3946 lines
198 KiB
PHP
3946 lines
198 KiB
PHP
<html>
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<head>
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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/6.4.2/css/all.min.css" integrity="sha512-z3gLpd7yknf1YoNbCzqRKc4qyor8gaKU1qmn+CShxbuBusANI9QpRohGBreCFkKxLhei6S9CQXFEbbKuqLg0DA==" crossorigin="anonymous" referrerpolicy="no-referrer" />
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<div id="opd_form_div" style="display:none">
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<form id="opd_form" name="opd_form">
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<?php
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//include autoloader;
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include('includes/config/config.php');
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include_once("includes/functions.php");
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$checkup_id = $_REQUEST['checkup_id'];
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$sql_employee_appointment = "SELECT * FROM checkup_form WHERE checkup_id = '" . $checkup_id . "' ";
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error_log("sql injury pres:" . $sql_employee_appointment);
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$res_emp_appoint = mysqli_query($conn, $sql_employee_appointment);
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while ($rows_emp_appoint = mysqli_fetch_array($res_emp_appoint)) {
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$emp_id = $rows_emp_appoint['emp_id'];
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$ticket_no = $rows_emp_appoint['ticket_no'];
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$date_a = $rows_emp_appoint['checkup_date'];
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$appointment_date = date("d-m-Y", strtotime($date_a));
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$appointment_year = date("Y", strtotime($date_a));
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$patient_name = getFieldFromTable('patient_name', 'patient_master', 'id', $rows_emp_appoint['emp_id']);
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$emp_code = getFieldFromTable('emp_code', 'patient_master', 'id', $rows_emp_appoint['emp_id']);
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$blood_group = getFieldFromTable('blood_group', 'patient_master', 'id', $rows_emp_appoint['emp_id']);
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$village_name = getFieldFromTable('village', 'patient_master', 'id', $rows_emp_appoint['emp_id']);
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$district = getFieldFromTable('district', 'patient_master', 'id', $rows_emp_appoint['emp_id']);
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$state = getFieldFromTable('state', 'patient_master', 'id', $rows_emp_appoint['emp_id']);
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$pin_code = getFieldFromTable('pin_code', 'patient_master', 'id', $rows_emp_appoint['emp_id']);
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$gender = getFieldFromTable('gender', 'patient_master', 'id', $rows_emp_appoint['emp_id']);
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$identity = getFieldFromTable('identity', 'patient_master', 'id', $rows_emp_appoint['emp_id']);
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$primary_phone = getFieldFromTable('primary_phone', 'patient_master', 'id', $rows_emp_appoint['emp_id']);
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$father_name_p = getFieldFromTable('father_name', 'patient_master', 'id', $rows_emp_appoint['emp_id']);
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$designation_id = getFieldFromTable('designation_id', 'patient_master', 'id', $rows_emp_appoint['emp_id']);
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$designation_name = getFieldFromTable('designation_name', 'designation', 'designation_id', $designation_id);
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error_log("designation_id".$designation_id."===="."name".$designation_name);
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$dept_id = getFieldFromTable('dept_id', 'patient_master', 'id', $rows_emp_appoint['emp_id']);
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$dept_name = getFieldFromTable('dept_name', 'department', 'dept_id', $dept_id);
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$address = $village_name . "," . $district . "," . $state . "," . $pin_code . "";
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$dob = getFieldFromTable('dob', 'patient_master', 'id', $rows_emp_appoint['emp_id']);
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$date_of_birth = date("d-m-Y", strtotime($dob));
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$doj = getFieldFromTable('doj', 'patient_master', 'id', $rows_emp_appoint['emp_id']);
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$date_of_joining = date("d-m-Y", strtotime($doj));
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$c = date('Y');
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$y = date('Y', strtotime($dob));
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$age = $c - $y;
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}
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$sql_employee_key = "SELECT * FROM checkup_form_key_value WHERE checkup_form_id ='" . $checkup_id . "'";
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error_log("get_data_key:" . $sql_employee_key);
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$res_data_key = mysqli_query($conn, $sql_employee_key);
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$dataArray = array();
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while ($rows_exa_key = mysqli_fetch_array($res_data_key)) {
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$dataArray[$rows_exa_key['checkup_form_key']] = $rows_exa_key['checkup_form_value'];
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if ($rows_exa_key['checkup_form_key'] == 'smoking_tobacco') {
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$smoking_tobacco = getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'alcohol_2') {
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$alcohol_2 = getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'since') {
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$since = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'since_1') {
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$since_1 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'h_o_any_major_operation') {
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$h_o_any_major_operation = $rows_exa_key['checkup_form_value'];
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}
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//
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if ($rows_exa_key['checkup_form_key'] == 'asthma_3') {
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$asthma_3 = getCommaSeperatedValuesForInClause("select parameter_value_name from checkup_parameter_value", "parameter_value_id", $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'since_of_year') {
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$since_of_year = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'since_of_year_1') {
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$since_of_year_1 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'since_of_year_2') {
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$since_of_year_2 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'since_of_year_3') {
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$since_of_year_3 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'since_of_year_4') {
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$since_of_year_4 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'since_of_year_5') {
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$since_of_year_5 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'since_of_year_6') {
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$since_of_year_6 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'diabetes_4') {
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$diabetes_4 = getCommaSeperatedValuesForInClause("select parameter_value_name from checkup_parameter_value", "parameter_value_id", $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'hypertension_1') {
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$hypertension_1 = getCommaSeperatedValuesForInClause("select parameter_value_name from checkup_parameter_value", "parameter_value_id", $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'allergy_1') {
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$allergy_1 = getCommaSeperatedValuesForInClause("select parameter_value_name from checkup_parameter_value", "parameter_value_id", $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'i_h_d') {
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$i_h_d = getCommaSeperatedValuesForInClause("select parameter_value_name from checkup_parameter_value", "parameter_value_id", $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'tuberculosis_3') {
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$tuberculosis_3 = getCommaSeperatedValuesForInClause("select parameter_value_name from checkup_parameter_value", "parameter_value_id", $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'others_5') {
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$others_5 = getCommaSeperatedValuesForInClause("select parameter_value_name from checkup_parameter_value", "parameter_value_id", $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'excessive_or_irregular_menstrual_period') {
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$excessive_or_irregular_menstrual_period = getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'lump_in_the_brease') {
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$lump_in_the_brease = getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'gynaec_surgery_1') {
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$gynaec_surgery_1 = getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'whether_on_oral_pills_cap_tab_1') {
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$whether_on_oral_pills_cap_tab_1 = getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'near_rt_corrected') {
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$near_rt_corrected = getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'distant_rt_corrected') {
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$distant_rt_corrected = getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'distant_lt_corrected') {
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$distant_lt_corrected = getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'colour_vision') {
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$colour_vision = getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'near_lt_corrected') {
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$near_lt_corrected = getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'copper_t') {
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$copper_t = getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'marital_status_2') {
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$marital_status_2 = getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'diet') {
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$diet = getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $rows_exa_key['checkup_form_value']);
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}
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if ($rows_exa_key['checkup_form_key'] == 'no_of_children_male_3') {
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$no_of_children_male_3 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'no_of_children_female_3') {
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$no_of_children_female_3 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'height_6') {
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$height_6 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'weight_5') {
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$weight_5 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'bmi_5') {
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$bmi_5 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'abd_grith') {
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$abd_grith = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'ent_2') {
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$ent_2 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'teeth_3') {
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$teeth_3 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'tongue_oral_cavity') {
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$tongue_oral_cavity = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'skin_4') {
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$skin_4 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'nails_3') {
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$nails_3 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'thyroid') {
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$thyroid = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'deformities_2') {
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$deformities_2 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'hernia_3') {
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$hernia_3 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'hydrocele_3') {
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$hydrocele_3 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'piles') {
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$piles = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'pulse_2') {
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$pulse_2 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'blood_pressure_2') {
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$blood_pressure_2 = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'abdomen') {
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$abdomen = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'resp_system') {
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$resp_system = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'c_n_s') {
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$c_n_s = $rows_exa_key['checkup_form_value'];
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}
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if ($rows_exa_key['checkup_form_key'] == 'haemoglobin_7') {
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$haemoglobin_7 = $rows_exa_key['checkup_form_value'];
|
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}
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if ($rows_exa_key['checkup_form_key'] == 'total_white_blood_cells') {
|
||
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$total_white_blood_cells = $rows_exa_key['checkup_form_value'];
|
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}
|
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if ($rows_exa_key['checkup_form_key'] == 'e_s_r_1st_hour') {
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|
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$e_s_r_1st_hour = $rows_exa_key['checkup_form_value'];
|
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}
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if ($rows_exa_key['checkup_form_key'] == 'crp') {
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||
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$crp = $rows_exa_key['checkup_form_value'];
|
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}
|
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if ($rows_exa_key['checkup_form_key'] == 'polymorphs_5') {
|
||
|
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$polymorphs_5 = $rows_exa_key['checkup_form_value'];
|
||
}
|
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if ($rows_exa_key['checkup_form_key'] == 'eosinophil_6') {
|
||
|
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$eosinophil_6 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'basophil_6') {
|
||
|
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$basophil_6 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'lymphocytes_6') {
|
||
|
||
$lymphocytes_6 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'monocyte_4') {
|
||
|
||
$monocyte_4 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'albumin_3') {
|
||
|
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$albumin_3 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'sugar_2') {
|
||
|
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$sugar_2 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'pus_cells_2') {
|
||
|
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$pus_cells_2 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'crystals_2') {
|
||
|
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$crystals_2 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'red_blood_cells') {
|
||
|
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$red_blood_cells = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'others_6') {
|
||
|
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$others_6 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'ova_4') {
|
||
|
||
$ova_4 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'cyst_4') {
|
||
|
||
$cyst_4 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'hba1c_glycosylated_hb') {
|
||
|
||
$hba1c_glycosylated_hb = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 's_creatinine_1') {
|
||
|
||
$s_creatinine_1 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'serum_cholesterol') {
|
||
|
||
$serum_cholesterol = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'serum_triglyceride') {
|
||
|
||
$serum_triglyceride = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'tc_hdl_ratio') {
|
||
|
||
$tc_hdl_ratio = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'ldl_hdl_ratio') {
|
||
|
||
$ldl_hdl_ratio = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'sgpt_2') {
|
||
|
||
$sgpt_2 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 's_bilirubin_total') {
|
||
|
||
$s_bilirubin_total = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 's_bilirubin_direct') {
|
||
|
||
$s_bilirubin_direct = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'uric_acid') {
|
||
|
||
$uric_acid = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 't3_triiodothyronine') {
|
||
|
||
$t3_triiodothyronine = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 't4_thyroxine') {
|
||
|
||
$t4_thyroxine = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'tsh') {
|
||
|
||
$tsh = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'vitamin_d3') {
|
||
|
||
$vitamin_d3 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'vit_b12') {
|
||
|
||
$vit_b12 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'psa_total') {
|
||
|
||
$psa_total = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'psa_free') {
|
||
|
||
$psa_free = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'ecg_1') {
|
||
|
||
$ecg_1 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'usg_abdomen') {
|
||
|
||
$usg_abdomen = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'fvc_l') {
|
||
|
||
$fvc_l = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'fvc_2') {
|
||
|
||
$fvc_2 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'fev_1_fvc') {
|
||
|
||
$fev_1_fvc = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'fev_1_l') {
|
||
|
||
$fev_1_l = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'fev1_fvc') {
|
||
|
||
$fev1_fvc = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
|
||
if ($rows_exa_key['checkup_form_key'] == 'fasting_3') {
|
||
|
||
$fasting_3 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'hdl_cholestero') {
|
||
|
||
$hdl_cholestero = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'ldl_cholesterol') {
|
||
|
||
$ldl_cholesterol = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'x_ray_chest_pa_view_once_in_year') {
|
||
|
||
$x_ray_chest_pa_view_once_in_year = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'date_of_ecg') {
|
||
|
||
$date_of_ecg = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'fev_2') {
|
||
|
||
$fev_2 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'mmf_fef_25_75') {
|
||
|
||
$mmf_fef_25_75 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'pefr_2') {
|
||
|
||
$pefr_2 = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
if ($rows_exa_key['checkup_form_key'] == 'result_remarks') {
|
||
|
||
$result_remarks = $rows_exa_key['checkup_form_value'];
|
||
}
|
||
|
||
|
||
|
||
//
|
||
|
||
|
||
|
||
}
|
||
|
||
|
||
$annu_medi_id = getFieldFromTable('checkup_type_id', 'checkup_type', 'checkup_type_code', 'Executive_Medical_Checkup');
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
$sql_get_ids = "SELECT DISTINCT ck.checkup_form_id, cf.checkup_date, cf.emp_id
|
||
FROM checkup_form_key_value ck
|
||
INNER JOIN checkup_form cf ON ck.checkup_form_id = cf.checkup_id
|
||
WHERE cf.emp_id = $emp_id AND cf.checkup_type_id = $annu_medi_id AND ck.checkup_form_id <= $checkup_id
|
||
ORDER BY ck.checkup_form_id ASC
|
||
LIMIT 10";
|
||
|
||
error_log("dipu" . $sql_get_ids);
|
||
|
||
$result_get_id = mysqli_query($conn, $sql_get_ids);
|
||
$checkupIdsArray = array();
|
||
|
||
while ($rows_get_id = mysqli_fetch_array($result_get_id)) {
|
||
$checkupIdsArray[] = $rows_get_id['checkup_form_id'];
|
||
}
|
||
|
||
$commaSeparatedCheckupIds = implode(', ', $checkupIdsArray);
|
||
error_log($commaSeparatedCheckupIds . "sumit mali");
|
||
|
||
|
||
|
||
$checkupIdsArray = explode(', ', $commaSeparatedCheckupIds);
|
||
foreach ($checkupIdsArray as $index => $value) {
|
||
${"checkId" . ($index + 1)} = $value;
|
||
}
|
||
|
||
|
||
|
||
$sql_get_id_key1 = "SELECT * FROM checkup_form_key_value WHERE checkup_form_id = $checkId1";
|
||
$result_get_re_key1 = mysqli_query($conn, $sql_get_id_key1);
|
||
error_log("dipak" . $sql_get_id_key1);
|
||
while ($row_key_value1 = mysqli_fetch_assoc($result_get_re_key1)) {
|
||
$dataArray1[$row_key_value1['checkup_form_key']] = $row_key_value1['checkup_form_value'];
|
||
}
|
||
$exa_date1 = getFieldFromTable('checkup_date', 'checkup_form', 'checkup_id', $checkId1);
|
||
if ($exa_date1) {
|
||
$examination_date1 = date("d-m-Y", strtotime($exa_date1));
|
||
}
|
||
|
||
$sql_get_id_key2 = "SELECT * FROM checkup_form_key_value WHERE checkup_form_id = $checkId2";
|
||
$result_get_re_key2 = mysqli_query($conn, $sql_get_id_key2);
|
||
error_log("dipak" . $sql_get_id_key2);
|
||
while ($row_key_value2 = mysqli_fetch_assoc($result_get_re_key2)) {
|
||
$dataArray2[$row_key_value2['checkup_form_key']] = $row_key_value2['checkup_form_value'];
|
||
}
|
||
$exa_date2 = getFieldFromTable('checkup_date', 'checkup_form', 'checkup_id', $checkId2);
|
||
if ($exa_date2) {
|
||
$examination_date2 = date("d-m-Y", strtotime($exa_date2));
|
||
}
|
||
|
||
$sql_get_id_key3 = "SELECT * FROM checkup_form_key_value WHERE checkup_form_id = $checkId3";
|
||
$result_get_re_key3 = mysqli_query($conn, $sql_get_id_key3);
|
||
error_log("dipak" . $sql_get_id_key3);
|
||
while ($row_key_value3 = mysqli_fetch_assoc($result_get_re_key3)) {
|
||
$dataArray3[$row_key_value3['checkup_form_key']] = $row_key_value3['checkup_form_value'];
|
||
}
|
||
$exa_date3 = getFieldFromTable('checkup_date', 'checkup_form', 'checkup_id', $checkId3);
|
||
if ($exa_date3) {
|
||
$examination_date3 = date("d-m-Y", strtotime($exa_date3));
|
||
}
|
||
|
||
$sql_get_id_key4 = "SELECT * FROM checkup_form_key_value WHERE checkup_form_id = $checkId4";
|
||
$result_get_re_key4 = mysqli_query($conn, $sql_get_id_key4);
|
||
error_log("dipak" . $sql_get_id_key4);
|
||
while ($row_key_value4 = mysqli_fetch_assoc($result_get_re_key4)) {
|
||
$dataArray4[$row_key_value4['checkup_form_key']] = $row_key_value4['checkup_form_value'];
|
||
}
|
||
$exa_date4 = getFieldFromTable('checkup_date', 'checkup_form', 'checkup_id', $checkId4);
|
||
if ($exa_date4) {
|
||
$examination_date4 = date("d-m-Y", strtotime($exa_date4));
|
||
}
|
||
|
||
$sql_get_id_key5 = "SELECT * FROM checkup_form_key_value WHERE checkup_form_id = $checkId5";
|
||
$result_get_re_key5 = mysqli_query($conn, $sql_get_id_key5);
|
||
error_log("dipak" . $sql_get_id_key5);
|
||
while ($row_key_value5 = mysqli_fetch_assoc($result_get_re_key5)) {
|
||
$dataArray5[$row_key_value5['checkup_form_key']] = $row_key_value5['checkup_form_value'];
|
||
}
|
||
$exa_date5 = getFieldFromTable('checkup_date', 'checkup_form', 'checkup_id', $checkId5);
|
||
if ($exa_date5) {
|
||
$examination_date5 = date("d-m-Y", strtotime($exa_date5));
|
||
}
|
||
|
||
$sql_get_id_key6 = "SELECT * FROM checkup_form_key_value WHERE checkup_form_id = $checkId6";
|
||
$result_get_re_key6 = mysqli_query($conn, $sql_get_id_key6);
|
||
error_log("dipak" . $sql_get_id_key6);
|
||
while ($row_key_value6 = mysqli_fetch_assoc($result_get_re_key6)) {
|
||
$dataArray6[$row_key_value6['checkup_form_key']] = $row_key_value6['checkup_form_value'];
|
||
}
|
||
$exa_date6 = getFieldFromTable('checkup_date', 'checkup_form', 'checkup_id', $checkId6);
|
||
if ($exa_date6) {
|
||
$examination_date6 = date("d-m-Y", strtotime($exa_date6));
|
||
}
|
||
|
||
$sql_get_id_key7 = "SELECT * FROM checkup_form_key_value WHERE checkup_form_id = $checkId7";
|
||
$result_get_re_key7 = mysqli_query($conn, $sql_get_id_key7);
|
||
error_log("dipak" . $sql_get_id_key7);
|
||
while ($row_key_value7 = mysqli_fetch_assoc($result_get_re_key7)) {
|
||
$dataArray7[$row_key_value7['checkup_form_key']] = $row_key_value7['checkup_form_value'];
|
||
}
|
||
$exa_date7 = getFieldFromTable('checkup_date', 'checkup_form', 'checkup_id', $checkId7);
|
||
if ($exa_date7) {
|
||
$examination_date7 = date("d-m-Y", strtotime($exa_date7));
|
||
}
|
||
|
||
$sql_get_id_key8 = "SELECT * FROM checkup_form_key_value WHERE checkup_form_id = $checkId8";
|
||
$result_get_re_key8 = mysqli_query($conn, $sql_get_id_key8);
|
||
error_log("dipak" . $sql_get_id_key8);
|
||
while ($row_key_value8 = mysqli_fetch_assoc($result_get_re_key8)) {
|
||
$dataArray8[$row_key_value8['checkup_form_key']] = $row_key_value8['checkup_form_value'];
|
||
}
|
||
$exa_date8 = getFieldFromTable('checkup_date', 'checkup_form', 'checkup_id', $checkId8);
|
||
if ($exa_date8) {
|
||
$examination_date8 = date("d-m-Y", strtotime($exa_date8));
|
||
}
|
||
|
||
$sql_get_id_key9 = "SELECT * FROM checkup_form_key_value WHERE checkup_form_id = $checkId9";
|
||
$result_get_re_key9 = mysqli_query($conn, $sql_get_id_key9);
|
||
error_log("dipak" . $sql_get_id_key9);
|
||
while ($row_key_value9 = mysqli_fetch_assoc($result_get_re_key9)) {
|
||
$dataArray9[$row_key_value9['checkup_form_key']] = $row_key_value9['checkup_form_value'];
|
||
}
|
||
$exa_date9 = getFieldFromTable('checkup_date', 'checkup_form', 'checkup_id', $checkId9);
|
||
if ($exa_date9) {
|
||
$examination_date9 = date("d-m-Y", strtotime($exa_date9));
|
||
}
|
||
|
||
$sql_get_id_key10 = "SELECT * FROM checkup_form_key_value WHERE checkup_form_id = $checkId10";
|
||
$result_get_re_key10 = mysqli_query($conn, $sql_get_id_key10);
|
||
error_log("dipak" . $sql_get_id_key10);
|
||
while ($row_key_value10 = mysqli_fetch_assoc($result_get_re_key10)) {
|
||
$dataArray10[$row_key_value10['checkup_form_key']] = $row_key_value10['checkup_form_value'];
|
||
}
|
||
$exa_date10 = getFieldFromTable('checkup_date', 'checkup_form', 'checkup_id', $checkId10);
|
||
if ($exa_date10) {
|
||
$examination_date10 = date("d-m-Y", strtotime($exa_date10));
|
||
}
|
||
|
||
|
||
|
||
|
||
|
||
|
||
// $Array_a = array();
|
||
|
||
|
||
// $i =0;
|
||
// foreach ($checkupIdsArray as $checkupFormId) {
|
||
// $sql_get_id_key = "SELECT * FROM checkup_form_key_value WHERE checkup_form_id = $checkupFormId";
|
||
// $result_get_re_key = mysqli_query($conn, $sql_get_id_key);
|
||
// // error_log("dipak".$sql_get_id_key);
|
||
|
||
|
||
// while ($row_key_value = mysqli_fetch_assoc($result_get_re_key)) {
|
||
// $dataArray[$row_key_value['checkup_form_key']] = $row_key_value['checkup_form_value'];
|
||
// array_push($Array_a, $dataArray);
|
||
|
||
// // error_log($dataArray.$i[$row_key_value['checkup_form_key']]." sumit");
|
||
|
||
// }
|
||
// $Array_b[$checkupFormId]= $Array_a;
|
||
|
||
// array_push($Array_c,$Array_b) ;
|
||
// // error_log(print_r($Array_a,true));
|
||
// // error_log(print_r($Array_b,true));
|
||
// error_log("Dushant Maui ".print_r($Array_c,true));
|
||
|
||
// }
|
||
|
||
|
||
|
||
|
||
|
||
?>
|
||
|
||
|
||
|
||
<style>
|
||
div b {
|
||
text-transform: capitalize;
|
||
}
|
||
|
||
.tbl1 {
|
||
|
||
|
||
width: 100%;
|
||
|
||
}
|
||
|
||
|
||
th {
|
||
background-color: #e1e1e1;
|
||
font-size: 12px;
|
||
font-style: bold;
|
||
vertical-align: top;
|
||
}
|
||
|
||
td {
|
||
text-align: left;
|
||
font-size: 12px;
|
||
vertical-align: top;
|
||
}
|
||
|
||
h1 {
|
||
text-align: left;
|
||
font-size: 12px;
|
||
vertical-align: top;
|
||
}
|
||
|
||
body {
|
||
|
||
border: 2px solid wheat;
|
||
outline: 2px solid black;
|
||
|
||
}
|
||
|
||
.page-break {
|
||
page-break-before: always;
|
||
/* or use page-break-after: always; */
|
||
}
|
||
|
||
.box_head {
|
||
width: 320px;
|
||
height: 60px;
|
||
padding: 20px;
|
||
border: 2px solid black;
|
||
margin: 0;
|
||
}
|
||
|
||
/* .tbl_tbl {
|
||
border: 1px solid black;
|
||
border-collapse: collapse;
|
||
} */
|
||
</style>
|
||
|
||
|
||
|
||
</head>
|
||
|
||
|
||
|
||
<body>
|
||
<!-- <br><br><br><br><br>
|
||
<table style="width: 100px;">
|
||
<tr>
|
||
<td style="width: 90%;"><span style="font-size: 15px;" class="box_head">NAME: <?php echo $patient_name ?></span></td>
|
||
<td style="width: 10%;"><span style="font-size: 15px;" class="box_head">TKT: <?php echo $ticket_no ?></span></td>
|
||
</tr>
|
||
</table>
|
||
<br><br>
|
||
<table style="width: 100px;">
|
||
<tr>
|
||
<td style="width: 90%;"><span style="font-size: 15px;" class="box_head">CODE NO. : <?php echo $emp_code ?></span></td>
|
||
<td style="width: 10%;"><span style="font-size: 15px;" class="box_head">BLOOD GROUP : <?php echo $blood_group ?></span></td>
|
||
</tr>
|
||
</table>
|
||
|
||
<div class="page-break"></div> -->
|
||
|
||
|
||
|
||
<h3>
|
||
<center>(1)</center>
|
||
</h3>
|
||
<table style="width: 100%;">
|
||
<tr>
|
||
<td style="width: 80%;">Name: <u><?php echo $patient_name; ?></u> </td>
|
||
<td style="width: 20%;">Code No.:<u><?php echo $emp_code; ?></u> </td>
|
||
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 80%;">Date of Birth:<u><?php echo $date_of_birth; ?></u></td>
|
||
<td style="width: 10%;">Blood GR: <u><?php echo $blood_group; ?></u></td>
|
||
|
||
</tr>
|
||
</table>
|
||
<table style="width: 100%;">
|
||
<tr>
|
||
<td style="width: 100%;">Plant Department: <?php if($dept_name){ echo $dept_name;}else{ ?> _________________________________________________<?php } ?></td>
|
||
|
||
</tr>
|
||
|
||
</table>
|
||
<table style="width: 100%;">
|
||
<tr>
|
||
<td style="width: 70%;">Designation: <u><?php echo $designation_name; ?></u> </td>
|
||
<td style="width: 30%;">Date of Joining: <u><?php echo $date_of_joining; ?></u></td>
|
||
|
||
</tr>
|
||
|
||
</table>
|
||
<table style="width: 100%;">
|
||
<tr>
|
||
<td style="width: 100%;">Residential Address:<u><?php echo $address; ?></u></td>
|
||
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 100%;">_______________________________________________________________________</td>
|
||
|
||
</tr>
|
||
|
||
</table>
|
||
<table style="width: 100%;">
|
||
<tr>
|
||
<td style="width: 70%;"> __________________________________</td>
|
||
<td style="width: 30%;">Tel No. <u><?php echo $primary_phone ?></u>
|
||
<td>
|
||
|
||
</tr>
|
||
|
||
</table>
|
||
<table style="width: 100%;">
|
||
|
||
<tr>
|
||
<td style="width: 100%;">_______________________________________________________________________</td>
|
||
|
||
</tr>
|
||
|
||
</table>
|
||
<h1>
|
||
<center><b><u>IN CASE OF SERIOUS ACCIDENT PLEASE INFORM</u></b></center>
|
||
</h1>
|
||
|
||
<table style="width: 100%;">
|
||
<tr>
|
||
<td style="width: 25%;"></td>
|
||
<td style="width: 40%;">_________________________________________________________</td>
|
||
<td style="width: 25%;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 25%;"></td>
|
||
<td style="width: 50%;">_________________________________________________________</td>
|
||
<td style="width: 25%;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 25%;"></td>
|
||
<td style="width: 50%;">_________________________________________________________</td>
|
||
<td style="width: 25%;"></td>
|
||
</tr>
|
||
</table>
|
||
|
||
<table style="width: 100%;">
|
||
<tr>
|
||
<td style="width: 100%;">___________________________________________________________________________________</td>
|
||
</tr>
|
||
</table>
|
||
|
||
<table style="width: 100%;">
|
||
<tr>
|
||
<td style="width: 100%;">Identification Mark: <u><?php echo $identity ?></u> </td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 100%;">Allergy: <u><?php echo getCommaSeperatedValuesForInClause("select parameter_value_name from checkup_parameter_value", "parameter_value_id", $dataArray['allergy_1']) ?></u> </td>
|
||
</tr>
|
||
</table>
|
||
<br>
|
||
<hr>
|
||
<br>
|
||
|
||
<h1>
|
||
<center><b><u>PERSONAL HISTORY</u></b></center>
|
||
</h1>
|
||
|
||
<table style="width: 100%;">
|
||
<tr>
|
||
<td style="width: 60%;">PERSONAL HISTORY:</td>
|
||
<td style="width: 60%;">Marital Status: <?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray['marital_status_5']) ?></td>
|
||
<td style="width: 60%;"></td>
|
||
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 60%;">NO. OF CHILDREN:</td>
|
||
<td style="width: 60%;">MALE: <?php echo $dataArray['no_of_children_male_3'] ?></td>
|
||
<td style="width: 60%;">FEMALE: <?php echo $dataArray['no_of_children_female_3'] ?> </td>
|
||
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 60%;">DIET: <?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray['diet_2']) ?></td>
|
||
<td style="width: 60%;"></td>
|
||
<td style="width: 60%;"> </td>
|
||
|
||
</tr>
|
||
|
||
</table>
|
||
<table style="width: 100%;">
|
||
<tr>
|
||
<td style="width: 70%;">SMOKING: <u> <?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray['smoking_5']);?></u></td>
|
||
|
||
<td style="width: 30%;">SINCE: <u> <?php echo $dataArray['since_2'] ?></u></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 70%;">TOBACCO CHEWING/PAN/GUTKHA: <u><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray['tobacco_chewing_pan_gutkha']); ?></td>
|
||
<td style="width: 30%;">SINCE: <?php echo $dataArray['since_3'] ?></u></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 70%;">ALCOHOL: <u> <?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray['alcohol_5']) ?></u></td>
|
||
<td style="width: 30%;">SINCE:<u> <?php echo $dataArray['since_4'] ?></u></td>
|
||
</tr>
|
||
<tr>
|
||
<td>Remarks : <?php echo $dataArray['if_answer_is_yes_then_give_remarks']?></td>
|
||
</tr>
|
||
</table>
|
||
<hr>
|
||
<h1><b>HISTORY OF MAJOR ILLNESS/OPERATION/ACCIDENT</b></h1>
|
||
<table style="width: 100%;">
|
||
<tr>
|
||
<td style="width: 100%;"><u><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray['h_o_any_major_operation']) ?>, <?php echo $dataArray['any_major_operation_remarks']?></u></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 100%;">___________________________________________________________</td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 100%;">___________________________________________________________</td>
|
||
</tr>
|
||
|
||
</table>
|
||
<div class="page-break"></div>
|
||
|
||
<h3>
|
||
<center>(2)</center>
|
||
</h3>
|
||
<table border="1" width="100%" cellspacing="0">
|
||
<tr>
|
||
<td style="width: 10%;"></td>
|
||
<td style="width: 22%;"><b>FAMILY HISTORY OF</b></td>
|
||
<td style="width: 16%;"><b>Since</b></td>
|
||
<td style="width: 16%;"><b>Father</b></td>
|
||
<td style="width: 16%;"><b>Mother</b></td>
|
||
<td style="width: 16%;"><b>Siblings</b></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">1.</td>
|
||
<td style="width: 22%;">Asthma</td>
|
||
<td style="width: 16%;"><?php echo $dataArray['since_of_year']; ?></td>
|
||
<?php $asthma_v = getCommaSeperatedValuesForInClause("select parameter_value_name from checkup_parameter_value", "parameter_value_id", $dataArray['asthma_3']) ?>
|
||
<td style="width: 16%;"><?php if (strpos($asthma_v, "Father") !== false) { ?> <input checked type="checkbox" name="" id=""><?php } ?></td>
|
||
<td style="width: 16%;"><?php if (strpos($asthma_v, "Mother") !== false) { ?> <input checked type="checkbox" name="" id=""><?php } ?></td>
|
||
<td style="width: 16%;"><?php if (strpos($asthma_v, "Siblings") !== false) { ?> <input checked type="checkbox" name="" id=""><?php } ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">2.</td>
|
||
<td style="width: 22%;">Diabetes</td>
|
||
<td style="width: 16%;"><?php echo $dataArray['since_of_year_1']; ?></td>
|
||
<?php $diabetes_v = getCommaSeperatedValuesForInClause("select parameter_value_name from checkup_parameter_value", "parameter_value_id", $dataArray['diabetes_4']) ?>
|
||
<td style="width: 16%;"><?php if (strpos($diabetes_v, "Father") !== false) { ?> <input checked type="checkbox" name="" id=""><?php } ?></td>
|
||
<td style="width: 16%;"><?php if (strpos($diabetes_v, "Mother") !== false) { ?> <input checked type="checkbox" name="" id=""><?php } ?></td>
|
||
<td style="width: 16%;"><?php if (strpos($diabetes_v, "Siblings") !== false) { ?> <input checked type="checkbox" name="" id=""><?php } ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">3.</td>
|
||
<td style="width: 22%;">Hypertension</td>
|
||
<td style="width: 16%;"><?php echo $dataArray['since_of_year_2']; ?></td>
|
||
<?php $hypertension_v = getCommaSeperatedValuesForInClause("select parameter_value_name from checkup_parameter_value", "parameter_value_id", $dataArray['hypertension_1']) ?>
|
||
<td style="width: 16%;"><?php if (strpos($hypertension_v, "Father") !== false) { ?> <input checked type="checkbox" name="" id=""><?php } ?></td>
|
||
<td style="width: 16%;"><?php if (strpos($hypertension_v, "Mother") !== false) { ?> <input checked type="checkbox" name="" id=""><?php } ?></td>
|
||
<td style="width: 16%;"><?php if (strpos($hypertension_v, "Siblings") !== false) { ?> <input checked type="checkbox" name="" id=""><?php } ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">4.</td>
|
||
<td style="width: 22%;">Allergy</td>
|
||
<td style="width: 16%;"><?php echo $dataArray['since_of_year_3']; ?></td>
|
||
<?php $allergy_v = getCommaSeperatedValuesForInClause("select parameter_value_name from checkup_parameter_value", "parameter_value_id", $dataArray['allergy_1']) ?>
|
||
<td style="width: 16%;"><?php if (strpos($allergy_v, "Father") !== false) { ?> <input checked type="checkbox" name="" id=""><?php } ?></td>
|
||
<td style="width: 16%;"><?php if (strpos($allergy_v, "Mother") !== false) { ?> <input checked type="checkbox" name="" id=""><?php } ?></td>
|
||
<td style="width: 16%;"><?php if (strpos($allergy_v, "Siblings") !== false) { ?> <input checked type="checkbox" name="" id=""><?php } ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">5.</td>
|
||
<td style="width: 22%;">I. H. D.</td>
|
||
<td style="width: 16%;"><?php echo $dataArray['since_of_year_4']; ?></td>
|
||
<?php $i_h_d_v = getCommaSeperatedValuesForInClause("select parameter_value_name from checkup_parameter_value", "parameter_value_id", $dataArray['i_h_d']) ?>
|
||
<td style="width: 16%;"><?php if (strpos($i_h_d_v, "Father") !== false) { ?> <input checked type="checkbox" name="" id=""><?php } ?></td>
|
||
<td style="width: 16%;"><?php if (strpos($i_h_d_v, "Mother") !== false) { ?> <input checked type="checkbox" name="" id=""><?php } ?></td>
|
||
<td style="width: 16%;"><?php if (strpos($i_h_d_v, "Siblings") !== false) { ?> <input checked type="checkbox" name="" id=""><?php } ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">6.</td>
|
||
<td style="width: 22%;">Tuberculosis</td>
|
||
<td style="width: 16%;"><?php echo $dataArray['since_of_year_5']; ?></td>
|
||
<?php $tuberculosis_3_v = getCommaSeperatedValuesForInClause("select parameter_value_name from checkup_parameter_value", "parameter_value_id", $dataArray['tuberculosis_3']) ?>
|
||
<td style="width: 16%;"><?php if (strpos($tuberculosis_3_v, "Father") !== false) { ?> <input checked type="checkbox" name="" id=""><?php } ?></td>
|
||
<td style="width: 16%;"><?php if (strpos($tuberculosis_3_v, "Mother") !== false) { ?> <input checked type="checkbox" name="" id=""><?php } ?></td>
|
||
<td style="width: 16%;"><?php if (strpos($tuberculosis_3_v, "Siblings") !== false) { ?> <input checked type="checkbox" name="" id=""><?php } ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">7.</td>
|
||
<td style="width: 22%;">Other</td>
|
||
<td colspan="2" style="width: 16%;">Other: <?php echo $dataArray['others_5']; ?></td>
|
||
|
||
<!-- <td style="width: 16%;"></td> -->
|
||
<td colspan="2" style="width: 16%;">Since: <?php echo $dataArray['since_of_year_5']; ?></td>
|
||
<!-- <td style="width: 16%;"> </td> -->
|
||
</tr>
|
||
|
||
</table>
|
||
<hr>
|
||
<h1><b>FOR FEMALE CANDIDATES ONLY:</b></h1>
|
||
<table border="1" width="100%" cellspacing="0">
|
||
<tr>
|
||
<td style="width: 5%;"></td>
|
||
<td style="width: 23%;"><b>Year</b></td>
|
||
<td style="width: 14%;"><?php if ($examination_date1) {
|
||
echo date("Y", strtotime($examination_date1));
|
||
} ?></td>
|
||
<td style="width: 14%;"><?php if ($examination_date2) {
|
||
echo date("Y", strtotime($examination_date2));
|
||
} ?></td>
|
||
<td style="width: 14%;"><?php if ($examination_date3) {
|
||
echo date("Y", strtotime($examination_date3));
|
||
} ?></td>
|
||
<td style="width: 14%;"><?php if ($examination_date4) {
|
||
echo date("Y", strtotime($examination_date4));
|
||
} ?></td>
|
||
<td style="width: 14%;"><?php if ($examination_date5) {
|
||
echo date("Y", strtotime($examination_date5));
|
||
} ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">1.</td>
|
||
<td style="width: 18%;"><b>Excessive or irregular Menstrual periods</b></td>
|
||
<td style="width: 14%;"><?php echo $dataArray1['excessive_or_irregular_menstrual_period'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray2['excessive_or_irregular_menstrual_period'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray3['excessive_or_irregular_menstrual_period'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray4['excessive_or_irregular_menstrual_period'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray5['excessive_or_irregular_menstrual_period'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">2.</td>
|
||
<td style="width: 18%;"><b>Lump in the Breast</b></td>
|
||
<td style="width: 14%;"><?php echo $dataArray1['lump_in_the_brease'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray2['lump_in_the_brease'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray3['lump_in_the_brease'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray4['lump_in_the_brease'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray5['lump_in_the_brease'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">3.</td>
|
||
<td style="width: 18%;"><b>Gynaec Surgery</b></td>
|
||
<td style="width: 14%;"><?php echo $dataArray1['gynaec_surgery_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray2['gynaec_surgery_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray3['gynaec_surgery_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray4['gynaec_surgery_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray5['gynaec_surgery_1'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">4.</td>
|
||
<td style="width: 18%;"><b>Any complications during Pregnancy</b></td>
|
||
<td style="width: 14%;"><?php echo $dataArray1['any_complications_during_pregnancy_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray2['any_complications_during_pregnancy_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray3['any_complications_during_pregnancy_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray4['any_complications_during_pregnancy_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray5['any_complications_during_pregnancy_1'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">5.</td>
|
||
<td style="width: 18%;"><b>Whether on Oral Pills</b></td>
|
||
<td style="width: 14%;"><?php echo $dataArray1['whether_on_oral_pills_cap_tab_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray2['whether_on_oral_pills_cap_tab_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray3['whether_on_oral_pills_cap_tab_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray4['whether_on_oral_pills_cap_tab_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray5['whether_on_oral_pills_cap_tab_1'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">6.</td>
|
||
<td style="width: 18%;"><b>Copper - T</b></td>
|
||
<td style="width: 14%;"><?php echo $dataArray1['copper_t'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray2['copper_t'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray3['copper_t'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray4['copper_t'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray5['copper_t'] ?></td>
|
||
</tr>
|
||
|
||
</table><br>
|
||
|
||
<table border="1" width="100%" cellspacing="0">
|
||
<tr>
|
||
<td style="width: 5%;"></td>
|
||
<td style="width: 23%;"><b>Year</b></td>
|
||
<td style="width: 14%;"><?php if ($examination_date6) {
|
||
echo date("Y", strtotime($examination_date6));
|
||
} ?></td>
|
||
<td style="width: 14%;"><?php if ($examination_date7) {
|
||
echo date("Y", strtotime($examination_date7));
|
||
} ?></td>
|
||
<td style="width: 14%;"><?php if ($examination_date8) {
|
||
echo date("Y", strtotime($examination_date8));
|
||
} ?></td>
|
||
<td style="width: 14%;"><?php if ($examination_date9) {
|
||
echo date("Y", strtotime($examination_date9));
|
||
} ?></td>
|
||
<td style="width: 14%;"><?php if ($examination_date10) {
|
||
echo date("Y", strtotime($examination_date10));
|
||
} ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">1.</td>
|
||
<td style="width: 18%;"><b>Excessive or irregular Menstrual periods</b></td>
|
||
<td style="width: 14%;"><?php echo $dataArray6['excessive_or_irregular_menstrual_period'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray7['excessive_or_irregular_menstrual_period'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray8['excessive_or_irregular_menstrual_period'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray9['excessive_or_irregular_menstrual_period'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray10['excessive_or_irregular_menstrual_period'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">2.</td>
|
||
<td style="width: 18%;"><b>Lump in the Breast</b></td>
|
||
<td style="width: 14%;"><?php echo $dataArray6['lump_in_the_brease'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray7['lump_in_the_brease'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray8['lump_in_the_brease'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray9['lump_in_the_brease'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray10['lump_in_the_brease'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">3.</td>
|
||
<td style="width: 18%;"><b>Gynaec Surgery</b></td>
|
||
<td style="width: 14%;"><?php echo $dataArray6['gynaec_surgery_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray7['gynaec_surgery_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray8['gynaec_surgery_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray9['gynaec_surgery_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray10['gynaec_surgery_1'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">4.</td>
|
||
<td style="width: 18%;"><b>Any complications during Pregnancy</b></td>
|
||
<td style="width: 14%;"><?php echo $dataArray6['any_complications_during_pregnancy_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray7['any_complications_during_pregnancy_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray8['any_complications_during_pregnancy_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray9['any_complications_during_pregnancy_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray10['any_complications_during_pregnancy_1'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">5.</td>
|
||
<td style="width: 18%;"><b>Whether on Oral Pills</b></td>
|
||
<td style="width: 14%;"><?php echo $dataArray6['whether_on_oral_pills_cap_tab_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray7['whether_on_oral_pills_cap_tab_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray8['whether_on_oral_pills_cap_tab_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray9['whether_on_oral_pills_cap_tab_1'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray10['whether_on_oral_pills_cap_tab_1'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10%;">6.</td>
|
||
<td style="width: 18%;"><b>Copper - T</b></td>
|
||
<td style="width: 14%;"><?php echo $dataArray6['copper_t'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray7['copper_t'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray8['copper_t'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray9['copper_t'] ?></td>
|
||
<td style="width: 14%;"><?php echo $dataArray10['copper_t'] ?></td>
|
||
</tr>
|
||
|
||
</table>
|
||
|
||
<br>
|
||
<table border="1" width="100%" cellspacing="0">
|
||
<tr>
|
||
|
||
<td style="width: 28%;"><b>Year</b></td>
|
||
<td style="width: 14%;" colspan="2"><?php if ($examination_date1) {
|
||
echo date("Y", strtotime($examination_date1));
|
||
} ?></td>
|
||
<td style="width: 14%;" colspan="2"><?php if ($examination_date2) {
|
||
echo date("Y", strtotime($examination_date2));
|
||
} ?></td>
|
||
<td style="width: 14%;" colspan="2"><?php if ($examination_date3) {
|
||
echo date("Y", strtotime($examination_date3));
|
||
} ?></td>
|
||
<td style="width: 14%;" colspan="2"><?php if ($examination_date4) {
|
||
echo date("Y", strtotime($examination_date4));
|
||
} ?></td>
|
||
<td style="width: 14%;" colspan="2"><?php if ($examination_date5) {
|
||
echo date("Y", strtotime($examination_date5));
|
||
} ?></td>
|
||
</tr>
|
||
|
||
<tr>
|
||
|
||
<td style="width: 28%;"><b>Eyes</b></td>
|
||
<td style="width: 7%;">D</td>
|
||
<td style="width: 7%;">N</td>
|
||
<td style="width: 7%;">D</td>
|
||
<td style="width: 7%;">N</td>
|
||
<td style="width: 7%;">D</td>
|
||
<td style="width: 7%;">N</td>
|
||
<td style="width: 7%;">D</td>
|
||
<td style="width: 7%;">N</td>
|
||
<td style="width: 7%;">D</td>
|
||
<td style="width: 7%;">N</td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 28%;"><b>Rt</b></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray1['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray1['near_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray2['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray2['near_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray3['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray3['near_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray4['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray4['near_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray5['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray5['near_rt']) ?></td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 28%;"><b>Lt</b></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray1['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray1['near_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray2['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray2['near_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray3['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray3['near_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray4['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray4['near_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray1['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray1['near_rt']) ?></td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 28%;"><b>Year</b></td>
|
||
<td style="width: 14%;" colspan="2"><?php if ($examination_date6) {
|
||
echo date("Y", strtotime($examination_date6));
|
||
} ?></td>
|
||
<td style="width: 14%;" colspan="2"><?php if ($examination_date7) {
|
||
echo date("Y", strtotime($examination_date7));
|
||
} ?></td>
|
||
<td style="width: 14%;" colspan="2"><?php if ($examination_date8) {
|
||
echo date("Y", strtotime($examination_date8));
|
||
} ?></td>
|
||
<td style="width: 14%;" colspan="2"><?php if ($examination_date9) {
|
||
echo date("Y", strtotime($examination_date9));
|
||
} ?></td>
|
||
<td style="width: 14%;" colspan="2"><?php if ($examination_date10) {
|
||
echo date("Y", strtotime($examination_date10));
|
||
} ?></td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 28%;"><b>Rt</b></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray6['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray6['near_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray7['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray7['near_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray8['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray8['near_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray9['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray9['near_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray10['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray10['near_rt']) ?></td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 28%;"><b>Lt</b></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray6['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray6['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray7['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray7['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray8['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray8['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray9['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray9['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray10['distant_rt']) ?></td>
|
||
<td style="width: 7%;"><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray10['distant_rt']) ?></td>
|
||
</tr>
|
||
</table>
|
||
<h1><b>COLOUR VISION:</b><?php echo getFieldFromTable('parameter_value_name', 'checkup_parameter_value', 'parameter_value_id', $dataArray['colour_vision']) ?></h1>
|
||
|
||
<div class="page-break"></div>
|
||
|
||
<h3>
|
||
<center>(3)</center>
|
||
</h3>
|
||
<h2>
|
||
<center><b>GENERAL EXAMINATION</b></center>
|
||
</h2>
|
||
<table border="1" width="100%" cellspacing="0">
|
||
<tr>
|
||
<td style="width: 15%;"><b>Date</b></td>
|
||
<td style="width: 9%;"><?php echo $examination_date1 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date2 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date3 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date4 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date5 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date6 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date7 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date8 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date9 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date10 ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">Year</td>
|
||
<td style="width: 9%;"><?php if ($examination_date1) {
|
||
echo date("Y", strtotime($examination_date1));
|
||
} ?></td>
|
||
<td style="width: 9%;"><?php if ($examination_date2) {
|
||
echo date("Y", strtotime($examination_date2));
|
||
} ?></td>
|
||
<td style="width: 9%;"><?php if ($examination_date3) {
|
||
echo date("Y", strtotime($examination_date3));
|
||
} ?></td>
|
||
<td style="width: 9%;"><?php if ($examination_date4) {
|
||
echo date("Y", strtotime($examination_date4));
|
||
} ?></td>
|
||
<td style="width: 9%;"><?php if ($examination_date5) {
|
||
echo date("Y", strtotime($examination_date5));
|
||
} ?></td>
|
||
<td style="width: 9%;"><?php if ($examination_date6) {
|
||
echo date("Y", strtotime($examination_date6));
|
||
} ?></td>
|
||
<td style="width: 9%;"><?php if ($examination_date7) {
|
||
echo date("Y", strtotime($examination_date7));
|
||
} ?></td>
|
||
<td style="width: 9%;"><?php if ($examination_date8) {
|
||
echo date("Y", strtotime($examination_date8));
|
||
} ?></td>
|
||
<td style="width: 9%;"><?php if ($examination_date9) {
|
||
echo date("Y", strtotime($examination_date9));
|
||
} ?></td>
|
||
<td style="width: 9%;"><?php if ($examination_date10) {
|
||
echo date("Y", strtotime($examination_date10));
|
||
} ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">Age Yrs</td>
|
||
<td style="width: 9%;"><?php if ($examination_date1) {
|
||
echo date("Y", strtotime($examination_date1)) - $y;
|
||
} ?></td>
|
||
<td style="width: 9%;"><?php if ($examination_date2) {
|
||
echo date("Y", strtotime($examination_date2)) - $y;
|
||
} ?></td>
|
||
<td style="width: 9%;"><?php if ($examination_date3) {
|
||
echo date("Y", strtotime($examination_date3)) - $y;
|
||
} ?></td>
|
||
<td style="width: 9%;"><?php if ($examination_date4) {
|
||
echo date("Y", strtotime($examination_date4)) - $y;
|
||
} ?></td>
|
||
<td style="width: 9%;"><?php if ($examination_date5) {
|
||
echo date("Y", strtotime($examination_date5)) - $y;
|
||
} ?></td>
|
||
<td style="width: 9%;"><?php if ($examination_date6) {
|
||
echo date("Y", strtotime($examination_date6)) - $y;
|
||
} ?></td>
|
||
<td style="width: 9%;"><?php if ($examination_date7) {
|
||
echo date("Y", strtotime($examination_date7)) - $y;
|
||
} ?></td>
|
||
<td style="width: 9%;"><?php if ($examination_date8) {
|
||
echo date("Y", strtotime($examination_date8)) - $y;
|
||
} ?></td>
|
||
<td style="width: 9%;"><?php if ($examination_date9) {
|
||
echo date("Y", strtotime($examination_date9)) - $y;
|
||
} ?></td>
|
||
<td style="width: 9%;"><?php if ($examination_date10) {
|
||
echo date("Y", strtotime($examination_date10)) - $y;
|
||
} ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">Height in Cms</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['height_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['height_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['height_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['height_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['height_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['height_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['height_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['height_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['height_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['height_6'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">Weight in Kgs.</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['weight_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['weight_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['weight_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['weight_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['weight_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['weight_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['weight_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['weight_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['weight_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['weight_5'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">BMI</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['bmi_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['bmi_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['bmi_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['bmi_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['bmi_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['bmi_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['bmi_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['bmi_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['bmi_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['bmi_5'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">ABD - Girth</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['abd_grith'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['abd_grith'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['abd_grith'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['abd_grith'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['abd_grith'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['abd_grith'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['abd_grith'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['abd_grith'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['abd_grith'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['abd_grith'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">ENT</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['ent_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['ent_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['ent_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['ent_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['ent_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['ent_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['ent_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['ent_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['ent_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['ent_2'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">Teeth</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['teeth_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['teeth_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['teeth_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['teeth_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['teeth_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['teeth_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['teeth_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['teeth_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['teeth_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['teeth_3'] ?></td>
|
||
</tr>
|
||
|
||
<tr>
|
||
<td style="width: 15%;">Tongue / Oral Cavity</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['tongue_oral_cavity'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['tongue_oral_cavity'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['tongue_oral_cavity'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['tongue_oral_cavity'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['tongue_oral_cavity'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['tongue_oral_cavity'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['tongue_oral_cavity'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['tongue_oral_cavity'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['tongue_oral_cavity'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['tongue_oral_cavity'] ?></td>
|
||
</tr>
|
||
|
||
<tr>
|
||
<td style="width: 15%;">Skin</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['skin_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['skin_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['skin_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['skin_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['skin_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['skin_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['skin_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['skin_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['skin_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['skin_4'] ?></td>
|
||
</tr>
|
||
|
||
<tr>
|
||
<td style="width: 15%;">Nails</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['nails_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['nails_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['nails_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['nails_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['nails_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['nails_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['nails_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['nails_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['nails_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['nails_3'] ?></td>
|
||
</tr>
|
||
|
||
<tr>
|
||
<td style="width: 15%;">Thyroid</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['thyroid'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['thyroid'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['thyroid'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['thyroid'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['thyroid'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['thyroid'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['thyroid'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['thyroid'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['thyroid'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['thyroid']?></td>
|
||
</tr>
|
||
|
||
<tr>
|
||
<td style="width: 15%;">Lymph Glands</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['lymph_glands'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['lymph_glands'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['lymph_glands'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['lymph_glands'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['lymph_glands'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['lymph_glands'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['lymph_glands'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['lymph_glands'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['lymph_glands'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['lymph_glands']?></td>
|
||
</tr>
|
||
|
||
<tr>
|
||
<td style="width: 15%;">Deformities</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['deformities_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['deformities_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['deformities_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['deformities_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['deformities_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['deformities_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['deformities_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['deformities_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['deformities_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['deformities_2'] ?></td>
|
||
</tr>
|
||
|
||
<tr>
|
||
<td style="width: 15%;"><b>Genito Urinary System</b></td>
|
||
<td style="width: 9%;"><u><?php ?></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">Hernia</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['hernia_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['hernia_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['hernia_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['hernia_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['hernia_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['hernia_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['hernia_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['hernia_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['hernia_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['hernia_3'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">Hydrocele</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['hydrocele_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['hydrocele_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['hydrocele_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['hydrocele_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['hydrocele_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['hydrocele_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['hydrocele_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['hydrocele_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['hydrocele_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['hydrocele_3'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">Piles</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['piles'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['piles'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['piles'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['piles'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['piles'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['piles'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['piles'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['piles'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['piles'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['piles'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;"><b>Systemic Examination</b></td>
|
||
<td style="width: 9%;"><u><?php ?></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">Pulse/Min.</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['pulse_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['pulse_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['pulse_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['pulse_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['pulse_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['pulse_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['pulse_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['pulse_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['pulse_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['pulse_6'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">BP mm of Hg.</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['blood_pressure_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['blood_pressure_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['blood_pressure_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['blood_pressure_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['blood_pressure_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['blood_pressure_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['blood_pressure_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['blood_pressure_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['blood_pressure_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['blood_pressure_2'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;"><b>C. V. S.</b></td>
|
||
<td style="width: 9%;"><u><?php ?></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 10px;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">Abdomen</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['abdomen'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['abdomen'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['abdomen'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['abdomen'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['abdomen'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['abdomen'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['abdomen'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['abdomen'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['abdomen'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['abdomen'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 10px;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">Resp. System</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['resp_system'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['resp_system'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['resp_system'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['resp_system'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['resp_system'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['resp_system'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['resp_system'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['resp_system'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['resp_system'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['resp_system'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 10px;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
</tr>
|
||
|
||
<tr>
|
||
<td style="width: 15%;">C.N.S.</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['c_n_s'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['c_n_s'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['c_n_s'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['c_n_s'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['c_n_s'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['c_n_s'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['c_n_s'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['c_n_s'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['c_n_s'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['c_n_s'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 10px;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
</tr>
|
||
</table>
|
||
|
||
<div class="page-break"></div>
|
||
<h3>
|
||
<center>(4)</center>
|
||
</h3>
|
||
<h2>
|
||
<center><b>INVESTIGATIONS</b></center>
|
||
</h2>
|
||
<table border="1" width="99%" cellspacing="0">
|
||
<tr>
|
||
<td style="width: 15%;">Date</td>
|
||
<td style="width: 9%;"><?php echo $examination_date1 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date2 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date3 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date4 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date5 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date6 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date7 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date8 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date9 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date10 ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">YEAR</td>
|
||
<td style="width: 9%;"><?php if($examination_date1){echo date("Y", strtotime($examination_date1)); } ?></td>
|
||
<td style="width: 9%;"><?php if($examination_date2){echo date("Y", strtotime($examination_date2)); } ?></td>
|
||
<td style="width: 9%;"><?php if($examination_date3){echo date("Y", strtotime($examination_date3)); } ?></td>
|
||
<td style="width: 9%;"><?php if($examination_date4){echo date("Y", strtotime($examination_date4)); } ?></td>
|
||
<td style="width: 9%;"><?php if($examination_date5){echo date("Y", strtotime($examination_date5)); } ?></td>
|
||
<td style="width: 9%;"><?php if($examination_date6){echo date("Y", strtotime($examination_date6)); } ?></td>
|
||
<td style="width: 9%;"><?php if($examination_date7){echo date("Y", strtotime($examination_date7)); } ?></td>
|
||
<td style="width: 9%;"><?php if($examination_date8){echo date("Y", strtotime($examination_date8)); } ?></td>
|
||
<td style="width: 9%;"><?php if($examination_date9){echo date("Y", strtotime($examination_date9)); } ?></td>
|
||
<td style="width: 9%;"><?php if($examination_date10){echo date("Y", strtotime($examination_date10));} ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;"><b>Routine Blood Examination</b></td>
|
||
<td style="width: 9%;"><u><?php ?></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">a. Haemoglobin gms. %</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['haemoglobin_7'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['haemoglobin_7'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['haemoglobin_7'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['haemoglobin_7'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['haemoglobin_7'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['haemoglobin_7'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['haemoglobin_7'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['haemoglobin_7'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['haemoglobin_7'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['haemoglobin_7'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">b. Total White Blood Cells</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['total_white_blood_cells'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['total_white_blood_cells'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['total_white_blood_cells'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['total_white_blood_cells'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['total_white_blood_cells'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['total_white_blood_cells'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['total_white_blood_cells'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['total_white_blood_cells'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['total_white_blood_cells'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['total_white_blood_cells'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">c. E.S.R. mm 1st Hour</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['e_s_r_1st_hour'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['e_s_r_1st_hour'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['e_s_r_1st_hour'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['e_s_r_1st_hour'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['e_s_r_1st_hour'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['e_s_r_1st_hour'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['e_s_r_1st_hour'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['e_s_r_1st_hour'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['e_s_r_1st_hour'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['e_s_r_1st_hour'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">CRP</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['crp'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['crp'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['crp'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['crp'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['crp'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['crp'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['crp'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['crp'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['crp'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['crp'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">I. Polymorphs</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['polymorphs_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['polymorphs_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['polymorphs_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['polymorphs_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['polymorphs_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['polymorphs_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['polymorphs_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['polymorphs_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['polymorphs_5'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['polymorphs_5'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">II. Eosinophils</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['eosinophil_6']; ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['eosinophil_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['eosinophil_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['eosinophil_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['eosinophil_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['eosinophil_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['eosinophil_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['eosinophil_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['eosinophil_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['eosinophil_6'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">III. Basophils</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['basophil_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['basophil_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['basophil_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['basophil_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['basophil_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['basophil_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['basophil_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['basophil_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['basophil_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['basophil_6'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">IV. Lymphocytes</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['lymphocytes_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['lymphocytes_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['lymphocytes_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['lymphocytes_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['lymphocytes_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['lymphocytes_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['lymphocytes_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['lymphocytes_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['lymphocytes_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['lymphocytes_6'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">V. Mononcytes</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['monocyte_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['monocyte_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['monocyte_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['monocyte_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['monocyte_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['monocyte_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['monocyte_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['monocyte_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['monocyte_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['monocyte_4'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;"><b>Routine Urine Examination</b></td>
|
||
<td style="width: 9%;"><?php ?></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">I. Albumin</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['albumin_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['albumin_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['albumin_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['albumin_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['albumin_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['albumin_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['albumin_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['albumin_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['albumin_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['albumin_3'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">II. Sugar</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['sugar_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['sugar_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['sugar_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['sugar_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['sugar_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['sugar_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['sugar_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['sugar_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['sugar_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['sugar_2'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;"><b>Microscopic Examination</b></td>
|
||
<td style="width: 9%;"><?php ?></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">I. Pus Cells</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['pus_cells_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['pus_cells_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['pus_cells_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['pus_cells_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['pus_cells_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['pus_cells_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['pus_cells_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['pus_cells_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['pus_cells_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['pus_cells_2'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">II. Crystals</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['crystals_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['crystals_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['crystals_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['crystals_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['crystals_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['crystals_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['crystals_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['crystals_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['crystals_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['crystals_2'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">IV. Red Blood Cells</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['red_blood_cells'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['red_blood_cells'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['red_blood_cells'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['red_blood_cells'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['red_blood_cells'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['red_blood_cells'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['red_blood_cells'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['red_blood_cells'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['red_blood_cells'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['red_blood_cells'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">Others</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['others_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['others_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['others_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['others_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['others_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['others_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['others_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['others_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['others_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['others_6'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;"><b>Routine Stool Examination</b></td>
|
||
<td style="width: 9%;"><?php ?></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">a. Ova</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['ova_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['ova_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['ova_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['ova_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['ova_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['ova_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['ova_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['ova_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['ova_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['ova_4'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">b. Cyst</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['cyst_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['cyst_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['cyst_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['cyst_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['cyst_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['cyst_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['cyst_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['cyst_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['cyst_4'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['cyst_4'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">c. Others</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['others_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['others_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['others_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['others_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['others_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['others_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['others_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['others_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['others_6'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['others_6'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 10px;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;"><b>BLOOD CHEMISTRY AND SEROLOGY</b></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">a. (F) Blood Sugar</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['fasting_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['fasting_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['fasting_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['fasting_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['fasting_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['fasting_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['fasting_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['fasting_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['fasting_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['fasting_3'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">b. (PP). Blood Sugar</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['post_prandial_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['post_prandial_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['post_prandial_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['post_prandial_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['post_prandial_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['post_prandial_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['post_prandial_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['post_prandial_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['post_prandial_3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['post_prandial_3'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">c. (R) Blood Sugar</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['piles'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['piles'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['piles'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['piles'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['piles'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['piles'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['piles'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['piles'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['piles'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['piles'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">d. HbA1C (Glycoselated Hb)</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['hba1c_glycosylated_hb'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['hba1c_glycosylated_hb'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['hba1c_glycosylated_hb'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['hba1c_glycosylated_hb'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['hba1c_glycosylated_hb'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['hba1c_glycosylated_hb'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['hba1c_glycosylated_hb'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['hba1c_glycosylated_hb'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['hba1c_glycosylated_hb'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['hba1c_glycosylated_hb'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">e. S. Creatinine</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['s_creatinine_1'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['s_creatinine_1'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['s_creatinine_1'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['s_creatinine_1'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['s_creatinine_1'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['s_creatinine_1'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['s_creatinine_1'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['s_creatinine_1'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['s_creatinine_1'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['s_creatinine_1'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%;">f. Serum Cholesterol</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['serum_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['serum_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['serum_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['serum_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['serum_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['serum_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['serum_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['serum_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['serum_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['serum_cholesterol'] ?></td>
|
||
</tr>
|
||
|
||
|
||
</table>
|
||
<h3>
|
||
<center>(5)</center>
|
||
</h3>
|
||
<br><br>
|
||
|
||
<table border="1" width="100%" cellspacing="0">
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2"><b>DATE</b></td>
|
||
<td style="width: 9%;"><?php echo $examination_date1 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date2 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date3 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date4 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date5 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date6 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date7 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date8 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date9 ?></td>
|
||
<td style="width: 9%;"><?php echo $examination_date10 ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2"><b>YEAR</b></td>
|
||
<td style="width: 9%;"><?php if($examination_date1){ echo date("Y", strtotime($examination_date1)); }?></td>
|
||
<td style="width: 9%;"><?php if($examination_date2){ echo date("Y", strtotime($examination_date2)); }?></td>
|
||
<td style="width: 9%;"><?php if($examination_date3){ echo date("Y", strtotime($examination_date3)); }?></td>
|
||
<td style="width: 9%;"><?php if($examination_date4){ echo date("Y", strtotime($examination_date4)); }?></td>
|
||
<td style="width: 9%;"><?php if($examination_date5){ echo date("Y", strtotime($examination_date5)); }?></td>
|
||
<td style="width: 9%;"><?php if($examination_date6){ echo date("Y", strtotime($examination_date6)); }?></td>
|
||
<td style="width: 9%;"><?php if($examination_date7){ echo date("Y", strtotime($examination_date7)); }?></td>
|
||
<td style="width: 9%;"><?php if($examination_date8){ echo date("Y", strtotime($examination_date8)); }?></td>
|
||
<td style="width: 9%;"><?php if($examination_date9){ echo date("Y", strtotime($examination_date9)); }?></td>
|
||
<td style="width: 9%;"><?php if($examination_date10){ echo date("Y", strtotime($examination_date10));} ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2">g. S. Triglycerides</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['serum_triglyceride'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['serum_triglyceride'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['serum_triglyceride'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['serum_triglyceride'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['serum_triglyceride'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['serum_triglyceride'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['serum_triglyceride'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['serum_triglyceride'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['serum_triglyceride'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['serum_triglyceride'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2">h. H.D.L.</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['hdl_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['hdl_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['hdl_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['hdl_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['hdl_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['hdl_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['hdl_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['hdl_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['hdl_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['hdl_cholesterol'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2">I. L.D.L.</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['ldl_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['ldl_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['ldl_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['ldl_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['ldl_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['ldl_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['ldl_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['ldl_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['ldl_cholesterol'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['ldl_cholesterol'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2">TC/HDL</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['tc_hdl_ratio'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['tc_hdl_ratio'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['tc_hdl_ratio'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['tc_hdl_ratio'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['tc_hdl_ratio'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['tc_hdl_ratio'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['tc_hdl_ratio'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['tc_hdl_ratio'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['tc_hdl_ratio'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['tc_hdl_ratio'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2">LDL/HDL</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['ldl_hdl_ratio'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['ldl_hdl_ratio'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['ldl_hdl_ratio'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['ldl_hdl_ratio'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['ldl_hdl_ratio'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['ldl_hdl_ratio'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['ldl_hdl_ratio'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['ldl_hdl_ratio'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['ldl_hdl_ratio'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['ldl_hdl_ratio'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2">k. S.G.PT.</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['sgpt_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['sgpt_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['sgpt_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['sgpt_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['sgpt_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['sgpt_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['sgpt_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['sgpt_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['sgpt_2'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['sgpt_2'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2">S. Bilirubin (T)</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['s_bilirubin_total'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['s_bilirubin_total'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['s_bilirubin_total'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['s_bilirubin_total'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['s_bilirubin_total'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['s_bilirubin_total'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['s_bilirubin_total'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['s_bilirubin_total'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['s_bilirubin_total'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['s_bilirubin_total'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2">(D)</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['s_bilirubin_direct'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['s_bilirubin_direct'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['s_bilirubin_direct'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['s_bilirubin_direct'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['s_bilirubin_direct'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['s_bilirubin_direct'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['s_bilirubin_direct'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['s_bilirubin_direct'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['s_bilirubin_direct'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['s_bilirubin_direct'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2">I. Uric Acid</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['uric_acid'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['uric_acid'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['uric_acid'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['uric_acid'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['uric_acid'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['uric_acid'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['uric_acid'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['uric_acid'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['uric_acid'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['uric_acid'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2">T3</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['t3_triiodothyronine'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['t3_triiodothyronine'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['t3_triiodothyronine'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['t3_triiodothyronine'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['t3_triiodothyronine'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['t3_triiodothyronine'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['t3_triiodothyronine'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['t3_triiodothyronine'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['t3_triiodothyronine'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['t3_triiodothyronine'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2">T4</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['t4_thyroxine'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['t4_thyroxine'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['t4_thyroxine'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['t4_thyroxine'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['t4_thyroxine'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['t4_thyroxine'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['t4_thyroxine'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['t4_thyroxine'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['t4_thyroxine'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['t4_thyroxine'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2">TSH</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['tsh'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['tsh'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['tsh'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['tsh'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['tsh'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['tsh'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['tsh'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['tsh'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['tsh'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['tsh'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2">Vit. D</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['vitamin_d3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['vitamin_d3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['vitamin_d3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['vitamin_d3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['vitamin_d3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['vitamin_d3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['vitamin_d3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['vitamin_d3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['vitamin_d3'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['vitamin_d3'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2">Vit. B12</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['vit_b12'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['vit_b12'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['vit_b12'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['vit_b12'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['vit_b12'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['vit_b12'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['vit_b12'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['vit_b12'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['vit_b12'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['vit_b12'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2">PSA: Total</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['psa_total'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['psa_total'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['psa_total'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['psa_total'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['psa_total'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['psa_total'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['psa_total'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['psa_total'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['psa_total'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['psa_total'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2">PSA: Free</td>
|
||
<td style="width: 9%;"><?php echo $dataArray1['psa_free'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray2['psa_free'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray3['psa_free'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray4['psa_free'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray5['psa_free'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray6['psa_free'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray7['psa_free'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray8['psa_free'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray9['psa_free'] ?></td>
|
||
<td style="width: 9%;"><?php echo $dataArray10['psa_free'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;" colspan="2">Ratio:</td>
|
||
<td style="width: 9%;"><?php ?></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
<td style="width: 9%;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 7%;" rowspan="10">X Ray Chest:</td>
|
||
<td style="width: 8%; padding: 10px;"><?php echo $dataArray1['date_of_x_ray'] ?></td>
|
||
<td style="width: 9%; padding: 10px;" colspan="10"><?php echo $dataArray1['x_ray_chest_pa_view_once_in_year'] ?></td>
|
||
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 8%; padding: 10px;"><?php echo $dataArray2['date_of_x_ray'] ?></td>
|
||
<td style="width: 9%; padding: 10px;" colspan="10"><?php echo $dataArray2['x_ray_chest_pa_view_once_in_year'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 8%; padding: 10px;"><?php echo $dataArray3['date_of_x_ray'] ?></td>
|
||
<td style="width: 9%; padding: 10px;" colspan="10"><?php echo $dataArray3['x_ray_chest_pa_view_once_in_year'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 8%; padding: 10px;"><?php echo $dataArray4['date_of_x_ray'] ?></td>
|
||
<td style="width: 9%; padding: 10px;" colspan="10"><?php echo $dataArray4['x_ray_chest_pa_view_once_in_year'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 8%; padding: 10px;"><?php echo $dataArray5['date_of_x_ray'] ?></td>
|
||
<td style="width: 9%; padding: 10px;" colspan="10"><?php echo $dataArray5['x_ray_chest_pa_view_once_in_year'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 8%; padding: 10px;"><?php echo $dataArray6['date_of_x_ray'] ?></td>
|
||
<td style="width: 9%; padding: 10px;" colspan="10"><?php echo $dataArray6['x_ray_chest_pa_view_once_in_year'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 8%; padding: 10px;"><?php echo $dataArray7['date_of_x_ray'] ?></td>
|
||
<td style="width: 9%; padding: 10px;" colspan="10"><?php echo $dataArray7['x_ray_chest_pa_view_once_in_year'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 8%; padding: 10px;"><?php echo $dataArray8['date_of_x_ray'] ?></td>
|
||
<td style="width: 9%; padding: 10px;" colspan="10"><?php echo $dataArray8['x_ray_chest_pa_view_once_in_year'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 8%; padding: 10px;"><?php echo $dataArray9['date_of_x_ray'] ?></td>
|
||
<td style="width: 9%; padding: 10px;" colspan="10"><?php echo $dataArray9['x_ray_chest_pa_view_once_in_year'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 8%; padding: 10px;"><?php echo $dataArray10['date_of_x_ray'] ?></td>
|
||
<td style="width: 9%; padding: 10px;" colspan="10"><?php echo $dataArray10['x_ray_chest_pa_view_once_in_year'] ?></td>
|
||
</tr>
|
||
</table>
|
||
|
||
<div class="page-break"></div>
|
||
<h3>
|
||
<center>(6)</center>
|
||
</h3>
|
||
<br>
|
||
<table border="1" width="100%" cellspacing="0">
|
||
<tr>
|
||
<td style="width: 20%;" rowspan="10"><b>ECG</b></td>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray1['date_of_ecg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray1['ecg_1'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray2['date_of_ecg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray2['ecg_1'] ?> </td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray3['date_of_ecg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray3['ecg_1'] ?> </td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray4['date_of_ecg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray4['ecg_1'] ?> </td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray5['date_of_ecg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray5['ecg_1'] ?> </td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray6['date_of_ecg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray6['ecg_1'] ?> </td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray7['date_of_ecg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray7['ecg_1'] ?> </td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray8['date_of_ecg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray8['ecg_1'] ?> </td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray9['date_of_ecg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray9['ecg_1'] ?> </td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray10['date_of_ecg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray10['ecg_1'] ?> </td>
|
||
</tr>
|
||
|
||
|
||
</table>
|
||
|
||
<br>
|
||
<table border="1" width="100%" cellspacing="0">
|
||
<tr>
|
||
<td style="width: 20%;" rowspan="10"><b>USG</b></td>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray1['date_of_usg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray1['usg_abdomen'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray2['date_of_usg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray2['usg_abdomen'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray3['date_of_usg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray3['usg_abdomen'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray4['date_of_usg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray4['usg_abdomen'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray5['date_of_usg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray5['usg_abdomen'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray6['date_of_usg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray6['usg_abdomen'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray7['date_of_usg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray7['usg_abdomen'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray8['date_of_usg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray8['usg_abdomen'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray9['date_of_usg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray9['usg_abdomen'] ?></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"><?php echo $dataArray10['date_of_usg'] ?></td>
|
||
<td style="width: 60%; padding: 10px;"><?php echo $dataArray10['usg_abdomen'] ?></td>
|
||
</tr>
|
||
</table>
|
||
|
||
|
||
<div class="page-break"></div>
|
||
<h3>
|
||
<center>(7)</center>
|
||
</h3>
|
||
<br>
|
||
<table border="1" width="100%" cellspacing="0">
|
||
<tr>
|
||
<td style="width: 20%;"></td>
|
||
<td style="width: 13%;">Year</td>
|
||
<td style="width: 13%;" colspan="2"><?php if($examination_date1){ echo date("Y", strtotime($examination_date1)); } ?></td>
|
||
<td style="width: 13%;" colspan="2"><?php if($examination_date2){ echo date("Y", strtotime($examination_date2)); } ?></td>
|
||
<td style="width: 13%;" colspan="2"><?php if($examination_date3){ echo date("Y", strtotime($examination_date3)); } ?></td>
|
||
<td style="width: 13%;" colspan="2"><?php if($examination_date4){ echo date("Y", strtotime($examination_date4)); } ?></td>
|
||
<td style="width: 13%;" colspan="2"><?php if($examination_date5){ echo date("Y", strtotime($examination_date5)); } ?></td>
|
||
</tr>
|
||
|
||
<tr>
|
||
<td style="width: 20%;" rowspan="5"><b>Pulmonary Function Test</b></td>
|
||
<td style="width: 13%;">FVC</td>
|
||
<td style="width: 11%;"><?php echo $dataArray1['fvc'] ?></td>
|
||
<td style="width: 2%;"></td>
|
||
|
||
<td style="width: 11%;"><?php echo $dataArray2['fvc'] ?></td>
|
||
<td style="width: 2%;"></td>
|
||
|
||
<td style="width: 11%;"><?php echo $dataArray3['fvc'] ?></td>
|
||
<td style="width: 2%;"></td>
|
||
|
||
<td style="width: 11%;"><?php echo $dataArray4['fvc'] ?></td>
|
||
<td style="width: 2%;"></td>
|
||
|
||
<td style="width: 11%;"><?php echo $dataArray5['fvc'] ?></td>
|
||
<td style="width: 2%;"></td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 13%;">FEV 1</td>
|
||
<td style="width: 11%;"><?php echo $dataArray1['fev_1'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray2['fev_1'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray3['fev_1'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray4['fev_1'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray5['fev_1'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 13%;">FEV1/FVC</td>
|
||
<td style="width: 11%;"><?php echo $dataArray1['fev_1_fvc'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray2['fev_1_fvc'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray3['fev_1_fvc'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray4['fev_1_fvc'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray5['fev_1_fvc'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 13%;">MMF (FEF 25-75%)</td>
|
||
<td style="width: 11%;"><?php echo $dataArray1['mmf_fef_25_75'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray2['mmf_fef_25_75'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray3['mmf_fef_25_75'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray4['mmf_fef_25_75'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray5['mmf_fef_25_75'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 13%;">PEFR</td>
|
||
<td style="width: 11%;"><?php echo $dataArray1['pefr'] ?></td>
|
||
<td style="width: 2%;">L</td>
|
||
<td style="width: 11%;"><?php echo $dataArray2['pefr'] ?></td>
|
||
<td style="width: 2%;">L</td>
|
||
<td style="width: 11%;"><?php echo $dataArray3['pefr'] ?></td>
|
||
<td style="width: 2%;">L</td>
|
||
<td style="width: 11%;"><?php echo $dataArray4['pefr'] ?></td>
|
||
<td style="width: 2%;">L</td>
|
||
<td style="width: 11%;"><?php echo $dataArray5['pefr'] ?></td>
|
||
<td style="width: 2%;">L</td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 20px;"></td>
|
||
<td style="width: 13%; padding: 20px;">Result</td>
|
||
<td style="width: 13%; padding: 20px;" colspan="2"><?php echo $dataArray1['result_remarks'] ?></td>
|
||
<td style="width: 13%; padding: 20px;" colspan="2"><?php echo $dataArray2['result_remarks'] ?></td>
|
||
<td style="width: 13%; padding: 20px;" colspan="2"><?php echo $dataArray3['result_remarks'] ?></td>
|
||
<td style="width: 13%; padding: 20px;" colspan="2"><?php echo $dataArray4['result_remarks'] ?></td>
|
||
<td style="width: 13%; padding: 20px;" colspan="2"><?php echo $dataArray5['result_remarks'] ?></td>
|
||
</tr>
|
||
</table>
|
||
<br>
|
||
<table border="1" width="100%" cellspacing="0">
|
||
<tr>
|
||
<td style="width: 20%;"></td>
|
||
<td style="width: 13%;">Year</td>
|
||
<td style="width: 13%;" colspan="2"><?php if($examination_date6){ echo date("Y", strtotime($examination_date6)); }?></td>
|
||
<td style="width: 13%;" colspan="2"><?php if($examination_date7){ echo date("Y", strtotime($examination_date7)); }?></td>
|
||
<td style="width: 13%;" colspan="2"><?php if($examination_date8){ echo date("Y", strtotime($examination_date8)); }?></td>
|
||
<td style="width: 13%;" colspan="2"><?php if($examination_date9){ echo date("Y", strtotime($examination_date9)); }?></td>
|
||
<td style="width: 13%;" colspan="2"><?php if($examination_date10){ echo date("Y", strtotime($examination_date10));} ?></td>
|
||
</tr>
|
||
|
||
<tr>
|
||
<td style="width: 20%;" rowspan="5"><b>Pulmonary Function Test</b></td>
|
||
<td style="width: 13%;">FVC</td>
|
||
<td style="width: 11%;"><?php echo $dataArray6['fvc'] ?></td>
|
||
<td style="width: 2%;"></td>
|
||
|
||
<td style="width: 11%;"><?php echo $dataArray7['fvc'] ?></td>
|
||
<td style="width: 2%;"></td>
|
||
|
||
<td style="width: 11%;"><?php echo $dataArray8['fvc'] ?></td>
|
||
<td style="width: 2%;"></td>
|
||
|
||
<td style="width: 11%;"><?php echo $dataArray9['fvc'] ?></td>
|
||
<td style="width: 2%;"></td>
|
||
|
||
<td style="width: 11%;"><?php echo $dataArray10['fvc'] ?></td>
|
||
<td style="width: 2%;"></td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 13%;">FEV 1</td>
|
||
<td style="width: 11%;"><?php echo $dataArray6['fev_1'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray7['fev_1'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray8['fev_1'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray9['fev_1'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray10['fev_1'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 13%;">FEV1/FVC</td>
|
||
<td style="width: 11%;"><?php echo $dataArray6['fev_1_fvc'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray7['fev_1_fvc'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray8['fev_1_fvc'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray9['fev_1_fvc'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray10['fev_1_fvc'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 13%;">MMF (FEF 25-75%)</td>
|
||
<td style="width: 11%;"><?php echo $dataArray6['mmf_fef_25_75'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray7['mmf_fef_25_75'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray8['mmf_fef_25_75'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray9['mmf_fef_25_75'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
<td style="width: 11%;"><?php echo $dataArray10['mmf_fef_25_75'] ?></td>
|
||
<td style="width: 2%;">%</td>
|
||
</tr>
|
||
<tr>
|
||
|
||
<td style="width: 13%;">PEFR</td>
|
||
<td style="width: 11%;"><?php echo $dataArray6['pefr'] ?></td>
|
||
<td style="width: 2%;">L</td>
|
||
<td style="width: 11%;"><?php echo $dataArray7['pefr'] ?></td>
|
||
<td style="width: 2%;">L</td>
|
||
<td style="width: 11%;"><?php echo $dataArray8['pefr'] ?></td>
|
||
<td style="width: 2%;">L</td>
|
||
<td style="width: 11%;"><?php echo $dataArray9['pefr'] ?></td>
|
||
<td style="width: 2%;">L</td>
|
||
<td style="width: 11%;"><?php echo $dataArray10['pefr'] ?></td>
|
||
<td style="width: 2%;">L</td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 20px;"></td>
|
||
<td style="width: 13%; padding: 20px;">Result</td>
|
||
<td style="width: 13%; padding: 20px;" colspan="2"><?php echo $dataArray6['result_remarks'] ?></td>
|
||
<td style="width: 13%; padding: 20px;" colspan="2"><?php echo $dataArray7['result_remarks'] ?></td>
|
||
<td style="width: 13%; padding: 20px;" colspan="2"><?php echo $dataArray8['result_remarks'] ?></td>
|
||
<td style="width: 13%; padding: 20px;" colspan="2"><?php echo $dataArray9['result_remarks'] ?></td>
|
||
<td style="width: 13%; padding: 20px;" colspan="2"><?php echo $dataArray10['result_remarks'] ?></td>
|
||
</tr>
|
||
</table>
|
||
|
||
<div class="page-break"></div>
|
||
<h3>
|
||
<center>(8)</center>
|
||
<br>
|
||
</h3>
|
||
<?php
|
||
$checkupStartEndIdsArray = explode(', ', $commaSeparatedCheckupIds);
|
||
$StartId = $checkupStartEndIdsArray[0];
|
||
$lastId = end($checkupStartEndIdsArray);
|
||
|
||
$opd_start_data_date = getFieldFromTable('checkup_date', 'checkup_form', 'checkup_id', $StartId);
|
||
$opd_end_data_date = getFieldFromTable('checkup_date', 'checkup_form', 'checkup_id', $lastId);
|
||
|
||
|
||
|
||
|
||
$get_complaint_data_sql = "SELECT ea.appointment_id, ea.appointment_date, s.date_absent, s.date_absent_to, t.* FROM employee_appointment ea LEFT JOIN sickness s ON ea.appointment_id = s.followup_to_opd LEFT JOIN treatment t ON ea.appointment_id = t.appointment_id WHERE ea.emp_id = '$emp_id' AND ea.appointment_date BETWEEN DATE_FORMAT('$opd_start_data_date', '%Y-%m-%d') AND DATE_FORMAT('$opd_end_data_date', '%Y-%m-%d');";
|
||
|
||
|
||
|
||
$get_critical_data_sql = "SELECT * FROM checkup_form WHERE emp_id = '$emp_id' and checkup_date BETWEEN DATE_FORMAT('$opd_start_data_date', '%Y-%m-%d') AND DATE_FORMAT('$opd_end_data_date', '%Y-%m-%d') ";
|
||
error_log("sql for opd data" . $get_critical_data_sql);
|
||
$result_cri_data = mysqli_query($conn, $get_critical_data_sql);
|
||
|
||
|
||
|
||
?>
|
||
<table border="1" width="100%" cellspacing="0">
|
||
<tr>
|
||
<td style="width: 20;">YEAR</td>
|
||
<td style="width: 30;">Complaints during Annual Medical Check up</td>
|
||
<td style="width: 25;">Remedial Measures Taken</td>
|
||
<td style="width: 25;">Signature of Medical Advisor</td>
|
||
</tr>
|
||
<?php
|
||
// while ($get_result_cri_data = mysqli_fetch_array($result_cri_data)) {
|
||
// if ($get_result_cri_data['checkup_id']); { ?>
|
||
<!-- // <tr>
|
||
// <td style="width: 20; padding: 20px;"><?php echo date("Y", strtotime($get_result_cri_data['checkup_date'])); ?></td>
|
||
// <td style="width: 30; padding: 20px;"><?php echo $get_result_cri_data['findings'] ?></td>
|
||
// <td style="width: 25; padding: 20px;"></td>
|
||
// <td style="width: 25; padding: 20px;"></td>
|
||
// </tr> -->
|
||
<?php
|
||
|
||
// }
|
||
// }
|
||
|
||
// ?>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
|
||
</table>
|
||
|
||
<div class="page-break"></div>
|
||
<h3>
|
||
<center>(9)</center>
|
||
</h3>
|
||
<br>
|
||
<h3>
|
||
<center><b>RECORD OF LONG SPELLS OF SICKNESS</b></center>
|
||
</h3>
|
||
<table border="1" width="100%" cellspacing="0">
|
||
<tr>
|
||
<td style="width: 20;">Period of Sickness</td>
|
||
<td style="width: 30;">Date of resumption of duty</td>
|
||
<td style="width: 25;">Diagnosis/Treatment</td>
|
||
<td style="width: 25;">Name of treating Doctor</td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20; padding: 20px;"></td>
|
||
<td style="width: 30; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
<td style="width: 25; padding: 20px;"></td>
|
||
</tr>
|
||
|
||
</table>
|
||
|
||
<div class="page-break"></div>
|
||
<h3>
|
||
<center>(10)</center>
|
||
</h3>
|
||
<br>
|
||
<h3>
|
||
<center><b>RECORD OF INDUSTRIAL / NON INDUSTRIAL ACCIDENTS</b></center>
|
||
</h3>
|
||
<table border="1" width="100%" cellspacing="0">
|
||
<tr>
|
||
<td style="width: 10; padding: 20px;">Date</td>
|
||
<td style="width: 14; padding: 20px;">Ref. No. of Accident with date</td>
|
||
<td style="width: 14; padding: 20px;">Time</td>
|
||
<td style="width: 18; padding: 20px;">Nature of Injury</td>
|
||
<td style="width: 14; padding: 20px;">No. of days. away from work</td>
|
||
<td style="width: 14; padding: 20px;">Treatment</td>
|
||
<td style="width: 14; padding: 20px;">Name of treating Doctor</td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 18; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 18; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 18; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 18; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 18; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 18; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 18; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 18; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 18; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 18; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 18; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
</tr>
|
||
|
||
<tr>
|
||
<td style="width: 10; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 18; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 18; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 18; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 18; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 10; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 18; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
<td style="width: 14; padding: 20px;"></td>
|
||
</tr>
|
||
|
||
</table>
|
||
|
||
<div class="page-break"></div>
|
||
<h3>
|
||
<center>(11)</center>
|
||
</h3>
|
||
<br>
|
||
<h3>
|
||
<center><b>DAILY CASE PAPER</b></center>
|
||
</h3>
|
||
<table border="1" width="100%" cellspacing="0">
|
||
<tr>
|
||
<td style="width: 20%;">Date</td>
|
||
<td style="width: 28%;">Clinical Notes</td>
|
||
<td style="width: 30%;">Advised Treatment/ Inv. / Ref.</td>
|
||
<td style="width: 23%;">Leave</td>
|
||
<td style="width: 25%;">Doctor's Initials</td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 20%; padding: 10px;"></td>
|
||
<td style="width: 28%; padding: 10px;"></td>
|
||
<td style="width: 30%; padding: 10px;"></td>
|
||
<td style="width: 23%; padding: 10px;"></td>
|
||
<td style="width: 25%; padding: 10px;"></td>
|
||
</tr>
|
||
|
||
</table>
|
||
|
||
|
||
<div class="page-break"></div>
|
||
<h3>
|
||
<center>(25)</center>
|
||
</h3>
|
||
<br>
|
||
<h3>
|
||
<center><b>HYPERTENSION</b></center>
|
||
</h3>
|
||
<table border="1" width="100%" cellspacing="0">
|
||
<tr>
|
||
<td style="width: 15%;" rowspan="2">DATE</td>
|
||
<td style="width: 30%;">BLOOD PRESSURE</td>
|
||
<td style="width: 15%;" rowspan="2">Wt.in Kg.</td>
|
||
<td style="width: 40%;" rowspan="2">Treatment</td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 30%;">mm of Hg</td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
|
||
|
||
</table>
|
||
|
||
|
||
<div class="page-break"></div>
|
||
<h3>
|
||
<center>(26)</center>
|
||
</h3>
|
||
<br>
|
||
<h3>
|
||
<center><b>HYPERTENSION</b></center>
|
||
</h3>
|
||
<table border="1" width="100%" cellspacing="0">
|
||
<tr>
|
||
<td style="width: 15%;" rowspan="2">DATE</td>
|
||
<td style="width: 30%;">BLOOD PRESSURE</td>
|
||
<td style="width: 15%;" rowspan="2">Wt.in Kg.</td>
|
||
<td style="width: 40%;" rowspan="2">Treatment</td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 30%;">mm of Hg</td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 30%; padding: 20px;"></td>
|
||
<td style="width: 15%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
|
||
|
||
</table>
|
||
|
||
|
||
<div class="page-break"></div>
|
||
<h3>
|
||
<center>(27)</center>
|
||
</h3>
|
||
<br>
|
||
<h3>
|
||
<center><b>DIABETES MELLITUS</b></center>
|
||
</h3>
|
||
<table border="1" width="100%" cellspacing="0">
|
||
<tr>
|
||
<td style="width: 12%;" rowspan="2">DATE</td>
|
||
<td style="width: 12%;" rowspan="2">Wt.</td>
|
||
<td style="width: 24%;" colspan="2">BLOOD SUGAR</td>
|
||
<td style="width: 12%;" rowspan="2">Glycoselated Hb</td>
|
||
<td style="width: 40%;" rowspan="2">Treatment</td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;">Fasting</td>
|
||
<td style="width: 12%;">Post Prandial</td>
|
||
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
|
||
</table>
|
||
|
||
<div class="page-break"></div>
|
||
<h3>
|
||
<center>(28)</center>
|
||
</h3>
|
||
<br>
|
||
<h3>
|
||
<center><b>DIABETES MELLITUS</b></center>
|
||
</h3>
|
||
<table border="1" width="100%" cellspacing="0">
|
||
<tr>
|
||
<td style="width: 12%;" rowspan="2">DATE</td>
|
||
<td style="width: 12%;" rowspan="2">Wt.</td>
|
||
<td style="width: 24%;" colspan="2">BLOOD SUGAR</td>
|
||
<td style="width: 12%;" rowspan="2">Glycoselated Hb</td>
|
||
<td style="width: 40%;" rowspan="2">Treatment</td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%;">Fasting</td>
|
||
<td style="width: 12%;">Post Prandial</td>
|
||
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
<tr>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 12%; padding: 20px;"></td>
|
||
<td style="width: 40%; padding: 20px;"></td>
|
||
</tr>
|
||
|
||
</table>
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
</body>
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
</form>
|
||
|
||
|
||
<form id="employeeDetailsFormPdf" action="" method="POST">
|
||
|
||
<input type="hidden" name="htmlText" id="htmlText" />
|
||
|
||
</form>
|
||
</div>
|
||
<script>
|
||
formSubmit();
|
||
|
||
function formSubmit() {
|
||
|
||
$("#htmlText").val($("#opd_form").html());
|
||
|
||
document.forms['employeeDetailsFormPdf'].action = "pdf_dynamic.php";
|
||
|
||
document.forms['employeeDetailsFormPdf'].method = "post";
|
||
|
||
document.forms['employeeDetailsFormPdf'].submit();
|
||
|
||
}
|
||
</script>
|