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<?php session_start();
include("dbconnection.php");
require_once("../patientmanager.php");
require_once("../DBManager.php");
if(isset($_POST[Equipmentrelatedva]))
{
PatientManager::Equipmentrelated("$_GET[prescriptionid]","$_GET[patientid]","$_POST[Equipmentrelated]","$_POST[Equipmentrelated_Native]","$_POST[Equipmentrelated_Corrective]","$_POST[entered_by]");
}
?>
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta name="description" content="">
<meta name="author" content="Dashboard">
<meta name="keyword" content="Dashboard, Bootstrap, Admin, Template, Theme, Responsive, Fluid, Retina">
<title>Equipment related</title>
<body>
<h3><i class="fa fa-angle-right"></i> Equipment related </h3>
<form name="Equipmentrelatedva" method="post">
<label for="address">Equipment related </label>
<select name="Equipmentrelated">
<option value="" disabled selected>Equipment related</option>
<option value="Equipment malfunction">Equipment malfunction </option>
<option value="Equipment accessories missing">Equipment accessories missing </option>
<option value="Damaged during use">Damaged during use </option>
<option value="Unavailability of equipment">Unavailability of equipment </option>
</select>
<label>Native description of Occurrence</label>
<input type="text" name="Equipmentrelated_Native" placeholder="Native description of Occurrence">
<label>Corrective And Preventive Action Taken</label>
<input type="text" name="Equipmentrelated_Corrective" placeholder="Corrective And Preventive Action Taken">
<br>
<br>
<br>
<button style="float: right;" name="Equipmentrelatedva" type="submit"> Save</button>
</form>
<style>
form{
margin: 20px 0;
}
form input, button{
padding: 5px;
}
table{
width: 100%;
margin-bottom: 20px;
border-collapse: collapse;
}
table, th, td{
border: 1px solid #cdcdcd;
}
table th, table td{
padding: 10px;
text-align: left;
}
<style>
table{
border: solid 1px gray;
width: 100%;
}
</style>
</head>
<div id="container">
</div>