| Server IP : 162.240.98.243 / Your IP : 13.58.192.80 Web Server : Apache System : Linux server.bti.yaw.mybluehostin.me 3.10.0-1160.119.1.el7.x86_64 #1 SMP Tue Jun 4 14:43:51 UTC 2024 x86_64 User : btiyawmy ( 1003) PHP Version : 7.2.34 Disable Function : NONE MySQL : OFF | cURL : ON | WGET : ON | Perl : ON | Python : ON | Sudo : ON | Pkexec : ON Directory : /home/btiyawmy/public_html/login.easenup.in/ |
Upload File : |
<?php
session_start();
require_once('../DBManager.php');
require_once('../LoginManager.php');
include 'dashboarddocument.php';
include 'header.php';
?>
<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 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>
<?php
$narayan=LoginManager::currentUser();
$usertype=LoginManager::getUserTypeByuname("$narayan");
$sql ="SELECT * FROM patient WHERE patientid='54'";
$qsql = mysqli_query($con,$sql);
while($rs = mysqli_fetch_array($qsql))
{
echo "
<div class='content-wrapper'>
<!-- Content Header (Page header) -->
<section class='content-header'>
<div class='center'>
<table id='example2' class='table table-bordered table-hover' width='100%'>
<fieldset><legend>OT CHECK-LIST</legend>
<tr>
<td width='50%'> Patient Name </td>
<td width='50%'>$rs[patientname]</td>
</tr>
<tr>
<td width='50%'> W/O,D/O,S/O. : </td>
<td width='50%'>$rs[HusbandName]</td>
</tr>
<tr>
<td width='50%'> DOB: </td>
<td width='50%'>$rs[dob]</td>
</tr>
<tr>
<td width='50%'> Sex : </td>
<td width='50%'>$rs[gendor]</td>
</tr>
<tr>
<td width='50%'> IPD No. : </td>
<td width='50%'><input type='text' name'ipdno'></td>
</tr>
<tr>
<td width='50%'> Procedure : </td>
<td width='50%'>$rs[Locality]</td>
</tr>
<tr>
<td width='50%'> Consent : </td>
<td width='50%'><select name='Consent'>
<option value=''disabled selected>Consent </option>
<option value='Present'> Present</option>
<option value='Not Present'>Not Present</option>
</select> </td>
</tr>
<tr>
<td width='50%'> Nothing By Mouth Form : </td>
<td width='50%'><select name='mouth_form'>
<option value=''disabled selected>Nothing By Mouth Form </option>
<option value='Present'> Present</option>
<option value='Not Present'>Not Present</option>
</select> </td>
</tr>
<tr>
<td width='50%'> Dental Hygiene : </td>
<td width='50%'><select name='Hygiene'>
<option value=''disabled selected>Dental Hygiene </option>
<option value='Adequate'> Adequate</option>
<option value='Poor'>Poor</option>
</select> </td>
</tr>
<tr>
<td width='50%'> Denture : </td>
<td width='50%'><select name='Denture'>
<option value=''disabled selected>Denture </option>
<option value=' Present if present is should be removed'> Present if present is should be removed</option>
<option value='Not Present'>Not Present</option>
<option value='Non Removable'>Non Removable</option>
</select> </td>
</tr>
<tr>
<td width='50%'> Investigation : </td>
<td width='50%'><select name='Investigation'>
<option value=''disabled selected>Investigation </option>
<option value=' Present'> Present</option>
<option value='Not Present'>Not Present</option>
</select> </td>
</tr>
<tr>
<td width='50%'> Nail Paint/Ornament : </td>
<td width='50%'><select name='Investigation'>
<option value=''disabled selected>Nail Paint/Ornament </option>
<option value=' Present'> Present</option>
<option value='Not Present'>Not Present</option>
<option value='Not Reovable'>Not Reovable</option>
</select> </td>
</tr>
<tr>
<td width='50%'> Pre medication : </td>
<td width='50%'><select name='Pre_medication'>
<option value=''disabled selected>Pre medication </option>
<option value='given'> given</option>
<option value='Not Present'>Not Given</option>
</select> </td>
</tr>
<tr>
<td width='50%'> Blood Arrange : </td>
<td width='50%'><select name='Pre_medication'>
<option value=''disabled selected>Blood Arrange </option>
<option value='PRBC'> PRBC </option>
<option value='FFP'> FFP </option>
<option value='FFP'> FFP </option>
<option value='Platelet'>Platelet </option>
<option value='Platelet'>Albumin </option>
</select> </td>
</tr>
<tr>
<td width='50%'> Part preparation : </td>
<td width='50%'><select name='preparation'>
<option value=''disabled selected>Part preparation </option>
<option value='Done'> Done</option>
<option value='Not Done'>Not Done</option>
</select> </td>
</tr>
<tr>
<td width='50%'> Account clearance : </td>
<td width='50%'><select name='clearance'>
<option value=''disabled selected>Account clearance </option>
<option value='Done'> Done</option>
<option value='Not Done'>Not Done</option>
</select> </td>
</tr>
<tr>
<td><div class='checkbox'>
<input type='checkbox' name='Drugs_Allergies' id='myCheck4' onclick='myFunction4()'><span>Any Drugs Allergies</span>
</td> <td><div class='checkbox'>
<input type='checkbox' name='Previous_surgery' id='myCheck3' onclick='myFunction3()'><span>Previous any surgery`s</span>
</td></td></div>
</tr>
<tr>
<td><div class='checkbox'>
<input type='checkbox' name='History_of_DM' id='myCheck2' onclick='myFunction2()'><span>History of DM, HTN</span>
</td> <td><div class='checkbox'>
<input type='checkbox' name='ICU_Available ' id='myCheck3' onclick='myFunction3()'><span>ICU Bed & Vent. Available </span>
</td></td></div>
</tr>
</table>
<div id='text4' style='display:none'>
<label>Specify (Any Drugs Allergies)</label>
<input type='text' name='Allergies_specify'>
</div>
<div id='text3' style='display:none'>
<label>Specify (Previous any surgery`s)</label>
<input type='text' name='surgery_specify'>
<div id='text2' style='display:none'>
<label>Specify (History of DM, HTN )</label>
<input type='text' name='DM_specify'>
</div>
</table>
</fieldset>
</div>
";
echo "</td></tr>"; }
?>
<br>
<table id='example2' class='table table-bordered table-hover' width='100%'>
<tr>
<td width='50%'> Handover given by </td>
<td width='50%'><input type="text" name="Handover_given_by"</td>
</tr>
<tr>
<td width='50%'> Handover taken by : </td>
<td width='50%'><input type="text" name="Handover_taken_by"</td>
</tr>
<tr>
<td width='50%'> Staff Nurse name : </td>
<td width='50%'><input type="text" name="Nurse_name"></td>
</tr>
<tr>
<td width='50%'> Sex : </td>
<td width='50%'><input type="text" name="Handover_given_by"</td>
</tr>
</table>
</form>
<input type="submit" value="Submit" name="submit">