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confirm.php
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<?php
include 'connect.php';
session_start ();
if(isset($_POST['submit'])){
$name=$_POST['name'];
$tittle=$_POST['tittle'];
$schedule=$_POST['schedule'];
$attendance=$_POST['parrentattendance'];
$sql="insert into `attendees` (name,tittle, schedule,parrentattendance)
values('$name','$tittle','$schedule','$attendance')";
$result=mysqli_query($con,$sql);
if($result){
echo "Data inserted successfully";
//header('location:immunisationschedule.php');
}else{
die(mysqli_error($con));
}
}
?>
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=, initial-scale=1.0">
<link rel="stylesheet" href="dead.css">
<link rel="stylesheet" href="https://fontawesome.com/">
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.min.css">
<title>Client</title>
</head>
<body>
<div class="container-client">
<div class="side-bar">
<div class="logo">
<div class="logo-image">
<img src="images/jeremy-bezanger-TiktAywR5n8-unsplash.jpg" alt="">
</div>
<div class="logo-head">
<h4>Nuru</h4>
<div class="h-color">
<h4>-Health</h34>
</div>
</div>
</div>
<div class="childs-name">
<i class="fa fa-user-o fa-2x" aria-hidden="true"></i>
<h4><?php if (isset($_SESSION['user_name'])) echo $_SESSION['user_name']; ?></h4>
<a href="logout.php">Logout</a>
</div>
<div class="main-menu">
<h4 class="fade">Main Menu</h4>
<h4><i class="fa fa-list-alt" aria-hidden="true"></i><a href="client.php">Immunisation Schedule</a> </h4>
<h4><i class="fa fa-list-alt" aria-hidden="true"></i><a href="myschedule.php">My Schedule</a> </h4>
</div>
</div>
<div class="side2">
<div class="heading">
<div class="headp">
<h1>Vaccinations for <br> babies and children</h1>
</div>
<!-- <img src="images\julien-flutto-HPha3t0r4MU-unsplash.jpg" alt="" height="100px" width="100px">-->
</div>
<form method='post' action="">
<div class="form">
<h3>Name</h3>
<input type="text" name="name" placeholder="Enter your name">
<h3>Tittle</h3>
<input type="text" name="tittle" placeholder="Enter vaccine">
<h3>Schedule</h3>
<input type="date" name="schedule">
<h3>Enter Attendance Including Infants</h3>
<input type="text" name="parrentattendance" placeholder="Enter Attendees">
<button name="submit">Confirm Attendance</button>
</div>
</form>
</div>
</div>
</div>
</body>
</html>