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<?php session_start();
include 'dbconnection.php';
require_once("../patientmanager.php");
require_once("../DBManager.php");
if(isset($_POST['sigrequest']))
{
PatientManager::RequestTransport("$_GET[prescriptionid]","$_GET[patientid]","$_POST[Type_Ambulance]","$_POST[Departure]","$_POST[Expected_Arrival]","$_POST[EN_Route]","$_POST[Loading_Startup]","$_POST[Duration]","$_POST[Inspection_Report]","$_POST[Duration2]","$_POST[entered_by]");
}
?>
<!DOCTYPE html>
<html lang="en">
<head><meta charset="ibm866">
<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>
<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>
<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>
<style>
.center {
border: 1px solid grey;
text-align:;
}
</style>
</head>
<body>
<form name="sigrequest" method="post" >
<h2 align="center">Request Transport</h2>
<br>
<div class="center">
<table id="example2" class="table table-bordered table-hover">
<thead>
<tr>
<div class='account-details'>
<tr><td style="width:29%"><div><h5>Type of Ambulance : </h5> </td></div><td style="width:46%"><div><select name='Type_Ambulance'>
<option value='' >Type of Ambulance</option>
<option value='Basic Life Support Ambulance'>Basic Life Support Ambulance</option>
<option value='Advanced Life Support Ambulance'>Advanced Life Support Ambulance</option>
<option value='Air Ambulance'>Air Ambulance</option>
</select></div></td></tr>
<td><div><h5>Scheduled Departure : </h5> </td></div><td><div><input name="Departure" type="datetime-local"></div></td></tr>
<tr><td><div><h5>EN Route: </h5> </td></div><td><div><input placeholder="EN Route" name="EN_Route" type="text"></div></td></tr>
<tr><td><div><h5> Expected Drop At : </h5> </td></div><td><div><input placeholder="Loading Time/Startup" name="Loading_Startup" type="datetime-local"></div></td></tr>
</div>
</tr>
</div>
</tr>
<tr><td><div><h5>Inspection Report : </h5> </td></div><td><div><select name='Inspection_Report'>
<option value='' >Inspection Report</option>
<option value='Self Inspected'>Self Inspected</option>
<option value='Third Party Inspection Report'>Third Party Inspection Report</option>
<option value='Missing'>Missing</option>
</select></div></td></tr>
</div>
</tr>
</div>
</tr>
</thead>
</tbody>
<tfoot>
</tfoot>
</table>
</div>
<input type="submit" name="sigrequest" value="Save">
</form>
</body>
</html>