>Upload Document</label>
<input type="file" name="DiagnosticfileToUpload" id="fileToUpload">
<button type="submit" value="" id="btn" name="AddDiagnosticDoc" class='btn btn-info'>Upload Document</button>
</form>
<?php }
if($re['usertype']=='Optometrist'){ ?>
<a href='ProfessionalProfile.php' style="float:right;font-size:25px;"><i class="fa fa-window-close-o" aria-hidden="true"></i></a>
<form method="post" id="myForm" enctype="multipart/form-data">
<label>Date of issue</label>
<input type="date" name="Optometristdateofissue" id="dateofissue">
<label>Issue By</label>
<input type="text" name="Optometristissueby" id="issueby" placeholder='Issue By'>
<label>Type of Document</label>
<select name="Optometristtypedocument" id="typedocument">
<option value="" disabled selected> Education Qualification</option>
<option value='Higher Secondary School / High School'>Higher Secondary School / High School</option>
<option value='Diploma'>Diploma</option>
<option value='Graduation'>Graduation</option>
<option value='Post Graduation'>Post Graduation</option>
<option value='Doctrate'>Doctorate</option>
<option value='Technical Qualification'>Technical Qualification</option>
</select>
<br>
<label>Specify</label>
<input type="text" name="OptometristSpecify" id="Specify" placeholder='Certificate Details With Registration Number'>
<label>Upload Document</label>
<input type="file" name="OptometristfileToUpload" id="fileToUpload">
<button type="submit" value="" id="btn" name="AddOptometristDoc" class='btn btn-info'>Upload Document</button>
</form>
<?php }
?>
</body>
</html>
<script>
document.getElementById('btn').addEventListener("click", function(){
this.classList.add("loading");
this.innerHTML = "Loading...";
});
</script>