| Server IP : 162.240.98.243 / Your IP : 18.191.157.197 Web Server : Apache System : Linux server.bti.yaw.mybluehostin.me 3.10.0-1160.119.1.el7.x86_64 #1 SMP Tue Jun 4 14:43:51 UTC 2024 x86_64 User : btiyawmy ( 1003) PHP Version : 7.2.34 Disable Function : NONE MySQL : OFF | cURL : ON | WGET : ON | Perl : ON | Python : ON | Sudo : ON | Pkexec : ON Directory : /home/btiyawmy/public_html/login.easenup.in/FO/ |
Upload File : |
<?php
session_start();
include("../dbconnection.php");
require_once("../../LoginManager.php");
require_once("../../DBManager.php");
require_once("../../patientmanager.php");
if(!isset($_SESSION['uname']))
{
echo "<script>alert('Session Expired..');</script><script>window.location='../index.php';</script>";
}
$narayan=LoginManager::currentUser();
$harilal=LoginManager::getUserTypeByuname("$narayan");
$sql ="SELECT * FROM site_users WHERE userno='$harilal'";
$qsql = mysqli_query($con,$sql);
$rs = mysqli_fetch_array($qsql);
$sql ="SELECT * FROM hco WHERE adminid='$rs[entered_by]'";
$qsql = mysqli_query($con,$sql);
$rs1 = mysqli_fetch_array($qsql);
$usertype=$rs1['adminid'];
if(isset($_POST['Add_Pateint']))
{
PatientManager::registerpatient("$_POST[familyid]","$_POST[headnumber]","$_POST[pic]","$_POST[fr]","$_POST[patientname]","$_POST[gendor]","$_POST[HusbandName]","$_POST[Email]","$_POST[numbers]","$_POST[dob]","$_POST[age_type]","$_POST[Weight]","$_POST[Height]","$_POST[bloodgroup]","$_POST[Nationality]","$_POST[Marital]","$_POST[Religion]","$_POST[Occupation]","$_POST[Familyinc]","$_POST[Education]","$_POST[Passportnm]","$_POST[AadharNu]","$_POST[Referred]","$_POST[Country]","$_POST[State]","$_POST[city]","$_POST[pincode]","$_POST[bloc]","$_POST[nameofinc]","$_POST[Policynm]","$_POST[entered_by]");
}
?>
<!DOCTYPE html>
<html lang="en">
<head>
<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1" />
<meta charset="utf-8" />
<title>Add New Patient</title>
<meta name="description" content="Common form elements and layouts" />
<meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0" />
<!-- bootstrap & fontawesome -->
<link rel="stylesheet" href="assets/css/bootstrap.min.css" />
<link rel="stylesheet" href="assets/font-awesome/4.5.0/css/font-awesome.min.css" />
<!-- page specific plugin styles -->
<link rel="stylesheet" href="assets/css/jquery-ui.custom.min.css" />
<link rel="stylesheet" href="assets/css/chosen.min.css" />
<link rel="stylesheet" href="assets/css/bootstrap-datepicker3.min.css" />
<link rel="stylesheet" href="assets/css/bootstrap-timepicker.min.css" />
<link rel="stylesheet" href="assets/css/daterangepicker.min.css" />
<link rel="stylesheet" href="assets/css/bootstrap-datetimepicker.min.css" />
<link rel="stylesheet" href="assets/css/bootstrap-colorpicker.min.css" />
<!-- text fonts -->
<link rel="stylesheet" href="assets/css/fonts.googleapis.com.css" />
<!-- ace styles -->
<link rel="stylesheet" href="assets/css/ace.min.css" class="ace-main-stylesheet" id="main-ace-style" />
<!--[if lte IE 9]>
<link rel="stylesheet" href="assets/css/ace-part2.min.css" class="ace-main-stylesheet" />
<![endif]-->
<link rel="stylesheet" href="assets/css/ace-skins.min.css" />
<link rel="stylesheet" href="assets/css/ace-rtl.min.css" />
<!--[if lte IE 9]>
<link rel="stylesheet" href="assets/css/ace-ie.min.css" />
<![endif]-->
<!-- inline styles related to this page -->
<!-- ace settings handler -->
<script src="assets/js/ace-extra.min.js"></script>
<!-- HTML5shiv and Respond.js for IE8 to support HTML5 elements and media queries -->
<!--[if lte IE 8]>
<script src="assets/js/html5shiv.min.js"></script>
<script src="assets/js/respond.min.js"></script>
<![endif]-->
</head>
<body class="no-skin">
<?php include('includes/header.php'); ?>
<div class="main-container ace-save-state" id="main-container">
<script type="text/javascript">
try{ace.settings.loadState('main-container')}catch(e){}
</script>
<div id="sidebar" class="sidebar responsive ace-save-state">
<script type="text/javascript">
try{ace.settings.loadState('sidebar')}catch(e){}
</script>
<?php include('includes/sidebar.php'); ?><!-- /.nav-list -->
<div class="sidebar-toggle sidebar-collapse" id="sidebar-collapse">
<i id="sidebar-toggle-icon" class="ace-icon fa fa-angle-double-left ace-save-state" data-icon1="ace-icon fa fa-angle-double-left" data-icon2="ace-icon fa fa-angle-double-right"></i>
</div>
</div>
<div class="main-content">
<div class="main-content-inner">
<div class="breadcrumbs ace-save-state" id="breadcrumbs">
<ul class="breadcrumb">
<li>
<i class="ace-icon fa fa-home home-icon"></i>
<a href="#">Home</a>
</li>
<li>
<a href="#">Add</a>
</li>
<li class="active">New Patient</li>
</ul><!-- /.breadcrumb -->
<div class="nav-search" id="nav-search">
<form class="form-search">
<span class="input-icon">
<input type="text" placeholder="Search ..." class="nav-search-input" id="nav-search-input" autocomplete="off" />
<i class="ace-icon fa fa-search nav-search-icon"></i>
</span>
</form>
</div><!-- /.nav-search -->
</div>
<div class="page-content">
<div class="page-header">
<h1>
Add
<small>
<i class="ace-icon fa fa-angle-double-right"></i>
New Patient
</small>
</h1>
</div><!-- /.page-header -->
<div class="row">
<div class="col-xs-12">
<div id='divmb'></div>
<!-- PAGE CONTENT BEGINS -->
<form action='' method="POST">
<?php echo"<input type='hidden' name='familyid' value='$rs[entered_by]'>
"; ?>
<fieldset>
<div class="row">
<div class="col-sm-4"><label class="block clearfix"><span class='fontbold'> Contact Number</span>
<span style="color:red;">(Required)</span>
<input type="text" onchange="mobile(this.value)" maxlength="10" name="numbers" class="form-control" placeholder="Contact Number" id="numbers" onkeypress="return isNumber(event)" required>
</label></div>
<div class="col-sm-4">
<label class="block clearfix"><span class='fontbold'> Name</span>
<span style="color:red">(Required)</span>
<input onclick="ValidateNo();" type="text" name="patientname" class="form-control" style="text-transform: capitalize;" placeholder="Name" onkeyup="this.value = this.value.toUpperCase();" required>
</label></div>
<div class="col-sm-4"><label class="block clearfix"><span class='fontbold'> Gender</span>
<span style="color:red">(Required)</span><br>
<span> Male </span><input type="radio" name="gendor" value="Male" required="required">
<span> Female </span><input type="radio" name="gendor" value="Female" required="required">
<span> Other </span><input type="radio" name="gendor" value="Other" required="required">
</label>
</div></div>
<div class="row">
<div class="col-sm-4">
<label class="block clearfix"><span class='fontbold'> Fathers/Husband Name</span>
<span style="color:red">(Required)</span>
<input class="form-control" type="text" name="HusbandName" onkeyup="this.value = this.value.toUpperCase();" placeholder="Enter your Fathers/Husband Name" required>
</label></div>
<div class="col-sm-4"><label class="block clearfix"> <span class='fontbold'>Email</span> (Optional)
<input class="form-control" type="text" name="Email" placeholder="Enter your email addess">
</label></div>
<div class="col-sm-4">
<label class="block clearfix"><span class='fontbold'> Age</span>
<span style="color:red">(Required)</span>
<div class='row'>
<div class='col-sm-6'><input type='number' name='dob' id='select' required class="form-control"></div>
<div class='col-sm-6'><select name='age_type' id='select' class="form-control">
<option>Years</option>
<option>Month</option>
<option>Days</option>
</select></div>
</div>
</label></div>
</div>
<div class="row">
<div class="col-sm-4"><label class="block clearfix"> <span class='fontbold'>Weight</span> (Suggested)
<span class="block input-icon input-icon-right">
<input class="form-control" type="text" name="Weight" placeholder="Weight in Kilogram" >
</span>
</label>
</div>
<div class="col-sm-4"><label class="block clearfix"><span class='fontbold'> Height</span> (Suggested)
<span class="block input-icon input-icon-right">
<select class="form-control" name="Height" >
<option>Select Height</option>
<option value="Below" > Below </option>
<option value="4-6" > >4ft 6in / 137 cms</option>
<option value="4-6" >4ft 6in / 137 cms</option>
<option value="4-7" >4ft 7in / 139 cms</option>
<option value="4-8" >4ft 8in / 142 cms</option>
<option value="4-9" >4ft 9in / 144 cms</option>
<option value="4-10" >4ft 10in / 147 cms</option>
<option value="4-11" >4ft 11in / 149 cms</option>
<option value="5" >5ft / 152 cms</option>
<option value="5-1" >5ft 1in / 154 cms</option>
<option value="5-2" >5ft 2in / 157 cms</option>
<option value="5-3" >5ft 3in / 160 cms</option>
<option value="5-4" >5ft 4in / 162 cms</option>
<option value="5-5" >5ft 5in / 165 cms</option>
<option value="5-6" >5ft 6in / 167 cms</option>
<option value="5-7" >5ft 7in / 170 cms</option>
<option value="5-8" >5ft 8in / 172 cms</option>
<option value="5-9" >5ft 9in / 175 cms</option>
<option value="5-10" >5ft 10in / 177 cms</option>
<option value="5-11" >5ft 11in / 180 cms</option>
<option value="6" >6ft / 182 cms</option>
<option value="6-1" >6ft 1in / 185 cms</option>
<option value="6-2" >6ft 2in / 187 cms</option>
<option value="6-3" >6ft 3in / 190 cms</option>
<option value="6-4" >6ft 4in / 193 cms</option>
<option value="6-5" >6ft 5in / 195 cms</option>
<option value="6-6" >6ft 6in / 198 cms</option>
<option value="6-7" >6ft 7in / 200 cms</option>
<option value="6-8" >6ft 8in / 203 cms</option>
<option value="6-9" >6ft 9in / 205 cms</option>
<option value="6-10" >6ft 10in / 208 cms</option>
<option value="6-11" >6ft 11in / 210 cms</option>
<option value="7" >7ft / 213 cms</option>
</select>
</span>
</label>
</div>
<div class="col-sm-4"><label class="block clearfix"><span class='fontbold'>Blood Group</span> (Suggested)
<span class="block input-icon input-icon-right">
<select class="form-control" name="bloodgroup" >
<option value="">Blood Group</option>
<option value='A+'>A+</option>
<option value='A-'>A-</option>
<option value='B+'>B+</option>
<option value='B-'>B-</option>
<option value='O+'>O+</option>
<option value='O-'>O-</option>
<option value='AB+'>AB+</option>
<option value='AB-'>AB-</option>
</select>
</span>
</label></div>
</div>
<div class="row">
<div class="col-sm-4"><label class="block clearfix"><span class='fontbold'>Nationality</span> (Optional)
<span class="block input-icon input-icon-right">
<select class="form-control" name="Nationality">
<option value="0">Nationality</option><option value="Indian" style="color:#004F00">Indian</option><option value="222" style="color:#004F00">United States of America</option><option value="220" style="color:#004F00">United Arab Emirates</option><option value="221" style="color:#004F00">United Kingdom</option><option value="13" style="color:#004F00">Australia</option><option value="189" style="color:#004F00">Singapore</option><option value="39" style="color:#004F00">Canada</option><option value="173" style="color:#004F00">Qatar</option><option value="114" style="color:#004F00">Kuwait</option><option value="161" style="color:#004F00">Oman</option><option value="17" style="color:#004F00">Bahrain</option><option value="185" style="color:#004F00">Saudi Arabia</option><option value="129" style="color:#004F00">Malaysia</option><option value="80" style="color:#004F00">Germany</option><option value="153" style="color:#004F00">New Zealand</option><option value="73" style="color:#004F00">France</option><option value="102" style="color:#004F00">Ireland</option><option value="203" style="color:#004F00">Switzerland</option><option value="193" style="color:#004F00">South Africa</option><option value="195" style="color:#004F00">Sri Lanka</option><option value="99" style="color:#004F00">Indonesia</option><option value="149" style="color:#004F00">Nepal</option><option value="162" style="color:#004F00">Pakistan</option><option value="18" style="color:#004F00">Bangladesh</option><option value="1" style="color:#004F00">Afghanistan</option>
</select>
</span>
</label></div>
<div class="col-sm-4"><label class="block clearfix"><span class='fontbold'>Marital status </span>(Optional)
<span class="block input-icon input-icon-right">
<select class="form-control" name="Marital">
<option value="" disabled selected>Marital status </option>
<option value="Single" label="Single">Single</option>
<option value="Married" label="Married">Married</option>
<option value="Widowed">Widowed</option>
<option value="Sivorced" label="Divorced">Divorced</option>
</select>
</span>
</label>
</div>
<div class="col-sm-4"><label class="block clearfix"><span class='fontbold'>Religion</span> (Optional)
<span class="block input-icon input-icon-right">
<select class="form-control" name="Religion">
<option value="" disabled selected>Religion </option>
<option value="Hindu" label="Hindu">Hindu</option>
<option value="Muslim" label="Muslim">Muslim</option>
<option value="Christian" label="Christian">Christian</option>
<option value="Sikh" label="Sikh">Sikh</option>
<option value="Parsi" label="Parsi">Parsi</option>
<option value="Jain" label="Jain">Jain</option>
<option value="Buddhist" label="Buddhist">Buddhist</option>
<option value="Jewish" label="Jewish">Jewish</option>
<option value="No Religion" label="No Religion">No Religion</option>
<option value="Spiritual - not religious" label="Spiritual">Spiritual</option>
<option value="Other" label="Other">Other</option>
</select>
</span>
</label></div>
</div>
<div class="row">
<div class="col-sm-4"><label class="block clearfix"><span class='fontbold'>Occupation</span> (Optional)
<span class="block input-icon input-icon-right">
<select class="form-control" name="Occupation">
<option value="" disabled selected>Occupation </option>
<option value="Chief Executive and senior officers">Chief Executive and senior officers</option>
<option value="IT">IT</option>
<option value="Medical professionals">Medical professionals</option>
<option value="Services and sales">Services and sales</option>
<option value="Agricultural workers">Agricultural workers</option>
<option value="Agricultural workers">Homemaker</option>
<option value="Student">Student</option>
<option value="Other">Other</option>
</select>
</span>
</label></div>
<div class="col-sm-4"><label class="block clearfix"><span class='fontbold'>Family income</span> (Optional)
<span class="block input-icon input-icon-right">
<select class="form-control" name="Familyinc">
<option value="0">- Family Income -</option>
<option value="0 - 1 Lakh">0 - 1 Lakh</option><option value="1 - 2 Lakhs">1 - 2 Lakhs</option><option value="2 - 3 Lakhs">2 - 3 Lakhs</option><option value="3 - 4 Lakhs">3 - 4 Lakhs</option><option value="4 - 5 Lakhs">4 - 5 Lakhs</option><option value="5 - 6 Lakhs">5 - 6 Lakhs</option><option value="6 - 7 Lakhs">6 - 7 Lakhs</option><option value="7 - 8 Lakhs">7 - 8 Lakhs</option><option value="8 - 9 Lakhs">8 - 9 Lakhs</option><option value="9 - 10 Lakhs">9 - 10 Lakhs</option><option value="10 - 12 Lakhs">10 - 12 Lakhs</option><option value="12 - 14 Lakhs">12 - 14 Lakhs</option><option value="14 - 16 Lakhs">14 - 16 Lakhs</option><option value="16 - 18 Lakhs">16 - 18 Lakhs</option><option value="18 - 20 Lakhs">18 - 20 Lakhs</option><option value="20 - 25 Lakhs">20 - 25 Lakhs</option><option value="19">25 - 30 Lakhs</option><option value="25 - 30 Lakhs">30 - 35 Lakhs</option><option value="35 - 40 Lakhs">35 - 40 Lakhs</option><option value="40 - 45 Lakhs">40 - 45 Lakhs</option><option value="45 - 50 Lakhs">45 - 50 Lakhs</option><option value="50 - 60 Lakhs">50 - 60 Lakhs</option><option value="60 - 70 Lakhs">60 - 70 Lakhs</option><option value="70 - 80 Lakhs">70 - 80 Lakhs</option><option value="80 - 90 Lakhs">80 - 90 Lakhs</option><option value="90 Lakhs - 1 Crore">90 Lakhs - 1 Crore</option><option value="1 Crore & Above">1 Crore & Above</option>
</select>
</span>
</label></div>
<div class="col-sm-4"><label class="block clearfix"><span class='fontbold'>Education Qualification </span>(Optional)
<span class="block input-icon input-icon-right">
<select class="form-control" name="Education">
<option>Select Budget</option>
<option value="" disabled selected> Education Qualification</option>
<option value='Doctrate'>Doctorate</option>
<option value='Post Graduation'>Post Graduation</option>
<option value='Bachelor'>Graduation</option>
<option value='Diploma'>Diploma</option>
<option value='Higher Secondary School / High School'>Higher Secondary School / High School</option>
<option value='None Of Above'>None Of Above</option>
</select>
</span>
</label></div>
</div>
<div class="row">
<div class="col-sm-4"><label class="block clearfix"><span class='fontbold'> Passport Number </span>(Optional)
<span class="block input-icon input-icon-right">
<input class="form-control" type="text" name="Passportnm" placeholder="Passport Number">
</span>
</label>
</div>
<div class="col-sm-4"><label class="block clearfix"><span class='fontbold'>Aadhar Number </span>(Optional)
<span class="block input-icon input-icon-right">
<input class="form-control" type="text" maxlength="16" name="AadharNu" placeholder="Aadhar Number">
</span>
</label>
</div>
<div class="col-sm-4"> <label class="block clearfix"><span class='fontbold'>Country</span>
<span style="color:red">(Required)</span>
<select class="form-control" name="Country" id="country" required>
<option value="" disabled selected>Country</option>
<?php
$query = "SELECT * FROM countries WHERE status = 1 AND country_name ='India'";
$result = $con->query($query);
if($result->num_rows > 0){
while($row = $result->fetch_assoc()){
echo '<option value="'.$row['country_id'].'">'.$row['country_name'].'</option>';
}
}else{
echo '<option value="">Country not available</option>';
}
?>
</select>
</span></label></div>
</div>
<div class="row">
<div class="col-sm-4"><label class="block clearfix"><span class='fontbold'>State</span>
<span style="color:red">(Required)</span>
<select class="form-control" name="State" id="state" required >
<option value="">Select country first</option>
</select>
</label>
</div>
<div class="col-sm-4">
<label class="block clearfix"><span class='fontbold'>Districts</span>
<span style="color:red">(Required)</span>
<select class="form-control" name="city" id="city" required>
<option value="">Select state first</option>
</select>
</label></div>
<div class="col-sm-4"><label class="block clearfix"><span class='fontbold'>Pincode</span>
<span style="color:red">(Required)</span>
<span class="block input-icon input-icon-right">
<input class="form-control" type="text" name="pincode" placeholder="Pincode" required>
</span>
</label></div>
</div>
<div class="row">
<div class="col-sm-4">
<label class="block clearfix"><span class='fontbold'>Address </span>(Optional)
<span class="block input-icon input-icon-right">
<textarea class="form-control" name="bloc" placeholder="Your Address here..."></textarea>
</span>
</label>
</div>
<div class="col-sm-4">
<label class="block clearfix"><span class='fontbold'>Insurance Policy </span>(Optional)
<span class="block input-icon input-icon-right">
<select name="nameofinc" class="form-control">
<option value="">Insurance Company</option>
<?php
$sqlpatient1 = "SELECT * FROM tpa_insurance";
$qsqlpatient1 = mysqli_query($con,$sqlpatient1);
while($rsn = mysqli_fetch_array($qsqlpatient1))
{
echo "<option value='$rsn[id]'>$rsn[Name]</option>";
}
?>
</td>
</select>
</span>
</label>
</div>
<div class="col-sm-4"><label class="block clearfix"><span class='fontbold'>Policy Number </span>(Optional)
<span class="block input-icon input-icon-right">
<input class="form-control" type="text" name="Policynm" placeholder="Enter your Policy Number" >
</span>
</label></div>
</div>
<div class="row">
<div class="col-sm-4"><div class="clearfix">
</div></div>
<div class="col-sm-4"></div>
<div class="col-sm-4"><div class="space-24"></div>
<div class="clearfix">
<button type="reset" class="width-30 pull-left btn btn-sm">
<i class="ace-icon fa fa-refresh"></i>
<span class="bigger-110">Reset</span>
</button>
<button type="submit" name="Add_Pateint" class="width-65 pull-right btn btn-sm btn-success">
<span class="bigger-110">Add</span>
<i class="ace-icon fa fa-arrow-right icon-on-right"></i>
</button>
</div></div>
</div>
</fieldset>
</form>
</div><!-- /.col -->
</div><!-- /.row -->
</div><!-- /.page-content -->
</div>
</div><!-- /.main-content -->
<?php include('includes/footer.php'); ?>
<a href="#" id="btn-scroll-up" class="btn-scroll-up btn btn-sm btn-inverse">
<i class="ace-icon fa fa-angle-double-up icon-only bigger-110"></i>
</a>
</div><!-- /.main-container -->
<!-- basic scripts -->
<!--[if !IE]> -->
<script src="assets/js/jquery-2.1.4.min.js"></script>
<!-- <![endif]-->
<!--[if IE]>
<script src="assets/js/jquery-1.11.3.min.js"></script>
<![endif]-->
<script type="text/javascript">
if('ontouchstart' in document.documentElement) document.write("<script src='assets/js/jquery.mobile.custom.min.js'>"+"<"+"/script>");
</script>
<script src="assets/js/bootstrap.min.js"></script>
<!-- page specific plugin scripts -->
<!--[if lte IE 8]>
<script src="assets/js/excanvas.min.js"></script>
<![endif]-->
<script src="assets/js/jquery-ui.custom.min.js"></script>
<script src="assets/js/jquery.ui.touch-punch.min.js"></script>
<script src="assets/js/chosen.jquery.min.js"></script>
<script src="assets/js/spinbox.min.js"></script>
<script src="assets/js/bootstrap-datepicker.min.js"></script>
<script src="assets/js/bootstrap-timepicker.min.js"></script>
<script src="assets/js/moment.min.js"></script>
<script src="assets/js/daterangepicker.min.js"></script>
<script src="assets/js/bootstrap-datetimepicker.min.js"></script>
<script src="assets/js/bootstrap-colorpicker.min.js"></script>
<script src="assets/js/jquery.knob.min.js"></script>
<script src="assets/js/autosize.min.js"></script>
<script src="assets/js/jquery.inputlimiter.min.js"></script>
<script src="assets/js/jquery.maskedinput.min.js"></script>
<script src="assets/js/bootstrap-tag.min.js"></script>
<!-- ace scripts -->
<script src="assets/js/ace-elements.min.js"></script>
<script src="assets/js/ace.min.js"></script>
<!-- inline scripts related to this page -->
<script>
document.getElementById('btn').addEventListener("click", function(){
this.classList.add("loading");
this.innerHTML = "Loading...";
});
</script>
<script>
function mobile(mbid)
{
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("divmb").innerHTML = this.responseText;
}
};
xmlhttp.open("GET","loadmobile.php?mbid="+mbid,true);
xmlhttp.send();
}
</script>
<script>
$(document).ready(function(){
$('#country').on('change', function(){
var countryID = $(this).val();
if(countryID){
$.ajax({
type:'POST',
url:'../ajaxData.php',
data:'country_id='+countryID,
success:function(html){
$('#state').html(html);
$('#city').html('<option value="">Select state first</option>');
}
});
}else{
$('#state').html('<option value="">Select country first</option>');
$('#city').html('<option value="">Select state first</option>');
}
});
$('#state').on('change', function(){
var stateID = $(this).val();
if(stateID){
$.ajax({
type:'POST',
url:'../ajaxData.php',
data:'state_id='+stateID,
success:function(html){
$('#city').html(html);
}
});
}else{
$('#city').html('<option value="">Select state first</option>');
}
});
});
$(document).ready(function () {
$('select').selectize({
sortField: 'text'
});
});
</script>
</body>
</html>