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prescription.php
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<?php
session_start();
if(!$_SESSION['login']){
header ("LOCATION:loginindex.php");
}
?>
<!DOCTYPE html>
<html>
<head>
<title>iDecide</title>
<!-- for-mobile-apps -->
<meta name="viewport" content="width=device-width, initial-scale=1">
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<meta name="keywords" content="Infirmary Responsive web template, Bootstrap Web Templates, Flat Web Templates, Android Compatible web template,
Smartphone Compatible web template, free webdesigns for Nokia, Samsung, LG, SonyEricsson, Motorola web design" />
<script type="application/x-javascript"> addEventListener("load", function() { setTimeout(hideURLbar, 0); }, false);
function hideURLbar(){ window.scrollTo(0,1); } </script>
<!-- //for-mobile-apps -->
<link href="css/bootstrap.css" rel="stylesheet" type="text/css" media="all" />
<link rel="stylesheet" href="css/jquery-ui.css" />
<link href="css/popuo-box.css" rel="stylesheet" type="text/css" media="all"/>
<link href="css/style.css" rel="stylesheet" type="text/css" media="all" />
<!-- js -->
<script type="text/javascript" src="js/jquery-2.1.4.min.js"></script>
<script type="text/javascript" src="js/numscroller-1.0.js"></script>
<!-- //js -->
<!-- fonts -->
<link href='//fonts.googleapis.com/css?family=Open+Sans:300italic,400italic,600italic,700italic,800italic,400,300,600,700,800' rel='stylesheet' type='text/css'>
<link href='//fonts.googleapis.com/css?family=Viga' rel='stylesheet' type='text/css'>
<!-- start-smoth-scrolling -->
<script type="text/javascript" src="js/move-top.js"></script>
<script type="text/javascript" src="js/easing.js"></script>
<script type="text/javascript">
jQuery(document).ready(function($) {
$(".scroll").click(function(event){
event.preventDefault();
$('html,body').animate({scrollTop:$(this.hash).offset().top},1000);
});
});
</script>
<!-- start-smoth-scrolling -->
<!--start-date-piker-->
<script src="js/jquery-ui.js"></script>
<script>
$(function() {
$( "#datepicker,#datepicker1" ).datepicker();
});
</script>
<!--/End-date-piker-->
<script src="js/responsiveslides.min.js"></script>
<!--animate-->
<link href="css/animate.css" rel="stylesheet" type="text/css" media="all">
<script src="js/wow.min.js"></script>
<script>
new WOW().init();
</script>
<!--//end-animate-->
</head>
<body>
<!-- header -->
<div class="header wow zoomIn">
<div class="container">
<div class="header_left" data-wow-duration="2s" data-wow-delay="0.5s">
<ul>
<li><span class="glyphicon glyphicon-earphone" aria-hidden="true"></span>+123 456 7890</li>
<li><a href="mailto:info@example.com"><span class="glyphicon glyphicon-envelope" aria-hidden="true"></span>info@example.com</a></li>
</ul>
</div>
<div class="clearfix"></div>
</div>
</div>
<!-- //header -->
<div class="header-bottom ">
<div class="container">
<nav class="navbar navbar-default">
<!-- Brand and toggle get grouped for better mobile display -->
<div class="navbar-header">
<button type="button" class="navbar-toggle collapsed" data-toggle="collapse" data-target="#bs-example-navbar-collapse-1">
<span class="sr-only">Toggle navigation</span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
</button>
<div class="logo grid">
<div class="grid__item color-3">
<h1><a class="link link--nukun" href="index.php"><i></i>i<span>D</span>ECIDE</a></h1>
</div>
</div>
</div>
<!-- Collect the nav links, forms, and other content for toggling -->
<div class="collapse navbar-collapse nav-wil" id="bs-example-navbar-collapse-1">
<nav class="menu menu--horatio">
<ul class="nav navbar-nav menu__list">
<li class="menu__item"><a href="doctor.php" class="menu__link">Home</a></li>
<li class="menu__item"><a href="about.php" class="menu__link">About</a></li>
<li class="menu__item menu__item--current"><a href="prescription.php" class="menu__link">Prescription</a></li>
<li class="menu__item"><a href="table.php" class="menu__link">Laboratory Requisition</a></li>
<li class="menu__item"><a href="ultrasonography.php" class="menu__link">Ultrasonograohy</a></li>
<li class="menu__item"><a href="radiology.php" class="menu__link">Radiology</a></li>
<li class="menu__item"><a href="contact.php" class="menu__link">Contact</a></li>
</ul>
</nav>
</div>
</nav>
</div>
</div>
<!-- Form -->
<script src="http://ajax.googleapis.com/ajax/libs/jquery/1.10.2/jquery.min.js" type="text/javascript" charset="utf-8"></script>
<script src="https://ajax.googleapis.com/ajax/libs/jqueryui/1.9.2/jquery-ui.min.js" type="text/javascript" charset="utf-8"></script>
<script src="js/tag-it.js" type="text/javascript" charset="utf-8"></script>
<script type="text/javascript">
var counter = 1;
var limit = 4;
function addEducation(divName){
if (counter == limit) {
alert("You have reached the limit of adding " + counter + " inputs");
}
else {
var newdiv = document.createElement('div');
newdiv.innerHTML =
"<br><input type='text' placeholder='"+"Name Of Medicine " + (counter + 1) +"' name='myInputs[]'>"+" <br><input type='text' placeholder='"+"Type Of Medicine " + (counter + 1) + "'' name='myInputs[]'>"+" <br><input type='text' placeholder='Dosage for Medicine"+ (counter + 1) +"' name='myInputs[]'>"+" <br><input type='number' placeholder='Number of Days for Medicine " + (counter + 1) +"' name='myInputs[]'><br><br>";
document.getElementById(divName).appendChild(newdiv);
counter++;
}
}
</script>
<script src="http://ajax.googleapis.com/ajax/libs/jquery/1.5.2/jquery.min.js" type="text/javascript" charset="utf-8"></script>
<script src="https://ajax.googleapis.com/ajax/libs/jqueryui/1.8.12/jquery-ui.min.js" type="text/javascript" charset="utf-8"></script>
<script src="js/tag-it.js" type="text/javascript" charset="utf-8"></script>
<link rel="stylesheet" type="text/css" href="http://ajax.googleapis.com/ajax/libs/jqueryui/1/themes/flick/jquery-ui.css">
<link href="css/jquery.tagit.css" rel="stylesheet" type="text/css">
<script type="text/javascript">
$(document).ready(function() {
$("#mytags").tagit({
tagSource: function(search, showChoices) {
$.ajax({
url: "auto2.php",
data: {search: search.term},
success: function(choices) {
showChoices(choices);
}
});
}
});
});
</script>
<div id="prescription" class="col-md-4 content_middle col-md-offset-4" >
<h3>Presciption</h3>
<form name="myForm" action="submit.php" method="post">
<input type="radio" name="type" value="Allopathic" checked> Allopathic
<input type="radio" name="type" value="Ayurveda"> Ayurveda
<input type="radio" name="type" value="Homeopathy"> Homeopathy
<input type="radio" name="type" value="Other"> Other
<br><br><br>
<input type="text" name="name" placeholder="Name" class="focus" required>
<br><br><br>
<input class="date" name="date" id="datepicker" type="text" value="Date of Birth" onfocus="this.value = '';" onblur="if (this.value == '') {this.value = 'date';}" required="">
<br><br><br>
GENDER
<input type="radio" name="gender" value="male" checked> Male
<input type="radio" name="gender" value="female"> Female
<input type="radio" name="gender" value="other"> Other
<br><br><br>
<input type="text" name="complaint" placeholder="Complaint">
<br><br><br>
<ul id="mytags" >
<li >Diagnosis</li>
</ul>
<br><br><br>
<input type="text" name="medice" placeholder="Name of Medicine" required>
<br><br><br>
<input type="text" name="type_medicie" placeholder="Type of Medicine " required>
<br><br><br>
<input type="text" name="dosage" placeholder="Dosage" required>
<br><br><br>
<input type="number" name="Num_dats" placeholder="Number Of Days" required>
<br><br><br>
<li id="addmore"><input type="button" value="Add More" onclick="addEducation('addmore')"></li>
<br><br><br>
<input type="submit" value="Submit"></input>
</form>
</div>
<div class="clearfix"></div>
</div>
</div>
<!-- //Form -->
<!-- contact -->
<div class="contact">
<div class="container">
<div class="col-md-6 contact-right wow fadeIn animated animated" data-wow-delay="0.1s" data-wow-duration="2s">
<h3>Contact Us</h3>
<div class="strip"></div>
<ul class="con-icons">
<li><span class="glyphicon glyphicon-phone" aria-hidden="true"></span>+123 456 7890</li>
<li><a href="mailto:info@example.com"><span class="glyphicon glyphicon-envelope" aria-hidden="true"></span>info@example.com</a></li>
</ul>
<ul class="fb_icons">
<li class="hvr-rectangle-out"><a class="fb" href="#"></a></li>
<li class="hvr-rectangle-out"><a class="twit" href="#"></a></li>
<li class="hvr-rectangle-out"><a class="goog" href="#"></a></li>
<li class="hvr-rectangle-out"><a class="pin" href="#"></a></li>
<li class="hvr-rectangle-out"><a class="drib" href="#"></a></li>
</ul>
<h3>Newsletter Sign up</h3>
<div class="strip"></div>
<form action="#" method="post">
<input type="text" name="Name" value="Name" onfocus="this.value = '';" onblur="if (this.value == '') {this.value = 'Name';}" required="">
<input type="email" name="Email" value="Email" onfocus="this.value = '';" onblur="if (this.value == '') {this.value = 'Email';}" required="">
<input type="submit" value="Submit">
</form>
</div>
<div class="col-md-6 contact-left wow fadeIn animated animated" data-wow-delay="0.1s" data-wow-duration="2s">
<h2>Information</h2>
<div class="strip"></div>
<p class="para">(A Venture of Olive Touch Health Care Services Limited Thrissur with Health Care Success Finland )<br>
Karshaka Nagar, Ayyanthole Ground, P.O Ayyanthole, Thrissur, Kerala - 680003<br>
Website: www.idecidemycare.in | www.idecidemycare.org | www.idecidemycare.com<br>
email: registeridecide@gmail.com I customercareidecide@gmail.com<br>
Tel: +91 (0) 487 3211238, Customer Care 9207283027 / 28</p>
</div>
<div class="clearfix"></div>
</div>
</div>
<script type="text/javascript" src="js/bootstrap-3.1.1.min.js"></script>
</body>
</html>