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<?php
session_start();
include('db/dbcon.php');
if(isset($_POST['OPDFeedback']))
{
$FO_Accessibility=$_POST['FO_Accessibility'];
$FO_Behavior=$_POST['FO_Behaviour'];
$FO_Knowledge=$_POST['FO_Knowledge'];
$prescriptionid=$_POST['prescriptionid'];
$patientid=$_POST['patientid'];
$hospital_id='0';
$FO_id=$_POST['FO_id'];
$Acc_id=$_POST['Acc_id'];
$Nurse_id=$_POST['Nurse_id'];
$Pharma_Id=$_POST['Pharma_Id'];
$Doc_Id=$_POST['Doc_Id'];
$Acc_Accessibility=$_POST['Acc_Accessibility'];
$Acc_Behavior=$_POST['Acc_Behaviour'];
$Acc_Knowledge=$_POST['Acc_Knowledge'];
$Bill_Consultation=$_POST['Consultation'];
$Bill_Investigation=$_POST['Investigation'];
$Bill_Medicine=$_POST['Medicine'];
$Nurse_Accessibility=$_POST['Nurse_Accessibility'];
$Nurse_Behavior=$_POST['Nurse_Behaviour'];
$Nurse_Knowledge=$_POST['Nurse_Knowledge'];
$WaitingPeriod=$_POST['WaitingPeriod'];
$DocKnowledgeable=$_POST['DoctorCounseling'];
$PharmaCheck=$_POST['pharmacistcheck'];
$Counseling=$_POST['Counseling'];
$PharmaPolicy=$_POST['ReturnPolicy'];
$CleannessWaitingArea=$_POST['WaitingArea'];
$CleannessToilet=$_POST['Toilet'];
$HosEnvironment=$_POST['Environment'];
$Crated_At=date("F d, Y / h:i:s A");
date_default_timezone_set("Asia/Calcutta"); //India time (GMT+5:30)
$CreatedTime= date('H:i:s');
$EnteredBy=$_POST['entered_by'];
$CreateDate= date('Y-m-d');
$sql=$conn->query("UPDATE `opd_feedback` SET `FO_id`='$FO_id',`Acc_id`='$Acc_id',`Nurse_id`='$Nurse_id',`Pharma_Id`='$Pharma_Id',`Doc_Id`='$Doc_Id',`FO_Accessibility`='$FO_Accessibility',`FO_Behavior`='$FO_Behavior',`FO_Knowledge`='$FO_Knowledge',`Acc_Accessibility`='$Acc_Accessibility',`Acc_Behavior`='$Acc_Behavior',`Acc_Knowledge`='$Acc_Knowledge',`Bill_Consultation`='$Bill_Consultation',`Bill_Investigation`='$Bill_Investigation',`Bill_Medicine`='$Bill_Medicine',`Nurse_Accessibility`='$Nurse_Accessibility',`Nurse_Behavior`='$Nurse_Behavior',`Nurse_Knowledge`='$Nurse_Knowledge',`WaitingPeriod`='$WaitingPeriod',`DocKnowledgeable`='$DocKnowledgeable',`PharmaCheck`='$PharmaCheck',`PharmaPolicy`='$PharmaPolicy',`CleannessWaitingArea`='$CleannessWaitingArea',`CleannessToilet`='$CleannessToilet',`HosEnvironment`='$HosEnvironment',`Counseling`='$Counseling',`CreatedTime`='$CreatedTime',`Updated_At`='$CreateDate',`Status`='1' WHERE `prescriptionid`='$prescriptionid' AND `patientid`='$patientid'");
$sql1=$conn->query("INSERT INTO `save_activity`(`userno`, `prescriptionid`, `discription`, `link`, `entered_by`, `created_at`) VALUES ('$patientid','$prescriptionid','Out-Patient Feedback<br>Doc.no-','View_Patient_feedback_OPD.php?prescriptionid=$prescriptionid&patientid=$patientid&srno=','$EnteredBy','$Crated_At')");
//echo $sql;
if($sql)
{
// Message for successfull insertion
echo "<script>alert('Record inserted successfully');</script>";
echo "<script>window.location.href='timeline.php?id=$_GET[id]'</script>";
}
else
{
// Message for unsuccessfull insertion
echo "<script>alert('Something went wrong. Please try again');</script>";
echo "<script>window.location.href='timeline.php?id=$_GET[id]'</script>";
}
}
if(isset($_POST['IPDFeedback']))
{
$FO_Accessibility=$_POST['FO_Accessibility'];
$FO_Behavior=$_POST['FO_Behaviour'];
$FO_Knowledge=$_POST['FO_Knowledge'];
$Nurse_Accessibility=$_POST['Nurse_Accessibility'];
$Nurse_Behavior=$_POST['Nurse_Behaviour'];
$Nurse_Knowledge=$_POST['Nurse_Knowledge'];
$MOTreatmentPatient=$_POST['MOTreatmentPatient'];
$MOBehaviorPatient=$_POST['MOBehaviorPatient'];
$MOKnowledgePatient=$_POST['MOKnowledgePatient'];
$HosAdmissionCharges=$_POST['HosAdmissionCharges'];
$HosInvestigation=$_POST['HosInvestigation'];
$HosTreatment=$_POST['HosTreatment'];
$prescriptionid=$_POST['prescriptionid'];
$patientid=$_POST['patientid'];
$hospital_id='0';
$FO_id=$_POST['FO_id'];
$MO_id=$_POST['MO_id'];
$Nurse_id=$_POST['Nurse_id'];
$All_Nurse_Id=$_POST['All_Nurse_Id'];
$Doc_Id=$_POST['Doc_Id'];
$DietDietician=$_POST['DietDietician'];
$treatmentSurgeries=$_POST['treatmentSurgeries'];
$Ward=$_POST['Ward'];
$Toilet=$_POST['Toilet'];
$Medication=$_POST['Medication'];
$Diet=$_POST['Diet'];
$Precautions=$_POST['Precautions'];
$EmergencyCare=$_POST['EmergencyCare'];
$DoctorDischarge=$_POST['DoctorDischarge'];
$HospitalEnvironment=$_POST['HospitalEnvironment'];
$surgery=$_POST['surgery'];
$PrecautionsHygiene=$_POST['PrecautionsHygiene'];
$Crated_At=date("F d, Y / h:i:s A");
date_default_timezone_set("Asia/Calcutta"); //India time (GMT+5:30)
$CreatedTime= date('H:i:s');
$EnteredBy=$_POST['entered_by'];
$CreateDate= date('Y-m-d');
$sql=$conn->query("UPDATE `ipd_feedback` SET `FO_id`='$FO_id',`MO_id`='$MO_id',`Nurse_id`='$Nurse_id',`All_Nurse_Id`='$All_Nurse_Id',`Doc_Id`='$Doc_Id',`FO_Accessibility`='$FO_Accessibility',`FO_Behavior`='$FO_Behavior',`FO_Knowledge`='$FO_Knowledge',`MO_Accessibility`='$MOTreatmentPatient',`MO_Behavior`='$MOBehaviorPatient',`MO_Knowledge`='$MOKnowledgePatient',`hos_Consultation`='$HosAdmissionCharges',`hos_Investigation`='$HosInvestigation',`hos_Medicine`='$HosTreatment',`Nurse_Accessibility`='$Nurse_Accessibility',`Nurse_Behavior`='$Nurse_Behavior',`Nurse_Knowledge`='$Nurse_Knowledge',`Dietician`='$DietDietician',`counselor`='$treatmentSurgeries',`Ward`='$Ward',`Toilet`='$Toilet',`Medication`='$Medication',`Diet`='$Diet',`Precautions`='$Precautions',`EmergencyCare`='$EmergencyCare',`TimeOfDischarge`='$DoctorDischarge',`HospitalEnvironment`='$HospitalEnvironment',`CreatedTime`='$CreatedTime',`Updated_At`='$CreateDate',`Status`='1' WHERE `prescriptionid`='$prescriptionid' AND `patientid`='$patientid'");
$sql=$conn->query("INSERT INTO `save_activity`(`userno`, `prescriptionid`, `discription`, `link`, `entered_by`, `created_at`) VALUES ('$patientid','$prescriptionid','In-Patient Feedback<br>Doc.no-','View_InPatient_feedback.php?prescriptionid=$prescriptionid&patientid=$patientid&srno=','$EnteredBy','$Crated_At')");
for ($i = 0; $i < count($_POST['Nurseid']); $i++) {
$ANSPunctuality=$_POST['ANSPunctuality'][$i];
$ANSBehavior=$_POST['ANSBehavior'][$i];
$ANSKnowledge=$_POST['ANSKnowledge'][$i];
$res=$ANSPunctuality+$ANSBehavior+$ANSKnowledge;
$sql=$conn->query("UPDATE `al_Nurse` SET `ANSPunctuality`='$ANSPunctuality',`ANSBehavior`='$ANSBehavior',`ANSKnowledge`='$ANSKnowledge',`PrecautionsHygiene`='$PrecautionsHygiene',`grade`='$res',`Status`='1' WHERE `prescriptionid`='$prescriptionid' AND `patientid`='$patientid' AND `Nurse_id`='".$_POST['Nurseid']."'");
}
for ($i = 0; $i < count($_POST['docId']); $i++) {
$KnowledgeableCounseling=$_POST['KnowledgeableCounseling'][$i];
$sql=$conn->query("UPDATE `al_Doctor` SET `KnowledgeableCounseling`='$KnowledgeableCounseling',`grade`='$KnowledgeableCounseling',`Status`='1' WHERE `prescriptionid`='$prescriptionid' AND `patientid`='$patientid' AND `Doctor_id`='".$_POST['docId']."'");
}
for ($i = 0; $i < count($_POST['surgery']); $i++) {
$KnowledgeableCounseling=$_POST['KnowledgeableCounseling'][$i];
$sql=$conn->query("UPDATE `al_Surgery` SET `treatmentSurgeries`='$treatmentSurgeries',`grade`='$treatmentSurgeries',`Status`='1' WHERE `prescriptionid`='$prescriptionid' AND `patientid`='$patientid' AND `Surgery_id`='".$_POST['surgery']."'");
}
//echo $sql;
if($sql)
{
// Message for successfull insertion
echo "<script>alert('IPD Record inserted successfully');</script>";
echo "<script>window.location.href='timeline.php?id=$_GET[id]'</script>";
}
else
{
// Message for unsuccessfull insertion
echo "<script>alert('IPD Something went wrong. Please try again');</script>";
echo "<script>window.location.href='timeline.php?id=$_GET[id]'</script>";
}
}
?>
<!DOCTYPE html>
<html lang="en">
<head>
<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1" />
<meta charset="utf-8" />
<title>Feedback</title>
<meta name="description" content="" />
<meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0" />
<!-- bootstrap & fontawesome -->
<link rel="stylesheet" href="assets/css/bootstrap.min.css" />
<link rel="stylesheet" href="assets/font-awesome/4.5.0/css/font-awesome.min.css" />
<!-- page specific plugin styles -->
<!-- text fonts -->
<link rel="stylesheet" href="assets/css/fonts.googleapis.com.css" />
<!-- ace styles -->
<link rel="stylesheet" href="assets/css/ace.min.css" class="ace-main-stylesheet" id="main-ace-style" />
<!--[if lte IE 9]>
<link rel="stylesheet" href="assets/css/ace-part2.min.css" class="ace-main-stylesheet" />
<![endif]-->
<link rel="stylesheet" href="assets/css/ace-skins.min.css" />
<link rel="stylesheet" href="assets/css/ace-rtl.min.css" />
<!--[if lte IE 9]>
<link rel="stylesheet" href="assets/css/ace-ie.min.css" />
<![endif]-->
<!-- inline styles related to this page -->
<!-- ace settings handler -->
<script src="assets/js/ace-extra.min.js"></script>
<!-- HTML5shiv and Respond.js for IE8 to support HTML5 elements and media queries -->
<!--[if lte IE 8]>
<script src="assets/js/html5shiv.min.js"></script>
<script src="assets/js/respond.min.js"></script>
<![endif]-->
</head>
<body class="no-skin">
<?php include('includes/header.php'); ?>
<div class="main-container ace-save-state" id="main-container">
<script type="text/javascript">
try{ace.settings.loadState('main-container')}catch(e){}
</script>
<div id="sidebar" class="sidebar navbar-collapse collapse ace-save-state">
<script type="text/javascript">
try{ace.settings.loadState('sidebar')}catch(e){}
</script>
<div class="sidebar-shortcuts" id="sidebar-shortcuts">
<div class="sidebar-shortcuts-large" id="sidebar-shortcuts-large">
<button class="btn btn-success">
<i class="ace-icon fa fa-signal"></i>
</button>
<button class="btn btn-info">
<i class="ace-icon fa fa-pencil"></i>
</button>
<button class="btn btn-warning">
<i class="ace-icon fa fa-users"></i>
</button>
<button class="btn btn-danger">
<i class="ace-icon fa fa-cogs"></i>
</button>
</div>
<div class="sidebar-shortcuts-mini" id="sidebar-shortcuts-mini">
<span class="btn btn-success"></span>
<span class="btn btn-info"></span>
<span class="btn btn-warning"></span>
<span class="btn btn-danger"></span>
</div>
</div><!-- /.sidebar-shortcuts -->
<?php include('includes/sidebar.php'); ?>
<div class="sidebar-toggle sidebar-collapse" id="sidebar-collapse">
<i id="sidebar-toggle-icon" class="ace-icon fa fa-angle-double-left ace-save-state" data-icon1="ace-icon fa fa-angle-double-left" data-icon2="ace-icon fa fa-angle-double-right"></i>
</div>
</div>
<div class="main-content">
<div class="main-content-inner">
<div class="breadcrumbs ace-save-state" id="breadcrumbs">
<ul class="breadcrumb">
<li>
<i class="ace-icon fa fa-home home-icon"></i>
<a href="#">Home</a>
</li>
<li class="active">
<a href="#">Timeline</a>
</li>
</ul><!-- /.breadcrumb -->
<div class="nav-search" id="nav-search">
<form class="form-search">
<span class="input-icon">
<input type="text" placeholder="Search ..." class="nav-search-input" id="nav-search-input" autocomplete="off" />
<i class="ace-icon fa fa-search nav-search-icon"></i>
</span>
</form>
</div><!-- /.nav-search -->
</div>
<div class="page-content">
<div class="ace-settings-container" id="ace-settings-container">
<div class="btn btn-app btn-xs btn-warning ace-settings-btn" id="ace-settings-btn">
<i class="ace-icon fa fa-cog bigger-130"></i>
</div>
<div class="ace-settings-box clearfix" id="ace-settings-box">
<div class="pull-left width-50">
<div class="ace-settings-item">
<div class="pull-left">
<select id="skin-colorpicker" class="hide">
<option data-skin="no-skin" value="#438EB9">#438EB9</option>
<option data-skin="skin-1" value="#222A2D">#222A2D</option>
<option data-skin="skin-2" value="#C6487E">#C6487E</option>
<option data-skin="skin-3" value="#D0D0D0">#D0D0D0</option>
</select>
</div>
<span> Choose Skin</span>
</div>
<div class="ace-settings-item">
<input type="checkbox" class="ace ace-checkbox-2 ace-save-state" id="ace-settings-navbar" autocomplete="off" />
<label class="lbl" for="ace-settings-navbar"> Fixed Navbar</label>
</div>
<div class="ace-settings-item">
<input type="checkbox" class="ace ace-checkbox-2 ace-save-state" id="ace-settings-sidebar" autocomplete="off" />
<label class="lbl" for="ace-settings-sidebar"> Fixed Sidebar</label>
</div>
<div class="ace-settings-item">
<input type="checkbox" class="ace ace-checkbox-2 ace-save-state" id="ace-settings-breadcrumbs" autocomplete="off" />
<label class="lbl" for="ace-settings-breadcrumbs"> Fixed Breadcrumbs</label>
</div>
<div class="ace-settings-item">
<input type="checkbox" class="ace ace-checkbox-2" id="ace-settings-rtl" autocomplete="off" />
<label class="lbl" for="ace-settings-rtl"> Right To Left (rtl)</label>
</div>
<div class="ace-settings-item">
<input type="checkbox" class="ace ace-checkbox-2 ace-save-state" id="ace-settings-add-container" autocomplete="off" />
<label class="lbl" for="ace-settings-add-container">
Inside
<b>.container</b>
</label>
</div>
</div><!-- /.pull-left -->
<div class="pull-left width-50">
<div class="ace-settings-item">
<input type="checkbox" class="ace ace-checkbox-2" id="ace-settings-hover" autocomplete="off" />
<label class="lbl" for="ace-settings-hover"> Submenu on Hover</label>
</div>
<div class="ace-settings-item">
<input type="checkbox" class="ace ace-checkbox-2" id="ace-settings-compact" autocomplete="off" />
<label class="lbl" for="ace-settings-compact"> Compact Sidebar</label>
</div>
<div class="ace-settings-item">
<input type="checkbox" class="ace ace-checkbox-2" id="ace-settings-highlight" autocomplete="off" />
<label class="lbl" for="ace-settings-highlight"> Alt. Active Item</label>
</div>
</div><!-- /.pull-left -->
</div><!-- /.ace-settings-box -->
</div><!-- /.ace-settings-container -->
<div class="page-header">
<h1>Timeline </h1>
</div><!-- /.page-header -->
<div class="row">
<div class="col-xs-12">
<!-- PAGE CONTENT BEGINS -->
<div class="row">
<div class="col-xs-12">
<?php
$AddAsPatient=$conn->query("SELECT * FROM `addaspatient` Where prescriptionid='$_GET[prescriptionid]' AND patientid=$_GET[id]");
$RowPatient=$AddAsPatient->fetch_assoc();
if($RowPatient[typevisit]=='IPD'){
?>
<div class='row'>
<div class='col-sm-12'>
<div class="panel panel-primary">
<div class="panel-body">
<h4 class="text-on-pannel text-primary"><strong class="text-uppercase"> In-patient Feedback Form
</strong></h4>
<form method="post" enctype="multipart/form-data">
<?php
$sql ="SELECT * FROM patient WHERE patientid='$_GET[id]' ";
$qsql = mysqli_query($conn,$sql);
$rs1 = mysqli_fetch_array($qsql);
?>
<div class='row'>
<div class='col-sm-12'>
<p>Dear <?php echo $rs1['patientname'] ?>, <br><br>
We would greatly appreciate receiving your feedback on your experience with our practice. This will help us to provide the best quality care. As part of our commitment to safe and high quality health care, we welcome feedback from patients to help us identify areas where we can improve our services to better meet your needs. Your feedback is voluntary, confidential and anonymous.
<br><br>
Thank you
</p>
</div>
</div>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<?php
$sqlpatient1 = "SELECT * FROM addaspatient WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[id]'";
$qsqlpatient1 = mysqli_query($conn,$sqlpatient1);
$rsn = mysqli_fetch_array($qsqlpatient1);
$FO=$conn->query("SELECT * FROM front WHERE frid='$rsn[entered_by]'");
$RowFO=$FO->fetch_assoc();
?>
<input type='hidden' value='<?php echo $rsn['entered_by'] ?>' name='entered_by' >
<input type='hidden' name='prescriptionid' value='<?php echo $_GET['prescriptionid'] ?>' />
<input type='hidden' name='patientid' value='<?php echo $_GET['id'] ?>' />
<input type='hidden' name='FO_id' value='<?php echo $RowFO['frid'] ?>' />
<div class='col-sm-12'><p style='float:right'><img src='https://login.easenup.in/uploads/<?php echo $RowFO['photo'] ?>' alt='img' style='width:80px; height:120px;float:right'><br> (<?php echo $RowFO['frid'] ?>)</p></div>
<h4 class=""><span class=""> How satisfied are you with the :
</span></h4>
<div class='col-sm-6'> <label>Accessibility</label><select class='form-control' name='FO_Accessibility'>
<option value='' disabled selected>Accessibility</option>
<option value='1'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-6'> <label>Behaviour</label><select class='form-control' name='FO_Behaviour'>
<option value='' disabled selected>Behaviour</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-6'> <label>Knowledge</label><select class='form-control' name='FO_Knowledge'>
<option value='' disabled selected>Knowledge</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<br>
<div class='col-sm-12'>
<h4 class=""><span class="">of the <u></u>
Front Office staff and customer care executives towards you?
</span></h4>
</div>
</div>
</div>
</div>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<?php
$sqlpatient1 = "SELECT * FROM Vulnerability WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[id]'";
$qsqlpatient1 = mysqli_query($conn,$sqlpatient1);
$rsn = mysqli_fetch_array($qsqlpatient1);
$nurse=$conn->query("SELECT * FROM nurse WHERE Nurseid='$rsn[entered_by]'");
$Rownurse=$nurse->fetch_assoc();
?><input type='hidden' name='Nurse_id' value='<?php echo $Rownurse['Nurseid'] ?>' />
<div class='col-sm-12'><p style='float:right'><img src='uploads/<?php echo $Rownurse['photo'] ?>' alt='img' style='width:80px; height:120px;float:right'><br> (<?php echo $Rownurse['Nurseid'] ?>)</p></div>
<h4 class=""><span class=""> How satisfied are you with the :
</span></h4>
<div class='col-sm-6'> <label>Accessibility</label><select class='form-control' name='Nurse_Accessibility'>
<option value='' disabled selected>Accessibility</option>
<option value='5'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-6'> <label>Behaviour</label><select class='form-control' name='Nurse_Behaviour'>
<option value='' disabled selected>Behaviour</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-6'> <label>Knowledge</label><select class='form-control' name='Nurse_Knowledge'>
<option value='' disabled selected>Knowledge</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<br>
<div class='col-sm-12'>
<h4 class=""><span class="">of the
nurse towards you?
</span></h4>
</div>
</div>
</div>
</div>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<?php
$sqlpatient1 = "SELECT * FROM opdslip WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[id]'";
$qsqlpatient1 = mysqli_query($conn,$sqlpatient1);
$rsn = mysqli_fetch_array($qsqlpatient1);
$nurse=$conn->query("SELECT * FROM dr WHERE drid='$rsn[entered_by]'");
$Rownurse=$nurse->fetch_assoc();
?><input type='hidden' name='Nurse_id' value='<?php echo $Rownurse['Nurseid'] ?>' />
<div class='col-sm-12'><p style='float:right'><img src='https://login.easenup.in/uploads/<?php echo $Rownurse['photo'] ?>' alt='img' style='width:80px; height:120px;float:right'><br> (<?php echo $Rownurse['Nurseid'] ?>)</p></div>
<h4 class=""><span class=""> How satisfied are you with the :
</span></h4>
<div class='col-sm-6'> <label>
Response Time Against Treatment Provided
</label><select class='form-control' name='MOTreatmentPatient'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-6'> <label>
Behavior towards Patient
</label><br><select class='form-control' name='MOBehaviorPatient'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-6'> <label>
Knowledge <br><br>
</label><br><select class='form-control' name='MOKnowledgePatient'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-12'>
<h4 class=""><span class="">of the Medical Officer towards you?</span></h4>
</div>
</div></div></div>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<?php
$sqlpatient1 = "SELECT * FROM Vulnerability WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[id]'";
$qsqlpatient1 = mysqli_query($conn,$sqlpatient1);
$rsn = mysqli_fetch_array($qsqlpatient1);
$nurse=$conn->query("SELECT * FROM nurse WHERE Nurseid='$rsn[entered_by]'");
$Rownurse=$nurse->fetch_assoc();
?><input type='hidden' name='Nurse_id' value='<?php echo $Rownurse['Nurseid'] ?>' />
<h4 class=""><span class=""> How satisfied are you with the Process of Admission Related to:
</span></h4>
<div class='col-sm-6'> <label>
Admission Charges
</label><select class='form-control' name='HosAdmissionCharges'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-6'> <label>
Clarification Provided Against Investigation
</label><br><select class='form-control' name='HosInvestigation'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-6'> <label>
Clarification Provided Against Treatment <br><br>
</label><br><select class='form-control' name='HosTreatment'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-12'>
<h4 class=""><span class="">by a Hospital ?</span></h4>
</div>
</div></div></div>
<?php
$AllNurse=$conn->query("SELECT Nurse_id FROM `al_Nurse` WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='36984' group by Nurse_id");
while($RowNurse=$AllNurse->fetch_assoc()){
$Nurse=$conn->query("SELECT * FROM `nurse` WHERE Nurseid='$RowNurse[Nurse_id]'");
while($RNurse=$Nurse->fetch_assoc()){
?>
<div class='row '>
<input type='text' name='Nurseid' value='<?php echo $RNurse['Nurseid'] ?>'/>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<?php
$sqlpatient1 = "SELECT * FROM Vulnerability WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[id]'";
$qsqlpatient1 = mysqli_query($conn,$sqlpatient1);
$rsn = mysqli_fetch_array($qsqlpatient1);
$nurse=$conn->query("SELECT * FROM nurse WHERE Nurseid='$rsn[entered_by]'");
$Rownurse=$nurse->fetch_assoc();
echo $RowNurse['id'];
?><input type='hidden' name='Nurse_id' value='<?php echo $Rownurse['Nurseid'] ?>' />
<div class='col-sm-12'><p style='float:right'><img src='https://login.easenup.in/uploads/<?php echo $Rownurse['photo'] ?>' alt='img' style='width:80px; height:120px;float:right'>
<br> (<?php echo $Rownurse['Nurseid'] ?>)
<br>(<?php echo $RNurse['uname']; ?>)
</p>
</div>
<h4 class=""><span class=""> How satisfied are you with the
</span></h4>
<div class='col-sm-6'> <label>
Punctuality
</label><select class='form-control' name='ANSPunctuality'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-6'> <label>
Behavior
</label><br><select class='form-control' name='ANSBehavior'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-6'> <label>
Knowledge <br><br>
</label><br>
<select class='form-control' name='ANSKnowledge'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select>
</div>
<div class='col-sm-6'> <label>
Precautions Hygiene <br><br>
</label><br>
<select class='form-control' name='PrecautionsHygiene'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select>
</div>
<div class='col-sm-12'>
<h4 class=""><span class="">of the All Nursing Staffs nurse towards you?
</span></h4>
</div>
</div></div></div>
<?php }} ?>
<?php
$AllDoctor=$conn->query("SELECT Doctor_id FROM `al_Doctor` WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[id]' group by Doctor_id");
while($RowDoctor=$AllDoctor->fetch_assoc()){
$Doctor=$conn->query("SELECT * FROM `dr` Where drid='$RowDoctor[Doctor_id]'");
while($RDoctor=$Doctor->fetch_assoc()){
?>
<div class='row '>
<input type='hidden' name='docId' value='<?php echo $RDoctor['drid']; ?>'/>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<div class='col-sm-12'> <label>How Knowledgeable was the <b><?php echo $RDoctor['Drname']; ?></b> (Speciality) and how satisfied are you with the Counseling/Expressing findings and observations Provided by the doctor?</label>
<select class='form-control' name='KnowledgeableCounseling'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select>
</div>
</div></div></div>
<?php } } ?>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<div class='col-sm-12'> <label> How satisfied are you with the Diet plan on treatment provided by the Dietician?
</label>
<select class='form-control' name='DietDietician'>
<option value='' disabled selected>Treatment and plan of care</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
</div></div></div>
<?php
$SurgeryTracker=$conn->query("SELECT * FROM `surgerytracker` WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[id]'");
while($RowST=$SurgeryTracker->fetch_assoc()){
$list_tretment = $conn->query("SELECT * FROM list_tretment WHERE trid='$RowST[surgery]'");
while($rsn =$list_tretment->fetch_array())
{
?>
<div class='row '>
<input type='hidden' name='surgery' value='<?php echo $RowST['surgery']; ?>'/>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<div class='col-sm-12'> <label>How satisfied are you with the Counseling on treatment & Surgery :-<b><?php echo $rsn['tratment']; ?></b> Surgeries Id :- <b><?php echo $rsn['trid']; ?></b> and plan of care provided by the counselor ?</label>
<select class='form-control' name='treatmentSurgeries'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select>
</div>
</div></div></div>
<?php } } ?>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<div class='col-sm-12'><lable>How satisfied are you with the Cleanness and Sterilization of </lable></div>
<div class='col-sm-6'> <label>Ward</label>
<select class='form-control' name='Ward'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select>
</div>
<div class='col-sm-6'> <label>Toilet </label>
<select class='form-control' name='Toilet'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select>
</div>
</div></div></div>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<div class='col-sm-12'><lable>How satisfied are you with the Briefing for Follow-up Care against </lable></div>
<div class='col-sm-6'> <label>Medication</label>
<select class='form-control' name='Medication'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select>
</div>
<div class='col-sm-6'> <label>Diet </label>
<select class='form-control' name='Diet'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select>
</div>
<div class='col-sm-6'> <label>Precautions </label>
<select class='form-control' name='Precautions'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select>
</div>
<div class='col-sm-6'> <label>Emergency care </label>
<select class='form-control' name='EmergencyCare'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select>
</div>
<div class='col-sm-6'> <label>Provided by Doctor at the time of Discharge </label>
<select class='form-control' name='DoctorDischarge'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select>
</div>
</div></div></div>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<div class='col-sm-12'><lable>How satisfied are you with the OverAll Hospital Environment? </lable></div>
<div class='col-sm-12'> <label>Hospital Environment</label>
<select class='form-control' name='HospitalEnvironment'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select>
</div>
</div></div></div>
<div class='row '>
<input type='submit' class='btn btn-success' value='Save' name='IPDFeedback'>
</div>
</form>
</div>
</div>
</div>
</div>
<?php
}else{
?>
<div class='row'>
<div class='col-sm-12'>
<div class="panel panel-primary">
<div class="panel-body">
<h4 class="text-on-pannel text-primary"><strong class="text-uppercase"> Out-Patient Feedback Form
</strong></h4>
<form method="post" enctype="multipart/form-data">
<?php
$sql1 ="SELECT * FROM site_users WHERE userno='$usertype'";
$qsql1 = mysqli_query($conn,$sql1);
if($re = mysqli_fetch_array($qsql1))
{
echo "
<input type='hidden' value='$re[entered_by]' name='entered_by' >
";
}
?>
<?php
$sql ="SELECT * FROM patient WHERE patientid='$_GET[id]' ";
$qsql = mysqli_query($conn,$sql);
$rs1 = mysqli_fetch_array($qsql);
?>
<div class='row'>
<div class='col-sm-12'>
<p>Dear <?php echo $rs1['patientname'] ?>, <br><br>
We would greatly appreciate receiving your feedback on your experience with our practice. This will help us to provide the best quality care. As part of our commitment to safe and high quality health care, we welcome feedback from patients to help us identify areas where we can improve our services to better meet your needs. Your feedback is voluntary, confidential and anonymous.
<br><br>
Thank you
</p>
</div>
</div>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<?php
$sqlpatient1 = "SELECT * FROM addaspatient WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[id]'";
$qsqlpatient1 = mysqli_query($conn,$sqlpatient1);
$rsn = mysqli_fetch_array($qsqlpatient1);
$FO=$conn->query("SELECT * FROM front WHERE frid='$rsn[entered_by]'");
$RowFO=$FO->fetch_assoc();
?>
<input type='hidden' name='prescriptionid' value='<?php echo $_GET['prescriptionid'] ?>' />
<input type='hidden' name='patientid' value='<?php echo $_GET['id'] ?>' />
<input type='hidden' name='FO_id' value='<?php echo $RowFO['frid'] ?>' />
<div class='col-sm-12'><p style='float:right'><img src='https://login.easenup.in/uploads/<?php echo $RowFO['photo'] ?>' alt='img' style='width:80px; height:120px;float:right'><br> (<?php echo $RowFO['frid'] ?>)</p></div>
<h4 class=""><span class=""> How satisfied are you with the :
</span></h4>
<div class='col-sm-6'> <label>Accessibility</label><select class='form-control' name='FO_Accessibility'>
<option value='' disabled selected>Accessibility</option>
<option value='1'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-6'> <label>Behaviour</label><select class='form-control' name='FO_Behaviour'>
<option value='' disabled selected>Behaviour</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-6'> <label>Knowledge</label><select class='form-control' name='FO_Knowledge'>
<option value='' disabled selected>Knowledge</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<br>
<div class='col-sm-12'>
<h4 class=""><span class="">of the <u></u>
Front Office staff and customer care executives towards you?
</span></h4>
</div>
</div>
</div>
</div>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<?php
$sqlpatient1 = "SELECT * FROM addaspatient WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[id]'";
$qsqlpatient1 = mysqli_query($conn,$sqlpatient1);
$rsn = mysqli_fetch_array($qsqlpatient1);
$FO=$conn->query("SELECT * FROM front WHERE frid='$rsn[entered_by]'");
$RowFO=$FO->fetch_assoc();
?>
<input type='hidden' name='Acc_id' value='<?php echo $RowFO['frid'] ?>' />
<div class='col-sm-12'><p style='float:right'><img src='https://login.easenup.in/uploads/<?php echo $RowFO['photo'] ?>' alt='img' style='width:80px; height:120px;float:right'><br> (<?php echo $RowFO['frid'] ?>)</p></div>
<h4 class=""><span class=""> How satisfied are you with the :
</span></h4>
<div class='col-sm-6'> <label>Accessibility</label><select class='form-control' name='Acc_Accessibility'>
<option value='' disabled selected>Accessibility</option>
<option value='1'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-6'> <label>Behaviour</label><select class='form-control' name='Acc_Behaviour'>
<option value='' disabled selected>Behaviour</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-6'> <label>Knowledge</label><select class='form-control' name='Acc_Knowledge'>
<option value='' disabled selected>Knowledge</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<br>
<div class='col-sm-12'>
<h4 class=""><span class="">of the
Accountant towards you?
</span></h4>
</div>
</div>
</div>
</div>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<h4 class=""><span class=""> How Transparent, Detailed and Explanatory
Was the
:
</span></h4>
<div class='col-sm-6'> <label>Consultation </label><select class='form-control' name='Consultation'>
<option value='' disabled selected>Consultation</option>
<option value='1'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-6'> <label>Investigation </label>
<select class='form-control' name='Investigation'>
<option value='' disabled selected>Investigation </option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-6'> <label>Medicine </label><select class='form-control' name='Medicine'>
<option value='' disabled selected>Medicine </option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<br>
<div class='col-sm-12'>
<h4 class=""><span class="">
Billing Experience?
</span></h4>
</div>
</div>
</div>
</div>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<?php
$sqlpatient1 = "SELECT * FROM Vulnerability WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[id]'";
$qsqlpatient1 = mysqli_query($conn,$sqlpatient1);
$rsn = mysqli_fetch_array($qsqlpatient1);
$nurse=$conn->query("SELECT * FROM nurse WHERE Nurseid='$rsn[entered_by]'");
$Rownurse=$nurse->fetch_assoc();
?><input type='hidden' name='Nurse_id' value='<?php echo $Rownurse['Nurseid'] ?>' />
<div class='col-sm-12'><p style='float:right'><img src='https://login.easenup.in/uploads/<?php echo $Rownurse['photo'] ?>' alt='img' style='width:80px; height:120px;float:right'><br> (<?php echo $Rownurse['Nurseid'] ?>)</p></div>
<h4 class=""><span class=""> How satisfied are you with the :
</span></h4>
<div class='col-sm-6'> <label>Accessibility</label><select class='form-control' name='Nurse_Accessibility'>
<option value='' disabled selected>Accessibility</option>
<option value='5'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-6'> <label>Behaviour</label><select class='form-control' name='Nurse_Behaviour'>
<option value='' disabled selected>Behaviour</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-6'> <label>Knowledge</label><select class='form-control' name='Nurse_Knowledge'>
<option value='' disabled selected>Knowledge</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<br>
<div class='col-sm-12'>
<h4 class=""><span class="">of the
nurse towards you?
</span></h4>
</div>
</div>
</div>
</div>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<div class='col-sm-12'> <label>How satisfied are you with the Waiting Period experience ?</label><select class='form-control' name='WaitingPeriod'>
<option value='' disabled selected>Waiting Period</option>
<option value='5'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
</div></div></div>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<?php
$sqlopdslip = "SELECT * FROM opdslip WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[id]'";
$qsqlopdslip = mysqli_query($conn,$sqlopdslip);
$rsn1 = mysqli_fetch_array($qsqlopdslip);
$Dr=$conn->query("SELECT * FROM dr WHERE drid='$rsn1[entered_by]'");
$RowDr=$Dr->fetch_assoc();
?>
<input type='hidden' name='Doc_Id' value='<?php echo $RowDr['drid']; ?>' />
<div class='col-sm-12'><p style='float:right'><img src='https://login.easenup.in/uploads/<?php echo $RowDr['photo']; ?>' alt='img' style='width:80px; height:120px;float:right'><br> (<?php echo $RowDr['drid']; ?>)</p></div>
<div class='col-sm-12'> <label>How Knowledgeable was the Doctor and how satisfied are you with the Counseling/Expressing findings and observations Provided by the doctor?</label><select class='form-control' name='DoctorCounseling'>
<option value='' disabled selected>Expresses findings and observations</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
</div></div></div>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<div class='col-sm-12'> <label>Did the pharmacist check the Name and Expiry of the medicine provided? </label><select class='form-control' name='pharmacistcheck'>
<option value='' disabled selected>Name and Expiry</option>
<option value='5'>Yes</option>
<option value='0'>No</option>
</select></div>
</div></div></div>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<div class='col-sm-12'> <label> How satisfied are you with the Counseling on treatment and plan of care provided by the counselor ?
</label>
<select class='form-control' name='Counseling'>
<option value='' disabled selected>Treatment and plan of care</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
</div></div></div>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<div class='col-sm-12'> <label>Did the pharmacist explain to you about the return policy?
</label><select class='form-control' name='ReturnPolicy'>
<option value='' disabled selected>Return policy</option>
<option value='5'>Yes</option>
<option value='0'>No</option>
</select></div>
<br>
</div>
</div>
</div>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<h4 class=""><span class=""> How satisfied are you with the Cleanness of :
</span></h4>
<div class='col-sm-12'> <label>Waiting Area</label><select class='form-control' name='WaitingArea'>
<option value='' disabled selected>Waiting Area</option>
<option value='1'>Highly Satisfied<img scr='uploads/smileyicon/smiley_H_Sat.png' style='width:50px; height:50px;'></option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
<div class='col-sm-12'> <label>Toilet </label><select class='form-control' name='Toilet'>
<option value='' disabled selected>Toilet </option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
</div></div></div>
<div class='row '>
<div class='panel panel-primary' style='width:100%;'>
<div class="panel-body" style='width:100%;'>
<div class='col-sm-12'> <label>How satisfied are you with the OverAll Hospital Environment?</label><select class='form-control' name='Environment'>
<option value='' disabled selected>Hospital Environment</option>
<option value='5'>Highly Satisfied</option>
<option value='4'>Satisfied</option>
<option value='3'>No Comment</option>
<option value='2'>Dissatisfied</option>
<option value='1'>Highly dissatisfied</option>
</select></div>
</div>
</div>
<input type='submit' class='btn btn-success' value='Save' name='OPDFeedback'>
</div>
</form>
</div>
</div>
</div>
</div>
<?php
}
?>
</div><!-- /.span -->
</div><!-- /.row -->
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<!-- PAGE CONTENT ENDS -->
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</div>
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</div>
</div><!-- /.main-content -->
<?php include('includes/footer.php'); ?>
<a href="#" id="btn-scroll-up" class="btn-scroll-up btn btn-sm btn-inverse">
<i class="ace-icon fa fa-angle-double-up icon-only bigger-110"></i>
</a>
</div><!-- /.main-container -->
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<style>
.text-on-pannel {
background: #fff none repeat scroll 0 0;
height: auto;
margin-left: 20px;
padding: 3px 5px;
position: absolute;
margin-top: -47px;
border: 1px solid #337ab7;
border-radius: 8px;
}
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/* for text on pannel */
margin-top: 27px !important;
}
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}
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border-color: #116bb9;
}
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}
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float:left;
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}
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padding:5px;
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}
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background:#DDD;
}
</style>
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</html>