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<?php session_start();
require_once("../patientmanager.php");
require_once("../DBManager.php");
if(isset($_POST['Confirmation_Sheet']))
{
PatientManager::PostConfirmationSheet("$_GET[prescriptionid]","$_GET[patientid]","$_GET[surgeryid]","$_POST[verify_pt_identity]","$_POST[name_tag]","$_POST[consent_form_signed]","$_POST[Operation_consent]","$_POST[operative_assessment]","$_POST[Medical_fitness]","$_POST[Last_meal]","$_POST[Allergy_noted]","$_POST[reports_checked]","$_POST[enteredby]");
}
?>
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<style>
.switch {
position: relative;
display: inline-block;
width: 90px;
height: 34px;
}
.switch input {display:none;}
.slider {
position: absolute;
cursor: pointer;
top: 0;
left: 0;
right: 0;
bottom: 0;
background-color: #ca2222;
-webkit-transition: .4s;
transition: .4s;
border-radius: 34px;
}
.slider:before {
position: absolute;
content: "";
height: 26px;
width: 26px;
left: 4px;
bottom: 4px;
background-color: white;
-webkit-transition: .4s;
transition: .4s;
border-radius: 50%;
}
input:checked + .slider {
background-color: #2ab934;
}
input:focus + .slider {
box-shadow: 0 0 1px #2196F3;
}
input:checked + .slider:before {
-webkit-transform: translateX(26px);
-ms-transform: translateX(26px);
transform: translateX(55px);
}
/*------ ADDED CSS ---------*/
.slider:after
{
content:'No';
color: white;
display: block;
position: absolute;
transform: translate(-50%,-50%);
top: 50%;
left: 50%;
font-size: 10px;
font-family: Verdana, sans-serif;
}
input:checked + .slider:after
{
content:'Yes';
}
.center {
border: 1px solid grey;
text-align:;
}
</style>
</head>
<?php
$sql ="SELECT * FROM patient WHERE patientid='$_GET[patientid]'";
$qsql = mysqli_query($con,$sql);
while($rs = mysqli_fetch_array($qsql))
{
echo "
<div class='center'>
<table id='example2' class='table table-bordered table-hover' width='100%'>
<h3 align='center'>Post-Operative Checklist at OT</h3>
<tr>
<td width='50%'> Pt. Name: </td>
<td width='50%'>$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="Confirmation_Sheet" method="post" >
<p>
<table id="example2" class="table table-bordered table-hover">
<tr><td><span style="font-size: 20px">Verify the identity of patient </span></h3></td><td><label class="switch">
<input name="verify_pt_identity" type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">Name and tag in position & correct </span></h3></td><td><label class="switch">
<input name="name_tag" type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">Operation consent form signed & present in file </span></h3></td><td><label class="switch">
<input name="consent_form_signed" type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">Operative note and Monitoring sheet Attached to file </span></h3></td><td><label class="switch">
<input type="checkbox" name='Operation_consent'>
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">Nursing Instruction sheet Attached </span></h3></td><td><label class="switch">
<input type="checkbox" name='operative_assessment'>
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">Lab investigation attached </span></h3></td><td><label class="switch">
<input type="checkbox" name='Medical_fitness'>
<span class="slider"></span>
</label>
</td></tr><tr>
<td><span style="font-size: 20px">General systematic examination done</span></h3></td><td><label class="switch">
<input type="checkbox" name='Last_meal'>
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">Allergy noted for paper </span></h3></td><td><label class="switch">
<input type="checkbox" name='Allergy_noted'>
<span class="slider"></span>
</label>
</td></tr>
<tr>
<td><span style="font-size: 20px">All reports checked </span></h3></td><td><label class="switch">
<input type="checkbox" name='reports_checked'>
<span class="slider"></span>
</label>
</td>
</tr>
</table>
<input type='submit' name='Confirmation_Sheet' value='Submit'>
</form>
</div>