206 lines
5.6 KiB
PHP
206 lines
5.6 KiB
PHP
<?php session_start();
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include('includes/config/config.php');
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include_once("includes/functions.php");
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include_once("log_entry.php");
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mysqli_query($conn, 'SET character_set_results=utf8');
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error_reporting(0);
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$query = "select * from company_profile where company_id = 5";
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$result = mysqli_query($conn, $query);
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$row_for_company = mysqli_fetch_array($result);
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@extract($row_for_company);
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?>
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<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta charset="UTF-8">
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<meta http-equiv="X-UA-Compatible" content="IE=edge">
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<meta name="viewport" content="width=device-width, initial-scale=1.0">
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<link rel="stylesheet" href="https://stackpath.bootstrapcdn.com/bootstrap/4.3.1/css/bootstrap.min.css"
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integrity="sha384-ggOyR0iXCbMQv3Xipma34MD+dH/1fQ784/j6cY/iJTQUOhcWr7x9JvoRxT2MZw1T" crossorigin="anonymous">
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<title>MEDICAL CERTIFICATE OF FITNESS</title>
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<style>
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.print {
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position: absolute;
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right: 11%;
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}
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body{
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height: 100%;
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/* background-color: black; */
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width: auto;
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}
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@media print {
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#printPageButton {
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display: none;
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}
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}
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body {
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font-family: Arial, Helvetica, sans-serif
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}
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table {
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border-collapse: collapse;
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}
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.canteen {
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background-color: #27AE60;
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/* position: relative; */
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left: 20%;
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text-align: center;
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padding-left: 10%;
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padding-right: 10%;
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color: white;
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font-weight: bold;
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}
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.leftalign{
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text-align: left;
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}
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.rightalign{
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text-align: right;
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}
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.subTitle{
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text-align: center;
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font-size: medium;
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font-weight: bold;
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}
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p{
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font-size: medium;
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}
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.center{
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padding: 20px;
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width: 100%;
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word-wrap: break-word;
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font-weight: bold;
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}
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</style>
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</head>
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<body>
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<center>
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<table>
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<tr>
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<td>
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<div class="container">
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<div class="container">
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<div class="container">
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<?php
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include "pdf_ohc_header.php";
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?>
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<button id="printPageButton" class="btn btn-success print"
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onClick="window.print();">Print</button>
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<br>
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<hr>
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<br>
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<h4 class="canteen">MEDICAL CERTIFICATE OF FITNESS</h4>
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<h4 class="subTitle">TO WHOM IT MAY CONCERN</h4>
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<br>
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<h6 class="rightalign">DATE : </h6>
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<br><br>
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<div class="center">
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<span>I have examined Shri / Kumari / Smt </span><span>_____________</span>
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<span>Son / Daughter of Shri </span><span>_____________</span>
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<span>aged </span><span>_____________</span>
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<span> Years, of Village: </span><span>_____________</span>
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<span> P.O. </span><span>_____________</span>
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<span> P.S </span><span>_____________</span>
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<span> Dist </span><span>_____________</span>
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<span> State </span><span>_____________</span>
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<span> PIN </span><span>_____________</span>
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<span> and certify that, he
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/ she is free from deafness, defective vision (including colour vision) or any other
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infirmity, mental or physical, likely to interferewith the efficiency of his / her work and
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found him / her possessing good health. </span>
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<br><br><br>
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<span>
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This certificate is being given to him /her for the purpose of
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</span>
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<span>_____________</span>
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<br><br><br>
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<div class="leftalign">
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<span>Signature of Candidate </span>
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<br>
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<span>(To be signed in presence of the Medical Officer) </span><br>
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</div>
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<br><br><br><br>
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<div class="rightalign">
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<span>Signature of Medical Officer : ________________</span>
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<br>
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<span>Name of Medical Officer: Dr ________________</span>
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<br> <span> Registration No: ________________</span>
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<br>
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</div>
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<div class="leftalign">
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<span>Deted : </span>
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</div>
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<div class="rightalign">
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<span>
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Seal :
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</span>
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</div>
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<br><br><br>
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<span><b><u>
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Note:
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</u></b>
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Medical certificate granted by a qualified medical practitioner holding at least M.B.B.S. Degree and
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registered with Medical Council of India, shall only be valid. The date of issue of the medical
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certificate should be within <b>one year</b> from the date of application.
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</span>
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</div>
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<br><br><br><br><br>
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</div>
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</div>
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</div>
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</td>
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</tr>
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</table>
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</center>
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<script src="https://code.jquery.com/jquery-3.3.1.slim.min.js"
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integrity="sha384-q8i/X+965DzO0rT7abK41JStQIAqVgRVzpbzo5smXKp4YfRvH+8abtTE1Pi6jizo" crossorigin="anonymous">
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</script>
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<script src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.14.7/umd/popper.min.js"
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integrity="sha384-UO2eT0CpHqdSJQ6hJty5KVphtPhzWj9WO1clHTMGa3JDZwrnQq4sF86dIHNDz0W1" crossorigin="anonymous">
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</script>
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<script src="https://stackpath.bootstrapcdn.com/bootstrap/4.3.1/js/bootstrap.min.js"
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integrity="sha384-JjSmVgyd0p3pXB1rRibZUAYoIIy6OrQ6VrjIEaFf/nJGzIxFDsf4x0xIM+B07jRM" crossorigin="anonymous">
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</script>
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</body>
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</html>
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