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<!DOCTYPE html>
<?php
include('config.php');
session_start();
$pid =$_SESSION['user_id'];
$sql ="select * from patient_detail where login_id='$pid'";
$row = $conn->query($sql);
$pdtl = mysqli_fetch_array($row);
?>
<?php
if(isset($_POST['btnsub']))
{
$pid=$_POST['patient_id'];
$gnd=$_POST['gender'];
$mob=$_POST['mobile_number'];
$date=$_POST['dob'];
$add=$_POST['street_address'];
$ema=$_POST['email'];
$tim=$_POST['time'];
$conslt=$_POST['textconsult'];
$check=$_POST['test'];
$chkVl="";
$slNm=$_POST['spl_name'];
$docNm=$_POST['doct_name'];
//echo count($check).'<br>';exit;
for($i=0;$i<=count($check);$i++)
{
$chkVl.=$check[$i].',';
}
$sql1="insert into appoint_tbl(patient_id,time_slot,treatment,doct_special,doctid,status)values('$pid','$tim','$chkVl','$slNm','$docNm','1')";
$row = $conn->query($sql1);
header('Location:appointment.php');
}
?>
<html>
<head>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>Left Sidebar</title>
<link rel="stylesheet" href="pt_css/assets/demo.css">
<link rel="stylesheet" href="pt_css/assets/sidebar-left.css">
<link rel="stylesheet" href="http://maxcdn.bootstrapcdn.com/font-awesome/4.2.0/css/font-awesome.min.css">
<link href='http://fonts.googleapis.com/css?family=Cookie' rel='stylesheet' type='text/css'>
<script src="js/jquery-2.1.1.js"></script>
<!-- stylesheets -->
<link rel="stylesheet" href="pt_css/font-awesome.css">
<link rel="stylesheet" href="pt_css/style.css">
<link rel="stylesheet" href="css/default.css">
<!-- google fonts -->
<link href="//fonts.googleapis.com/css?family=Roboto+Condensed:300,300i,400,400i,700,700i" rel="stylesheet">
<link href="//fonts.googleapis.com/css?family=Josefin+Sans:300,400,400i,700" rel="stylesheet">
</head>
<style>
body
{
background-image:url('image/1.jpg');
background-size:100% 100%;
}
label.form-label {
display: inline-block;
width: 30%;
font-weight: 400;
letter-spacing: 1px;
vertical-align: top;
text-align: left;
}
</style>
<body>
<aside class="sidebar-left" style="width: 200px;">
<a class="company-logo" href="#">Logo</a>
<div class="sidebar-links">
<a class="link-blue" href="javascript:patient_pg(1,<?=$pid?>);"><i class="fa fa-keyboard-o"></i>Add Appointment</a>
<a class="link-red" href="viewappointment.php"><i class="fa fa-keyboard-o"></i>View Appointment</a>
<a class="link-yellow selected" href="patient_profile.php"><i class="fa fa-keyboard-o"></i>View Profile</a>
<a class="link-green" href="logout.php"><i class="fa fa-map-marker"></i>Logout</a>
</div>
</aside>
<div class="w3ls-banner">
<!---728x90--->
<div class="heading">
<h1>Appoint My Doctor</h1>
</div>
<!---728x90--->
<div class="main-content">
<div class="menu">
<div id="show_login">
<div class="container" style="width: 918px; margin-top: -121px;">
<div class="heading">
<h2>Please Enter Patients Details</h2>
<p>Fill the form below and submit your query we will contact you as soon as possible.</p>
</div>
<div class="agile-form">
<form action="" method="post">
<div class="row">
<div class="col-md-12">
<label class="form-label" style="align:left;"> Full Name
<span class="form-required"> * </span>
</label>
<div class="form-input" style="align:left;"><?=$pdtl['user_name']?></div>
</div>
<br/>
<div class="col-md-12">
<label class="form-label" style="align:left;"> Email
<span class="form-required" > * </span>
</label>
<div class="form-input" style="align:left;"><?=$pdtl['email']?></div>
</div>
<br/>
<div class="col-md-12">
<label class="form-label" style="align:left;"> DOB
<span class="form-required"> * </span>
</label>
<div class="form-input" style="align:left;"><?=$pdtl['dob']?></div>
</div>
<br/>
<div class="col-md-12">
<label class="form-label" style="align:left;"> Address
<span class="form-required"> * </span>
</label>
<div class="form-input" style="align:left;"><?=$pdtl['street_address']?></div>
</div>
<br/>
</form>
</div>
</div>
</div>
<!---728x90--->
</div>
</div>
</div>
<div class="copyright">
<p>© 2017 Appoint My Doctor Form. All rights reserved | Design by <a href="www.w3layouts.com">W3layouts</a></p>
</div>
<script src="http://ajax.googleapis.com/ajax/libs/jquery/2.1.1/jquery.min.js"></script>
<script>
$(function () {
var links = $('.sidebar-links > a');
links.on('click', function () {
links.removeClass('selected');
$(this).addClass('selected');
})
});
</script>
<script>
function valtimeslot(id)
{
var time='';
$('#show_err').load('checktime.php?id='+id+'&time='+time);
}
function patient_pg(page,id){
if(page==1)
{
$('#show_login').load('addpatient.php?id='+id);}
if(page==2)
{
$('#show_login').load('viewappointment.php');
}
if(page==3)
{
$('#show_login').load('viewpatient.php');
}
if(page==4)
{
$('#show_login').load('logout.php');
}
}
function showdoctor(id)
{
$('#show_doctnm').load('show_doct.php?id='+id);
}
</script>
</body>
</html>