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<?php
session_start();
require_once('../LoginManager.php');
require_once('../DBManager.php');
include('menur.php');
include('header.php');
if(isset($_POST['signup']))
{
LoginManager::registerpharma("$_POST[Name]","$_POST[user_id]","$_POST[numbers]","$_POST[enteredby]");
}
?>
<!DOCTYPE html>
<html lang="en">
<meta http-equiv="content-type" content="text/html;charset=UTF-8" />
<title> Pt Signup</title>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="new2.css">
</head>
<body>
<div class="content-wrapper">
<section class="content-header">
<form name="signup" method="post">
<h3><i class="fa fa-angle-right"></i> Pharmacy access </h3>
<div class="account-details">
<?php
$sqlpatient= "SELECT * FROM admin WHERE adminid='$_GET[adminid]'";
$qsqlpatient = mysqli_query($con,$sqlpatient);
while($rspatient=mysqli_fetch_array($qsqlpatient))
{
echo "<input type='hidden' name='adminid' id='adminid' value='$rspatient[adminid]'></td>";
}
?>
<label for="item"> Name <span>*</span></label>
<input class="input100" type="text" name="Name" placeholder="Enter your Name">
<label for="item"> Email id<span>*</span></label>
<input class="input100" type="email" name="user_id" placeholder="Enter Your Email id">
<label for="item"> Mobile Number<span>*</span></label>
<input class="input100" type="text" name="numbers" placeholder="Enter Your Mobile Number">
<button type="submit" name="signup">Submit
</button>
</form>
</body>
</html>