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<?php session_start(); require_once('../../patientmanager_Reg.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[submit])) { { $sql ="INSERT INTO allergy(patientid,Allergen,Category,Severity, Reaction,Reactiontype,Reactionstdate) values('$_POST[patientid]','$_POST[Allergen]','$_POST[Category]','$_POST[Severity]','$_POST[Reaction]','$_POST[Reactiontype]','$_POST[Reactionstdate]')"; if($qsql = mysqli_query($con,$sql)) { echo "<script>alert('Allergies Add successfully...');</script><script> window.history.go(-2)</script>"; } else { echo mysqli_error($con); } } } ?> <!DOCTYPE html> <html lang="en"> <head> <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1" /> <meta charset="utf-8" /> <title>Add Allergies</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> <!-- /.sidebar-shortcuts --> <?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">Allergies</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"> <!-- /.ace-settings-container --> <div class="page-header"> <h1> Add <small> <i class="ace-icon fa fa-angle-double-right"></i> Allergies </small> </h1> </div><!-- /.page-header --> <div class="row"> <div class="col-xs-12"> <!-- PAGE CONTENT BEGINS --> <form method='post'> <table id="dynamic-table" class="table table-striped table-bordered table-hover"> <tbody> <input type="hidden" name="patientid" id="patientid" value="<?php echo $rs['userno'] ?>"> <tr> <td height="62">Allergies</td> <td><input type="text" placeholder="What am i allergies to" name="Allergen" id="Allergen" class='form-control'></td> </tr> <tr> <td height="62">Category</td> <td><select name="Category" id="Category" class='form-control'> <option value="" disabled selected>Choose Category </option> <option value="Drug"> Drug</option> <option value="Food">Food</option> <option value="Investigation"> Investigation</option> <option value="Other"> Other</option> </select></td> </tr> <tr> <td height="62">Severity</td> <td><select name="Severity" id="Severity" class='form-control'> <option value="" disabled selected>Choose Severity </option> <option value="Mild"> Mild</option> <option value="Moderate">Moderate</option> <option value="Severe"> Severe</option> </select></td> </tr> <tr> <td height="62">Reaction</td> <td><input type="text" placeholder="Description" name="Reaction" id="Reaction" class='form-control'></td> </tr> <tr> <td height="62">Reaction Type</td> <td><select name="Reactiontype" id="Reactiontype" class='form-control'> <option value="" disabled selected>Reaction Type </option> <option value="Allergy"> Allergy</option> <option value="Advance Effect">Advance Effect</option> <option value="Unknown"> Unknown</option> </select> </td> </tr> <tr> <td height="62">Reaction Date</td> <td><input type="date" name="Reactionstdate" id="Reactionstdate" class='form-control'></td> </tr> <tr> <td colspan="2" ><input type="submit" name="submit" id="submit" value="Submit" class='btn btn-success' style='float:right;'/></td> </tr> </tbody> </table> </form> <div class="hr hr-18 dotted hr-double"></div> <!-- PAGE CONTENT ENDS --> </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 type="text/javascript"> $('#first_chk_bx').click(function() { if($(this).is(":checked")){ $("#first_list_bx").show(); } else{ $("#first_list_bx").hide(); } }); </script> </body> </html>