298 lines
7.5 KiB
PHP
298 lines
7.5 KiB
PHP
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<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.4.1/jquery.min.js"></script>
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<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.min.css">
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<head>
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<style>
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.tbl1 {
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border: 2px solid black;
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border-collapse: collapse;
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font-weight: 800;
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padding: 15px;
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}
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.tbl2 {
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border-collapse: collapse;
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font-weight: 800;
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padding: 15px;
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}
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</style>
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</head>
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<div id="medical_examination_form" style="display: none;">
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<?php
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include('includes/config/config.php');
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include_once("includes/functions.php");
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//error_reporting(0);
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function getModifiedString($var)
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{
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$var = trim($var);
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$pos = stripos($var, ":");
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$initial_str = substr($var, 0, $pos);
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$str = substr($var, $pos);
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$updated_str = "<b>" . $str . "</b>";
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return $initial_str . " " . $updated_str;
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}
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$sql_form_type_data = "select a.*,b.ticket_no,b.approve_date,b.doc_attend,b.medical_attend,b.fit_unfit_status,b.doc_findings,p.* from form_data a inner join checkup_form b on a.checkup_id=b.checkup_id left join patient_master p on p.id=b.emp_id where a.checkup_id='" . $_REQUEST['checkup_id'] . "'";
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error_log("query " . $sql_form_type_data);
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$result_form_type_data = mysqli_query($conn, $sql_form_type_data);
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$row_form_type_data = mysqli_fetch_assoc($result_form_type_data);
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@extract($row_form_type_data);
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?>
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<div style="margin-top: 20px">
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<table width="100%">
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<tr>
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<td colspan="2" align="center" style="font-weight:900;">FORM NO- 33</td>
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</tr>
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<tr>
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<td colspan="2" align="center">[Prescribed under Rules 68-T and 102]</td>
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</tr>
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<tr>
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<td colspan="2" align="center" style="font-weight:900;">Certificate of fitness for employment in hazardous process and operations</td>
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</tr>
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<tr>
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<td colspan="2" align="center">(To be issued by Factory Medical Officer)</td>
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</tr>
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</table>
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<div style="margin-top: 20px">
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<table width="100%" class="tbl3" style="border-spacing: 10px;">
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<tr>
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<td>
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<?php
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echo getModifiedString($para_one);
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?>
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</td>
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</tr>
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<tr>
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<td>
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<?php echo getModifiedString($para_two) ?>
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</td>
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</tr>
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<tr>
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<td>
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<?php echo getModifiedString($para_three) ?>
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</td>
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</tr>
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<tr>
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<td>
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<?php echo getModifiedString($para_four) ?>
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</td>
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</tr>
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<tr>
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<td>
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<?php echo getModifiedString($para_five) ?>
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</td>
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</tr>
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<tr>
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<td>
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<?php echo getModifiedString($para_six) ?>
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</td>
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</tr>
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<tr>
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<td>
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<?php echo getModifiedString($para_seven) ?>
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</td>
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</tr>
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<tr>
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<td>
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<?php echo getModifiedString($para_eight) ?>
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</td>
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</tr>
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<tr>
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<td>
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<?php if (strcmp($para_one_1, " a) Hazardous process:") == 0) {
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echo $row_form_type_data['hazardous_process'] == 'Y' ? " a) Hazardous process: Yes" : " a) Hazardous process: No";
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} else {
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echo $para_one_1;
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}
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?>
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</td>
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</tr>
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<tr>
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<td>
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<?php if (strcmp($para_one_2, " b) Dangerous operation:") == 0) {
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echo " b) Dangerous operation: " . $row_form_type_data['dangerous_process'];
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} else {
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echo $para_one_2;
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}
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?>
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</td>
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</tr>
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<tr>
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<td style="word-wrap:normal;">
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<?php echo $para_one_3 ?>
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</td>
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</tr>
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<tr>
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<td style="word-wrap:normal;">
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<?php echo $para_one_4 ?>
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</td>
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</tr>
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<tr>
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<td style="word-wrap:normal;">
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<?php echo $para_one_5
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?>
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</td>
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</tr>
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<tr>
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<td>
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<?php echo $para_one_6
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?>
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</td>
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</tr>
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</table>
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</div>
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<div style="margin-top: 100px">
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<table width="100%" class="tbl3" style="margin-top:20px; font-size: 16px;">
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<tr>
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<td>
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<img src="data:<?php echo $row_form_type_data['image_type'] ?>;base64,<?php echo base64_encode($row_form_type_data['emp_sign']) ?>" style="width: 120px; height: 40px;" />
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<br>
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Signature or left hand thumb
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impression of the person examined :
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</td>
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<td align="right"> <?php
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$doc_emp_id = $row_form_type_data['doc_attend'];
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$doctor_name = getFieldfromTable('patient_name', 'patient_master', 'id', $doc_emp_id) ?>
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<span style="margin-left:170px">
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<?php
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$sql_sign = "select * from employee_signature where emp_id='" . $doc_emp_id . "'";
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$result_sign = mysqli_query($conn, $sql_sign);
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$row_sign = mysqli_fetch_assoc($result_sign);
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@extract($row_sign);
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error_log("sign query " . $sql_sign);
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?>
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<img src="data:<?php echo $row_sign['image_type'] ?>;base64,<?php echo base64_encode($row_sign['emp_sign']) ?>" style="width: 120px; height: 40px;" />
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</span>
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<br>
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Signature of the Factory Medical Officer :
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</td>
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</tr>
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</table>
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<br>
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<br>
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<table width="100%" class="tbl3">
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<tr>
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<td width="60%" align="left">
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</td>
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<td align="right">
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<span style="margin-left:170px">
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<img src="data:<?php echo $row_sign['stamp_img_type'] ?>;base64,<?php echo base64_encode($row_sign['emp_stamp']) ?>" style="width: 120px; height: 40px;" />
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</span>
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<p>Stamp of factory
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Medical Officer with
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Name of the Factory</p>
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</td>
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</tr>
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</table>
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<!-- <br> -->
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<table width="100%" class="tbl3">
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<tr>
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<td colspan="2" align="left">Date: <b><?= date_format(date_create($row_form_type_data['approval_date']), "d-m-Y") ?></b> </td>
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</tr>
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</table>
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<hr>
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<table width="100%" class="tbl3" style="page-break-after: always;">
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<tr>
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<td align="right"></td>
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</tr>
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</table>
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<br>
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<table width="100%" border="1" cellspacing="0">
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<tr>
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<th>I certify that I examined the person mentioned above on
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(date of examination)
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</th>
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<th>I examined this certificate unfit (If certificate is not extended , the period for which the worker is considered unfit for work is to be mentioned)</th>
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<th>Signs & symptoms observed during examination.</th>
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<th>Signature of the
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Factory medical
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Officer with date.</th>
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</tr>
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<tr rowspan="10">
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<td height="350"><?= $row_form_type_data['fit_unfit_status'] == 'ufit' ? date_format(date_create($row_form_type_data['approval_date']), "d-m-Y") : '' ?></td>
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<td></td>
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<td><?= $row_form_type_data['fit_unfit_status'] == 'ufit' ? $row_form_type_data['doc_findings'] : '' ?></td>
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<?php if ($row_form_type_data['fit_unfit_status'] == 'ufit') { ?>
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<td><img src="data:<?php echo $row_sign['image_type'] ?>;base64,<?php echo base64_encode($row_sign['emp_sign']) ?>" style="width: 120px; height: 40px;" /></td>
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<?php } else { ?>
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<td></td>
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<?php } ?>
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</tr>
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</table>
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<div style="margin-top: 20px; font-size: 15px; text-transform:lowercase">
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<div><b>Notes:</b></div>
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<ol>
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<li> If declared unfit, reference should be made immediately to the Certifying Surgeon.</li>
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<li>Certifying Surgeon should communicate his findings to the occupier with 30 days of the receipt of this
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reference.</li>
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</ol>
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</div>
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</div>
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</div>
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<form id="medical_examination_form_pdf" action="" method="POST">
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<input type="hidden" name="htmlText" id="htmlText" />
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</form>
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</div>
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<script>
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formSubmit();
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function formSubmit() {
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$("#htmlText").val($("#medical_examination_form").html());
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document.forms['medical_examination_form_pdf'].action = "pdf_dynamic.php";
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document.forms['medical_examination_form_pdf'].method = "post";
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document.forms['medical_examination_form_pdf'].submit();
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}
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</script>
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