DEWATA [ login.easenup.in ]

Name	Size	Permission
FrontOffice	[ DIR ]	drwxr-xr-x
NewFrontOffice	[ DIR ]	drwxr-xr-x
Provider	[ DIR ]	drwxr-xr-x
RP	[ DIR ]	drwxr-xr-x
assets	[ DIR ]	drwxr-xr-x
easenup	[ DIR ]	drwxr-x---
laboratory	[ DIR ]	drwxr-xr-x
pateint	[ DIR ]	drwxr-xr-x
patients	[ DIR ]	drwxr-xr-x
patients.1	[ DIR ]	drwxr-xr-x
print	[ DIR ]	drwxr-xr-x
spc	[ DIR ]	drwxr-xr-x
test	[ DIR ]	drwxr-xr-x
vendor	[ DIR ]	drwxr-xr-x
.trash_restore	10.28 KB	-rw-------
AddNewPatient.php	25.98 KB	-rw-r--r--
AddPatient.php	22.15 KB	-rw-r--r--
Book1.xlsx	9.01 KB	-rw-r--r--
ConsultantFees.php	4.99 KB	-rw-r--r--
Create_Gate_pass.php	1.52 KB	-rw-r--r--
Dischargesummery.php	27.62 KB	-rw-r--r--
DoctorsList.php	18.62 KB	-rw-r--r--
DownloadLink.php	11.41 KB	-rw-r--r--
Edit_BasicInfo.php	14.39 KB	-rw-r--r--
Edit_GeneralTarifRate.php	19.32 KB	-rw-r--r--
Edit_SharedDecisionAid.php	1.63 KB	-rw-r--r--
Follow-up.php	14.79 KB	-rw-r--r--
Follow-up.php.1	14.79 KB	-rw-r--r--
Follow-up.php.2	14.79 KB	-rw-r--r--
GeneralTarifRate.php	19.98 KB	-rw-r--r--
HospitalCourse.php	6.56 KB	-rw-r--r--
InvestigationLab.php	17.51 KB	-rw-r--r--
ListLabDepartment.php	24.78 KB	-rw-r--r--
LoginManager2.php	57.18 KB	-rw-r--r--
PatientAppointments.php	26.99 KB	-rw-r--r--
PatientMenu.php	12.8 KB	-rw-r--r--
PriscriptionTimeline.php	9.5 KB	-rw-r--r--
PriscriptionVitals.php	9.2 KB	-rw-r--r--
ProcedureSurgery.php	39.37 KB	-rw-r--r--
RAJLALIT (1).jpg	40.72 KB	-rw-r--r--
RAJLALIT.jpg	146.52 KB	-rw-r--r--
Referral.php	18.63 KB	-rw-r--r--
Request_Transport.php	2.18 KB	-rw-r--r--
Treatment and Surgery - Unspec...	2.29 KB	-rw-r--r--
Treatment and Surgery.xlsx	125.27 KB	-rw-r--r--
VendorList.php	21.55 KB	-rw-r--r--
Workdesk.php	10.76 KB	-rw-r--r--
about.jpg	183.88 KB	-rw-r--r--
add-allergies.php	11.55 KB	-rw-r--r--
add-immunization.php	10.49 KB	-rw-r--r--
assets.zip	189.46 KB	-rw-r--r--
assets.zip.1	5.77 MB	-rw-r--r--
assets.zip.zip	189.63 KB	-rw-r--r--
clint-eastwood-signature-e5a46...	29.28 KB	-rw-r--r--
d41d8cd98f00b204e9800998ecf842...	31.98 KB	-rw-r--r--
d41d8cd98f00b204e9800998ecf842...	29.28 KB	-rw-r--r--
d41d8cd98f00b204e9800998ecf842...	29.94 KB	-rw-r--r--
d41d8cd98f00b204e9800998ecf842...	29.94 KB	-rw-r--r--
d41d8cd98f00b204e9800998ecf842...	146.52 KB	-rw-r--r--
d41d8cd98f00b204e9800998ecf842...	31.98 KB	-rw-r--r--
d41d8cd98f00b204e9800998ecf842...	23.24 KB	-rw-r--r--
d41d8cd98f00b204e9800998ecf842...	29.28 KB	-rw-r--r--
d41d8cd98f00b204e9800998ecf842...	23.6 KB	-rw-r--r--
dbconnection.php	319 B	-rw-r--r--
diagnosistimeline_discharge.ph...	2.65 KB	-rw-r--r--
discharge.php	15.68 KB	-rw-r--r--
discharge_medicine.php	10.63 KB	-rw-r--r--
dischargechecklist.php	17.7 KB	-rw-r--r--
dist.zip	2.61 MB	-rw-r--r--
doctors-1.jpg	23.6 KB	-rw-r--r--
doctors-2.jpg	23.6 KB	-rw-r--r--
doctors-3.jpg	23.6 KB	-rw-r--r--
doctors-4.jpg	23.6 KB	-rw-r--r--
edit_showpage_Medical_Assessme...	15.56 KB	-rw-r--r--
error_log	1.25 KB	-rw-r--r--
error_log.1	483.79 KB	-rw-r--r--
features.jpg	57.05 KB	-rw-r--r--
header2.php	4.74 KB	-rw-r--r--
header3.php	4.92 KB	-rw-r--r--
inhouse2.php	16.27 KB	-rw-r--r--
inputandoutput.php	2.31 KB	-rw-r--r--
instant-search-ajax-php-mysql....	10.54 KB	-rw-r--r--
investigationfee.php	2.58 KB	-rw-r--r--
list_tretment (1).xls	171 KB	-rw-r--r--
list_tretment.csv	96.65 KB	-rw-r--r--
list_tretment.xlsx	46.38 KB	-rw-r--r--
load_data.php	269 B	-rw-r--r--
loaddepartment.php	3.36 KB	-rw-r--r--
logo.png	180.58 KB	-rw-r--r--
mail.php	400 B	-rw-r--r--
medicineinvace.php	31.28 KB	-rw-r--r--
nursingAssessment.php	4.35 KB	-rw-r--r--
nursinginstruction.php	2.4 KB	-rw-r--r--
nursingset.php	12.06 KB	-rw-r--r--
pateint.zip	1.16 MB	-rw-r--r--
patient_referral.php	11.2 KB	-rw-r--r--
patients.easenup.in.zip	2.19 MB	-rw-r--r--
print.1	22.1 KB	-rw-r--r--
show_Create_Gate_pass.php	1.88 KB	-rw-r--r--
show_Follow_up.php	1.27 KB	-rw-r--r--
show_Request_Transport.php	1.37 KB	-rw-r--r--
show_discharge.php	1.18 KB	-rw-r--r--
show_discharge_summery.php	71.41 KB	-rw-r--r--
show_dischargechecklist.php	5.71 KB	-rw-r--r--
showpage_Create_Gate_pass.php	22.54 KB	-rw-r--r--
slide-1.jpeg	6.08 KB	-rw-r--r--
slide-2.jpg	71.27 KB	-rw-r--r--
slide-21.jpg	134.46 KB	-rw-r--r--
treatment_ONCOLOGY	3.78 KB	-rw-r--r--
upload_document.php	12.01 KB	-rw-r--r--
vital_nursing.php	8.78 KB	-rw-r--r--

Code Editor : add-allergies.php

<?php
session_start();
include('db/dbcon.php');
if(isset($_POST['add_allergies']))
{
	
		
		$sql ="INSERT INTO allergy(patientid,Allergen,Category,Severity,Reaction,Reactiontype,Reactionstdate) values('$_POST[patientid]','$_POST[Allergen]','$_POST[Category]','$_POST[Severity]','$_POST[Reaction]','$_POST[Reactiontype]','$_POST[Reactionstdate]')";
		if($qsql = mysqli_query($conn,$sql))
		{
				echo "<script>alert('Allergies  record inserted successfully...');</script><script>window.location='allergies.php?id=$_GET[id]';</script>;</script>";
		}
		else
		{
			echo mysqli_error($conn);
		}
	
}
?>
<!DOCTYPE html>
<html lang="en">
	<head>
		<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1" />
		<meta charset="utf-8" />
		<title>Add-Allergies</title>

<link rel="stylesheet" href="assets/css/bootstrap.min.css" />
		<link rel="stylesheet" href="assets/font-awesome/4.5.0/css/font-awesome.min.css" />

<link rel="stylesheet" href="assets/css/fonts.googleapis.com.css" />

<link rel="stylesheet" href="assets/css/ace.min.css" class="ace-main-stylesheet" id="main-ace-style" />

<link rel="stylesheet" href="assets/css/ace-skins.min.css" />
		<link rel="stylesheet" href="assets/css/ace-rtl.min.css" />

<script src="assets/js/ace-extra.min.js"></script>

</head>

<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>

<?php include('includes/sidebar.php'); ?>

<li class="active">
								<a href="#">Add-Allergies</a>
							</li>

</ul>

<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>&nbsp; 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>

<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>
							</div>
						</div>

<div class="page-header">
							<h1>Add-Allergies </h1>
						</div>

<div class="row">
							<div class="col-xs-12">
								
								<div class="row">
									<div class="col-xs-12">
                                    <form method="post" >
   
	<table id="example2" class="table table-bordered table-hover">  
      <tbody>
	        
            <input type="hidden" name="patientid" id="patientid" value="<?php echo $_GET['id'] ?>">                  <tr>
          <td height="62">Allergen</td>
          <td><input type="text" class='form-control' placeholder="What am i allergies to" name="Allergen" id="Allergen"></td>
        </tr>
		 <tr>
          <td height="62">Category</td>
          <td><select name="Category" id="Category" class='form-control'>
<option value="" disabled="" selected="">Choose Category </option>
<option value="Drug"> Drug</option>
 <option value="Food">Food</option>
<option value="Investigation"> Investigation</option>
<option value="Other"> Other</option>
</select></td>
        </tr>
         <tr>
          <td height="62">Severity</td>
          <td><select name="Severity" id="Severity" class='form-control'>
<option value="" disabled="" selected="">Choose Severity </option>
<option value="Mild"> Mild</option>
 <option value="Moderate">Moderate</option>
<option value="Severe"> Severe</option>
       </select></td> </tr>
         		<tr>
          <td height="62">Reaction</td>
          <td><input type="text" placeholder="Description" name="Reaction" id="Reaction" class='form-control'></td>
        </tr>
        	<tr>
          <td height="62">Reaction Type</td>
          <td><select name="Reactiontype" id="Reactiontype" class='form-control'>
<option value="" disabled="" selected="">Reaction Type </option>
<option value="Allergy"> Allergy</option>
 <option value="Advance Effect">Advance Effect</option>
<option value="Unknown"> Unknown</option> </select>  </td>
     </tr>
        	<tr>
          <td height="62">Reaction Date</td>
          <td><input type="date" name="Reactionstdate" id="Reactionstdate" class='form-control'></td>
        </tr>
        <tr>
          <td colspan="2" align="right"><input class='btn btn-info' type="submit" name="add_allergies" id="submit" value="Submit"></td>
        </tr>
      </tbody>
    </table>
    </form>
									</div>
								</div>

</div>
						</div>

</div>
						</div>

</div>
				</div>
			</div>

<?php include('includes/footer.php'); ?>

<script src="assets/js/jquery-2.1.4.min.js"></script>

<script type="text/javascript">
			if('ontouchstart' in document.documentElement) document.write("<script src='assets/js/jquery.mobile.custom.min.js'>"+"<"+"/script>");
		</script>
		<script src="assets/js/bootstrap.min.js"></script>

<script src="assets/js/ace-elements.min.js"></script>
		<script src="assets/js/ace.min.js"></script>

</body>
</html>

${this.title}

Code Editor : add-allergies.php