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<?php session_start();
//Code for Registration
require_once('dbconnection.php');
if(isset($_POST['signup']))
{
$sql ="UPDATE patient SET nameofinc='$_POST[nameofinc]',Policynm='$_POST[Policynm]' WHERE patientid='$_GET[patientid]'";
if($qsql = mysqli_query($con,$sql))
{
echo "<script>alert('Update successfully');</script><script>window.history.go(-2)</script>;</script>";
} else {
echo "Sorry, there was an error uploading your file.";
}
}
?>
<?php
session_start();
require_once('dbconnection.php');
include 'patient_menu.php';
include 'header.php';
$sql ="SELECT * FROM patient WHERE patientid='$_GET[patientid]'";
$qsql = mysqli_query($con,$sql);
while($rs = mysqli_fetch_array($qsql))
{
echo "
<div class='content-wrapper'>
<!-- Content Header (Page header) -->
<section class='content-header'>
<div class='center'>
<div style = 'display:none;' id = 'loaderImg'> <div class='loader'> </div> </div>
<form name='signup' id='myForm' method='post' >
<table width='100%'>
<fieldset><legend>Insurance Details</legend>
<tr>
<td width='50%'> Name of Insurance Company: </td>
<td width='50%'> <select class='select2' name='nameofinc'>";
if(is_numeric($rs[nameofinc]))
{
$sqlpatient1 = "SELECT * FROM tpa_insurance where id='$rs[nameofinc]' ";
$qsqlpatient1 = mysqli_query($con,$sqlpatient1);
if($rsn = mysqli_fetch_array($qsqlpatient1))
{
echo"
<option value='$rsn[Name]'>$rsn[Name]</option> ";
}
}
else
{
echo"
<option value='$rs[nameofinc]'>$rs[nameofinc]</option> ";
}
$sqlpatient1 = "SELECT * FROM tpa_insurance";
$qsqlpatient1 = mysqli_query($con,$sqlpatient1);
while($rsn = mysqli_fetch_array($qsqlpatient1))
{
echo "<option value='$rsn[id]'>$rsn[Name]</option>";
}
echo"</select></td>
</tr>
<tr>
<td width='50%'> Policy Number : </td>
<td width='50%'><input type='text' name='Policynm' value='$rs[Policynm]'></td>
</tr>
</table>
</fieldset>
<button type='submit' name='signup'> <span style='color:WHITE'>Update</SPAN></button>
</div>
</form>
";
}
?>
<html>
<head>
<style>
.center {
border: 1px solid grey;
text-align:;
}
table {
border-collapse: separate;
border-spacing: 0 15px;
}
th {
background-color: #4287f5;
color: white;
}
th,
td {
width: 150px;
padding: 5px;
}
h2 {
color: #4287f5;
}
</style>
</head>
<body>
<?php ?>
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.1.1/jquery.min.js"></script>
<script type="text/javascript">
$(document).ready(function(){
$('#myForm').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>
</body>
</html>