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Current File : /home/btiyawmy/public_html/login.easenup.in/surgical_site_infection.php
<?php
session_start();
require_once('../DBManager.php');
require_once('../LoginManager.php');
require_once('../patientmanager.php');
include 'dashboarddocument.php';
include 'header.php';
if(isset($_POST['signup'])) 
{
   PatientManager::surgicalsite("$_POST[prescriptionid]","$_POST[patientid]","$_POST[Operation]","$_POST[dateoperation]","$_POST[Wound_Class]","$_POST[Duration_Operation]","$_POST[Starting_Date]","$_POST[duration]","$_POST[surgical_site_infection]","$_POST[Infection_Site]","$_POST[Sample_Collection]","$_POST[entered_by]");
}

?>
 <style>

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

</style>
  <meta charset="UTF-8">
<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>
 <div class='content-wrapper'>
    <section class='content-header'>		
<?php 
$sql ="SELECT * FROM patient WHERE patientid='$_GET[patientid]'";
		$qsql = mysqli_query($con,$sql);
		while($rs = mysqli_fetch_array($qsql))
		{
  	    $sql1 ="SELECT * FROM request_for_admission_ipd WHERE patientid='$rs[patientid]' AND prescriptionid='$_GET[prescriptionid]'";
		$qsql1 = mysqli_query($con,$sql1);
		while($rsr = mysqli_fetch_array($qsql1))
		{
     echo "
<div class='center'>
    <table id='example2' class='table table-bordered table-hover' width='100%'>
<h3 align='center'>Surgical Site Infection Reporting Form</h3>
<tr>
<td width='50%'> Ward: </td>
<td width='50%'>$rsr[Ward]</td>
</tr>
<tr>
<td width='50%'> Date of Admission: </td>
<td width='50%'>$rsr[created_at]</td>
</tr>
<tr>
<td width='50%'> Doctor: </td>
<td width='50%'>$rsr[Admitted_Under]</td>
</tr>
<tr>
<td width='50%'> Operation: </td>
<td width='50%'>$rsr[created_at]</td>
</tr>
<tr>
<td width='50%'> Pt. Name: </td>
<td width='50%'>$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>
";
	  echo "</td></tr>";	}
		}
		?>
		<form name="signup" method="post">
<tr>
<td width='50%'> Operation: </td>
<td width='50%'><input type="text" placeholder="Operation" name="Operation"></td>
</tr>
<tr>
<td width='50%'> Date of Operation: </td>
<td width='50%'><input type="date" placeholder="Operation" name="dateoperation"></td>
</tr>
</table>

<label>&nbsp;  &nbsp; Wound Class</label>
<div class="checkbox">
&nbsp;  &nbsp; &nbsp; &nbsp;<input type="radio" name="Wound_Class"><span style="font-size: 17px;"> Clean</span>
</div>
<div class="checkbox">
&nbsp;  &nbsp; &nbsp; &nbsp;<input type="radio" name="Wound_Class"><span style="font-size: 17px;">Contaminated	</span>
</div>
<div class="checkbox">
&nbsp;  &nbsp; &nbsp; &nbsp;<input type="radio" name="Wound_Class"><span style="font-size: 17px;">Dirty</span>

</div>

<label>&nbsp;  &nbsp; Duration of Operation</label>
<div class="checkbox">
&nbsp;  &nbsp; &nbsp; &nbsp;<input type="radio" name="Duration_Operation"><span style="font-size: 17px;"> Urgent</span>
</div>
<div class="checkbox">
&nbsp;  &nbsp; &nbsp; &nbsp;<input type="radio" name="Duration_Operation"><span style="font-size: 17px;">Non-Urgent	</span>
</div>
<div class="checkbox">
&nbsp;  &nbsp; &nbsp; &nbsp;<input type="radio" name="Duration_Operation"><span style="font-size: 17px;">Prosthesis/implant</span>

</div>
<div class="checkbox">
&nbsp;  &nbsp; &nbsp; &nbsp;<input type="radio" name="Duration_Operation"><span style="font-size: 17px;">G.i Surgery</span>

</div>
<h3 align="center">Antibiotics</h3>
<div>
<label>Starting Date</label><input type="date" name="Starting_Date">

</div>
<div>
<label>Duration</label><input type="text" placeholder="Duration" name="duration">
</div>
<br>
<div class="checkbox">
    <input type="checkbox" name="surgical_site_infection"><span style="font-size: 17px;">Surgical Site Infection</span>

</div>

<label>&nbsp;  &nbsp; Infection Site</label>
<div class="checkbox">
&nbsp;  &nbsp; &nbsp; &nbsp;<input type="radio" name="Infection_Site"><span style="font-size: 17px;">Superficial</span>
</div>
<div class="checkbox">
&nbsp;  &nbsp; &nbsp; &nbsp;<input type="radio" name="Infection_Site"><span style="font-size: 17px;">Deep	</span>
</div>
<td width='50%'> Sample Collection: </td>
<td width='50%'><input type="text" placeholder="Sample Collection" name="Sample_Collection"></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>

</table>
<br>
<br>
<input type="submit" name="signup" value="Submit">
</form>
	<script>
n =  new Date();
y = n.getFullYear();
m = n.getMonth() + 1;
d = n.getDate();
document.getElementById("date").innerHTML = m + "/" + d + "/" + y;
</script>	
		

Anon7 - 2022
AnonSec Team