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blood_request.php
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blood_request.php
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<?php
session_start();
include('./db_conn.php');
$id=$_SESSION['user_id'];
if(isset($_POST['submit']))
{
$msg=$_POST['purpose'];
$blood_grp=$_POST['blood_group'];
if(isset($_POST['urgent']))
{
$urgent=1;
}
else
{
$urgent=0;
}
$type=$_POST['type'];
$location=$_POST['location'];
if($_POST['lat']!="0")
{
$lat=$_POST['lat'];
$lon=$_POST['lon'];
$sql = "INSERT INTO blood_requesters (`requester_id`,`msg`,`blood_grp`,`urgent`,`type`,`location`,`lat`,`lon`) VALUES ('$id','$msg','$blood_grp','$urgent','$type','$location','$lat','$lon');";
}
else
{
$sql = "INSERT INTO blood_requesters (`requester_id`,`msg`,`blood_grp`,`urgent`,`type`,`location`) VALUES ('$id','$msg','$blood_grp','$urgent','$type','$location')";
}
$conn->query($sql);
header("Location: dashboard.php");
}
?>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<!-- Bootstrap CDN -->
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/4.5.2/css/bootstrap.min.css">
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.5.1/jquery.min.js"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.16.0/umd/popper.min.js"></script>
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/4.5.2/js/bootstrap.min.js"></script>
<!-- Icons CDN -->
<link rel="stylesheet" href="https://use.fontawesome.com/releases/v5.7.0/css/all.css"
integrity="sha384-lZN37f5QGtY3VHgisS14W3ExzMWZxybE1SJSEsQp9S+oqd12jhcu+A56Ebc1zFSJ" crossorigin="anonymous">
<!--Data Aos-->
<link href="https://unpkg.com/aos@2.3.1/dist/aos.css" rel="stylesheet">
<script src="https://unpkg.com/aos@2.3.1/dist/aos.js"></script>
<!-- GOOGLE FONTS -->
<link rel="preconnect" href="https://fonts.googleapis.com">
<link rel="preconnect" href="https://fonts.gstatic.com" crossorigin>
<link href="https://fonts.googleapis.com/css2?family=Raleway:wght@400;500;700;800;900&display=swap"
rel="stylesheet">
<link href="https://unpkg.com/aos@2.3.1/dist/aos.css" rel="stylesheet" />
<script src="https://unpkg.com/aos@2.3.1/dist/aos.js"></script>
<!-- This CSS file consists of all the CSS styles for the website in common. -->
<link rel="stylesheet" href="./assets/styles/style.css">
<link rel="stylesheet" href="./assets/styles/blood_request_styles.css">
<title>Life Line | Blood Request Form</title>
</head>
<body>
<div class="container">
<nav class="navbar navbar-expand-lg navbar-dark fixed-top pl-5">
<a class="navbar-brand ml-4" href="#">
<h3 class="brand-name">Life Line</h3>
</a>
<button class="navbar-toggler" type="button" data-toggle="collapse" data-target="#navbarSupportedContent"
aria-controls="navbarSupportedContent" aria-expanded="false" aria-label="Toggle navigation">
<div class="toggle-btn"></div>
<div class="toggle-btn"></div>
<div class="toggle-btn"></div>
</button>
<div class="collapse navbar-collapse mr-5" id="navbarSupportedContent">
<ul class="navbar-nav ml-auto">
<li class="nav-item mt-1">
<a class="nav-link" href="./index.php">Home</a>
</li>
<li class="nav-item mt-1">
<a class="nav-link" href="./requests.php">Requests</a>
</li>
<li class="nav-item mt-1">
<a class="nav-link" href="./donors.php">Donors</a>
</li>
<li class="nav-item dropdown active mt-1">
<a class="nav-link dropdown-toggle" href="#" id="navbarDropdown" role="button"
data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">
Pages
</a>
<div class="dropdown-menu" aria-labelledby="navbarDropdown">
<?php
if(isset($_SESSION['user_id'])){
?>
<a class="dropdown-item" href="./blood_donor.php">Donate Blood</a>
<?php
}
else{
?>
<a class="dropdown-item" href="./sign_in.php">Donate Blood</a>
<?php
}?>
<?php
if(isset($_SESSION['user_id'])){
?>
<a class="dropdown-item" href="./blood_request.php">Request Blood</a>
<?php
}
else{
?>
<a class="dropdown-item" href="./sign_in.php">Request Blood</a>
<?php
}?>
<div class="dropdown-divider"></div>
<?php
if(isset($_SESSION['user_id'])){
?>
<a class="dropdown-item" href="./organ_donate.php">Donate Organs</a>
<?php
}
else{
?>
<a class="dropdown-item" href="./sign_in.php">Donate Organs</a>
<?php
}?>
<?php
if(isset($_SESSION['user_id'])){
?>
<a class="dropdown-item" href="./organ_request_form.php">Request Organs</a>
<?php
}
else{
?>
<a class="dropdown-item" href="./sign_in.php">Request Organs</a>
<?php
}?>
<div class="dropdown-divider"></div>
<a class="dropdown-item" href="./aboutus.php">About Us</a>
<a class="dropdown-item" href="./contactus.php">Contact Us</a>
<a class="dropdown-item" href="./faq.php">FAQ</a>
</div>
</li>
<?php
if(isset($_SESSION['user_id'])){
?>
<a href="./dashboard.php" class="btn sign-up mt-1 ml-2">Dashboard</a>
<a href="./logout.php" class="btn sign-up mt-1 ml-2">Logout</a>
<?php
}
else{
?>
<a href="register.php" class="btn sign-up mt-1 ml-2">Sign Up</a>
<a href="sign_in.php" class="btn sign-in mt-1 ml-2">Sign In</a>
<?php
}
?>
</ul>
</div>
</nav>
</div>
<br>
<br>
<br>
<!--img-->
<div class="container text-center">
<div class="row">
<div class="col-md-4"></div>
<div class="col-md-5 mt-5">
<img src="./assets/images/blood_request.jpg" class="img-fluid">
</div>
</div>
</div>
<br>
<br>
<!--Title-->
<div class="text-center title" data-aos="zoom-in-up" data-aos-duration="3000">
<h1 class="display-4" style="color:var(--red)">Blood Request form</h1>
</div>
<hr class="line">
<div class="text-center note">
<h5>Note: <span style="color: var(--red); font-size: 2rem;">*</span> (required field)</h5>
</div>
<!--form starts-->
<div class="container">
<div class="row">
<div class="col-md-1"></div>
<div class="col-md-10">
<form action="<?php echo htmlspecialchars($_SERVER["PHP_SELF"]);?>" method="POST">
<div class="form-group">
<label for="type" class="form-label" ><b>Type<span
style="color: red; font-size: 1.rem;">*</span></b></label>
<select class="form-control ib" name="type" id="type" required>
<option selected disabled value="">Choose Required Type...</option>
<option value="blood" class="opt">Blood</option>
<option value="plasma">Plasma</option>
<option value="platelets">Platelets</option>
</select>
<div class="invalid-feedback">
Please fill this field.
</div>
</div>
<div class="form-group">
<label for="blood_group" class="form-label"><b>Blood Group<span
style="color: red; font-size: 1.rem;">*</span></b></label>
<select class="form-control ib" name="blood_group" id="blood_group" required>
<option selected disabled value="">Choose required Blood Group...</option>
<option value="A+">A+</option>
<option value="A-">A-</option>
<option value="B+">B+</option>
<option value="B-">B-</option>
<option value="O+">O+</option>
<option value="O-">O-</option>
<option value="AB+">AB+</option>
<option value="AB-">AB-</option>
</select>
<div class="invalid-feedback">
Please fill this field.
</div>
</div>
<div class="form-group">
<label for="location"><b>Location<span
style="color: red; font-size: 1.rem;">*</span></b></label>
<input type="text" class="form-control ib" name="location" id="location"
placeholder="Eg: Guntur, AndhraPradesh" required>
<div class="invalid-feedback">
Please fill this field.
</div>
</div>
<div class="form-group form-check">
<label class="form-check-label">
<input class="form-check-input ib" onclick="getlocation()" type="checkbox" name="presentLocation" id="coordinates">
<b>Use
My Current Coordinates</b>
</label>
</div>
<input type="hidden" value="0" name="lat" id="lat">
<input type="hidden" value="0" name="lon" id="lon">
<div class="form-group">
<label for="purpose"><b>Purpose<span style="color: red; font-size: 1.rem;">*</span></b></label>
<input type="text" class="form-control ib" name="purpose" id="purpose"
placeholder="Eg: My friend met with a road accident" required>
<div class="invalid-feedback">
Please fill this field.
</div>
</div>
<div class="tgl container-fluid">
<ul>
<li>
<div class="form-group form-check">
<label class="form-check-label pl-10 switch">
<input class="checkbox ib" type="checkbox" name="urgent" id="urgent">
<span class="slider round"></span>
</label>
</div>
</li>
<li>
<b class="ml-2">URGENT</b>
</li>
</ul>
</div>
<div class="form-group form-check">
<label class="form-check-label pl-10">
<input class="form-check-input ib" type="checkbox" name="remember" required><b
style="color: var(--red);">I
agree on </b><a href="terms.php" target="_blank"> terms and conditions. </a><span
style="color: red; font-size: 1.rem;">*</span>
<!-- <div class="valid-feedback">Valid.</div> -->
<div class="invalid-feedback">Check this checkbox to continue.</div>
</label>
</div>
<div class="">
<button type="submit" name="submit" id="submit" class="btn mb-4 btn-lg b">Submit </button>
</div>
</form>
</div>
</div>
</div>
<!-- Footer -->
<footer class="text-center text-lg-start bg-light text-muted">
<section class="d-flex justify-content-center justify-content-lg-between p-4 border-bottom">
<div class="me-5 d-none d-lg-block">
<span>Get connected with us on social networks:</span>
</div>
<div>
<a href="" class="me-4 text-reset p-3">
<i class="fab fa-facebook-f"></i>
</a>
<a href="" class="me-4 text-reset p-3">
<i class="fab fa-twitter"></i>
</a>
<a href="" class="me-4 text-reset p-3">
<i class="fab fa-instagram"></i>
</a>
<a href="" class="me-4 text-reset p-3">
<i class="fab fa-linkedin"></i>
</a>
<a href="" class="me-4 text-reset p-3">
<i class="fab fa-github"></i>
</a>
</div>
</section>
<section class="">
<div class="container text-center text-md-start mt-5">
<div class="row mt-3">
<div class="col-md-3 col-lg-4 col-xl-3 mx-auto mb-4">
<h5 class="text-uppercase fw-bold mb-4" style="color:var(--red);font-weight:bold">
LIFE LINE
</h5>
<p>
Life-Line is non profit organization committed to help
people who are in need of
blood or organs.
</p>
</div>
<div class="col-md-2 col-lg-2 col-xl-2 mx-auto mb-4">
<h6 class="text-uppercase fw-bold mb-4">
<b>QUICK LINKS</b>
</h6>
<p>
<a href="./index.php" class="text-reset">Home</a>
</p>
<p>
<a href="./aboutus.php" class="text-reset">About Us</a>
</p>
<p>
<a href="./contactus.php" class="text-reset">Contact Us</a>
</p>
</div>
<div class="col-md-3 col-lg-2 col-xl-2 mx-auto mb-4">
<h6 class="text-uppercase fw-bold mb-4">
<b>Useful links</b>
</h6>
<?php
if(isset($_SESSION['user_id'])){
?>
<p>
<a href="./blood_donor.php" class="text-reset">Donate Blood</a>
</p>
<?php
}
else{
?>
<p>
<a href="./sign_in.php" class="text-reset">Donate Blood</a>
</p>
<?php
}?>
<?php
if(isset($_SESSION['user_id'])){
?>
<p>
<a href="./blood_request.php" class="text-reset">Request Blood</a>
</p>
<?php
}
else{
?>
<p>
<a href="./sign_in.php" class="text-reset">Request Blood</a>
</p>
<?php
}?>
<?php
if(isset($_SESSION['user_id'])){
?>
<p>
<a href="./organ_donate.php" class="text-reset">Donate Organs</a>
</p>
<?php
}
else{
?>
<p>
<a href="./sign_in.php" class="text-reset">Donate Organs</a>
</p>
<?php
}?>
<?php
if(isset($_SESSION['user_id'])){
?>
<p>
<a href="./organ_request_form.php" class="text-reset">Request Organs</a>
</p>
<?php
}
else{
?>
<p>
<a href="./sign_in.php" class="text-reset">Request Organs</a>
</p>
<?php
}?>
</div>
<div class="col-md-4 col-lg-3 col-xl-3 mx-auto mb-md-0 mb-4">
<h6 class="text-uppercase fw-bold mb-4">
<b>Contact</b>
</h6>
<p><i class="fas fa-home me-3"></i> IIIT Kottayam</p>
<p>
<i class="fas fa-envelope me-3"></i>
lifelinesupport@gmail.com
</p>
<p><i class="fas fa-phone me-3"></i>+91 9347619384</p>
</div>
</div>
</div>
</section>
<div class="text-center p-4" style="background-color: rgba(0, 0, 0, 0.05);">
© 2021 Copyright:Life Line
</div>
</footer>
</div>
<script>
AOS.init();
function getlocation()
{
var checkbox = document.getElementById('coordinates');
if (checkbox.checked != false) {
if (navigator.geolocation) {
navigator.geolocation.getCurrentPosition(showPosition);
}
else
{
alert("Geolocation is not supported by this browser.");
}
}
else
{
document.getElementById('lat').value = 0;
document.getElementById('lon').value = 0;
}
}
function showPosition(position) {
var x,y;
x=position.coords.latitude ;
y=position.coords.longitude;
document.getElementById("lat").value=x;
document.getElementById("lon").value=y;
}
</script>
</body>
</html>