2509 lines
104 KiB
PHP
2509 lines
104 KiB
PHP
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<div class="panel panel-default">
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<div class="panel-heading panel-heading1" id="panel-heading-profile">
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<h5 class="panel-title panel-title1" id="panel-title1"
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style="display: block; font-size: 12px; color: #337ab7; height: 17px; text-decoration: none; font-family: 'Source Sans Pro', 'Helvetica Neue', Helvetica, Arial, sans-serif;">
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<a role="button" data-toggle="collapse" href="#examinationPanel"
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aria-expanded="true" aria-controls="collapseOne">Medical
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Examination</a>
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</h5>
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</div>
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<div id="examinationPanel" class="panel-collapse">
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<div class="panel-body">
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<form class="form-horizontal" id="medical_examination_form"
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name="medical_examination_form" enctype="multipart/form-data"
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action="#" method="post">
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<div class="box-body" id="medical_examination_form_one">
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<div class="row">
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<div class="col-sm-12" style="margin-top: -5rem">
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<div class="col-sm-3">
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<label class="control-label" for="appointment_id"><strong
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style="font-size: 11px">PEME No:</strong></label>
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<?php
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if($_SESSION['RoleCode'] == 'LAB' && $row_patient_physical_parameters['forward_status'] == "M"){
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$peme_no= creatingPEMENo();}
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else {
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$peme_no = $row_patient_physical_parameters['peme_no'];
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}
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?>
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<input id="peme_no" type="hidden"
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name="peme_no" value="<?php echo $peme_no;?>" />
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<div class="input-group">
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<b><?php echo $peme_no;?></b>
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</div>
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</div>
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<input type="hidden" id="hiddenHighlighter"
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name="hiddenHighlighter">
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<div class="row" style="display: flex;">
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<div class="col-sm-12">
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<center>
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<b style="font-weight: 800">Clinical Examination</b>
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</center>
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<div class="col-sm-3" style="flex: 30%;padding: 5px;width: 33%">
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<br>
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<table width="100%" class="table-bordered">
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<tr>
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<td><b style="font-weight: 800">Height:</b></td>
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<td><input
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style="margin-top: 14px; margin-bottom: 14px; margin-left: 15px; width: 70%"
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type="number" name="height" id="height"
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value="<?php echo $height ?>" onchange="calculateBMI()" ;/> <b style="font-weight: 800">cm</b>
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</td>
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</tr>
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<tr>
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<td><b style="font-weight: 800">Weight:</b></td>
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<td>
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<input
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style="margin-top: 14px; margin-bottom: 14px; margin-left: 15px; width: 80%"
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type="number" name="weight" id="weight"
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value="<?php echo $weight ?>" onchange="calculateBMI()" ;/> <b style="font-weight: 800">kg</b>
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</td>
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</tr>
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<tr>
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<td ><b style="font-weight: 800">BMI:</b></td>
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<td>
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<input readonly
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style="margin-top: 14px; margin-bottom: 14px; margin-left: 15px; width: 80%"
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type="number" name="bmi" id="bmi" value="<?php echo $bmi ?>" onchange="calHealthIndex()" />
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</td>
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</tr>
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<tr>
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<td><b style="font-weight: 800">Build & Nutrition:</td>
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<td>
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<input
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style="margin-top: 14px; margin-bottom: 14px; margin-left: 15px; width: 75%"
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type="text" name="bn_findings" id="bn_findings" value="<?php echo $bn_findings ?>" />
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</td>
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</tr>
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<tr>
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<td><b style="font-weight: 800">Blood Pressure:</td>
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<td>
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<input
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style="margin-top: 14px; margin-bottom: 14px; margin-left: 15px; width: 65%"
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type="text" name="bp" id="bp" value="<?php echo $bp ?>" onchange="calHealthIndex()" /> <b style="font-weight: 800">mmHg</b>
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</td>
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</tr>
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<tr>
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<td><b style="font-weight: 800">Pulse:</td>
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<td>
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<input
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style="margin-top: 14px; margin-bottom: 14px; margin-left: 15px; width: 75%"
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type="number" name="pulse" id="pulse" value="<?php echo $pulse ?>" /> <b style="font-weight: 800">/m</b>
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</td>
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</tr>
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</table>
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</div>
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<div class="col-sm-3" style="flex: 30%;padding: 5px;width: 33%">
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<br>
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<table width="100%" class="table-bordered">
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<tr><td colspan="2"><center><b style="font-weight: 800">General Inspection</b></center></td></tr>
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<tr>
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<td><b style="font-weight: 800">A:</b></td>
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<td>
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<input
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style="margin-top: 18.5px; margin-bottom: 18.5px; margin-left: 15px; width: 80%"
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type="text" name="a" id="a"
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value="<?php echo $a ?>" />
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</td>
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</tr>
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<tr>
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<td><b style="font-weight: 800">cy:</b></td>
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<td>
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<input
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style="margin-top: 18.5px; margin-bottom: 18.5px; margin-left: 15px; width: 80%"
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type="text" name="cy" id="cy"
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value="<?php echo $cy ?>" onchange="calculateBMI()" ;/>
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</td>
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</tr>
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<tr>
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<td ><b style="font-weight: 800">I:</b></td>
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<td>
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<input
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style="margin-top: 18.5px; margin-bottom: 18.5px; margin-left: 15px; width: 80%"
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type="text" name="i" id="i" value="<?php echo $i ?>" />
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</td>
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</tr>
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<tr>
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<td><b style="font-weight: 800">C<span style="text-transform: lowercase;">l</span></b></td>
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<td>
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<input
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style="margin-top: 18.5px; margin-bottom: 18.5px; margin-left: 15px; width: 80%"
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type="text" name="cl" id="cl" value="<?php echo $cl ?>" ; />
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</td>
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</tr>
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<tr>
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<td><b style="font-weight: 800">e:</td>
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<td>
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<input
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style="margin-top: 18.5px; margin-bottom: 18.5px; margin-left: 15px; width: 80%"
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type="text" name="e" id="e" value="<?php echo $e ?>" ; />
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<input type="hidden" name="health_index" id="health_index" value="<?php echo $health_index?>">
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</td>
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</tr>
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</table>
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</div>
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<div class="col-sm-3" style="flex: 30%;padding: 5px;width: 33%">
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<br>
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<table width="100%" class="table-bordered">
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<tr>
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<td><b style="font-weight: 800">Chest:</td>
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<td>
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<input
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style="margin-top: 20px; margin-bottom: 20px; margin-left: 15px; width: 80%"
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type="text" name="chest" id="chest" value="<?php echo $chest ?>" />
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</td>
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</tr>
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<tr>
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<td><b style="font-weight: 800">Chest Inspiration:</td>
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<td>
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<input
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style="margin-top: 20px; margin-bottom: 20px; margin-left: 15px; width: 70%"
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type="number" name="chest_in" id="chest_in" value="<?php echo $chest_in ?>" /> <b style="font-weight: 800">cm</b>
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</td>
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</tr>
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<tr>
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<td><b style="font-weight: 800">Chest Expiration:</td>
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<td>
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<input
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style="margin-top: 20px; margin-bottom: 20px; margin-left: 15px; width: 70%"
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type="number" name="chest_exp" id="chest_exp" value="<?php echo $chest_exp ?>" /> <b style="font-weight: 800">cm</b>
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</td>
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</tr>
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<tr>
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<td><b style="font-weight: 800">Skin:</td>
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<td >
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<input
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style="margin-top: 20px; margin-bottom: 20px; margin-left: 15px; width: 80%"
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type="text" name="skin" id="skin" value="<?php echo $skin ?>" />
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</td>
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</tr>
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<tr>
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<td><b style="font-weight: 800">Muscular Skeletal:</td>
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<td>
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<input
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style="margin-top: 20px; margin-bottom: 20px; margin-left: 15px; width: 80%"
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type="text" name="musculo_skeletal" id="musculo_skeletal" value="<?php echo $musculo_skeletal ?>" />
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</td>
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</tr>
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</table>
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</div>
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</div>
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</div>
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<div class="row" style="display: flex;">
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<div class="col-sm-12">
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<b style="margin-left:-960px;font-weight: 800">Blood Routine Examination</b>
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<div class="col-sm-3" style="flex: 30%;padding: 5px;width: 50%">
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<br>
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<table width="100%" class="table-bordered">
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<tr>
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<td><center><b style="font-weight: 800">Haemoglobin</center></td>
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<td>
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<input
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style="margin-top: 10px; margin-bottom: 10px; margin-left: 10px; width: 60%"
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type="text" name="hb" id="hb" value="<?php echo $hb?>"
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datamax="6" /> <b style="font-weight: 800">%gm/dl</b>
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</td>
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</tr>
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<tr>
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<td><center><b style="font-weight: 800">Total Leucocyte Count</center></td>
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<td>
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<input
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style="margin-top: 10px; margin-bottom: 10px; margin-left: 10px; width: 60%"
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type="text" name="tlc" id="tlc" value="<?php echo $tlc?>"
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datamax="6" /> <b style="font-weight: 800">cu./mm</b>
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</td>
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</tr>
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<tr>
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<td colspan="2"><center><b style="font-weight: 800">Differential Leucocyte Count</center></td>
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</tr>
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<tr>
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<td><center><b style="font-weight: 800">Neutrophils:</center></td>
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<td>
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<input
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style="margin-top: 10px; margin-bottom: 10px; margin-left: 15px; width: 80%"
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type="text" name="dlc_n" id="dlc_n" value="<?php echo $dlc_n?>"
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datamax="6" /> <b style="font-weight: 800">%</b>
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</td>
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</tr>
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<tr>
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<td><center><b style="font-weight: 800">Lymphocytes:</center></td>
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<td>
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<input
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style="margin-top: 10px; margin-bottom: 10px; margin-left: 15px; width: 80%"
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type="text" name="dlc_l" id="dlc_l" value="<?php echo $dlc_l?>"
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datamax="6" /> <b style="font-weight: 800">%</b>
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</td>
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</tr>
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<tr>
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<td><center><b style="font-weight: 800">Monocytes: </center></td>
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<td>
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<input
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style="margin-top: 10px; margin-bottom: 10px; margin-left: 15px; width: 80%"
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type="text" name="dlc_m" id="dlc_m" value="<?php echo $dlc_m?>"
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datamax="6" /> <b style="font-weight: 800">%</b>
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</td>
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</tr>
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<tr>
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<td><center><b style="font-weight: 800">Eosinophil: </center></td>
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<td>
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<input
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style="margin-top: 10px; margin-bottom: 10px; margin-left: 15px; width: 80%"
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type="text" name="dlc_e" id="dlc_e" value="<?php echo $dlc_e?>"
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datamax="6" /> <b style="font-weight: 800">%</b>
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</td>
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</tr>
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<tr>
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<td><center><b style="font-weight: 800">Basophilis:</center></td>
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<td>
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<input
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style="margin-top: 10px; margin-bottom: 10px; margin-left: 15px; width: 80%"
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type="text" name="dlc_b" id="dlc_b" value="<?php echo $dlc_b?>"
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datamax="6" /> <b style="font-weight: 800">%</b>
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</td>
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</tr>
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</table>
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</div>
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<div class="col-sm-3" style="flex: 30%;padding: 5px;width: 50%">
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<br>
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<table width="100%" class="table-bordered">
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<tr>
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<td><center><b style="font-weight: 800">esr:</center></td>
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<td>
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<input
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style="margin-top: 15px; margin-bottom: 15px; margin-left: 15px; width: 90%"
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type="text" name="esr" id="esr" value="<?php echo $esr?>"
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datamax="6" /> <b style="font-weight: 800">%</b>
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</td>
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</tr>
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<tr>
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<td><center><b style="font-weight: 800">FBS:</center></td>
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<td>
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<input
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style="margin-top: 15px; margin-bottom:15px; margin-left: 15px; width: 85%"
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type="text" name="blood_sugar_fbs" id="blood_sugar_fbs" value="<?php echo $blood_sugar_fbs?>"
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datamax="6" /> <b style="font-weight: 800">mg/dl</b>
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</td>
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</tr>
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<tr>
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<td><center><b style="font-weight: 800">rBS:</center></td>
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<td>
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<input
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style="margin-top:15px; margin-bottom:15px; margin-left: 15px; width: 85%"
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type="text" name="blood_sugar_rbs" id="blood_sugar_fbs" value="<?php echo $blood_sugar_rbs?>"
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datamax="6" /> <b style="font-weight: 800">mg/dl</b>
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</td>
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</tr>
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<!-- <tr>
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<td><center><b style="font-weight: 800">ppBS:</center></td>
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<td>
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<input
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style="margin-top:20px; margin-bottom:20px; margin-left: 15px; width: 70%"
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type="text" name="blood_sugar_ppbs" id="blood_sugar_ppbs" value="<?php echo $blood_sugar_ppbs?>"
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datamax="6" /> <b style="font-weight: 800">mg/dl</b>
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</td>
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</tr>
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<tr>
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<td><center><b style="font-weight: 800">HIV:</center></td>
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<td>
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<select
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style="margin-top:20px; margin-bottom:20px; margin-left: 15px; width: 90%"
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name="hiv" id="hiv"
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>
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<option disabled selected>Please
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select option</option>
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<option value="REACTIVE"
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<?php if(strcmp($hiv,'REACTIVE') == 0){ echo "selected";}?>>Reactive</option>
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<option value="NON-REACTIVE"
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<?php if(strcmp($hiv,'NON-REACTIVE') == 0){ echo "selected";} ?>>Non-Reactive</option>
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<option value="NOT APPLICABLE"
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<?php if(strcmp($hiv,'NOT APPLICABLE') == 0){ echo "selected";} ?>>Not Applicable</option>
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</select>
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</td>
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</tr>
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<tr>
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<td><center><b style="font-weight: 800">HCV:</center></td>
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<td>
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<select
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style="margin-top:20px; margin-bottom:20px; margin-left: 15px; width: 90%"
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name="hcv" id="hcv"
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>
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<option disabled selected>Please
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select option</option>
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<option value="REACTIVE"
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<?php if(strcmp($hcv,'REACTIVE') == 0){ echo "selected";}?>>Reactive</option>
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<option value="NON-REACTIVE"
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<?php if(strcmp($hcv,'NON-REACTIVE') == 0){ echo "selected";} ?>>Non-Reactive</option>
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<option value="NOT APPLICABLE"
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<?php if(strcmp($hcv,'NOT APPLICABLE') == 0){ echo "selected";} ?>>Not Applicable</option>
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</select>
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</td>
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</tr>
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<tr>
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<td><center><b style="font-weight: 800">H<span style="text-transform: lowercase;">bs</span>A<span style="text-transform: lowercase;">g</span>:</center></td>
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<td>
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<select
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style="margin-top:20px; margin-bottom:20px; margin-left: 15px; width: 90%"
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name="hbsag" id="hbsag"
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>
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<option disabled selected>Please
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select option</option>
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<option value="REACTIVE"
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<?php if(strcmp($hbsag,'REACTIVE') == 0){ echo "selected";}?>>Reactive</option>
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<option value="NON-REACTIVE"
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<?php if(strcmp($hbsag,'NON-REACTIVE') == 0){ echo "selected";} ?>>Non-Reactive</option>
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<option value="NOT APPLICABLE"
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<?php if(strcmp($hbsag,'NOT APPLICABLE') == 0){ echo "selected";} ?>>Not Applicable</option>
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</select>
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</td>
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</tr> -->
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</table>
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<br>
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<table width="100%" class="table-bordered">
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<tr><td colspan="2"><center><b style="font-weight: 800">renal function test</center></td></tr>
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<tr>
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<td><center><b style="font-weight: 800">Uric Acid:</center></td>
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<td>
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<input
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style="margin-top: 11px; margin-bottom: 11px; margin-left: 15px; width: 65%"
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type="text" name="uric_acid" id="uric_acid" value="<?php echo $uric_acid?>"
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datamax="6" /> <b style="font-weight: 800">mg/dl</b>
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</td>
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</tr>
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<tr>
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<td><center><b style="font-weight: 800">Urea:</center></td>
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<td>
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<input
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style="margin-top: 11px; margin-bottom: 11px; margin-left: 15px; width: 65%"
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type="text" name="s_urea" id="s_urea" value="<?php echo $s_urea?>"
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datamax="6" /> <b style="font-weight: 800">mg/dl</b>
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</td>
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</tr>
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<tr>
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<td><center><b style="font-weight: 800">Creatinine:</center></td>
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<td>
|
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<input
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style="margin-top: 11px; margin-bottom: 11px; margin-left: 15px; width: 65%"
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type="text" name="s_creatinine" id="s_creatinine" value="<?php echo $s_creatinine?>"
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datamax="6" /> <b style="font-weight: 800">mg/dl</b>
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</td>
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</tr>
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<!-- <tr>
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<td><center><b style="font-weight: 800">Sodium (N<span style="text-transform: lowercase;">a</span>+):</center></td>
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<td>
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<input
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|
style="margin-top: 11px; margin-bottom: 11px; margin-left: 15px; width: 55%"
|
|
type="text" name="sodium" id="sodium" value="<?php echo $sodium?>"
|
|
datamax="6" /> <b style="font-weight: 800">mmol/dl</b>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Potassium (K+):</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 11px; margin-bottom: 11px; margin-left: 15px; width: 55%"
|
|
type="text" name="potassium" id="potassium" value="<?php echo $potassium?>"
|
|
datamax="6" /> <b style="font-weight: 800">mmol/dl</b>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Calcium (C<span style="text-transform: lowercase;">a</span>):</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 11px; margin-bottom: 11px; margin-left: 15px; width: 55%"
|
|
type="text" name="calcium" id="calcium" value="<?php echo $calcium?>"
|
|
datamax="6" /> <b style="font-weight: 800">mmol/dl</b>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Phosphate:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 11px; margin-bottom: 11px; margin-left: 15px; width: 65%"
|
|
type="text" name="rft_phosphate" id="rft_phosphate" value="<?php echo $rft_phosphate?>"
|
|
datamax="6" /> <b style="font-weight: 800">mg/dl</b>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Bi-Carbonate (H<span style="text-transform: lowercase;">co</span>3):</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 11px; margin-bottom: 11px; margin-left: 15px; width: 55%"
|
|
type="text" name="hco3" id="hco3" value="<?php echo $hco3?>"
|
|
datamax="6" /> <b style="font-weight: 800">mmol/dl</b>
|
|
</td>
|
|
</tr> -->
|
|
</table>
|
|
</div>
|
|
|
|
|
|
|
|
|
|
|
|
|
|
</div>
|
|
</div>
|
|
|
|
<!-- <div class="row">
|
|
<div class="col-sm-12">
|
|
<center><b style="font-weight: 800">EXAMINATION OF URINE ROUTINE ANALYSIS</b></center>
|
|
|
|
<div class="col-sm-4" style="flex: 30%;padding: 5px;width: 30%">
|
|
|
|
|
|
<br>
|
|
|
|
<table width="100%" class="table-bordered">
|
|
<tr>
|
|
<td colspan="2"><center><b style="font-weight: 800">PHYSICAL EXAMINATION</center></td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Quantity</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 10px; width: 80%"
|
|
type="text" name="quantity" id="quantity" value="<?php echo $quantity?>"
|
|
datamax="6" /> <b style="font-weight: 800">ml</b>
|
|
</td>
|
|
</tr>
|
|
|
|
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Colour:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 15px; width: 80%"
|
|
type="text" name="colour" id="colour" value="<?php echo $colour?>"
|
|
datamax="6" />
|
|
</td>
|
|
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Specific Gravity:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 15px; width: 80%"
|
|
type="text" name="spec_grav" id="spec_grav" value="<?php echo $spec_grav?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Appearance: </center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 15px; width: 80%"
|
|
type="text" name="appearance" id="appearance" value="<?php echo $appearance?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
|
|
</table>
|
|
|
|
</div>
|
|
|
|
<div class="col-sm-8" style="flex: 30%;padding: 5px;width: 70%">
|
|
|
|
|
|
<br>
|
|
|
|
<table width="100%" class="table-bordered">
|
|
<tr>
|
|
<td colspan="6"><center><b style="font-weight: 800">CHEMICAL EXAMINATION</center></td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">P<span style="text-transform: lowercase;">h</span></center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 10px; width: 80%"
|
|
type="text" name="ph" id="ph" value="<?php echo $ph?>"
|
|
datamax="6" />
|
|
</td>
|
|
|
|
<td><center><b style="font-weight: 800">Blood:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 10px; width: 80%"
|
|
type="text" name="blood" id="blood" value="<?php echo $blood?>"
|
|
datamax="6" />
|
|
</td>
|
|
|
|
<td><center><b style="font-weight: 800">Protein</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 10px; width: 80%"
|
|
type="text" name="protein" id="protein" value="<?php echo $protein?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
|
|
|
|
<tr>
|
|
|
|
<td><center><b style="font-weight: 800">Chyle:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 10px; width: 80%"
|
|
type="text" name="chyle" id="chyle" value="<?php echo $chyle?>"
|
|
datamax="6" />
|
|
</td>
|
|
|
|
<td><center><b style="font-weight: 800">Glucose:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 10px; width: 80%"
|
|
type="text" name="glucose" id="glucose" value="<?php echo $glucose?>"
|
|
datamax="6" />
|
|
</td>
|
|
|
|
<td><center><b style="font-weight: 800">Phosphates: </center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 10px; width: 80%"
|
|
type="text" name="phosphates" id="phosphates" value="<?php echo $phosphates?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Ketone Body :</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 10px; width: 80%"
|
|
type="text" name="ketone_body" id="ketone_body" value="<?php echo $ketone_body?>"
|
|
datamax="6" />
|
|
</td>
|
|
|
|
<td><center><b style="font-weight: 800">Leucocytes Esterase:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 10px; width: 80%"
|
|
type="text" name="leu_est" id="leu_est" value="<?php echo $leucocytes_esterase?>"
|
|
datamax="6" />
|
|
</td>
|
|
|
|
<td><center><b style="font-weight: 800">Bile Salt: </center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 10px; width: 80%"
|
|
type="text" name="bile_salt" id="bile_salt" value="<?php echo $bile_salt?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
|
|
<td><center><b style="font-weight: 800">Nitrite:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 10px; width: 80%"
|
|
type="text" name="nitrite" id="nitrite" value="<?php echo $nitrite?>"
|
|
datamax="6" />
|
|
</td>
|
|
|
|
<td><center><b style="font-weight: 800">Bile Pigment:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 10px; width: 80%"
|
|
type="text" name="bile_pigment" id="bile_pigment" value="<?php echo $bile_pigment?>"
|
|
datamax="6" />
|
|
</td>
|
|
|
|
<td><center><b style="font-weight: 800">Urobilinogen:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 10px; width: 80%"
|
|
type="text" name="urobilinogen" id="urobilinogen" value="<?php echo $urobilinogen?>"
|
|
datamax="6" />
|
|
</td>
|
|
|
|
</tr>
|
|
|
|
</table>
|
|
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
|
|
|
|
|
|
<div class="row">
|
|
<div class="col-sm-12">
|
|
|
|
|
|
<div class="col-sm-4" style="flex: 30%;padding: 5px;width: 33%">
|
|
|
|
|
|
<br>
|
|
|
|
<table width="100%" class="table-bordered">
|
|
<tr>
|
|
<td colspan="2"><center><b style="font-weight: 800">MICROSCOPICAL EXAMINATION</center></td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">R.B.C.: </center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 10px; width: 80%"
|
|
type="text" name="rbcs" id="rbcs" value="<?php echo $rbcs?>"
|
|
datamax="6" /> <b style="font-weight: 800">ml</b>
|
|
</td>
|
|
</tr>
|
|
|
|
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Pus Corpuscles:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 15px; width: 80%"
|
|
type="text" name="pus_cells" id="pus_cells" value="<?php echo $pus_cells?>"
|
|
datamax="6" />
|
|
</td>
|
|
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Epithelial Cell: </center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 15px; width: 80%"
|
|
type="text" name="epithelial_cells" id="epithelial_cells" value="<?php echo $epithelial_cells?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Bacteria: </center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 15px; width: 80%"
|
|
type="text" name="bacteria" id="bacteria" value="<?php echo $bacteria?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
|
|
</table>
|
|
|
|
</div>
|
|
|
|
<div class="col-sm-4" style="flex: 30%;padding: 5px;width: 33%">
|
|
|
|
|
|
<br>
|
|
|
|
<table width="100%" class="table-bordered">
|
|
<tr>
|
|
<td colspan="2"><center><b style="font-weight: 800">CASTS</center></td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Cellular:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 10px; width: 80%"
|
|
type="text" name="cellular" id="cellular" value="<?php echo $cellular?>"
|
|
datamax="6" /> <b style="font-weight: 800">ml</b>
|
|
</td>
|
|
</tr>
|
|
|
|
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Hyaline:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 15px; width: 80%"
|
|
type="text" name="hyaline" id="hyaline" value="<?php echo $hyaline?>"
|
|
datamax="6" />
|
|
</td>
|
|
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Fatty: </center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 15px; width: 80%"
|
|
type="text" name="fatty" id="fatty" value="<?php echo $fatty?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Granular: </center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 15px; width: 80%"
|
|
type="text" name="granular" id="granular" value="<?php echo $granular?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
|
|
</table>
|
|
|
|
</div>
|
|
|
|
|
|
<div class="col-sm-4" style="flex: 30%;padding: 5px;width: 33%">
|
|
|
|
|
|
<br>
|
|
|
|
<table width="100%" class="table-bordered">
|
|
<tr>
|
|
<td colspan="2"><center><b style="font-weight: 800">CRYSTALS</center></td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Calcium Oxalate: </center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 10px; width: 80%"
|
|
type="text" name="calc_ox" id="calc_ox" value="<?php echo $calcium_oxalate?>"
|
|
datamax="6" /> <b style="font-weight: 800">ml</b>
|
|
</td>
|
|
</tr>
|
|
|
|
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Tripple Phosphates:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 15px; width: 80%"
|
|
type="text" name="tripple_phosphates" id="tripple_phosphates" value="<?php echo $tripple_phosphates?>"
|
|
datamax="6" />
|
|
</td>
|
|
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Amorphous Phosphates:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 15px; width: 80%"
|
|
type="text" name="amorphous_phosphates" id="amorphous_phosphates" value="<?php echo $amorphous_phosphates?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Others:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 15px; width: 80%"
|
|
type="text" name="others" id="others" value="<?php echo $others?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
|
|
</table>
|
|
|
|
</div>
|
|
|
|
|
|
|
|
</div>
|
|
</div>
|
|
-->
|
|
|
|
|
|
<!-- VISION STARTS -->
|
|
<div class="row">
|
|
<div class="col-sm-12">
|
|
<div class="table-responsive">
|
|
<center>
|
|
<b style="font-weight: 800">EYE</b>
|
|
</center>
|
|
<table style="width: 100%" class="table-bordered">
|
|
<th height="30px"><center>
|
|
Distant vision
|
|
<p>(without glasses)</p>
|
|
</center></th>
|
|
<th height="30px"><center>
|
|
Near vision
|
|
<p>(without glasses)</p>
|
|
</center></th>
|
|
<th height="30px"><center>
|
|
Distant vision
|
|
<p>(with glasses)</p>
|
|
</center></th>
|
|
<th height="30px"><center>
|
|
Near vision
|
|
<p>(with glasses)</p>
|
|
</center></th>
|
|
<th height="30px"><center>color vision <p>as per ishihara's chart</p></center></th>
|
|
<tr>
|
|
<th style="width: 16%"><span
|
|
style="margin-left: 15px; margin-top: 10px">LEFT EYE</span>
|
|
<span style="margin-left: 100px">RIGHT EYE</span></th>
|
|
<th style="width: 16%"><span style="margin-left: 15px">LEFT
|
|
EYE</span> <span style="margin-left: 100px">RIGHT EYE</span></th>
|
|
<th style="width: 16%"><span style="margin-left: 15px">LEFT
|
|
EYE</span> <span style="margin-left: 100px">RIGHT EYE</span></th>
|
|
<th style="width: 16%"><span style="margin-left: 15px">LEFT
|
|
EYE</span> <span style="margin-left: 100px">RIGHT EYE</span></th>
|
|
<th style="width: 16%"><center>BOTH EYES</center></th>
|
|
</tr>
|
|
<tr>
|
|
<td width="16%"><b style="margin-left: 5px">6/</b><input
|
|
style="margin-top: 10px; margin-left: 5px; width: 20%"
|
|
type="number" name="dis_without_left_eye"
|
|
id="dis_without_left_eye"
|
|
value="<?php echo $dis_without_left_eye ?>"
|
|
onchange="colorValidation(this.id, this.value, 3, 7)"; > <b
|
|
style="margin-left: 82px">6/</b><input
|
|
style="margin-top: 5px; margin-bottom: 10px; margin-left: 5px; width: 20%"
|
|
type="number" name="dis_without_right_eye"
|
|
id="dis_without_right_eye"
|
|
value="<?php echo $dis_without_right_eye ?>"
|
|
onchange="colorValidation(this.id, this.value, 3, 7)"; ></td>
|
|
<td width="16%"><b style="margin-left: 5px">N/</b><input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 5px; width: 20%"
|
|
type="number" name="near_without_left_eye"
|
|
id="near_without_left_eye"
|
|
value="<?php echo $near_without_left_eye ?>"
|
|
onchange="colorValidation(this.id, this.value, 3, 7)"; > <b
|
|
style="margin-left: 82px">N/</b><input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 5px; width: 20%"
|
|
type="number" name="near_without_right_eye"
|
|
id="near_without_right_eye"
|
|
value="<?php echo $near_without_right_eye ?>"
|
|
onchange="colorValidation(this.id, this.value, 3, 7)"; ></td>
|
|
<td width="16%"><b style="margin-left: 5px">6/</b><input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 5px; width: 20%"
|
|
type="number" name="dis_with_left_eye"
|
|
id="dis_with_left_eye" value="<?php echo $dis_with_left_eye?>"
|
|
onchange="colorValidation(this.id, this.value, 3, 7)"; > <b
|
|
style="margin-left: 82px">6/</b><input
|
|
style="margin-top: 5px; margin-bottom: 10px; margin-left: 5px; width: 20%"
|
|
type="number" name="dis_with_right_eye"
|
|
id="dis_with_right_eye" value="<?php echo $dis_with_right_eye ?>"
|
|
onchange="colorValidation(this.id, this.value, 3, 7)"; ></td>
|
|
<td width="16%"><b style="margin-left: 5px">N/</b><input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 5px; width: 20%"
|
|
type="number" name="near_with_left_eye"
|
|
id="near_with_left_eye" value="<?php echo $near_with_left_eye ?>"
|
|
onchange="colorValidation(this.id, this.value, 3, 7)"; > <b
|
|
style="margin-left: 82px">N/</b><input
|
|
style="margin-top: 10px; margin-bottom: 10px; margin-left: 5px; width: 20%"
|
|
type="number" name="near_with_right_eye"
|
|
id="near_with_right_eye" value="<?php echo $near_with_right_eye ?>"
|
|
onchange="colorValidation(this.id, this.value, 3, 7)"; ></td>
|
|
<td width="16%"><input
|
|
type="radio" name="color_vision" id="color_vision"
|
|
value="NORMAL"
|
|
<?php if(strcmp($color_vision,'NORMAL') == 0){ echo "checked";} ?>>
|
|
<b style="display: inline">Normal</b>
|
|
<input
|
|
type="radio" name="color_vision"
|
|
id="color_vision" value="DEFECTIVE"
|
|
<?php if(strcmp($color_vision,'DEFECTIVE') == 0){ echo "checked";} ?> /><b
|
|
style="display: inline">Defective</b></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><center><strong>REMARKS:</strong></center></td>
|
|
<td colspan="4"><input style="margin-bottom: 10px;margin-top: 10px;width: 90%" type="text" name="eye_remarks" id="eye_remarks" value="<?php echo $eye_remarks;?>"></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><center><strong>DEFORMITIES CONGENITAL/ACQUIRED:</strong></center></td>
|
|
<td colspan="4">
|
|
<input style="margin-top: 10px; margin-bottom: 10px; width: 90%" type="text" name="deformities" id="deformities" value="<?php echo $deformities?>">
|
|
</td>
|
|
</tr>
|
|
</table>
|
|
|
|
<br>
|
|
|
|
<table style="width: 100%" class="table-bordered">
|
|
|
|
<tr>
|
|
|
|
<th rowspan="2"><b style="font-weight: 800"><center>Refractive Power</center></b></th>
|
|
<th colspan="4"><b style="font-weight: 800"><center>Right eye</center></b></th>
|
|
<th colspan="4"><b style="font-weight: 800"><center>left eye</center></b></th>
|
|
|
|
</tr>
|
|
|
|
<tr>
|
|
<th><b style="font-weight: 800"><center>dsph</center></b></th>
|
|
<th><b style="font-weight: 800"><center>dcyl</center></b></th>
|
|
<th><b style="font-weight: 800"><center>axis</center></b></th>
|
|
<th><b style="font-weight: 800"><center>v</center></b></th>
|
|
<th><b style="font-weight: 800"><center>dsph</center></b></th>
|
|
<th><b style="font-weight: 800"><center>dcyl</center></b></th>
|
|
<th><b style="font-weight: 800"><center>axis</center></b></th>
|
|
<th><b style="font-weight: 800"><center>v</center></b></th>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td ><b style="font-weight: 800"><center>distance</center></b></td>
|
|
<td>
|
|
<input style="margin-top: 10px; margin-bottom: 10px; width: 50%" type="text" name="rd_dsph" id="rd_dsph" value="<?php echo $rd_dsph?>">
|
|
</td>
|
|
<td>
|
|
<input style="margin-top: 10px; margin-bottom: 10px; width: 50%" type="text" name="rd_dcyl" id="rd_dcyl" value="<?php echo $rd_dcyl?>">
|
|
</td>
|
|
<td>
|
|
<input style="margin-top: 10px; margin-bottom: 10px; width: 50%" type="text" name="rd_axis" id="rd_axis" value="<?php echo $rd_axis?>">
|
|
</td>
|
|
<td>
|
|
<input style="margin-top: 10px; margin-bottom: 10px; width: 50%" type="text" name="rd_v" id="rd_v" value="<?php echo $rd_v?>">
|
|
</td>
|
|
<td>
|
|
<input style="margin-top: 10px; margin-bottom: 10px; width: 50%" type="text" name="ld_dsph" id="ld_dsph" value="<?php echo $ld_dsph?>">
|
|
</td>
|
|
<td>
|
|
<input style="margin-top: 10px; margin-bottom: 10px; width: 50%" type="text" name="ld_dcyl" id="ld_dcyl" value="<?php echo $ld_dcyl?>">
|
|
</td>
|
|
<td>
|
|
<input style="margin-top: 10px; margin-bottom: 10px; width: 50%" type="text" name="ld_axis" id="ld_axis" value="<?php echo $ld_axis?>">
|
|
</td>
|
|
<td>
|
|
<input style="margin-top: 10px; margin-bottom: 10px; width: 50%" type="text" name="ld_v" id="ld_v" value="<?php echo $ld_v?>">
|
|
</td>
|
|
|
|
</tr>
|
|
|
|
<tr>
|
|
<td ><b style="font-weight: 800"><center>Near(reading)</center></b></td>
|
|
<td>
|
|
<input style="margin-top: 10px; margin-bottom: 10px; width: 50%" type="text" name="rn_dsph" id="rn_dsph" value="<?php echo $rn_dsph?>">
|
|
</td>
|
|
<td>
|
|
<input style="margin-top: 10px; margin-bottom: 10px; width: 50%" type="text" name="rn_dcyl" id="rn_dcyl" value="<?php echo $rn_dcyl?>">
|
|
</td>
|
|
<td>
|
|
<input style="margin-top: 10px; margin-bottom: 10px; width: 50%" type="text" name="rn_axis" id="rn_axis" value="<?php echo $rn_axis?>">
|
|
</td>
|
|
<td>
|
|
<input style="margin-top: 10px; margin-bottom: 10px; width: 50%" type="text" name="rn_v" id="rn_v" value="<?php echo $rn_v?>">
|
|
</td>
|
|
<td>
|
|
<input style="margin-top: 10px; margin-bottom: 10px; width: 50%" type="text" name="ln_dsph" id="ln_dsph" value="<?php echo $ln_dsph?>">
|
|
</td>
|
|
<td>
|
|
<input style="margin-top: 10px; margin-bottom: 10px; width: 50%" type="text" name="ln_dcyl" id="ln_dcyl" value="<?php echo $ln_dcyl?>">
|
|
</td>
|
|
<td>
|
|
<input style="margin-top: 10px; margin-bottom: 10px; width: 50%" type="text" name="ln_axis" id="ln_axis" value="<?php echo $ln_axis?>">
|
|
</td>
|
|
<td>
|
|
<input style="margin-top: 10px; margin-bottom: 10px; width: 50%" type="text" name="ln_v" id="ln_v" value="<?php echo $ln_v?>">
|
|
</td>
|
|
|
|
</tr>
|
|
|
|
</table>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<!-- VISION ENDS -->
|
|
<!-- clinical examination starts -->
|
|
|
|
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<!-- clinical examination ends -->
|
|
<div class="box-body" style="display: none;"
|
|
id="medical_examination_form_two">
|
|
<div class="row">
|
|
<div class="col-sm-12">
|
|
|
|
<!-- <b style="margin-left:-950px;font-weight: 800">CNS</b> -->
|
|
|
|
<b style="margin-left:390px;font-weight: 800">ENT</b>
|
|
|
|
<b style="margin-left:290px;font-weight: 800">CVS</b>
|
|
|
|
|
|
<!-- <div class="col-sm-4" style="flex: 30%;padding: 5px;width: 40%"> -->
|
|
<br>
|
|
<!-- <table width="100%" class="table-bordered">
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">speech:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 11px; margin-bottom: 11px; margin-left: 15px; width: 75%"
|
|
type="text" name="speech" id="speech" value="<?php echo $speech?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Higher Function:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 11px; margin-bottom: 11px; margin-left: 15px; width: 75%"
|
|
type="text" name="higher_function" id="higher_function" value="<?php echo $higher_function?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Motor Function:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 11px; margin-bottom: 11px; margin-left: 15px; width: 75%"
|
|
type="text" name="motor_function" id="motor_function" value="<?php echo $motor_function?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Vertigo:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 11px; margin-bottom: 11px; margin-left: 15px; width: 75%"
|
|
type="text" name="vertigo" id="vertigo" value="<?php echo $vertigo?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Reflexes (Superficial & Deep):</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 11px; margin-bottom: 11px; margin-left: 15px; width: 75%"
|
|
type="text" name="reflexes" id="reflexes" value="<?php echo $reflexes?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Vibration syndrome:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 11px; margin-bottom: 11px; margin-left: 15px; width: 75%"
|
|
type="text" name="vibration_syndrome" id="vibration_syndrome" value="<?php echo $vibration_syndrome?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Straight line walking:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 11px; margin-bottom: 11px; margin-left: 15px; width: 75%"
|
|
type="text" name="st_line_walking" id="st_line_walking" value="<?php echo $st_line_walking?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
</table> -->
|
|
<!-- </div> -->
|
|
|
|
<div class="col-sm-4" style="flex: 40%;padding: 5px;width:50%">
|
|
<br>
|
|
<table width="100%" class="table-bordered">
|
|
|
|
<!-- <tr>
|
|
<td><center><b style="font-weight: 800">Conversational Hearing:</center></td>
|
|
<td>
|
|
<select
|
|
style="margin-top: 21.5px; margin-bottom: 21.5px; width: 90%;margin-left: 10px;"
|
|
name="conversational_hearing" id="conversational_hearing"><option
|
|
disabled selected>Please select option</option>
|
|
<option value="GOOD"
|
|
<?php if(strcmp($conversational_hearing,'GOOD') == 0){ echo "selected";}?>>Good</option>
|
|
<option value="AFFECTED"
|
|
<?php if(strcmp($conversational_hearing,'AFFECTED') == 0){ echo "selected";} ?>>Affected</option>
|
|
</select>
|
|
</td>
|
|
</tr> -->
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">EAC:</center></td>
|
|
<td>
|
|
<select
|
|
style="margin-top: 21.5px; margin-bottom: 21.5px; width: 90%;margin-left: 10px;"
|
|
name="eac" id="eac"><option disabled selected>Please
|
|
select option</option>
|
|
<option value="CLEAR"
|
|
<?php if(strcmp($eac,'CLEAR') == 0){ echo "selected";}?>>Clear</option>
|
|
<option value="WAX"
|
|
<?php if(strcmp($eac,'WAX') == 0){ echo "selected";} ?>>Wax</option>
|
|
<option value="OTHER DISCHARGE"
|
|
<?php if(strcmp($eac,'OTHER DISCHARGE') == 0){ echo "selected";} ?>>Other
|
|
discharge</option>
|
|
</select>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Nose:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 21.5px; margin-bottom: 21.5px; margin-left: 10px; width: 90%"
|
|
type="text" name="nose" id="nose" value="<?php echo $nose?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Throat:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 21.5px; margin-bottom: 21.5px; margin-left: 10px; width: 90%"
|
|
type="text" name="throat" id="throat" value="<?php echo $throat?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Audiometry:</center></td>
|
|
|
|
<td>
|
|
<label><strong>L.E.</strong></label>
|
|
<input
|
|
style="margin-top: 21.5px; margin-bottom: 21.5px; margin-left: 10px; width: 40%"
|
|
type="text" name="audio_findings_left" id="audio_findings_left" value="<?php echo $audio_findings_left?>"
|
|
datamax="6" />
|
|
|
|
<label><strong>R.E.</strong></label>
|
|
<input
|
|
style="margin-top: 21.5px; margin-bottom: 21.5px; margin-left: 10px; width: 40%"
|
|
type="text" name="audio_findings_right" id="audio_findings_right" value="<?php echo $audio_findings_right?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
</table>
|
|
</div>
|
|
|
|
<div class="col-sm-4" style="flex: 40%;padding: 5px;width:50%">
|
|
<br>
|
|
<table width="100%" class="table-bordered">
|
|
|
|
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">S1 & S2:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 15px; margin-bottom: 15px; margin-left: 10px; width: 90%"
|
|
type="text" name="s1" id="s1" value="<?php echo $s1?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">any other sound:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 15px; margin-bottom: 15px; margin-left: 10px; width: 90%"
|
|
type="text" name="any_other_sound" id="any_other_sound" value="<?php echo $any_other_sound?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">ECG Finding: </center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 15px; margin-bottom: 15px; margin-left: 10px; width: 90%"
|
|
type="text" name="ecg_findings" id="ecg_findings" value="<?php echo $ecg_findings?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
</table>
|
|
|
|
<br>
|
|
|
|
<!-- <table width="100%" class="table-bordered">
|
|
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Teeth & Gum:</center></td>
|
|
</tr>
|
|
<tr>
|
|
<td>
|
|
<input
|
|
style="margin-top: 15px; margin-bottom: 15px; margin-left: 10px; width: 90%"
|
|
type="text" name="teeth_gum" id="teeth_gum" value="<?php echo $teeth_gum?>"/>
|
|
</td>
|
|
</tr>
|
|
|
|
</table> -->
|
|
|
|
<br>
|
|
|
|
<table width="100%" class="table-bordered">
|
|
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Spirometry Findings:</center></td>
|
|
</tr>
|
|
<tr>
|
|
|
|
<td>
|
|
<input
|
|
style="margin-top: 15px; margin-bottom: 15px; margin-left: 10px; width: 90%"
|
|
type="text" name="spiro_remarks" id="spiro_remarks" value="<?php echo $spirometry_remarks?>" />
|
|
</td>
|
|
</tr>
|
|
|
|
</table>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
|
|
<div class="row">
|
|
<div class="col-sm-12">
|
|
|
|
<b style="margin-left:-920px;font-weight: 800">Abdomen</b>
|
|
|
|
<!-- <b style="margin-left:325px;font-weight: 800">genito-urinary system</b> -->
|
|
|
|
<b style="margin-left:450px;font-weight: 800">Lipid Profile</b>
|
|
|
|
|
|
<div class="col-sm-4" style="flex: 40%;padding: 5px;width:50%">
|
|
<br>
|
|
<table width="100%" class="table-bordered">
|
|
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Liver:</center></td>
|
|
<td>
|
|
<center>
|
|
<select
|
|
style="margin-top: 30px; margin-bottom: 30px; width: 90%"
|
|
name="liver" id="liver"><option disabled selected>Please
|
|
select option</option>
|
|
<option value="ENLARGED"
|
|
<?php if(strcmp($liver,'ENLARGED') == 0){ echo "selected";}?>>Enlarged</option>
|
|
<option value="NOT ENLARGED"
|
|
<?php if(strcmp($liver,'NOT ENLARGED') == 0){ echo "selected";} ?>>Not
|
|
Enlarged</option>
|
|
</select>
|
|
</center>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Spleen:</center></td>
|
|
<td>
|
|
<center>
|
|
<select
|
|
style="margin-top: 30px; margin-bottom: 30px; width: 90%"
|
|
name="speen" id="speen"><option disabled selected>Please
|
|
select option</option>
|
|
<option value="ENLARGED"
|
|
<?php if(strcmp($speen,'ENLARGED') == 0){ echo "selected";}?>>Enlarged</option>
|
|
<option value="NOT ENLARGED"
|
|
<?php if(strcmp($speen,'NOT ENLARGED') == 0){ echo "selected";} ?>>Not
|
|
Enlarged</option>
|
|
</select>
|
|
</center>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Tenderness:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 30px; margin-bottom: 30px; margin-left: 15px; width: 90%"
|
|
type="text" name="tenderness" id="tenderness" value="<?php echo $tenderness?>"
|
|
datamax="6" />
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Any Other Abnormality:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 30px; margin-bottom: 30px; margin-left: 15px; width: 90%" type="text" name="any_other_abnormality" id="any_other_abnormality" value="<?php echo $any_other_abnormality ?>"/>
|
|
</td>
|
|
</tr>
|
|
|
|
</table>
|
|
|
|
|
|
</div>
|
|
|
|
|
|
|
|
<!-- <div class="col-sm-4" style="flex: 40%;padding: 5px;width:33%">
|
|
<br>
|
|
<table width="100%" class="table-bordered">
|
|
|
|
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Hernia:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 13.5px; margin-bottom: 13.5px; margin-left: 15px; width: 90%"
|
|
type="text" name="hernia_details" id="hernia_details" value="<?php echo $hernia_details?>" />
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Hydrocele:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 13.5px; margin-bottom: 13.5px; margin-left: 15px; width: 90%"
|
|
type="text" name="hydrocele" id="hydrocele"
|
|
value="<?php echo $hydrocele ?>" />
|
|
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Phimosis: </center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 13.5px; margin-bottom: 13.5px; margin-left: 15px; width: 90%"
|
|
type="text" name="phimosis" id="phimosis"
|
|
value="<?php echo $phimosis?>" />
|
|
</td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Piles: </center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 13.5px; margin-bottom: 13.5px; margin-left: 15px; width: 90%"
|
|
type="text" name="piles_details" id="piles_details" value="<?php echo $piles_details?>" />
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Fistula: </center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 13px; margin-bottom: 13px; margin-left: 15px; width: 90%"
|
|
type="text" name="fistula" id="fistula" value="<?php echo $fistula?>" />
|
|
</td>
|
|
</tr>
|
|
</table>
|
|
|
|
|
|
</div> -->
|
|
|
|
<div class="col-sm-4" style="flex: 40%;padding: 5px;width:50%">
|
|
<br>
|
|
<table width="100%" class="table-bordered">
|
|
|
|
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Total Cholestrol:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 13.5px; margin-bottom: 13.5px; margin-left: 15px; width: 75%"
|
|
type="text" name="total_cholestrol" id="total_cholestrol" value="<?php echo $total_cholestrol?>" /> <b style="font-weight: 800">mg/dl</b>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">(LDL) cholesterol:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 13.5px; margin-bottom: 13.5px; margin-left: 15px; width: 75%"
|
|
type="text" name="ldl" id="ldl"
|
|
value="<?php echo $ldl ?>" /><b style="font-weight: 800">mg/dl</b>
|
|
|
|
</td>
|
|
</tr>
|
|
<!-- <tr>
|
|
<td><center><b style="font-weight: 800">(VLDL) cholesterol:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 13.5px; margin-bottom: 13.5px; margin-left: 15px; width: 75%"
|
|
type="text" name="vldl" id="vldl"
|
|
value="<?php echo $vldl?>" /><b style="font-weight: 800">mg/dl</b>
|
|
</td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">(HDL) cholesterol:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 13.5px; margin-bottom: 13.5px; margin-left: 15px; width: 75%"
|
|
type="text" name="hdl" id="hdl" value="<?php echo $hdl?>" /><b style="font-weight: 800">mg/dl</b>
|
|
</td>
|
|
</tr> -->
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Triglycerides:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 13px; margin-bottom: 13px; margin-left: 15px; width: 75%"
|
|
type="text" name="triglycerides" id="triglycerides" value="<?php echo $triglycerides?>" /><b style="font-weight: 800">mg/dl</b>
|
|
</td>
|
|
</tr>
|
|
</table>
|
|
|
|
<br>
|
|
|
|
<table width="100%" class="table-bordered">
|
|
<tr><td colspan="2"><center><b style="font-weight: 800">liver function test</center></td></tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">total bilirubin:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 8px; margin-bottom: 8px; margin-left: 15px; width: 85%"
|
|
type="text" name="total_bilirubin" id="total_bilirubin" value="<?php echo $total_bilirubin?>"
|
|
datamax="6" /> <b style="font-weight: 800">mg/dl</b>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">conj:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 8px; margin-bottom: 8px; margin-left: 15px; width: 85%"
|
|
type="text" name="conj" id="conj" value="<?php echo $conj?>"
|
|
datamax="6" /> <b style="font-weight: 800">mg/dl</b>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">uniconj:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 8px; margin-bottom: 8px; margin-left: 15px; width: 85%"
|
|
type="text" name="uniconj" id="uniconj" value="<?php echo $uniconj?>"
|
|
datamax="6" /> <b style="font-weight: 800">mg/dl</b>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">sgot:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 8px; margin-bottom: 8px; margin-left: 15px; width: 85%"
|
|
type="text" name="sgop" id="sgop" value="<?php echo $sgop?>"
|
|
datamax="6" /> <b style="font-weight: 800">u/l</b>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">sgpt:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 8px; margin-bottom: 8px; margin-left: 15px; width: 85%"
|
|
type="text" name="sgpt" id="sgpt" value="<?php echo $sgpt?>"
|
|
datamax="6" /> <b style="font-weight: 800">u/l</b>
|
|
</td>
|
|
</tr>
|
|
<!-- <tr>
|
|
<td><center><b style="font-weight: 800">alkaline Phosphatase:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 8px; margin-bottom: 8px; margin-left: 15px; width: 75%"
|
|
type="text" name="alk_phosphatase" id="alk_phosphatase" value="<?php echo $alk_phosphatase?>"
|
|
datamax="6" /> <b style="font-weight: 800">u/l</b>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">total protein:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 8px; margin-bottom: 8px; margin-left: 15px; width: 70%"
|
|
type="text" name="total_protein" id="total_protein" value="<?php echo $total_protein?>"
|
|
datamax="6" /> <b style="font-weight: 800">g/dl</b>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">albumin</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 8px; margin-bottom: 8px; margin-left: 15px; width: 70%"
|
|
type="text" name="albumin" id="albumin" value="<?php echo $albumin?>"
|
|
datamax="6" /> <b style="font-weight: 800">g/dl</b>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">globulin:</center></td>
|
|
<td>
|
|
<input
|
|
style="margin-top: 8px; margin-bottom: 8px; margin-left: 15px; width: 70%"
|
|
type="text" name="globulin" id="globulin" value="<?php echo $globulin?>"
|
|
datamax="6" /> <b style="font-weight: 800">g/dl</b>
|
|
</td>
|
|
</tr> -->
|
|
</table>
|
|
|
|
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
|
|
|
|
<br>
|
|
|
|
<div class="row">
|
|
<div class="col-sm-12">
|
|
<div class="table-responsive">
|
|
<center>
|
|
<b style="font-weight: 800">CNS:</b>
|
|
</center>
|
|
<table style="width: 100%" class="table-bordered">
|
|
|
|
<tr>
|
|
<td>
|
|
<center><b style="font-weight: 800">Findings</b></center>
|
|
</td>
|
|
<td><input
|
|
style="margin-top: 20px; margin-bottom: 20px; margin-left: 15px; width: 95%"
|
|
type="text" name="cns" id="cns" value="<?php echo $cns ?>" /></td>
|
|
</tr>
|
|
<tr>
|
|
<td>
|
|
<center><b style="font-weight: 800">Comments</b></center>
|
|
</td>
|
|
<td><input
|
|
style="margin-top: 20px; margin-bottom: 20px; margin-left: 15px; width: 95%"
|
|
type="text" name="cns_comments" id="cns_comments" value="<?php echo $cns_comments ?>" /></td>
|
|
</tr>
|
|
</table>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<br>
|
|
|
|
<div class="row">
|
|
<div class="col-sm-12">
|
|
<div class="table-responsive">
|
|
<center>
|
|
<b style="font-weight: 800">URINE RE/ME:</b>
|
|
</center>
|
|
<table style="width: 100%" class="table-bordered">
|
|
|
|
<tr>
|
|
<td>
|
|
<center><b style="font-weight: 800">Findings</b></center>
|
|
</td>
|
|
<td><input
|
|
style="margin-top: 20px; margin-bottom: 20px; margin-left: 15px; width: 95%"
|
|
type="text" name="urine_re_me" id="urine_re_me" value="<?php echo $urine_re_me ?>" /></td>
|
|
</tr>
|
|
<tr>
|
|
<td>
|
|
<center><b style="font-weight: 800">Comments</b></center>
|
|
</td>
|
|
<td><input
|
|
style="margin-top: 20px; margin-bottom: 20px; margin-left: 15px; width: 95%"
|
|
type="text" name="urine_re_me_comments" id="urine_re_me_comments" value="<?php echo $urine_re_me_comments ?>" /></td>
|
|
</tr>
|
|
</table>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<br>
|
|
|
|
|
|
<div class="row">
|
|
<div class="col-sm-12">
|
|
<div class="table-responsive">
|
|
<center>
|
|
<b style="font-weight: 800">Chest X-Ray (PA view):</b>
|
|
</center>
|
|
<table style="width: 100%" class="table-bordered">
|
|
|
|
<tr>
|
|
<td>
|
|
<center><b style="font-weight: 800">Findings</b></center>
|
|
</td>
|
|
<td><input
|
|
style="margin-top: 20px; margin-bottom: 20px; margin-left: 15px; width: 95%"
|
|
type="text" name="xray_findings" id="xray_findings" value="<?php echo $xray_findings ?>" /></td>
|
|
</tr>
|
|
</table>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
|
|
<div class="row">
|
|
<div class="col-sm-12">
|
|
<div class="table-responsive">
|
|
<center>
|
|
<b style="font-weight: 800">Any Other Findings:</b>
|
|
</center>
|
|
<table style="width: 100%" class="table-bordered">
|
|
|
|
<tr>
|
|
<td>
|
|
<center><b style="font-weight: 800">Findings</b></center>
|
|
</td>
|
|
<td><input
|
|
style="margin-top: 20px; margin-bottom: 20px; margin-left: 15px; width: 95%"
|
|
type="text" name="other_relevant_findings"
|
|
id="other_relevant_findings"
|
|
value="<?php echo $other_relevant_findings ?>" /></td>
|
|
</tr>
|
|
</table>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
|
|
|
|
<div class="row">
|
|
|
|
<div class="col-sm-12">
|
|
|
|
<table style="width: 100%" class="table-bordered">
|
|
|
|
|
|
|
|
|
|
<?php if($_SESSION['RoleCode'] == 'DOC'){ ?>
|
|
|
|
<tr>
|
|
|
|
<td><b style="font-weight: 800"><center>Approval Date</center></b></td>
|
|
|
|
<td>
|
|
|
|
<center><input style="margin-top: 20px;margin-bottom: 20px;width: 50%" class=" col-sm-2 date-picker" id="approval_date" style="z-index: 0"
|
|
name="approval_date" type="text"
|
|
data-date-format="dd/mm/yyyy"
|
|
placeholder="approval Date(dd/mm/yyyy)"
|
|
></center>
|
|
|
|
</td>
|
|
|
|
</tr>
|
|
|
|
<?php }?>
|
|
|
|
</table>
|
|
|
|
</div>
|
|
|
|
</div>
|
|
|
|
|
|
<?php if('DOC' == $_SESSION['RoleCode']){?>
|
|
<div class="row">
|
|
<div class="col-sm-12">
|
|
<div class="table-responsive">
|
|
<table style="width: 100%" class="table-bordered">
|
|
<tr>
|
|
<td width="30%"><b style="font-weight: 800">Opinion of
|
|
the MO</b>
|
|
|
|
<td colspan="2"><?php
|
|
if ($physical_status != null && $physical_status != "") {
|
|
?>
|
|
<input style="margin-left: 5px"
|
|
<?php if($physical_status=='FIT') echo "checked";?>
|
|
type="radio" name="physical_status" id="physical_status"
|
|
value="FIT" /> FIT <input
|
|
style="margin-left: 80px"
|
|
<?php if($physical_status=='UNFIT') echo "checked";?>
|
|
type="radio" name="physical_status" id="physical_status"
|
|
value="UNFIT" /> <label>UNFIT</label>
|
|
<?php }else{?>
|
|
<input style="margin-left: 5px" type="radio" checked
|
|
name="physical_status" id="physical_status" value="FIT" /> FIT <input
|
|
style="margin-left: 80px" type="radio" name="physical_status"
|
|
id="physical_status" value="UNFIT" /> <label>UNFIT</label>
|
|
|
|
<?php
|
|
}
|
|
?></td>
|
|
</tr>
|
|
<br>
|
|
<tr>
|
|
<td><b>Opinion/ Remarks (By Doctor)</b></td>
|
|
<td colspan="2"><textarea style="" rows="3" cols="100"
|
|
name="opinion_remarks" id="opinion_remarks"><?php echo $opinion_remarks?></textarea></td>
|
|
</tr>
|
|
</table>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
|
|
|
|
<?php }?>
|
|
|
|
|
|
<!-- <div class="row">
|
|
<div class="col-sm-12">
|
|
<div class="table-responsive">
|
|
|
|
<table style="width: 100%" class="table-bordered">
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Hazardous Process</b></center></td>
|
|
<td>
|
|
<input style="margin-top: 20px; margin-bottom: 20px; margin-left: 15px; width: 90%" type="text" name="hazard_process" id="hazard_process" value="<?php // echo $hazardous_process?>">
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">Dangerous Operation</b></center></td>
|
|
<td>
|
|
<input style="margin-top: 20px; margin-bottom: 20px; margin-left: 15px; width: 90%" type="text" name="dangerous_operation" id="dangerous_operation" value="<?php // echo $dangerous_operation?>">
|
|
</td>
|
|
</tr>
|
|
</table>
|
|
</div>
|
|
</div>
|
|
</div> -->
|
|
|
|
|
|
<div class="row">
|
|
<div class="col-sm-12">
|
|
<div class="table-responsive">
|
|
<center><b style="font-weight: 800">ADVICES AND RECOMMENDATIONS</b></center>
|
|
<table style="width: 100%" class="table-bordered">
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">health advices</b></center></td>
|
|
<td>
|
|
<input style="margin-top: 20px; margin-bottom: 20px; margin-left: 15px; width: 80%" type="text" name="health_advices" id="health_advices" value="<?php echo $health_advices?>">
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">health risks</b></center></td>
|
|
<td>
|
|
<input style="margin-top: 20px; margin-bottom: 20px; margin-left: 15px; width: 80%" type="text" name="health_risks" id="health_risks" value="<?php echo $health_risks?>">
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><center><b style="font-weight: 800">remarks</b></center></td>
|
|
<td>
|
|
<input style="margin-top: 10px; margin-bottom: 10px; width: 95%" type="text" name="remarks" id="remarks" value="<?php echo $remarks?>">
|
|
</td>
|
|
</tr>
|
|
</table>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<input type="hidden" name="history_parameter"
|
|
id="history_parameter"> <br>
|
|
<?php include 'support_medical_document.php';?>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<input type="hidden" name="medical_exam_id"
|
|
id="medical_exam_id"
|
|
value="<?php echo $_REQUEST['medical_exam_id']; ?>">
|
|
<div class="box-footer"
|
|
style="text-align: center; display: block;">
|
|
<button class="btn btn-primary" type="button" id="save_button"
|
|
onclick="save_medical_examination()">
|
|
<i class="ace-icon fa fa-save"></i> Save
|
|
</button>
|
|
<button class="btn btn-warning" id="back_button"
|
|
style="display: none;" onclick="changeOtherMedicalForm()">
|
|
<i class="ace-icon fa fa-backward"></i> Back
|
|
</button>
|
|
<button class="btn btn-success" id="next_button"
|
|
onclick='changeOtherMedicalForm()'>
|
|
<i class="ace-icon fa fa-forward"></i> Next
|
|
</button>
|
|
<!-- <button class="btn btn-success" id="forward_button"
|
|
onclick="save_medical_examination(this.id)">
|
|
<i class="ace-icon fa fa-save"></i>Save & Forward
|
|
</button> -->
|
|
<button class="btn btn-success" id="generate_pdf">
|
|
<i class="ace-icon fa fa-print"></i> Print Pdf
|
|
</button>
|
|
</div>
|
|
</form>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<form id="medical_exam_form" target="_blank" action="#"
|
|
method="POST">
|
|
<input type="hidden" name="medical_exam_id"
|
|
id="medical_exam_id"
|
|
value="<?php echo $_REQUEST['medical_exam_id'] ?>" />
|
|
</form>
|
|
<?php include 'image_popup.php'?>
|
|
<?php include('techsyn_footer.php'); ?>
|
|
<script>
|
|
// $('#height').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 350){
|
|
// BootstrapDialog.alert("Enter Valid Height Detail");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#weight').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 400){
|
|
// BootstrapDialog.alert("Enter Valid Weight Detail");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#pulse').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 250){
|
|
// BootstrapDialog.alert("Enter Valid Pulse Detail");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#dis_without_left_eye').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 100 || !$.isNumeric($(this).val())){
|
|
// BootstrapDialog.alert("Enter Valid Left eye Detail");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#dis_without_right_eye').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 100 || !$.isNumeric($(this).val())){
|
|
// BootstrapDialog.alert("Enter Valid Right Eye Detail");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#SpO2').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 110 || !$.isNumeric($(this).val())){
|
|
// BootstrapDialog.alert("Enter Valid SPO2 value");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#tlc').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 999 || !$.isNumeric($(this).val())){
|
|
// BootstrapDialog.alert("Enter Valid tlc value");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#dlc_l').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 999 || !$.isNumeric($(this).val())){
|
|
// BootstrapDialog.alert("Enter Valid dlc-l value");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#dlc_n').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 999 || !$.isNumeric($(this).val())){
|
|
// BootstrapDialog.alert("Enter Valid dlc-n value");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#dlc_m').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 999 || !$.isNumeric($(this).val())){
|
|
// BootstrapDialog.alert("Enter Valid dlc-m value");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#dlc_b').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 999 || !$.isNumeric($(this).val())){
|
|
// BootstrapDialog.alert("Enter Valid dlc-b value");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#dlc_e').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 999 || !$.isNumeric($(this).val())){
|
|
// BootstrapDialog.alert("Enter Valid dlc-e value");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#hb').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 999 || !$.isNumeric($(this).val())){
|
|
// BootstrapDialog.alert("Enter Valid hb value");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#vdrl').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 999 || !$.isNumeric($(this).val())){
|
|
// BootstrapDialog.alert("Enter Valid vdrl value");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#blood_gluose').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 999 || !$.isNumeric($(this).val())){
|
|
// BootstrapDialog.alert("Enter Valid blood glucose value");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#s_urea').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 999 || !$.isNumeric($(this).val())){
|
|
// BootstrapDialog.alert("Enter Valid s-urea value");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#s_creatinine').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 999 || !$.isNumeric($(this).val())){
|
|
// BootstrapDialog.alert("Enter Valid s-creatinine value");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#s_cholestrol').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 999 || !$.isNumeric($(this).val())){
|
|
// BootstrapDialog.alert("Enter Valid s-cholestrol value");
|
|
// $(this).val('');
|
|
// }
|
|
// });$('#pus_cells').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 999 || !$.isNumeric($(this).val())){
|
|
// BootstrapDialog.alert("Enter Valid pus cells value");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#rbcs').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 999 || !$.isNumeric($(this).val())){
|
|
// BootstrapDialog.alert("Enter Valid rbcs value");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
// $('#epithelial_cells').change(function(){
|
|
// if (0 > $(this).val() || $(this).val() > 100 || !$.isNumeric($(this).val())){
|
|
// BootstrapDialog.alert("Enter Valid epithelial cells value");
|
|
// $(this).val('');
|
|
// }
|
|
// });
|
|
/*$('#albumin').change(function(){
|
|
if (0 > $(this).val() || $(this).val() > 999 || !$.isNumeric($(this).val())){
|
|
BootstrapDialog.alert("Enter Valid albumin level value");
|
|
$(this).val('');
|
|
}
|
|
});
|
|
$('#blood_sugar').change(function(){
|
|
if (0 > $(this).val() || $(this).val() > 999 || !$.isNumeric($(this).val())){
|
|
BootstrapDialog.alert("Enter Valid blood sugar value");
|
|
$(this).val('');
|
|
}
|
|
});*/
|
|
/*$("#forward_button").on("click", function(){
|
|
$("#save_button").hide();
|
|
BootstrapDialog.show({
|
|
title: 'Forward',
|
|
message: '<select class="form-control" id="forward_status" style="margin-left:100px;width:60%"><option value="" >Please Select Forward Option</option><option value="R" > Receptionist </option></option><option value="M" > Medical Room </option><option value="A" >Approve</option></select>',
|
|
buttons: [{
|
|
label: 'OK',
|
|
action: function() {
|
|
save_forward_status();
|
|
$(".close").click();
|
|
}
|
|
}]
|
|
});
|
|
$("#medical_examination_form").submit(function(e){
|
|
e.preventDefault();
|
|
});
|
|
});*/
|
|
|
|
|
|
$('#health_risks').trigger('chosen:updated');
|
|
$('#health_advices').trigger('chosen:updated');
|
|
|
|
|
|
|
|
function save_illnesss(){
|
|
var history_array=[];
|
|
$("input:checkbox[name='history_param']:checked").each(function(){
|
|
history_array.push($(this).val());
|
|
$("input[name=history_parameter]").val(history_array.join(', '));
|
|
});
|
|
$.ajax({
|
|
url:'save_medical_examination.php',
|
|
type:'POST',
|
|
data:$("#medical_examination_form , #past_illness_form").serialize(),
|
|
dataType:'json',
|
|
success:function(data){
|
|
BootstrapDialog.alert("Past And Present Illness Saved Successfully");
|
|
if(data.medical_exam_id!=null && data.medical_exam_id!=""){
|
|
$("#medical_exam_id").val(data.medical_exam_id);
|
|
}
|
|
// location.href='pending_medical_examination_list.php';
|
|
},
|
|
error:function(data){
|
|
BootstrapDialog.alert(" Error In Saving Past And Present Illness");
|
|
}
|
|
});
|
|
}
|
|
function save_forward_status(){
|
|
$.ajax({
|
|
url:'save_medical_examination.php',
|
|
type:'POST',
|
|
data:{forward_status:$("#forward_status").val(),medical_exam_id:$("#medical_exam_id").val(),approval_date:$("#approval_date").val()},
|
|
success:function(data){
|
|
|
|
<?php if('DOC' == $_SESSION['RoleCode']){?>
|
|
if($("#forward_status").val()=='A'){
|
|
location.href="medical_examination_list.php";
|
|
}
|
|
<?php }else{?>
|
|
if($("#forward_status").val()=='D'){
|
|
location.href="home_medical.php";
|
|
}
|
|
<?php }?>
|
|
BootstrapDialog.alert("Status Updated Successfully");
|
|
},
|
|
error:function(data){
|
|
BootstrapDialog.alert(" Error In Saving Foward Status ");
|
|
}
|
|
});
|
|
$("#medical_examination_form").submit(function(e){
|
|
e.preventDefault();
|
|
});
|
|
}
|
|
function colorValidation(id, val, min, max){
|
|
// ids = document.getElementById(id);
|
|
// if (val<=min || val >=max){
|
|
// ids.style.borderColor='tomato';
|
|
// ids.style.color='tomato';
|
|
// }else if(val<=max){
|
|
// ids.style.borderColor='lightgrey';
|
|
// ids.style.color='Black';
|
|
// }if(val=='') {
|
|
// ids.style.backgroundColor='white';
|
|
// }
|
|
}
|
|
function colorBpValidation(id, value, min, max){
|
|
ids = document.getElementById(id);
|
|
regex = /\//;
|
|
values = value.split(regex);
|
|
if (values[0]>min || values[1]>max){
|
|
ids.style.borderColor = 'tomato';
|
|
ids.style.color='tomato';
|
|
} else if (values[0]<60 || values[1]<90){
|
|
ids.style.borderColor = 'tomato';
|
|
ids.style.color='tomato';
|
|
} else{
|
|
ids.style.borderColor='lightgrey';
|
|
ids.style.color='Black';
|
|
}
|
|
}
|
|
function colorTextValidation(id, val, min, max){
|
|
ids = document.getElementById(id);
|
|
if (val == min || val == max){
|
|
ids.style.borderColor='tomato';
|
|
ids.style.color='tomato';
|
|
}else{
|
|
ids.style.borderColor='lightgrey';
|
|
ids.style.color='Black';
|
|
}
|
|
}
|
|
// color validation function invoke on double click event
|
|
$("input").dblclick(function() {
|
|
dblClickcolorValidation(this);
|
|
// alert("hello there!"+this.name);
|
|
});
|
|
$("select").dblclick(function() {
|
|
dblClickcolorValidation(this);
|
|
// alert("hello there!"+this.name);
|
|
});
|
|
$("textarea").dblclick(function() {
|
|
dblClickcolorValidation(this);
|
|
// alert("hello there!"+this.name);
|
|
});
|
|
// creat new array to store values
|
|
ids_value = new Array();
|
|
hiddenHighlighter = document.getElementById('hiddenHighlighter');
|
|
// double click color validaton array
|
|
function dblClickcolorValidation(id){
|
|
ids = id;
|
|
ids_value = hiddenHighlighter.value.split(",");
|
|
// console.log("stored values:"+ids_value);
|
|
// get the hidden color validation input tag
|
|
hiddenHighlighter = document.getElementById('hiddenHighlighter');
|
|
if(ids.style.borderColor=='tomato' || ids.style.color=='tomato'){
|
|
ids.style.borderColor='lightgrey';
|
|
ids.style.color='Black';
|
|
removeItemOnce(ids_value, ids.name);
|
|
hiddenHighlighter.value = ids_value.join();
|
|
// console.log(hiddenHighlighter.value);
|
|
}else{
|
|
ids.style.borderColor='tomato';
|
|
ids.style.color='tomato';
|
|
ids_value.push(ids.name);
|
|
console.log(ids_value);
|
|
hiddenHighlighter.value = ids_value.join();
|
|
// console.log(hiddenHighlighter.value);
|
|
}
|
|
// console.log(ids_value);
|
|
}
|
|
function removeItemOnce(arr, value) {
|
|
var index = arr.indexOf(value);
|
|
if (index > -1) {
|
|
arr.splice(index, 1);
|
|
}
|
|
return arr;
|
|
}
|
|
function getBMI(height, weight){
|
|
//var height=$("#"+heightField).val();
|
|
//var weight=$("#"+WeightField).val();
|
|
if(height!=null && height!='' && weight!=null && weight!=''){
|
|
height=parseFloat(height);
|
|
weight=parseFloat(weight);
|
|
if(height!=0.0)
|
|
var bmi=(weight/(height/100*height/100));
|
|
return bmi.toFixed(1);
|
|
}
|
|
return "";
|
|
}
|
|
function calculateBMI(){
|
|
var height=$("#height").val();
|
|
var weight=$("#weight").val();
|
|
$("#bmi").val(getBMI(height,weight));
|
|
}
|
|
|
|
function getHealthIndex(bp1,bp2,bmi,sugar,cholestrol){
|
|
var bp_score=0;
|
|
var bmi_score=0;
|
|
var sugar_score=0;
|
|
var cholestrol_score=0;
|
|
var total_score=0;
|
|
|
|
if(bp1>140 && bp2>90){
|
|
bp_score = 0;
|
|
}
|
|
else if(bp1>120 && bp1<140 && bp2>80 && bp2<90){
|
|
bp_score=2;
|
|
}
|
|
else{
|
|
bp_score=4;
|
|
}
|
|
|
|
if(sugar > 200){
|
|
sugar_score=0;
|
|
}
|
|
else if(sugar > 139 && sugar< 200){
|
|
sugar_score=2;
|
|
}
|
|
else{
|
|
sugar_score=4;
|
|
}
|
|
|
|
if(bmi > 30){
|
|
bmi_score=0;
|
|
}
|
|
else if(bmi > 25 && bmi < 30){
|
|
bmi_score=2;
|
|
}
|
|
else{
|
|
bmi_score=4;
|
|
}
|
|
|
|
if(cholestrol > 240){
|
|
cholestrol_score=0;
|
|
}
|
|
else if(cholestrol > 200 && cholestrol < 240){
|
|
cholestrol_score=2;
|
|
}
|
|
else{
|
|
cholestrol_score=4;
|
|
}
|
|
|
|
total_score = bp_score+bmi_score+sugar_score+cholestrol_score;
|
|
|
|
return total_score;
|
|
}
|
|
|
|
function calHealthIndex(){
|
|
var bp = $('#bp').val();
|
|
var bps = bp.split("/");
|
|
var bp1 = parseInt(bps[0]);
|
|
var bp2 = parseInt(bps[1]);
|
|
var bmi = parseInt($('#bmi').val());
|
|
var sugar = parseInt($('#blood_sugar_rbs').val());
|
|
var cholestrol = parseInt($('#total_cholestrol').val());
|
|
|
|
var health_index_score= getHealthIndex(bp1,bp2,bmi,sugar,cholestrol);
|
|
|
|
$('#health_index').val(health_index_score);
|
|
|
|
|
|
}
|
|
|
|
|
|
|
|
function changeOtherMedicalForm(){
|
|
if ( $("#medical_examination_form_two").css('display') == 'none' || $("#medical_examination_form_two").css("visibility") == "hidden"){
|
|
$("#medical_examination_form_two").show();
|
|
$("#reset_button").hide();
|
|
$("#back_button").show();
|
|
$("#forward_button").show();
|
|
$("#next_button").hide();
|
|
}else{
|
|
$("#medical_examination_form_two").hide();
|
|
$("#reset_button").show();
|
|
$("#back_button").hide();
|
|
$("#forward_button").hide();
|
|
$("#next_button").show();
|
|
}
|
|
if($("#medical_examination_form_one").css('display') == 'block' || $("#medical_examination_form_one").css("visibility") == "show"){
|
|
$("#medical_examination_form_one").hide();
|
|
$("#reset_button").hide();
|
|
$("#back_button").show();
|
|
$("#forward_button").show();
|
|
//$("#next_button").show();
|
|
}else{
|
|
$("#medical_examination_form_one").show();
|
|
$("#reset_button").show();
|
|
$("#back_button").hide();
|
|
$("#forward_button").hide();
|
|
//$("#next_button").hide();
|
|
}
|
|
$("#medical_examination_form").submit(function(e){
|
|
e.preventDefault();
|
|
});
|
|
}
|
|
function save_medical_examination(){
|
|
var history_array=[];
|
|
$("input:checkbox[name='history_param']:checked").each(function(){
|
|
history_array.push($(this).val());
|
|
$("input[name=history_parameter]").val(history_array.join(', '));
|
|
});
|
|
$("#medical_examination_form").submit(function(e){
|
|
e.preventDefault();
|
|
});
|
|
|
|
BootstrapDialog.show({
|
|
title: 'Forward',
|
|
<?php if('DOC' == $_SESSION['RoleCode']){?>
|
|
message: '<select class="form-control" id="forward_status" style="margin-left:100px;width:60%"><option value="A" >Approve</option><option value="D" >Save Draft</option></select>',
|
|
<?php }else{?>
|
|
message: '<select class="form-control" id="forward_status" style="margin-left:100px;width:60%"><option value="M" >Save Draft</option><option value="D" >Forward To Doctor</option></select>',
|
|
<?php }?>
|
|
buttons: [{
|
|
label: 'OK',
|
|
action: function() {
|
|
$.ajax({
|
|
url:'save_medical_examination.php',
|
|
type:'POST',
|
|
data:$("#medical_examination_form , #past_illness_form").serialize(),
|
|
success:function(data){
|
|
//BootstrapDialog.alert("Medical Examination Form Saved Successfully");
|
|
save_forward_status();
|
|
},
|
|
error:function(data){
|
|
BootstrapDialog.alert(" Error In Saving Medical Examination Form");
|
|
}
|
|
});
|
|
|
|
|
|
}
|
|
|
|
}]
|
|
});
|
|
|
|
|
|
|
|
}
|
|
/* $("input:radio[name=signature]"). click(function(){
|
|
var signatue=$('input:radio[name=signature]:checked').val();
|
|
if(signatue=='add'){
|
|
$(".profile-picture").show();
|
|
}else{
|
|
$(".profile-picture").hide();
|
|
}
|
|
});*/
|
|
var highlightedFields="<?php echo getFieldFromTable("highlighted_fields", "medical_examination_highlighted", "medical_exam_id", $_REQUEST['medical_exam_id'])?>"
|
|
console.log(highlightedFields);
|
|
$(document).ready(function(){
|
|
$("#hiddenHighlighter").val(highlightedFields);
|
|
highlightedFields = highlightedFields.split(",")
|
|
console.log(highlightedFields);
|
|
// console.log("length"+highlighted_fieldslds.length);
|
|
for(var i = 1; i<highlightedFields.length; i++){
|
|
ids = document.getElementById(highlightedFields[i]);
|
|
ids.style.borderColor ="tomato";
|
|
ids.style.color = "tomato";
|
|
}
|
|
});
|
|
|
|
if($('#health_advices')){
|
|
var advices= new Array();
|
|
getAdvices();
|
|
function getAdvices(){
|
|
$.ajax({
|
|
url : 'select_health_advices.php',
|
|
type : "GET",
|
|
success : function(data) {
|
|
advices = $.parseJSON(data);
|
|
|
|
},
|
|
error : function(data) {
|
|
BootstrapDialog.alert('Error pulling advices');
|
|
return;
|
|
}
|
|
});
|
|
}
|
|
}
|
|
|
|
if($('#health_risks')){
|
|
var risks= new Array();
|
|
getRisks();
|
|
function getRisks(){
|
|
$.ajax({
|
|
url : 'select_health_risk.php',
|
|
type : "GET",
|
|
success : function(data) {
|
|
risks = $.parseJSON(data);
|
|
|
|
},
|
|
error : function(data) {
|
|
BootstrapDialog.alert('Error pulling risks');
|
|
return;
|
|
}
|
|
});
|
|
}
|
|
}
|
|
|
|
if($('#health_advices')){
|
|
setTimeout(function () {
|
|
var tag_input_advices = $('#health_advices');
|
|
try{
|
|
tag_input_advices.tag(
|
|
{
|
|
placeholder:tag_input_advices.attr('placeholder'),
|
|
|
|
source:advices
|
|
|
|
}
|
|
)
|
|
|
|
//programmatically add/remove a tag
|
|
var $tag_obj = $('#health_advices').data('tag');
|
|
|
|
var existingAdvices = "<?php echo getCommaSeperatedValuesForInClause('select health_advice_name from health_advice','health_advice_id',$health_advices)?>"
|
|
if(existingAdvices!=undefined && existingAdvices!=null && existingAdvices!=''){
|
|
var existingAdvicesArr =existingAdvices.split(",");
|
|
jQuery.each( existingAdvicesArr, function( i, val ) {
|
|
$tag_obj.add(val.toUpperCase());
|
|
});
|
|
}
|
|
//var index = $tag_obj.inValues('some tag');
|
|
// $tag_obj.remove(index);
|
|
}catch(e) {
|
|
//display a textarea for old IE, because it doesn't support this plugin or another one I tried!
|
|
tag_input_advices.after('<textarea id="'+tag_input_advices.attr('id')+'" name="'+tag_input_advices.attr('name')+'" rows="3">'+tag_input_advices.val()+'</textarea>').remove();
|
|
//autosize($('#form-field-tags'));
|
|
}
|
|
},500);
|
|
}
|
|
|
|
|
|
if($('#health_risks')){
|
|
setTimeout(function () {
|
|
var tag_input_risks = $('#health_risks');
|
|
try{
|
|
tag_input_risks.tag(
|
|
{
|
|
placeholder:tag_input_risks.attr('placeholder'),
|
|
|
|
source:risks
|
|
|
|
}
|
|
)
|
|
|
|
//programmatically add/remove a tag
|
|
var $tag_obj = $('#health_risks').data('tag');
|
|
|
|
var existingRisks = "<?php echo getCommaSeperatedValuesForInClause('select health_risk_name from health_risk','health_risk_id',$health_risks)?>"
|
|
if(existingRisks!=undefined && existingRisks!=null && existingRisks!=''){
|
|
var existingRisksArr =existingRisks.split(",");
|
|
jQuery.each( existingRisksArr, function( i, val ) {
|
|
$tag_obj.add(val.toUpperCase());
|
|
});
|
|
}
|
|
//var index = $tag_obj.inValues('some tag');
|
|
// $tag_obj.remove(index);
|
|
}catch(e) {
|
|
//display a textarea for old IE, because it doesn't support this plugin or another one I tried!
|
|
tag_input_risks.after('<textarea id="'+tag_input_risks.attr('id')+'" name="'+tag_input_risks.attr('name')+'" rows="3">'+tag_input_risks.val()+'</textarea>').remove();
|
|
//autosize($('#form-field-tags'));
|
|
}
|
|
},500);
|
|
}
|
|
|
|
switchConduction();
|
|
function switchConduction(){
|
|
var cond = $("#conduction_type").val();
|
|
|
|
if(cond === 'AIR CONDUCTION'){
|
|
$("#air").show();
|
|
$("#bone").hide();
|
|
} else if(cond === 'BONE CONDUCTION'){
|
|
$("#bone").show();
|
|
$("#air").hide();
|
|
}
|
|
else if(cond ==='BOTH'){
|
|
$("#air").show();
|
|
$("#bone").show();
|
|
}
|
|
}
|
|
</script>
|
|
<link rel="stylesheet"
|
|
href="assets/font-awesome/4.5.0/css/font-awesome.min.css" />
|
|
<!-- page specific plugin styles -->
|
|
<link rel="stylesheet"
|
|
href="assets/css/jquery-ui.custom.min.css" />
|
|
<link rel="stylesheet" href="assets/css/chosen.min.css" />
|
|
<link rel="stylesheet"
|
|
href="assets/css/bootstrap-datepicker3.min.css" />
|
|
<link rel="stylesheet"
|
|
href="assets/css/bootstrap-timepicker.min.css" />
|
|
<link rel="stylesheet"
|
|
href="assets/css/daterangepicker.min.css" />
|
|
<link rel="stylesheet"
|
|
href="assets/css/bootstrap-datetimepicker.min.css" />
|
|
<link rel="stylesheet"
|
|
href="assets/css/bootstrap-colorpicker.min.css" />
|
|
<script type="text/javascript" src="js/typeahead.bundle.js"></script>
|
|
<script src="assets/js/jquery-ui.custom.min.js"></script>
|
|
<script src="assets/js/jquery.ui.touch-punch.min.js"></script>
|
|
<script src="assets/js/chosen.jquery.min.js"></script>
|
|
<script src="assets/js/spinbox.min.js"></script>
|
|
<script src="assets/js/bootstrap-datepicker.min.js"></script>
|
|
<script src="assets/js/bootstrap-timepicker.min.js"></script>
|
|
<script src="assets/js/jquery.dataTables.min.js"></script>
|
|
<script src="assets/js/jquery.dataTables.bootstrap.min.js"></script>
|
|
<script src="assets/js/dataTables.buttons.min.js"></script>
|
|
<script src="assets/js/buttons.flash.min.js"></script>
|
|
<script src="assets/js/buttons.html5.min.js"></script>
|
|
<script src="assets/js/buttons.print.min.js"></script>
|
|
<script src="assets/js/buttons.colVis.min.js"></script>
|
|
<script src="assets/js/dataTables.select.min.js"></script>
|
|
<script src="assets/js/moment.min.js"></script>
|
|
<script src="assets/js/daterangepicker.min.js"></script>
|
|
<script src="assets/js/bootstrap-datetimepicker.min.js"></script>
|
|
<script src="assets/js/bootstrap-colorpicker.min.js"></script>
|
|
<script src="assets/js/jquery.knob.min.js"></script>
|
|
<script src="assets/js/autosize.min.js"></script>
|
|
<script src="assets/js/jquery.inputlimiter.min.js"></script>
|
|
<script src="assets/js/jquery.maskedinput.min.js"></script>
|
|
<script src="assets/js/bootstrap-tag.min.js"></script>
|
|
<script src="assets/js/ace-elements.min.js"></script>
|
|
<script type="text/javascript">
|
|
$('#due_date').datepicker({
|
|
autoclose:true,
|
|
format: 'dd/mm/yyyy',
|
|
//startDate: '1d/1m/1970y',
|
|
}).next().on(ace.click_event, function(){
|
|
$(this).prev().focus();
|
|
});
|
|
$('.date-picker').datepicker({
|
|
autoclose:true,
|
|
format:'dd/mm/yyyy'
|
|
}).next().on(ace.click_event,function(){
|
|
$(this).prev().focus();
|
|
});
|
|
|
|
|
|
$('.date-picker').datepicker({
|
|
autoclose:true,
|
|
format:'dd/mm/yyyy'
|
|
}).next().on(ace.click_event,function(){
|
|
$(this).prev().focus();
|
|
});
|
|
<?php if(isset($row['approval_date'])){?>
|
|
$('#approval_date').datepicker({
|
|
format: 'dd/mm/yyyy',
|
|
endDate: "+1d"
|
|
|
|
}).datepicker("setDate", new Date("<?php echo $row['approval_date']?>"));
|
|
<?php }else{?>
|
|
$('#approval_date').datepicker({
|
|
format: 'dd/mm/yyyy',
|
|
endDate: "+1d"
|
|
|
|
}).datepicker("setDate", new Date());
|
|
<?php }?>
|
|
|
|
</script>
|