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Current File : /home/btiyawmy/public_html/login.easenup.in/admission1.php
<?php
session_start();
require_once("../LoginManager.php");
require_once("../DBManager.php");
include("dbconnection.php");
include("dashboarddocument.php");
include("header.php");
if(isset($_POST[submit]))
?>



<?php session_start();
require_once("../patientmanager.php");
require_once("../DBManager.php");

if( $_POST['submit_1'] ) {
    PatientManager::admissionipd("$_GET[prescriptionid]","$_GET[patientid]","$_POST[significate]","$_POST[Admission_diagnosis]","$_POST[other_Admission_diagnosis]","$_POST[tratment]","$_POST[Nutritional_Diagnosis]","$_POST[eyetype]","$_POST[note]","$_POST[enteredby]");
}
?>
<style>
.box{
    
        display: none;

    }
    </style>
<script src="https://code.jquery.com/jquery-3.5.1.min.js"></script>

<script>
var mic = document.getElementById('speechinput');
mic.onfocus = mic.blur;
mic.onwebkitspeechchange = function(e) {
document.getElementById('mytextarea').value = speechinput .value;  
};
</script>

<script>
$(document).ready(function(){
    $("select").change(function(){
        $(this).find("option:selected").each(function(){
            var optionValue = $(this).attr("value");
            if(optionValue){
                $(".box").not("." + optionValue).hide();
                $("." + optionValue).show();
            } else{
                $(".box").hide();
            }
        });
    }).change();
});
</script>


 <style>
    
     .switch {
  position: relative;
  display: inline-block;
  width: 90px;
  height: 34px;
}

.switch input {display:none;}

.slidernaraya {
  position: absolute;
  cursor: pointer;
  top: 0;
  left: 0;
  right: 0;
  bottom: 0;
  background-color: #ca2222;
  -webkit-transition: .4s;
  transition: .4s;
   border-radius: 34px;
}

.slidernaraya: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 + .slidernaraya {
  background-color: #2ab934;
}

input:focus + .slidernaraya {
  box-shadow: 0 0 1px #2196F3;
}

input:checked + .slidernaraya:before {
  -webkit-transform: translateX(26px);
  -ms-transform: translateX(26px);
  transform: translateX(55px);
}

/*------ ADDED CSS ---------*/
.slidernaraya: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 + .slidernaraya:after
{  
  content:'Yes';
}



.center {
   border: 1px solid grey;
   text-align:;
}

</style>


 <div class="content-wrapper">
    <!-- Content Header (Page header) -->
    <section class="content-header">

  <link rel="stylesheet" href="https://www.w3schools.com/w3css/4/w3.css">

   	<div class='center'>
   	    
   	    
   	    <?php
  	$sql ="SELECT * FROM opdslip WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		if($rs = mysqli_fetch_array($qsql))
		{
		    echo"
		    <h3 align='right'><a href='edit_opdslip1.php?prescriptionid=$rs[prescriptionid]&patientid=$rs[patientid]'>Edit&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</a></h3>";
		}
		?>
<div class="card-body">
<h2 align="center">Initial Diagnosis</h2>
              
   <form method="post" action="" name="submit" onSubmit="return validateform()" autocomplete="off">
 	<table id="example2" class="table table-bordered table-hover">  
      <tbody>
           <?php
		  	$sqlpatient= "SELECT * FROM request_for_admission WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
			$qsqlpatient = mysqli_query($con,$sqlpatient);
			while($rr=mysqli_fetch_array($qsqlpatient))
			{
				$sqlpatient1= "SELECT * FROM addaspatient WHERE prescriptionid='$rr[prescriptionid]'";
			$qsqlpatient1 = mysqli_query($con,$sqlpatient1);
			while($rr1=mysqli_fetch_array($qsqlpatient1))
			{
			    	$sqlpatient2= "SELECT * FROM Vulnerability WHERE prescriptionid='$rr1[prescriptionid]'";
			$qsqlpatient2 = mysqli_query($con,$sqlpatient2);
			while($rr2=mysqli_fetch_array($qsqlpatient2))
			{
         
       	echo "
		
	           <tr> <td height='62'> Consultant:   </td>
	           <td>";
	           	$sqldoctor= "SELECT * FROM site_users WHERE userno='$rr1[Admitted_Under]'";
			$qsqldoctor = mysqli_query($con,$sqldoctor);
			while($rsdoctor = mysqli_fetch_array($qsqldoctor))
			{
			    echo"
$rsdoctor[name]
";
}
echo"</td></tr>
             <tr> <td height='62'> Reason for Admission:   </td>
	           <td>$rr[Reason_for_Admission]</td></tr>
     
            <tr><td height='62'> Vulnerability/Triage Assessment:    </td>
                  <td>$rr1[triage]</td>
				  </tr>
				   ";
          	}}
			}
		  ?>
		  <tr><td width='50%'>	Covid 19 Checklist: </td>
		  
		  
		  	<?php 
	include("dbconnection.php");
		session_start();
		$DisplayForm=True;
$sql7 ="SELECT * FROM 	CovidChecklist WHERE  prescriptionid='$_GET[prescriptionid]'";
$qsql7 = mysqli_query($con,$sql7);
if($rs7 = mysqli_fetch_array($qsql7))
{
    $DisplayForm=False;
echo "";
}
if(!$DisplayForm)
{
echo "
<td width='50%'><DIV class='button' data-modal='modalOne'> <span style='color:blue;align:center;font-size: 14px'>Filled</span></DIV></td>";
} else{
    echo "<td width='50%'>Not Applicable</td>";
}
?>
			</tr>
			 <tr><td width='50%'>MLC: </td>
		  
		  
	<?php 
	include("dbconnection.php");
		session_start();
		$DisplayForm=True;
$sql7 ="SELECT * FROM 	mlc WHERE  prescriptionid='$_GET[prescriptionid]'";
$qsql7 = mysqli_query($con,$sql7);
if($rs7 = mysqli_fetch_array($qsql7))
{
    $DisplayForm=False;
echo "";
}
if(!$DisplayForm)
{
echo "
<td width='50%'><DIV class='button' data-modal='modalmlc'> <span style='color:blue;align:center;font-size: 14px'>Filled</span></DIV></td>";
} else{
    echo "<td width='50%'>Not Applicable</td>";
}
?>
			</tr>
			
			
			
		  <tr><td width='50%'>Trauma: </td>
		  
		  
	<?php 
	include("dbconnection.php");
		session_start();
		$DisplayForm=True;
$sql7 ="SELECT * FROM 	trauma_checklist WHERE  prescriptionid='$_GET[prescriptionid]'";
$qsql7 = mysqli_query($con,$sql7);
if($rs7 = mysqli_fetch_array($qsql7))
{
    $DisplayForm=False;
echo "";
}
if(!$DisplayForm)
{
echo "
<td width='50%'><DIV class='button' data-modal='modaltrauma'> <span style='color:blue;align:center;font-size: 14px'>Filled</span></DIV></td>";
} else{
    echo "<td width='50%'>Not Applicable</td>";
}
?>
			</tr>

		
						
		  </tbody>
    </table>
		<br>
          
          <table id="example2" class="table table-bordered table-hover">
                  <thead>
                 
<tr><th>Medical Assessment </th><th>Status</th><th>Action</th></tr>

			 <?php
		$sql ="SELECT * FROM medi_condition_final WHERE patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
            echo " <tbody>
                                                                                                                                                                
     <tr>   <td>&nbsp;$rs[medicalcon]  &nbsp; <b>$rs[Specify]</b></td>     
            <td>&nbsp;$rs[Status]</td>
			<td><a href='edit_medicalcon.php?patientid=$rs[patientid]&medicalcoid=$rs[medicalcoid]'>Edit</a></td>	
          </tr>                   
          
          ";
}
?>        </table>

 
 <?php
        $sql ="SELECT * FROM patient WHERE patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rt = mysqli_fetch_array($qsql))
		{
		    echo"
<a href='medicalcon_nurse.php?patientid=$rt[patientid]'>Add More</a>
";
}
?>
	
         
        
        <?php
    $sql3 ="SELECT * FROM Medical_surgical WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql3 = mysqli_query($con,$sql3);
		if($rs2 = mysqli_fetch_array($qsql3))
				{
if(on==$rs2[Addiction])
{
?>

<h3 align='center'>Addiction </h3>
<table id='example2' class='table table-bordered table-hover'>
	<tr>	<?php
$sql ="SELECT * FROM Medical_surgical WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
		   
$usertype=$rs['Tobacco'];
if($usertype == 'on'){
    echo "<td width='50%'>Tobacco: </td>
<td width='50%'> <i class='fa fa-check' aria-hidden='true'></i></td>";
} else{
    echo "<td width='50%'>Tobacco: </td><td width='50%'> <i class='fa fa-times' aria-hidden='true'></i></td>";
}
}
?> 
</tr>
<tr>
		<?php
$sql ="SELECT * FROM Medical_surgical WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
		   
$usertype=$rs['Alcohol'];
if($usertype == 'on'){
    echo "<td width='50%'>Alcohol: </td>
<td width='50%'> <i class='fa fa-check' aria-hidden='true'></i></td>";
} else{
    echo "<td width='50%'>Alcohol: </td><td width='50%'> <i class='fa fa-times' aria-hidden='true'></i></td>";
}
}
?>
</tr>
<tr>
		<?php
$sql ="SELECT * FROM Medical_surgical WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
		   
$usertype=$rs['Smoking'];
if($usertype == 'on'){
    echo "<td width='50%'>Smoking: </td>
<td width='50%'> <i class='fa fa-check' aria-hidden='true'></i></td>";
} else{
    echo "<td width='50%'>Smoking: </td><td width='50%'> <i class='fa fa-times' aria-hidden='true'></i></td>";
}
}
?>
</tr>

	
		 	  <?php
}
}
?>


  <table id="example2" class="table table-bordered table-hover">
                  <thead>
                   	
                  <?php
		  	$sqlpatient2= "SELECT * FROM Vulnerability WHERE prescriptionid='$_GET[prescriptionid]'";
			$qsqlpatient2 = mysqli_query($con,$sqlpatient2);
			while($rtv=mysqli_fetch_array($qsqlpatient2))
			{
			echo" 	    
         
           <tr><td height='62'>Level of Consciousness :  </td>
          <td>$rtv[Level_Consciousness]</td>
        </tr>
          <tr><td height='62'>Dependency:  </td>
          <td>$rtv[Dependency]</td>
        </tr>
         <tr><td height='62'>Mode of movement:  </td>
          <td>$rtv[Modn]</td>
        </tr>
          <tr><td height='62'>Pain Assessment:  </td>
          <td>$rtv[Pain_Assessment]</td>
        </tr>
           <tr><td height='62'>Pain Location:  </td>
          <td>$rtv[Pain_Location]</td>
        </tr>
        ";
			}
			?>
			<tr>
			<?php
$sql ="SELECT * FROM Vulnerability WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
		   
$usertype=$rs['fall_risk'];
if($usertype == 'on'){
    echo "<td width='50%'>Fall Risk: </td>
<td width='50%'> <i class='fa fa-check' aria-hidden='true'></i></td>";
} else{
    echo "<td width='50%'>Fall Risk: </td><td width='50%'> <i class='fa fa-times' aria-hidden='true'></i></td>";
}
}
?>
</tr>

		
		  <tr><td width='50%'>Nutritional Screening : </td>
		  
		  
	<?php 
	include("dbconnection.php");
		session_start();
		$DisplayForm=True;
$sql7 ="SELECT * FROM 	Nutritional_Screening WHERE  prescriptionid='$_GET[prescriptionid]'";
$qsql7 = mysqli_query($con,$sql7);
if($rs7 = mysqli_fetch_array($qsql7))
{
    $DisplayForm=False;
echo "";
}
if(!$DisplayForm)
{
echo "
<td width='50%'><a href='link' style='color:blue'>Available</a></td>";
} else{
    echo "<td width='50%'>Unavailable</td>";
}
?>
			</tr>
        </table>
        </div>
        </br></br>
        
          <div class='center'>
        <table id='example2' class='table table-bordered table-hover'>
    <?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		if($rs = mysqli_fetch_array($qsql))
		{
		    echo"
		  <h3 align='center'>Chief Complain <a href='edit_showpage_Medical_Assessment.php?prescriptionid=$rs[prescriptionid]&patientid=$rs[patientid]'><B>Edit</B>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</a>";
		}
		?>
		</h3>
<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
		   
$usertype=$rs['Fever'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; 	Fever: </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Fever_note]</td></tr>";
} else{
    echo "";
}
}
?>
<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['smell'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; 	Loss of Smell: </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[smell_note]</td></tr>";
} else{
    echo "";
}
}
?>
<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Diarrhoea'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Diarrhoea: </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Diarrhoea_note]</td></tr>";
} else{
    echo "";
}
}
?>
<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Deformity'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Facial Deformity: </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Deformity_note]</td></tr>";
} else{
    echo "";
}
}
?>

<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Cough'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Cough: </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Cough_note]</td></tr>";
} else{
    echo "";
}
}
?>
<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Taste'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Loss of Taste: </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Taste_note]</td></tr>";
} else{
    echo "";
}
}
?>
<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Weakness'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Weakness: </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Weakness_note]</td></tr>";
} else{
    echo "";
}
}
?>

<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Breathlessness'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Breathlessness: </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Breathlessness_note]</td></tr>";
} else{
    echo "";
}
}
?>
<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Appetite'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Shivering: </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Appetite_note]</td></tr>";
} else{
    echo "";
}
}
?>
<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Limbs'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Power Loss in Limbs: </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Limbs_note]</td></tr>";
} else{
    echo "";
}
}
?>

<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Throat'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Sore Throat : </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Throat_note]</td></tr>";
} else{
    echo "";
}
}
?>


<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Vomitting'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Vomitting : </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Vomitting_note]</td></tr>";
} else{
    echo "";
}
}
?>
<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Slurred_Voice'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Slurred Voice: </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Slurred_Voice_note]</td></tr>";
} else{
    echo "";
}
}
?>
<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Nausea'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Nausea: </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Nausea_note]</td></tr>";
} else{
    echo "";
}
}
?>

<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Loss_Appetite'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Loss of Appetite: </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Loss_Appetite_note]</td></tr>";
} else{
    echo "";
}
}
?>
<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Delusion'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Delusion: </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Delusion_note]</td></tr>";
} else{
    echo "";
}
}
?>

<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Fits_Anger'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Fits of Anger: </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Fits_Anger_note]</td></tr>";
} else{
    echo "";
}
}
?>

<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Depression'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Depression: </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Depression_note]</td></tr>";
} else{
    echo "";
}
}
?>

<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Memory_Loss'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Memory Loss: </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Memory_Loss_note]</td></tr>";
} else{
    echo "";
}
}
?>

<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Bleeding_Disorder'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Bleeding Disorder: </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Bleeding_Disorder_note]</td></tr>";
} else{
    echo "";
}
}
?>

<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Migraine'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Migraine : </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Migraine_note]</td></tr>";
} else{
    echo "";
}
}
?>

<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Frequent_Urination'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Frequent Urination : </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Frequent_Urination_note]</td></tr>";
} else{
    echo "";
}
}
?>

<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Swollen_Join'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Swollen Join : </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Swollen_Join_note]</td></tr>";
} else{
    echo "";
}
}
?>

<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Weight_Gain'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Weight Gain : </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Weight_Gain_note]</td></tr>";
} else{
    echo "";
}
}
?>

<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['weight_loss'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; weight loss : </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[weight_loss_note]</td></tr>";
} else{
    echo "";
}
}
?>

<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Body_pain'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Body pain : </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Body_pain_note]</td></tr>";
} else{
    echo "";
}
}
?>


<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
$usertype=$rs['Physical_Injury'];
if($usertype == 'on'){
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Physical Injury : </td>
<td width='33%'><i class='fa fa-check' aria-hidden='true'></i></td><td width='33%'>$rs[Physical_Injury_note]</td></tr>";
} else{
    echo "";
}
}
?>
<?php
  	$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
    echo " <tr><td width='33%'>&nbsp;  &nbsp; &nbsp; &nbsp; Other Symptoms : </td>
<td width='33%'>$rs[Other_Symptoms]</td></tr>";
}
?>

</table>


    
    <table id="example2" class="table table-bordered table-hover">




	      		<?php 
		session_start();
$DisplayForm=True;
 $narayan=LoginManager::currentUser();
$harilal=LoginManager::getUserTypeByuname("$narayan");
$sql1 ="SELECT * FROM opdslip WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql1 = mysqli_query($con,$sql1);
		while($rh1 = mysqli_fetch_array($qsql1))
		{
	$DisplayForm=False;
echo "";
}
if($DisplayForm)
{
?> 


            	
 
                  <thead>
                   	<tr>
                   	    
                   	    	<?php 
	include("dbconnection.php");
		session_start();
		$DisplayForm=True;
$sql7 ="SELECT * FROM addaspatient WHERE  prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]' AND casetype='Eye_Care'";
$qsql7 = mysqli_query($con,$sql7);
if($rs7 = mysqli_fetch_array($qsql7))
{
    $DisplayForm=False;
echo "";
}
if($DisplayForm)
{
?>
     
    
<tr><td width='50%'>Significant findings : </td>
<td width='50%'><textarea rows="2" name='significate' cols="50"></textarea></td></tr>
<tr> <td> Nutritional Diagnosis</td><td><select name='Nutritional_Diagnosis'>
        <option value='' disabled selected>Nutritional Diagnosis</option>
         <option value='Normal'>Normal</option>
 <option value='Obese'>Obese</option> <option value='Overweight'> Overweight </option><option value='Underweight'> Underweight</option> <option value='Malnourished'> Malnourished</option>
  </select></td></tr>
  
 
<tr>
          <td height="62">Provisional diagnosis </td>
           <td><input type="text" placeholder="Provisional diagnosis" name="Admission_diagnosis"  list='Admission_diagnosis'>
          <datalist name='Admission_diagnosis' id='Admission_diagnosis'>
              <option value='Bedsores'>Bedsores</option>
              <option value='Covid'>Covid</option>
              <option value='Pneumonia'>Pneumonia</option>
              </datalist>
          </td>
        </tr>
         <tr>  <td>Proposed Treatment/ Surgery:</td>
                    <td>
                        <select class='selectva' id="select12-state" name="tratment">
        	<option value="">Proposed Treatment/ Surgery</option>
                        <?php
include("dbconnection.php");
	$sqlpatient1 = "SELECT * FROM list_tretment";
	$qsqlpatient1 = mysqli_query($con,$sqlpatient1);
	while($rsn = mysqli_fetch_array($qsqlpatient1))
	{
	    echo "<option value='$rsn[trid]'>$rsn[tratment]</option>";
				}
	
		  ?>
</td>
</select>
        </tr>
        <?php
}

?>     	          

</table>
         
         

         	<?php 
	include("dbconnection.php");
		session_start();
		$DisplayForm=True;
$sql7 ="SELECT * FROM addaspatient WHERE  prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]' AND casetype='Eye_Care'";
$qsql7 = mysqli_query($con,$sql7);
if($rs7 = mysqli_fetch_array($qsql7))
{
    $DisplayForm=False;
echo "";
}
if($DisplayForm)
{
?>
     <table id="example2" class="table table-bordered table-hover">
        	
         
      </tbody>
    </table>
  <p align="center"><input type="submit" name="submit_1" id="submit_1" value="Save" /></p>
       </form>
          <?php
}

?>

<?php
}
?>

      <?php
session_start();
require_once('../LoginManager.php');
require_once('../DBManager.php');
$sql ="SELECT * FROM opdslip WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		if($rs = mysqli_fetch_array($qsql))
		{
?> 

 
       <?php
session_start();
require_once('../LoginManager.php');
require_once('../DBManager.php');
$sql ="SELECT * FROM addaspatient WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]' AND casetype!='Pregnancy' OR prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]' AND casetype!='Eye_Care' ";
		$qsql = mysqli_query($con,$sql);
		if($rs = mysqli_fetch_array($qsql))
		{
{
?> 
<?php
  	$sql ="SELECT * FROM opdslip WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		if($rs = mysqli_fetch_array($qsql))
		{
		    echo"  <table id='example2' class='table table-bordered table-hover'>
		     <tr><td width='50%'>Significant findings : </td>
<td width='50%'>$rs[significate]</td></tr>
		      <tr><td>Nutritional diagnosis</td><td>$rs[Nutritional_Diagnosis]</td></tr>
    <tr><td>Provisional diagnosis</td><td>$rs[Admission_diagnosis]</td></tr>
	";
		}
		?>
		<?php
}
}
?>
		</table>
		<?php
}
?>
 <?php
session_start();
require_once('../LoginManager.php');
require_once('../DBManager.php');
$sql ="SELECT * FROM addaspatient WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		if($rs = mysqli_fetch_array($qsql))
		{
if(Eye_Care==$rs[casetype])
{
?>



<table id="example2" class="table table-bordered table-hover">
    <tr><th>Provisional diagnosis</th>
<th>Eye</th>
<th>Remarks</th>
</tr>
 <tr> 
    <?php
		$sql ="SELECT * FROM opdslip WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
            echo " <tbody>
  
      <td>&nbsp;$rs[Admission_diagnosis]</td>  
         <td>&nbsp;$rs[eyetype] </td>
           <td>&nbsp;$rs[note] </td>
          
          ";
}
?>  
       </tr><tr><td></td><td></td></tr><tr> <br><br>
           <td>Provisional diagnosis</td>
           <td>
                           <select name='Admission_diagnosis'><option value=''disabled selected>Provisional diagnosis</option>
              <option value='Ocular_Alignment_motility'>Ocular Alignment & motility</option>
              <option value='Lid_Adenexae'>Lid/Adenexae	</option><option value='Sciera'>Sciera</option><option value='Conjunctiva'>	Conjunctiva	</option>
<option value='Cornea'>Cornea</option>	<option value='Anterior'>Anterior</option><option value='Chamber'> Chamber</option><option value='IRS_NVI_PXF'>	IRS/NVI/PXF</option><option value='Pupil'>	Pupil</option>	
<option value='Lens/IOL'>Lens/IOL</option><option value='Cataract'>	Cataract</option><option value='Subluxated'>	Subluxated</option><option value='Dislocated'>	Dislocated	</option>
	<option value='Posterior Capsule'>	Posterior Capsule	</option>			
<option value='Cornreal Opacity'>Cornreal Opacity</option>
<option value='Mature CAT'>Mature CAT </option>
<option value='PSEUDO'>PSEUDO</option>
<option value='AMBLYOPIA'>AMBLYOPIA</option>
<option value='NS4+PSC'>NS4+PSC</option>
<option value='PTOSIS'>PTOSIS </option>
<option value='IMSC'>IMSC</option>
<option value='TESSELASED FUNDUS'>TESSELASED FUNDUS</option>
<option value='NS2+PSC'>NS2+PSC </option>
<option value='NS3+PSC'>NS3+PSC </option>
<option value='ASTIGMATISM-MYOPIC'>ASTIGMATISM-MYOPIC</option>
<option value='LATTICE WITH HOLE'>LATTICE WITH HOLE </option>
<option value='PCO'>PCO </option>
<option value='C.O'>C.O </option>
<option value='SUP.RD'>SUP.RD</option>
<option value='DISC.EDEMA'>DISC.EDEMA </option>
<option value='OLD R.D'>OLD R.D </option>
<option value='DRY AMD 3'>DRY AMD 3</option>
<option value='RD D.N PALSY'>RD D.N PALSY</option>
<option value='ALL.CONJ'>ALL.CONJ. </option>
<option value='YAG PI PATENT'>YAG PI PATENT </option>
<option value='PAC'>PAC </option>
<option value='PACG'>PACG</option>
<option value='DENSE PAC [PPC?]'>DENSE PAC [PPC?] </option>
<option value='YAG CAP DONE'>YAG CAP DONE </option>
<option value='PSEUDO(TORIC IOL)'>PSEUDO(TORIC IOL)</option>
<option value='NS2'>NS2</option>
<option value='FLOATERS'>FLOATERS </option>
<option value='CONJUNCTIVITIS'>CONJUNCTIVITIS </option>
<option value='NCO'>NCO </option>
<option value='LENTAL CHANGES'>LENTAL CHANGES</option>
<option value='MYOPIC FUNDUS'>MYOPIC FUNDUS </option>
<option value='ASTHIGMATISM-MYOPIC'>ASTHIGMATISM-MYOPIC </option>
<option value='ASTIGMATISM-HYPERMETROPIA'>ASTIGMATISM-HYPERMETROPIA </option>
<option value='DIFFUSE EPISCLERITIS'>DIFFUSE EPISCLERITIS</option>
<option value='DAUMATIC APHAKIA'>DAUMATIC APHAKIA </option>
<option value='NUCLEUS DROP'>NUCLEUS DROP </option>
<option value='FUC. STEROID'>FUC. STEROID </option>
<option value='PTERYGIUM Sx'>PTERYGIUM Sx</option>
<option value='CHOROIDTIS'>CHOROIDTIS </option>
<option value='POST.TR.LEUCOMO'>POST.TR.LEUCOMO </option>
<option value='ZONE 3 IMMATURE RETINA'>ZONE 3 IMMATURE RETINA </option>
<option value='Other'>Other(specify)</option>
</td>
        </tr>
        
        <tr><td> </td>
        <td>  <div class="Other box">
        <input type='text' placeholder='Specify' name='other_Admission_diagnosis'></div></td>
        </tr>
    
<tr><td>Eye </td>
               <td>   <select name='eyetype'><option value=''disabled selected>Eye</option>
              <option value='Left Eye'>Left Eye</option>
               <option value='Right Eye'>Right Eye</option>
               <option value='Both Eye'>Both Eye</option>
               
               </select>
</td>
        </tr>
        
        <tr>
        <td>Remarks:</td>
        <td><textarea  name="note" rows="2" cols="40"></textarea></td>
        </tr>
        <tr>  <td>Proposed Treatment/ Surgery:</td>
                    <td>
                        <select class='selectva' id="select12-state" name="tratment">
        	<option value="">Proposed Treatment/ Surgery</option>
                        <?php
include("dbconnection.php");
	$sqlpatient1 = "SELECT * FROM list_tretment";
	$qsqlpatient1 = mysqli_query($con,$sqlpatient1);
	while($rsn = mysqli_fetch_array($qsqlpatient1))
	{
	    echo "<option value='$rsn[trid]'>$rsn[tratment]</option>";
				}
	
		  ?>
</td>
</select>
        </tr>
        </table>
        
        

                <table id="example2" class="table table-bordered table-hover">
         <tr><td><p align="center"><input type="submit" name="submit_1" id="submit_1" value="Add" /></p></td></tr>
         </table>
    </form>
        <?php
}
}
?>
  
  
  
     
     
    
    <br>
    
    
     <div id="modaltrauma" class="modal">
      <div class="modal-content">
        <div class="contact-form">
          <a class="close">&times;</a>
  <?php
    $sql ="SELECT * FROM trauma_checklist WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		if($rs = mysqli_fetch_array($qsql))
		{
		    echo "
<h3 align='center'>Trauma Care Checklist</h3>
<BR><BR>
<h5 align='center'>Immediately after primary & secondary surveys</h5> 
 <table id='example2' class='table table-bordered table-hover'>
<tr>
<td width='50%'> 
Is Further Airway Intervention Needed? :  </td>
<td width='50%'>$rs[further] </td>
</tr>
<tr>
<td width='50%'>Is There A Tension Pneumo-Haemothorax ? :  </td>
<td width='50%'>$rs[Pneumo_Haemothorax] </td>
</tr>
<tr>
<td width='50%'>IS The Pulse and Fluids Started ? : </td>
<td width='50%'>$rs[Fluids_Started]  </td>
</tr>
<tr>
<td width='50%'>Large-bore IV placed and fluids started : </td>
<td width='50%'>$rs[iv_fluids_started] </td>
</tr>
<tr>
<td width='50%'>Full Survey For (and control of)External bleeding, Including: </td>
<td width='50%'>$rs[Full_Survey]&nbsp; ,$rs[Perineum]&nbsp; ,$rs[Back] </td>
</tr>
<tr>
<td width='50%'>Assessed For Pelvic Fracture by : </td>
<td width='50%'>$rs[Pelvic_Fracture] </td>
</tr>
<tr>
<td width='50%'>Assessed For Internal Bleeding By: </td>
<td width='50%'>$rs[Internal_Bleeding] </td>
</tr>
<tr>
<td width='50%'>Is Spinal Immobilization Needed? : </td>
<td width='50%'>$rs[Spinal_Immobilization] </td>
</tr>
<tr>
<td width='50%'>Neurovascular Status of all 4 limbs Checked? : </td>
<td width='50%'>$rs[Neurovascular_Status] </td>
</tr>
<tr>
<td width='50%'>IS the patient Hypothermic? :</td>
<td width='50%'>$rs[Hypothermic]  </td>
</tr>
<tr>
<td width='50%'>Does the Patient Need(if no contraindication) :</td>
<td width='50%'>$rs[contraindication],&nbsp;$rs[Nasogastric_Tube],&nbsp;$rs[Chest_Drain],&nbsp;$rs[None_Indicated],&nbsp;</td>
</tr>
<tr>
<td width='50%'>Has the Patient been Given :</td>
<td width='50%'>$rs[leaves_patient],&nbsp;$rs[Analgesics],&nbsp;$rs[Antibiotics],&nbsp;$rs[None_Indicated],&nbsp;</td>
</tr>
<tr>
<td width='50%'>Have All tests and imaging been Reviewed :</td>
<td width='50%'>$rs[tests_imaging]  </td>
</tr>
<tr>
<td width='50%'>Which serial Examinations Are Needed:</td>
<td width='50%'>$rs[Examinations]  </td>
</tr>
<tr>
<td width='50%'>Plan of care discussed with :</td>
<td width='50%'>$rs[care_discussed],&nbsp;$rs[Receiving_Unit],&nbsp; $rs[Primary_team],&nbsp; $rs[Other_Specialists],&nbsp;   </td>
</tr>
<tr>
<td width='50%'>Relevant Trauma Chart or Form Comleted? :</td>
<td width='50%'>$rs[Trauma_Chart]  </td>
</tr>

</table>
</fieldset>


 ";
	  echo "</td></tr>";	}
		?>
	




				</table>
				
				</div></div></div>
    
    
    <div id="modalmlc" class="modal">
      <div class="modal-content">
        <div class="contact-form">
          <a class="close">&times;</a>
     <h2 align='center'>MLC Checklist</h2>
          
           <?php
    $sql ="SELECT * FROM mlc WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		if($rs = mysqli_fetch_array($qsql))
		{
		    echo "

 <table id='example2' class='table table-bordered table-hover'>	
 
 <tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; MLC No : </td>
<td width='50%'>$rs[MLC_No]</td>
</tr>
<tr>
<td width='50%'>&nbsp;  &nbsp; &nbsp; &nbsp; MLC Slip : </td>
<td width='50%'><a target='_blank' href='http://easenup.in/hco/uploads/$rs[Upload_MLC_Slip]'>MLC Slip</a></td>
</tr>
</table>
";
}
?>
          </div>
          
          </div>
          </div>
      <div id="modalOne" class="modal">
      <div class="modal-content">
        <div class="contact-form">
          <a class="close">&times;</a>
    <h3 align='center'>Covid 19 Checklist</h3>

<table id='example2' class='table table-bordered table-hover'>
<?php
  	$sql ="SELECT * FROM CovidChecklist WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
if($rs[symptoms_fever] == 'on'){
    echo " <tr><td width='50%'>Do you have symptoms such as fever, cough, sneezing, sore throat, fatigue, sense of smell, changes in taste, and body aches?: </td>
<td width='50%'><i class='fa fa-check' aria-hidden='true'></i></td></tr>";
} else{
    echo "<tr><td width='50%'>Do you have symptoms such as fever, cough, sneezing, sore throat, fatigue, sense of smell, changes in taste, and body aches?: </td>
<td width='50%'><i class='fa fa-times' aria-hidden='true'></i></td></tr>";
}
if($rs[difficulty_breathing] == 'on'){
    echo " <tr><td width='50%'>Do you have difficulty of breathing?: </td>
<td width='50%'><i class='fa fa-check' aria-hidden='true'></i></td></tr>";
} else{
    echo "<tr><td width='50%'>Do you have difficulty of breathing?: </td>
<td width='50%'><i class='fa fa-times' aria-hidden='true'></i></td></tr>";
}
if($rs[country_days] == 'on'){
    echo " <tr><td width='50%'>Have you travelled outside the country in the last 30 days?: </td>
<td width='50%'><i class='fa fa-check' aria-hidden='true'></i></td></tr>";
} else{
    echo "<tr><td width='50%'>Have you travelled outside the country in the last 30 days?: </td>
<td width='50%'><i class='fa fa-times' aria-hidden='true'></i></td></tr>";
}
if($rs[other_cities] == 'on'){
    echo " <tr><td width='50%'>Have you traveled to other cities in India in 15 days?: </td>
<td width='50%'><i class='fa fa-check' aria-hidden='true'></i></td></tr>";
} else{
    echo "<tr><td width='50%'>Have you traveled to other cities in India in 15 days?: </td>
<td width='50%'><i class='fa fa-times' aria-hidden='true'></i></td></tr>";
}
if($rs[two_weeks] == 'on'){
    echo " <tr><td width='50%'>Were you a Covid-19 positive patient in the last two weeks? or suspect in a case of covid-19 ?: </td>
<td width='50%'><i class='fa fa-check' aria-hidden='true'></i></td></tr>";
} else{
    echo "<tr><td width='50%'>Were you a Covid-19 positive patient in the last two weeks? or suspect in a case of covid-19 ?: </td>
<td width='50%'><i class='fa fa-times' aria-hidden='true'></i></td></tr>";
}
if($rs[health_facility] == 'on'){
    echo " <tr><td width='50%'>Have you visited a health care facility in the past two weeks?: </td>
<td width='50%'><i class='fa fa-check' aria-hidden='true'></i></td></tr>";
} else{
    echo "<tr><td width='50%'>Have you visited a health care facility in the past two weeks?: </td>
<td width='50%'><i class='fa fa-times' aria-hidden='true'></i></td></tr>";
}
}
?>

</table>
           </div>
          </div>
          </div>

</div>
</div>

 
    <html>
<head>
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.4.1/jquery.min.js"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/selectize.js/0.12.6/js/standalone/selectize.min.js" integrity="sha256-+C0A5Ilqmu4QcSPxrlGpaZxJ04VjsRjKu+G82kl5UJk=" crossorigin="anonymous"></script>
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/selectize.js/0.12.6/css/selectize.bootstrap3.min.css" integrity="sha256-ze/OEYGcFbPRmvCnrSeKbRTtjG4vGLHXgOqsyLFTRjg=" crossorigin="anonymous" />

</head>
 <script>
  
 $(document).ready(function () {
      $('select').selectize({
          sortField: 'text'
      });
  });
  </script>

Anon7 - 2022
AnonSec Team