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Current File : /home/btiyawmy/public_html/login.easenup.in/EditPage_PatientReferralsetOutward.php
<?php
session_start();
require_once("../LoginManager.php");
require_once("../DBManager.php");
include("workdeskmenu.php");
include("header.php");


 $Patient_Refferal ="SELECT * FROM patient_referral WHERE id='$_GET[id]'";
		$qsql1 = mysqli_query($con,$Patient_Refferal);
		if($rs12 = mysqli_fetch_array($qsql1))
		
if(isset($_POST['update'])){
    $PatientReferred="UPDATE `patient_referral` SET `hs_referral`='$_GET[hs_referral]',`location`='$_POST[location]',`Phone`='$_POST[Phone]',`Email`='$_POST[Email]',`Accompanied`='$_POST[Accompanied]',`Primary_Diagnosis`='$_POST[Primary_Diagnosis]',`Treatments_initiated`='$_POST[Treatments_initiated]',`Types_Patient`='$_POST[Types_Patient]',`Transportation_needs`='$_POST[Transportation_needs]',`Follow_up_requirements`='$_POST[Follow_up_requirements]',`Mobility`='$_POST[Mobility]',`Self_care`='$_POST[Self_care]',`Cognitive_impairment`='$_POST[Cognitive_impairment]',`Assistive_devices_provide`='$_POST[Assistive_devices_provide]',`Assistive_required`='$_POST[Assistive_required]' WHERE  id='$_GET[id]'";
    
   if($qsql = mysqli_query($con,$PatientReferred))
		{
    echo "<script>alert('Update successfully..');</script>
    <script> window.history.go(-1)</script>;</script>";
  } else {
    echo "Sorry, there was an error uploading your file.";
  } 
    
}		
?>
 <style>
.switch {
  position: relative;
  display: inline-block;
  width: 90px;
  height: 34px;
}

.switch input {display:none;}

.slider {
  position: absolute;
  cursor: pointer;
  top: 0;
  left: 0;
  right: 0;
  bottom: 0;
  background-color: #ca2222;
  -webkit-transition: .4s;
  transition: .4s;
   border-radius: 34px;
}

.slider:before {
  position: absolute;
  content: "";
  height: 26px;
  width: 26px;
  left: 4px;
  bottom: 4px;
  background-color: white;
  -webkit-transition: .4s;
  transition: .4s;
  border-radius: 50%;
}

input:checked + .slider {
  background-color: #2ab934;
}

input:focus + .slider {
  box-shadow: 0 0 1px #2196F3;
}

input:checked + .slider:before {
  -webkit-transform: translateX(26px);
  -ms-transform: translateX(26px);
  transform: translateX(55px);
}

/*------ ADDED CSS ---------*/
.slider:after
{
 content:'No';
 color: white;
 display: block;
 position: absolute;
 transform: translate(-50%,-50%);
 top: 50%;
 left: 50%;
 font-size: 10px;
 font-family: Verdana, sans-serif;
}

input:checked + .slider:after
{  
  content:'Yes';
}



.center {
   border: 1px solid grey;
   text-align:;
}

</style>
  <meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
  <link rel="stylesheet" href="https://www.w3schools.com/w3css/4/w3.css">
  <title>Document</title>
<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";
  }
}

function myFunction102() {
  var checkBox = document.getElementById("myCheck102");
  var text = document.getElementById("text102");
  if (checkBox.checked == true){
    text.style.display = "block";
  } else {
     text.style.display = "none";
  }
}
</script>
	<style>

.center {
   border: 1px solid grey;
   text-align:;
}
 </style>
<?php

include 'fileheader.php';



?> 
<div class=container>
    <form method="post">
     <table id='example2' class='table table-bordered table-hover' width='100%'><tr>
              <th>Personal Details</th></tr>
              </table>
    <div class="row">
<!--        <div class="col-sm-6"><table id='example2' class='table table-bordered table-hover' width='50%'><tr>-->
<!--    <td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp;Patient Id:</td><td><?php echo $rs12[patientid]?></td></tr>-->
<!--    <tr> <td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp;Prescription Id:</td><td><?php echo $rs12[prescriptionid]?></td>-->
<!--</tr></table></div>-->
        <div class="col-sm-12"> 
                <table id='example2' class='table table-bordered table-hover' width='50%'>
                    <?php 

		$sql ="SELECT * FROM patient WHERE patientid='$rs12[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
		    echo "
<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Full Name : </td>
<td width='50%'>$rs[patientname]</td>
</tr>
<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Phone : </td>
<td width='50%'>$rs[numbers]</td>
</tr>
<tr>
<td width='50%'> &nbsp;  &nbsp; &nbsp; &nbsp; DOB:  </td>
<td width='50%'>$rs[dob]</td>
</tr>
<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Sex : </td>
<td width='50%'>$rs[gendor]</td>
</tr>

 ";
	  echo "</td></tr>";	}
		?>
		<tr>



</table></div>
   


          
		    <div class=''>
    <!-- Content Header (Page header) -->
    <section class=''>
      
    <div class=''>
       
         
 <table id='example2' class='table table-bordered table-hover' width='100%'><tr>
              <th> Referral to</th></tr>
              </table>

 <table id='example2' class='table table-bordered table-hover' width='100%'>
         <?php
           
		
        
			    echo"<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp;Referral To: </td>
			        <td width='50%'><input type='text' name='hs_referral' value='$rs12[hs_referral]'></td></tr>
			        <tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Location: </td>
			        <td width='50%'> <input type='text' name='location' value='$rs12[location]'>&nbsp;</td></tr>
			          <tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Phone: </td>
			        <td width='50%'> <input type='text' name='Phone' value='$rs12[Phone]'></td></tr>
			        	          <tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Email Id: </td>
			        <td width='50%'> <input type='text' name='Email' value='$rs12[Email]'></td></tr>
			       
   ";           
		
			 
		
          ?>
         </table>
 </div>
    <table id='example2' class='table table-bordered table-hover' width='100%'><tr>
              <th>Reffered From</th></tr>
              </table>
     <table id='example2' class='table table-bordered table-hover' width='100%'>
         <?php
            $narayan=LoginManager::currentUser();
$usertype=LoginManager::getUserTypeByuname("$narayan");
 $sql ="SELECT * FROM site_users WHERE userno='$usertype'";
		$qsql = mysqli_query($con,$sql);
		if($rs = mysqli_fetch_array($qsql))
{
            $sql ="SELECT * FROM hco WHERE adminid='$rs[entered_by]'";
		$qsql = mysqli_query($con,$sql);
		if($rs = mysqli_fetch_array($qsql))
			{
		 $sql ="SELECT * FROM admin WHERE id='$rs[adminid]'";
		$qsql = mysqli_query($con,$sql);
		if($ra = mysqli_fetch_array($qsql))
		{
			    echo"<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Referring from: </td>
			        <td width='50%'> $ra[hsname]</td></tr>
			        <tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Location: </td>
			        <td width='50%'> $rs[Street]&nbsp;|&nbsp;$rs[Locality]</td></tr>
			          <tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Phone: </td>
			        <td width='50%'> $ra[numbers]</td></tr>
			        	          <tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Email Id: </td>
			        <td width='50%'> $ra[EmailID]</td></tr>
			       
   ";           
		}
			}  
		}
          ?>
         </table>
          <table id='example2' class='table table-bordered table-hover' width='100%'><tr>
              <th>Functional Status</th></tr>
              </table>
                <table id='example2' class='table table-bordered table-hover' width='100%'>
                    <?php 

		$sql ="SELECT * FROM patient WHERE patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
		    echo "
<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Full Name : </td>
<td width='50%'><input type='text' name='patientname' value='$rs[patientname]'></td>
</tr>
<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Phone : </td>
<td width='50%'><input type='text' name='numbers' value='$rs[numbers]'></td>
</tr>
<tr>
<td width='50%'> &nbsp;  &nbsp; &nbsp; &nbsp; DOB:  </td>
<td width='50%'><input type='text' name='dob' value='$rs[dob]'></td>
</tr>
<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Sex : </td>
<td width='50%'><input type='text' name='gendor' value='$rs[gendor]'></td>
</tr>

 ";
	  echo "</td></tr>";	}
		?>
		<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Accompanied by care provider  : </td>
<td width='50%'>
    <label class='switch'>
  <input name='Accompanied' type='checkbox' <?php echo ($rs12['Accompanied']=='on')?'Checked':''; ?>>
  <span class='slider'></span>
</label>
    
</td>
</tr>
		<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Primary Diagnosis  : </td>
<td width='50%'><input type='text' name='Primary_Diagnosis' value='<?php echo $rs12['Primary_Diagnosis']; ?>'>
</td>
</tr>
		<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Treatments initiated  : </td>
<td width='50%'><input type='text' name='Treatments_initiated' value='<?php echo $rs12['Treatments_initiated']; ?>'>
</td>
</tr>

		
		
<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp;  Types of Patient : </td>
<td width='50%'><input type='text' name='Types_Patient' value='<?php echo $rs12['Types_Patient']; ?>'>
    </td>
</tr>
<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Transportation needs : </td>
<td width='50%'><input type='text' name='Transportation_needs' value='<?php echo $rs12['Transportation_needs']; ?>'></td>
</tr>
<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Follow_up_requirements  : </td>
<td width='50%'><input type='text' name='Follow_up_requirements' value='<?php echo $rs12['Follow_up_requirements']; ?>'>
</td>
</tr>

</table>

                <table id='example2' class='table table-bordered table-hover' width='100%'>
<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Mobility : </td>
<td width='50%'><select name='Mobility'>
    <option  disabled selected>Mobility</option> 
      <option value='Bed bound'>Bed bound</option>
      <option value='Wheelchair'>Wheelchair</option>
      <option value='Crutches'>Crutches</option>
          <option value='Walking frame'>Walking frame</option>
           <option value='Requires assistance'>Requires assistance</option>
      <option value='Independent'>Independent</option>
</select></td>
</tr>
<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Self-care : </td>
<td width='50%'><select name='Self_care'>
    <option  disabled selected>Self-care</option> 
      <option value='Carer dependent'>Carer dependent</option>
      <option value='Requires commode'>Requires commode</option>
      <option value='Requires modified latrine/washroom'>Requires modified latrine/washroom</option>
              <option value='Independent'>Independent</option>
</select></td>
</tr>

<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Cognitive impairment : </td>
<td width='50%'>
    <label class='switch'>
  <input name='Cognitive_impairment' type='checkbox' <?php echo ($rs12['Cognitive_impairment']=='on')?'Checked':''; ?>>
  <span class='slider'></span>
</label>
  
</td>
</tr>
		<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Assistive devices(s) provided : </td>
<td width='50%'><input type='text' name='Assistive_devices_provide' value='<?php echo $rs12['Assistive_devices_provide']; ?>'>
</td>
</tr>
	<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; Assistive device(s) required:
 </td>
<td width='50%'><input type='text' name='Assistive_required' value='<?php echo $rs12['Assistive_required']; ?>'>
</td>
</tr>
</table>


<?php
  	$sql ="SELECT * FROM patient_referral WHERE  id='$_GET[id]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
	    $sql1 ="SELECT * FROM site_users WHERE userno='$rs[entered_by]'";
		$qsql1 = mysqli_query($con,$sql1);
		if($rs1 = mysqli_fetch_array($qsql1))
		{
		    
		 echo"<h5><b> Created & Updated </b><h5>
		 <table id='example2' class='table table-bordered table-hover'>
		 <tr><td width=50%><b>By :</b>$rs1[name] </b><td width='50%'><b>At :</b> $rs[created_at] </tr>";   
		    
		}
		}
		?>
		</table>
<input type='submit' class='btn btn-info' name='update' value="Update">
</form>

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AnonSec Team