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PHP Version : 7.2.34
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Directory :  /home/btiyawmy/public_html/login.easenup.in/

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Current File : /home/btiyawmy/public_html/login.easenup.in/Physical_Assessment.php
<?php session_start();
include 'dbconnection.php';
require_once("../patientmanager.php");
require_once("../DBManager.php");
if(isset($_POST['Physical_Assessment'])) 
{
   PatientManager::PhysicalAssessment("$_GET[prescriptionid]","$_GET[patientid]","$_GET[surgeryid]","$_POST[XYLOCAINE_SENSITIVITY]","$_POST[Food_Intake]","$_POST[PHYSICAL_STATUS]","$_POST[Mallampati_Score]","$_POST[Thyromental_Distance]","$_POST[Metabolic_Score]","$_POST[entered_by]");
}
?>

<div style = "display:none;" id = "loaderImg"> <div class="loader"> </div> </div>
<form name="Physical_Assessment" method="post" id="Physical_Assessment_Form" >
  
               <h2 align="center">Pre-Anesthesia evaluation  
		 </h2>
    
               <br>
      
		<div class="center">


<table id="example2" class="table table-bordered table-hover" border="1" width='100%'>
<tr>
   <td width='50%'>XYLOCAINE SENSITIVITY 
</td>
<td width='50%'><select name='XYLOCAINE_SENSITIVITY'>
       <option value='Not Applicable' >Not Applicable</option>
       <option value='Present'>PRESENT</option>
    <option value='ABSENT'>ABSENT </option>
           </select></td>
</tr> 
<tr>
   <td width='50%'>Food Intake 
</td>
<td width='50%'><select name='Food_Intake'>
       <option value='Not Applicable' >Not Applicable</option>
       <option value='Nil by Mouth'>Nil by Mouth</option>
    <option value='By Mouth'>By Mouth  </option>
           </select></td>
</tr>  
<tr>
   <td width='50%'>PHYSICAL STATUS 
</td>
<td width='50%'><select name='PHYSICAL_STATUS'>
       <option value='Not Applicable' >Not Applicable</option>
       <option value='I'> I</option>
    <option value='II'> II </option>
    <option value='III'> III</option>
      <option value='IV'> IV</option>
       <option value='V'> V</option>
       <option value='E'>E</option>
           </select></td>
</tr>  
<tr>
   <td width='50%'>MALLAMPATI SCORE
</td>
<td width='50%'><select name='Mallampati_Score'>
        <option value='Not Applicable' >Not Applicable</option>
       <option value='CLASS I'>CLASS I</option>
    <option value='Class II'>Class II </option>
    <option value='Class III'>Class III</option>
    <option value='Class IV'>Class IV</option>
               </select></td>
</tr> 
  <tr>
            <td width='50%'>Thyromental Distance (cm):

</td>
             <td width='50%'>
          <input type="number" name="Thyromental_Distance"></td>
            
        </tr> 
         <tr>
            <td width='50%'>Metabolic Score:

</td>
             <td width='50%'>
          <input type="number" name="Metabolic_Score"></td>
            
        </tr> 
         
 </table>    
 
 <input type='submit' name='Physical_Assessment' value='Submit'>
 </div>
 </form
 <!DOCTYPE html>
<html lang="en">
<head>
  <title>Bootstrap Example</title>

  <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.7.1/jquery.min.js"></script>
   <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.1.1/jquery.min.js"></script>

     <script type="text/javascript">
$(document).ready(function(){
    $('#Physical_Assessment_Form').submit(function() {
     $('#loaderImg').show(); 
      return true;
    });
});
  </script>
<style>
      #loaderImg {
         position: absolute;
         top: 0;
         bottom: 0;
         left: 0;
         right: 0; 
         margin: auto;
         border: 10px solid grey;
         border-radius: 50%;
         border-top: 10px solid black;
         width: 100px;
         height: 100px;
         animation: spin 1s linear infinite;
      }
      @keyframes spin {
         0% {
            -webkit-transform: rotate(0deg);
            transform: rotate(0deg);
         }
         100% {
            -webkit-transform: rotate(360deg);
            transform: rotate(360deg);
         }
      }
   </style>
</head>
<body>



</body>
</html>

 

Anon7 - 2022
AnonSec Team