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admin_add_patient.html
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admin_add_patient.html
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<!DOCTYPE html>
<html lang="en">
<head>
<!--meta tags-->
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
<meta http-equiv="x-ua-compatible" content="ie=edge">
<meta name="author" content="TeamKitty">
<!--title-->
<title>Add Patient | Caredex</title>
<!--icons-->
<link href="assets/icons/fontawesome-free-5.7.2-web/css/fontawesome.css" rel="stylesheet" />
<link href="assets/icons/fontawesome-free-5.7.2-web/css/solid.css" rel="stylesheet" />
<!--bootstrap core css-->
<link rel="stylesheet" href="assets/styles/bootstrapcss/bootstrap.css" />
<!-- Material Design Bootstrap -->
<link href="assets/plugins/mdb-free_4.7.5/css/mdb.css" rel="stylesheet">
<!--logo-->
<link rel="icon" type="image/png" sizes="32x32" href="assets/images/output-1.png">
<!--custom styles-->
<link rel="stylesheet" href="assets/styles/custom.css" />
<!--internal style-->
<style>
body {
overflow-x: hidden !important;
}
</style>
</head>
<body class="grey lighten-3">
<!--=================NAVBAR======================-->
<!--Main Navigation-->
<nav class="p-3 navbar navbar-expand-xl navbar-light bg-white sticky sticky-top">
<a class="navbar-brand" href="#">
<img class="img-fluid pt-0" src="assets/images/Caredex-2.png" width="150px;" />
</a>
<button class="navbar-toggler" type="button" data-toggle="collapse" data-target="#navbar-main" aria-controls="navbar-main" aria-expanded="false" aria-label="Toggle navigation">
<span class="navbar-toggler-icon"></span>
</button>
<div class="collapse navbar-collapse" id="navbar-main">
<ul class="navbar-nav ml-auto ">
<li class="nav-item pr-3">
<a class="nav-link waves-effect waves-light pl-5 pr-5" href="admin_dashboard.html"><i class="fas fa-th-large"> Dashboard</i>
<span class="sr-only">(current)</span>
</a>
</li>
<li class="nav-item dropdown active pr-3 no-arrow">
<a class="text-white nav-link dropdown-toggle waves-effect waves-light pl-5 pr-5" id="agents-dropdown" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false"><i class="fa fa-user-injured"></i> Patient
</a>
<div class="dropdown-menu fadeIn dropdown-secondary" aria-labelledby="agents-dropdown">
<a class="dropdown-item waves-effect waves-light" href="admin_add_patient.html"><i class="fas fa-plus"></i> Add</a>
<a class="dropdown-item waves-effect waves-light" href="admin_view_patient.php"><i class="fas fa-search"></i> View</a>
</div>
</li>
<li class="nav-item dropdown pr-3 no-arrow">
<a class="nav-link dropdown-toggle waves-effect waves-light pl-5 pr-5" id="agents-dropdown" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false"><i class="fa fa-user-injured"></i> Nurse
</a>
<div class="dropdown-menu fadeIn dropdown-secondary" aria-labelledby="agents-dropdown">
<a class="dropdown-item waves-effect waves-light" href="add_nurse.html"><i class="fas fa-plus"></i> Add</a>
<a class="dropdown-item waves-effect waves-light" href="admin_nurse.php"><i class="fas fa-search"></i> View</a>
</div>
</li>
<li class="nav-item dropdown pr-3 no-arrow">
<a class="nav-link dropdown-toggle waves-effect waves-light pl-5 pr-5" id="agents-dropdown" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false"><i class="fa fa-clock"></i> Schedule
</a>
<div class="dropdown-menu fadeIn dropdown-secondary" aria-labelledby="agents-dropdown">
<a class="dropdown-item waves-effect waves-light" href="admin_mng_schedule.php"><i class="fas fa-edit"></i> Manage</a>
</div>
</li>
</ul>
<ul class="navbar-nav ml-auto nav-flex-icons">
<li class="nav-item pt-2">
Denielle
</li>
<li class="nav-item avatar dropdown">
<a class="nav-link dropdown-toggle waves-effect waves-light" id="navbarDropdownMenuLink-5" data-toggle="dropdown" aria-haspopup="true" aria-expanded="true">
<img src="assets/images/profile-holder.jpg" class="img-fluid rounded-circle z-depth-0" style="width:30px" alt="Material Design for Bootstrap - example photo">
</a>
<div class="dropdown-menu fadeIn dropdown-menu-right dropdown-secondary" aria-labelledby="navbarDropdownMenuLink-5">
<a class="dropdown-item waves-effect waves-light" href="#">Profile</a>
<div class="dropdown-divider"></div>
<a class="dropdown-item waves-effect waves-light" href="#">Sign Out</a>
</div>
</li>
</ul>
</div>
</nav>
<!--Main Navigation-->
<!--Main Layout-->
<main class="grey lighten-3" style="min-height:80vh">
<!--breadcrumb-->
<div class="row"><!--first row-->
<div class="col-xs-12 col-sm-12 col-md-12 col-lg-12 col-xl-12"><!--first col of 1st row-->
<h4 class="pl-5 page-title">Patient </h4>
</div><!--first col of 1st row-->
</div><!--first row-->
<!--breadcrumb-->
<div class="card mx-5 mb-5"><!--card-->
<div class="card-body">
<div>
<div class="form-row">
<div class="md-form col-md-6 mb-0">
<div class="form-row">
<div class="col-md-12">
<span class="lead">Add Patient</span>
</div>
</div><!--1st row of 1st column-->
<div class="form-row">
<!--patient id-->
<div class="md-form md-outline col-md-10 mb-0">
<input type="text" class="form-control" id="p_id" length="25" name="p_firstname" placeholder="Patient ID" value="" autocomplete="off" required>
<div class="valid-feedback">
<!--code for validation-->
</div>
</div><!--form column-->
<!--first name-->
<div class="md-form md-outline col-md-10 mb-0">
<input type="text" class="form-control" id="p_firstname" length="25" name="p_firstname" placeholder="First Name" value="" autocomplete="off" required>
<div class="valid-feedback">
<!--code for validation-->
</div>
</div><!--form column-->
<!--middle name-->
<div class="md-form md-outline col-md-10 mb-0">
<input type="text" class="form-control" id="p_middlename" length="25" name="p_middlename" placeholder="Middle Name" value="" autocomplete="off" required>
<div class="valid-feedback">
<!--code for validation-->
</div>
</div><!--form column-->
<!--last name-->
<div class="md-form md-outline col-md-10 mb-0">
<input type="text" class="form-control" id="p_lastname" length="25" name="p_lastname" placeholder="Last Name" value="" autocomplete="off" required>
<div class="valid-feedback">
<!--code for validation-->
</div>
</div><!--form column-->
<!--age-->
<div class="md-form md-outline col-md-10 mb-0">
<input type="text" class="form-control" id="p_age" length="25" name="p_age" placeholder="Age" value="" autocomplete="off" required>
<div class="valid-feedback">
<!--code for validation-->
</div>
</div><!--form column-->
<!--sex-->
<div class="md-form md-outline col-md-10 mb-0">
<input type="text" class="form-control" id="p_sex" length="25" name="p_sex" placeholder="Sex" value="" autocomplete="off" required>
<div class="valid-feedback">
<!--code for validation-->
</div>
</div><!--form column-->
<!--civil status-->
<div class="md-form md-outline col-md-10 mb-0">
<input type="text" class="form-control" id="p_civilstatus" length="25" name="p_civilstatus" placeholder="Civil Status" value="" autocomplete="off" required>
<div class="valid-feedback">
<!--code for validation-->
</div>
</div><!--form column-->
<!--address-->
<div class="md-form md-outline col-md-10 mb-0">
<input type="text" class="form-control" id="p_address" length="25" name="p_address" placeholder="Address" value="" autocomplete="off" required>
<div class="valid-feedback">
<!--code for validation-->
</div>
</div><!--form column-->
</div><!--2nd row of 1st column-->
</div><!--1st form column-->
<div class="md-form col-md-6 mb-0">
<div class="form-row">
<!--date of admission-->
<div class="md-form col-md-10 mt-0 mb-0">
<div class="row">
<div class="col-sm-5">
<span class="font-weight-bold">Date and Time of Admission:</span>
</div>
<div class="col-sm-7">
<span class="font-weight-bold"> <input type="time" name="time" id="time1"><input type="date" name="date" id="date1"></span>
</div>
</div>
</div><!--form column-->
<!--nationality-->
<div class="md-form md-outline col-md-10 mb-0">
<input type="text" class="form-control" id="p_nationality" length="25" name="p_nationality" placeholder="Nationality" value="" autocomplete="off" required>
<div class="valid-feedback">
<!--code for validation-->
</div>
</div><!--form column-->
<div class="md-form md-outline col-md-10 mb-0">
<div class="form-row">
<div class=" mb-0 col-md-4">
<!--ward number-->
<input type="text" class="form-control" id="p_wardno" length="25" name="p_wardno" placeholder="Ward Number" value="" autocomplete="off" required>
<div class="valid-feedback">
<!--code for validation-->
</div>
</div>
<div class="col-md-4">
<!--bed number-->
<input type="text" class="form-control" id="p_rommno" length="25" name="p_rommno" placeholder="Room Number" value="" autocomplete="off" required>
<div class="valid-feedback">
<!--code for validation-->
</div>
</div>
<div class="col-md-4">
<!--bed number-->
<input type="text" class="form-control" id="p_bedno" length="25" name="p_bedno" placeholder="Bed Number" value="" autocomplete="off" required>
<div class="valid-feedback">
<!--code for validation-->
</div>
</div>
</div><!--row for bed and ward-->
</div>
<!--doctore-->
<div class="md-form md-outline col-md-10 mb-0">
<input type="text" class="form-control" id="p_doctor" length="25" name="p_doctor" placeholder="Doctor" value="" autocomplete="off" required>
<div class="valid-feedback">
<!--code for validation-->
</div>
</div><!--form column-->
<!--diagnosis-->
<div class="md-form md-outline col-md-10 mb-0">
<input type="text" class="form-control" id="p_diagnosis" name="p_diagnosis" placeholder="Diagnosis" value="" autocomplete="off" required>
<div class="valid-feedback">
<!--code for validation-->
</div>
</div><!--form column-->
<!--diet-->
<div class="md-form md-outline col-md-10 mb-0">
<input type="text" class="form-control" id="p_diet" name="p_diet" placeholder="Diet" value="" autocomplete="off" required>
<div class="valid-feedback">
<!--code for validation-->
</div>
</div><!--form column-->
<!--allergies-->
<div class="md-form md-outline col-md-10 mb-0">
<input type="text" class="form-control" id="p_allergies" name="p_allergies" placeholder="Allergies" value="" autocomplete="off" required>
<div class="valid-feedback">
<!--code for validation-->
</div>
</div><!--form column-->
<!--special endorsement-->
<div class="md-form md-outline col-md-10 mb-0">
<input type="text" class="form-control" id="p_endorsement" name="p_endorsement" placeholder="Special Endorsement" value="" autocomplete="off" required>
<div class="valid-feedback">
<!--code for validation-->
</div>
</div><!--form column-->
</div><!--1st form column-->
</div><!--main row of form-->
<div class="form-row w-100">
<div class="md-form md-outline col-md-12 mb-0">
<div class="d-flex justify-content-md-center">
<input class="btn btn-submit btn-gradient-submit p-2 pl-4 pr-4 mx-2 btn-bordred btn-oblong" type="submit" name="save_admin_add_patient" onclick="add_patient()" />
<button type="reset" onclick="cancel1()" class="btn-reset btn btn-grey waves-effect p-2 pl-4 pr-4 btn btn-oblong btn-secondary btn-bodred waves-effect waves-light mr-5 m-l-5">
Cancel
</button>
</div>
</div><!--form column-->
</div><!--form row-->
</div>
</div>
</div><!--card-->
</main>
<!--Main Layout-->
<!-- Footer -->
<footer class="page-footer font-small grey lighten-5">
<!-- Copyright -->
<div class="footer-copyright font-weight-normal text-center blue-grey-text py-3">© 2019 Copyright:
<a href="#" class="light-blue-text"> TeamKitty</a>
</div>
<!-- Copyright -->
</footer>
<!-- Footer -->
</body>
<!-- SCRIPTS -->
<!-- JQuery -->
<script type="text/javascript" src="assets/scripts/jqueryjs/jquery.js"></script>
<!-- Bootstrap tooltips -->
<script type="text/javascript" src="assets/scripts/popperjs/popper.js"></script>
<!-- Bootstrap core JavaScript -->
<script type="text/javascript" src="assets/scripts/boostrapjs/bootstrap.js"></script>
<!-- MDB core JavaScript -->
<script type="text/javascript" src="assets/plugins/mdb-free_4.7.5/js/modules/waves.js"></script>
<script type="text/javascript" src="assets/plugins/mdb-free_4.7.5/js/modules/forms-free.js"></script>
<script type="text/javascript" src="assets/plugins/mdb-free_4.7.5/js/bootstrap.js"></script>
<!--Custom Javascript-->
<script type="text/javascript" src="assets/scripts/script.js"></script>
<script src="assets/scripts/jqueryjs/jquery.min.js"></script>
</html>
<script>
function add_patient(){
var p_id=$("#p_id").val();
var p_firstname=$("#p_firstname").val();
var p_middlename=$("#p_middlename").val();
var p_lastname=$("#p_lastname").val();
var p_age=$("#p_age").val();
var p_sex=$("#p_sex").val();
var p_civilstatus=$("#p_civilstatus").val();
var p_address=$("#p_address").val();
var time1=$("#time1").val();
var date1=$("#date1").val();
var p_nationality=$("#p_nationality").val();
var p_wardno=$("#p_wardno").val();
var p_rommno=$("#p_rommno").val();
var p_bedno=$("#p_bedno").val();
var p_doctor=$("#p_doctor").val();
var p_diagnosis=$("#p_diagnosis").val();
var p_diet=$("#p_diet").val();
var p_allergies=$("#p_allergies").val();
var p_endorsement=$("#p_endorsement").val();
if(p_id=="" || p_firstname=="" || p_middlename=="" || p_lastname=="" || p_age=="" || p_sex=="" || p_civilstatus=="" || p_address=="" || time1=="" || date1=="" || p_nationality=="" || p_wardno=="" || p_rommno=="" || p_bedno=="" || p_doctor=="" || p_diagnosis==""){
alert("Please Fill Up The Form Completely");
return false;
}
$.ajax({
url:"save_patient.php",
method:"POST",
data:{ p_id:p_id,p_firstname:p_firstname,p_middlename:p_middlename,p_lastname:p_lastname,p_age:p_age,p_sex:p_sex,p_civilstatus:p_civilstatus,p_address:p_address,time1:time1,date1:date1,p_nationality:p_nationality,p_wardno:p_wardno,p_rommno:p_rommno,p_bedno:p_bedno,p_doctor:p_doctor,p_diagnosis:p_diagnosis,p_diet:p_diet,p_allergies:p_allergies,p_endorsement:p_endorsement},
dataType:"text",
success: function (data){
alert(data);
$("input:text").val("");
document.getElementById("time1").value = "--:--";
document.getElementById("date1").value = "0000-00-00";
}
});
}
function cancel1(){
if(confirm("Are you sure you want to Cancel?"))
{
$("input:text").val("");
document.getElementById("time1").value = "--:--";
document.getElementById("date1").value = "0000-00-00";
}
}
</script>