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<?php session_start(); include 'dbconnection.php'; require_once("../patientmanager.php"); require_once("../DBManager.php"); if(isset($_POST['riskass'])) { PatientManager::RiskStatus("$_GET[prescriptionid]","$_GET[patientid]","$_GET[surgeryid]","$_POST[Fitness_Procedure]","$_POST[Risk_Factors_Present]","$_POST[Arranged_units_blood]","$_POST[RequisitionForm]","$_POST[abo_rh]","$_POST[units]","$_POST[group_name]","$_POST[address]","$_POST[Ref_Dr]","$_POST[Nurse_Name]","$_POST[Blood_Bag_Number]","$_POST[Products_Blood_Group]","$_POST[product_name]","$_POST[blood_bank_name]","$_POST[date_of_expiry]","$_POST[Blood_Checked_Doctor]","$_POST[doctor_id_no]","$_POST[Plan_Action]","$_POST[entered_by]"); } ?> <!DOCTYPE html> <html lang="en"> <head><meta charset="ibm866"> <style> .switch { position: relative; display: inline-block; width: 90px; height: 34px; } .switch input {display:none;} .slider { position: absolute; cursor: pointer; top: 0; left: 0; right: 0; bottom: 0; background-color: #ca2222; -webkit-transition: .4s; transition: .4s; border-radius: 34px; } .slider:before { position: absolute; content: ""; height: 26px; width: 26px; left: 4px; bottom: 4px; background-color: white; -webkit-transition: .4s; transition: .4s; border-radius: 50%; } input:checked + .slider { background-color: #2ab934; } input:focus + .slider { box-shadow: 0 0 1px #2196F3; } input:checked + .slider:before { -webkit-transform: translateX(26px); -ms-transform: translateX(26px); transform: translateX(55px); } /*------ ADDED CSS ---------*/ .slider:after { content:'No'; color: white; display: block; position: absolute; transform: translate(-50%,-50%); top: 50%; left: 50%; font-size: 10px; font-family: Verdana, sans-serif; } input:checked + .slider:after { content:'Yes'; } .center { border: 1px solid grey; text-align:; } </style> <meta name="viewport" content="width=device-width, initial-scale=1"> <link rel="stylesheet" href="https://www.w3schools.com/w3css/4/w3.css"> <title>Document</title> <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.1.1/jquery.min.js"></script> <script type="text/javascript"> $(document).ready(function(){ $('#Risk_Assessment_Status').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> <script> function myFunction1031() { var checkBox = document.getElementById("myCheck1031"); var text = document.getElementById("text1031"); if (checkBox.checked == true){ text.style.display = "block"; } else { text.style.display = "none"; } } function myFunction2() { var checkBox = document.getElementById("myCheck2"); var text = document.getElementById("text2"); if (checkBox.checked == true){ text.style.display = "block"; } else { text.style.display = "none"; } } function myFunction3() { var checkBox = document.getElementById("myCheck3"); var text = document.getElementById("text3"); if (checkBox.checked == true){ text.style.display = "block"; } else { text.style.display = "none"; } } function myFunction4() { var checkBox = document.getElementById("myCheck4"); var text = document.getElementById("text4"); if (checkBox.checked == true){ text.style.display = "block"; } else { text.style.display = "none"; } } </script> <style> .center { border: 1px solid grey; text-align:; } </style> </head> <body> <div style = "display:none;" id = "loaderImg"> <div class="loader"> </div> </div> <form name="riskass" method="post" id="Risk_Assessment_Status" > <h2 align="center">Risk Assessment Status </h2> <br> <div class="center"> <table id="example2" class="table table-bordered table-hover"> <thead> <tr> <td width='50%'>Fitness for Procedure </td> <td width='50%'><select name='Fitness_Procedure'> <option value='Fit for Procedure' >Fit for Procedure</option> <option value='Decline'>Decline</option> <option value='Accepted with High Risk'>Accepted with High Risk</option> <option value='Accepted with Mild risk'>Accepted with Mild Risk</option> </select></td> </tr> <tr> <div class='account-details'> <tr><td style="width:29%"><div><h5>Risk Factors Present : </h5> </td></div><td style="width:46%"><div> <textarea name="Risk_Factors_Present" rows="2" cols="70"></textarea> </div></td></tr> <tr> <div class='account-details'> <tr><td style="width:29%"><div><h5>Plan of Action : </h5> </td></div><td style="width:46%"><div> <textarea name="Plan_Action" rows="2" cols="70"></textarea> </div></td></tr> <tr> <td width='50%'>Arranged units of blood to be kept ready in BTO </td> <td width='50%'><select name='Arranged_units_blood'> <option value='0'>0</option> <option value='1'>1</option> <option value='2'>2</option> <option value='3'>3</option> <option value='4'>4</option> <option value='5'>5</option> <option value='6'>6</option> <option value='7'>7</option> <option value='8'>8</option> <option value='9'>9</option> <option value='10'>10</option> </select></td> </tr> <tr><td><span style="font-size: 20px">Generate Blood Requisition Form </span></h3></td><td><label class="switch"> <input type="checkbox" name='RequisitionForm' id="myCheck1031" onclick="myFunction1031()"> <span class="slider"></span> </label> </td> </tr> </table> <div id="text1031" style="display:none"> <table id="example2" class="table table-bordered table-hover"> <tr> <td width='50%'> ABO & Rh: </td> <td width='50%'><input type="text" placeholder="ABO & Rh" name="abo_rh"></td> </tr> <tr> <td width='50%'> Advice: </td> <td width='50%'>Please provide <input type='text' name='units'> Units <input type='text' name='group'> After grouping and cross matching </td> </tr> <tr> <td width='50%'> Address: </td> <td width='50%'><input type='text' placeholder='Address' name='address'></td> </tr> <tr> <td width='50%'> Ref.by Dr: </td> <td width='50%'><input type='text' placeholder='Ref.by Dr' name='Ref_Dr'></td> </tr> <?php $sql ="SELECT * FROM addaspatient WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'"; $qsql = mysqli_query($con,$sql); while($rs = mysqli_fetch_array($qsql)) { echo " <input type='hidden' name='prescriptionid' value='$rs[prescriptionid]'> <input type='hidden' name='patientid' value='$rs[patientid]'> "; } ?> <br> <tr><td> <label>Nurse Name</label></td><td><input type="text" name='Nurse_Name' placeholder='Nurse Name'> </td></tr> <br> <br> <tr> <td width='50%'> Blood Bag Number: </td> <td width='50%'><input type='text' placeholder='Blood Bag Number' name='Blood_Bag_Number'></td> </tr> <tr> <td width='50%'> Product's Blood Group: </td> <td width='50%'><input type='text' placeholder='Product Blood Group' name='Products_Blood_Group'></td> </tr> <tr> <td width='50%'> Product's Name(PL. encircle): </td> <td width='50%'><select name="product_name"> <option value="Whole Blood">Whole Blood</option> <option value="RBC">RBC</option> <option value="PRC">PRC</option> <option value="FFP">FFP</option> <option value="CPP">CPP</option> <option value="Cryoprecipitate">Cryoprecipitate</option> </select></td> </tr> <tr> <td width='50%'> Name of the Blood Bank: </td> <td width='50%'><input type='text' placeholder='Name of the Blood Bank' name='blood_bank_name'></td> </tr> <tr> <td width='50%'> Date of expiry: </td> <td width='50%'><input type='date' placeholder='Date of expiry' name='date_of_expiry'></td> </tr> <tr> <td width='50%'> Blood Checked by the Doctor: </td> <td width='50%'><input type='text' placeholder='Blood Checked by the Doctor' name='Blood_Checked_Doctor'></td> </tr> <tr> <td width='50%'> Doctor ID No.: </td> <td width='50%'><input type='text' placeholder='Doctor ID No.' name='doctor_id_no'></td> </tr> </table> </div> <input type="submit" name="riskass" value="Submit"> </div> </form> </body> </html>