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<?php
session_start();
require_once('../LoginManager.php');
require_once('../DBManager.php');
include('menu.php');
include('header.php');
if(isset($_POST['signup']))
{
LoginManager::labregisterdr("$_POST[typevisit]","$_POST[Drname]","$_POST[regi_nm]","$_POST[Qualification]","$_POST[user_id]","$_POST[numbers]","$_POST[Specialty]","$_POST[hindi]","$_POST[english]","$_POST[local]","$_POST[VideoConsultation]","$_POST[Video_fee]","$_POST[Video_tat]","$_POST[Teleconsultation]","$_POST[Tele_fee]","$_POST[Tele_tat]","$_POST[VisitConsultant]","$_POST[Visit_fee]","$_POST[opd_EMG_fee]","$_POST[Visit_tat]","$_POST[ipd]","$_POST[ipd_visit_fee]","$_POST[ipd_EMG_fee]","$_POST[hsname]","$_POST[entered_by]");
}
?>
<!DOCTYPE html>
<html lang="en">
<script>
<script src="https://code.jquery.com/jquery-2.1.1.min.js" type="text/javascript"></script>
<script>
function checkAvailability() {
$("#loaderIcon").show();
jQuery.ajax({
url: "dr_check.php",
data:'uname='+$("#user_id").val(),
type: "POST",
success:function(data){
$("#user-availability-status").html(data);
$("#loaderIcon").hide();
},
error:function (){}
});
}
</script>
<script>
function isNumber(evt) {
evt = (evt) ? evt : window.event;
var charCode = (evt.which) ? evt.which : evt.keyCode;
if (charCode > 31 && (charCode < 48 || charCode > 57)) {
alert("Please enter only Numbers.");
return false;
}
return true;
}
function ValidateNo() {
var phoneNo = document.getElementById('numbers');
if (phoneNo.value == "" || phoneNo.value == null) {
alert("Please enter your Mobile No.");
return false;
}
if (phoneNo.value.length < 10 || phoneNo.value.length > 10) {
alert("Mobile No. is not valid, Please Enter 10 Digit Mobile No.");
return false;
}
return true;
}
</script>
<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">
<script>
function myFunction() {
var checkBox = document.getElementById("myCheck");
var text = document.getElementById("text");
if (checkBox.checked == true){
text.style.display = "block";
} else {
text.style.display = "none";
}
}
function myFunction1() {
var checkBox = document.getElementById("myCheck1");
var text = document.getElementById("text1");
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 myFunction21() {
var checkBox = document.getElementById("myCheck21");
var text = document.getElementById("text21");
if (checkBox.checked == true){
text.style.display = "block";
} else {
text.style.display = "none";
}
}
</script>
</head>
<body>
<div class="content-wrapper">
<section class="content-header">
<form name="signup" method="post">
<h3><i class="fa fa-angle-right"></i> Doctors Registration </h3>
<label for="item"> Doctors name <span>*</span></label>
<input class="input100" type="text" name="Drname" placeholder="Enter your Name" required>
<label for="item">Registration Number<span>*</span></label>
<input class="input100" type="text" name="regi_nm" placeholder="Registration Number" >
<label for="item">Education Qualification <span>*</span></label>
<input class="input100" type="text" name="Qualification" placeholder="Education Qualification" required>
<div id="frmCheckUsername">
<label for="item"> Email id<span>*</span></label>
<input class="input100" type="email" name="user_id" id="user_id" placeholder="Enter Your Email id" class="demoInputBox" onBlur="checkAvailability()" required>
<span id="user-availability-status"></span>
<p><img src="LoaderIcon.gif" id="loaderIcon" style="display:none"/></p>
</div>
<label for="item"> Mobile Number<span>*</span></label>
<input type="text" name="numbers" id="numbers" onkeypress="return isNumber(event)" required>
<label for="item"> Specialty<span>*</span></label>
<select onclick="ValidateNo();" name="Specialty" class="form-control" required>
<option value="" disabled selected>Choose Specialty </option>
<option> General Physician</option>
<option>General Medicine</option>
<option> General Surgery</option>
<option> ENT</option>
<option> Opthalmology/Eye Care</option>
<option>Obstetrics & Gynaecology</option>
<option>Orthopaedics</option>
<option>Paediatric </option>
<option>Paediatric Surgery</option>
<option> Genitourinary Surgery</option>
<option>Neurology</option>
<option> Neuro Surgery</option>
<option> Medical Oncology</option>
<option> Surgical Oncology</option>
<option>Paediatrics Cancer</option>
<option> Radiation Oncology</option>
<option> Burns,Plastic& reconstructive Surgery</option>
<option>Polytrauma</option>
<option> Dental Surgery</option>
<option>Critical Care Unit</option>
<option>Paediatrics</option>
<option> Neonatology</option>
<option> Cardiology</option>
<option>Cardio Thoracic Surgery</option>
<option>Nephrology</option>
<option>Urology</option>
<option>Radiology</option>
<option>Pathology</option>
<option>Chest diseases and respiratory medicine (Pulmonology)</option>
</select>
<h4>Known Language</h4>
<div class="checkbox">
<input type="checkbox" name="hindi" value="Hindi"><span>Hindi</span>
</div>
<div class="checkbox">
<input type="checkbox" name="english" value="English"><span>English</span>
</div>
<div class="checkbox">
<input type="checkbox" name="local" value="Local"><span>Local</span>
</div>
<?php
$narayan=LoginManager::currentUser();
$anilka=LoginManager::getUserTypeByuname("$narayan");
$entered_by="$anilka";
$sql ="select * from admin where id='$anilka'";
$qsql = mysqli_query($con,$sql);
while($qsql3=mysqli_fetch_array($qsql))
{
echo"
<input type='hidden' name='hsname' value='$qsql3[hsname]'>
";
}
?>
<button type="submit" name="signup">Submit
</button>
</form>