2024-10-16 19:18:52 +05:30
< script
src = " https://ajax.googleapis.com/ajax/libs/jquery/3.4.1/jquery.min.js " ></ script >
< link
rel = " stylesheet "
href = " https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.min.css " >
< head >
< style >
. tbl1 {
border : 2 px solid black ;
border - collapse : collapse ;
font - weight : 800 ;
padding : 15 px ;
}
</ style >
</ head >
< div id = " medical_examination_form " style = " display:none " >
< ? php
include ( 'includes/config/config.php' );
include_once ( " includes/functions.php " );
error_reporting ( 0 );
$query = " select company_logo,image_type from company_profile where company_id =5 " ;
//echo $query;
$result = mysqli_query ( $conn , $query );
$row = mysqli_fetch_array ( $result );
@ extract ( $row ); ?>
< table width = " 100% " class = " tbl1 " >
< tr >
< td rowspan = " 4 " >< img
src = " data:image/jpeg;base64,<?php echo base64_encode( $row['company_logo'] )?> "
style = " display: block; width: 134px; height: 60px; " /></ td >
< td rowspan = " 4 " > MAIHAR IU </ td >
< td > Department </ td >
< td > OCCUPATIONAL HEALTH CENTRE </ td >
</ tr >
< ? php
$sql_patient_physical_parameters = " select a.*,b.*,a.height,a.weight,a.bp,a.waist from medical_examination a inner join patient_master b on b.id=a.patient_id where a.medical_exam_id=' " . $_REQUEST [ 'medical_exam_id' ] . " ' " ;
//echo $sql_patient_physical_parameters;
$result_patient_physical_parameters = mysqli_query ( $conn , $sql_patient_physical_parameters );
$row_patient_physical_parameters = mysqli_fetch_assoc ( $result_patient_physical_parameters );
@ extract ( $row_patient_physical_parameters );
$address = $village . ' ' . $post . ' ' . $tehsil . ' ' . $district . ' ' . $state . '(' . $pin_code . ')' ;
?>
< tr >
< td > Document No .</ td >
< td > F - MED - 12 </ td >
</ tr >
< tr >
< td > Revision </ td >
< td > 0.0 </ td >
</ tr >
< tr >
< td > Implementation Date </ td >
< td > 01.04 . 2016 </ td >
</ tr >
< tr >
< td align = " center " colspan = " 4 " > Annual Medical Examination Card
</ td >
</ tr >
</ table >
< div style = " margin-top: 10px " >
< table width = " 100% " class = " tbl2 " >
< tr >
< td > Sr . No </ td >
< td colspan = " 3 " >< ? php echo $serial_no ?> </td>
</ tr >
< tr >
< td > Name </ td >
< td >< ? php echo $patient_name ?> </td>
< td > Father Name </ td >
< td >< ? php echo $father_name ?> </td>
</ tr >
< tr >
< td > Age / Sex </ td >
< td >< ? php
$from = new DateTime ( $dob );
$to = new DateTime ( 'today' );
echo $from -> diff ( $to ) -> y ;
if ( $gender == 'M' )
echo " Male " ;
elseif ( $gender == 'F' )
echo " Female " ;
?> </td>
< td > Grade / Post </ td >
< td >< ? php echo getTableFieldValue ( 'designation' , 'designation_name' , 'designation_id' , $designation_id ) ?> </td>
</ tr >
< tr >
< td > Address </ td >
< td >< ? php echo $address ?> </td>
< td > Mobile . No .</ td >
< td >< ? php echo $primary_phone ?> </td>
</ tr >
< tr >
< td > Gate pass No ./ P No </ td >
< td >< ? php echo $emp_code ?> </td>
< td > Date </ td >
< td >< ? php echo date_format ( date_create ( $row_patient_physical_parameters [ 'approval_date' ]), " d-M-Y " ); ?> </td>
</ tr >
< tr >
< td > Contractor Name </ td >
< td >< ? php echo getTableFieldValue ( 'employer_contractor' , 'employer_contractor_name' , 'id' , $employer_contractor_id ) ?> </td>
< td > Department </ td >
< td >< ? php echo getTableFieldValue ( 'department' , 'dept_name' , 'dept_id' , $dept_id ) ?> </td>
</ tr >
< tr >
< td rowspan = " 2 " colspan = " 2 " > HISTORY PAST AND PRESENT ILLNESS </ td >
< td rowspan = " 2 " colspan = " 2 " >< ? php echo getCommaSeperatedValuesForInClause ( " select param_name from history_parameter " , " param_id " , $past_present_illness ); ?> </td>
</ tr >
< tr >
</ tr >
< tr >
< td rowspan = " 2 " colspan = " 2 " > ARE YOU ON ANY REGULAR MEDICATION ( IF YES , PLEASE SPECIFY ) </ td >
< td rowspan = " 2 " colspan = " 2 " >< ? php echo $regular_medication ?> </td>
</ tr >
< tr >
</ tr >
</ table >
< div >
< table width = " 100% " class = " tbl2 " >
< tr >
< td colspan = " 6 " align = " center " >< b > RECORD OF MEDICAL EXAMINATION </ b ></ td >
</ tr >
< tr >
< td > Height ( cms ) </ td >< td >< ? php echo $height ?> </td>
< td > Waist ( cms ) </ td >< td >< ? php echo $waist ?> </td>
< td colspan = " 2 " >< b > CLINICAL EXAMINATION </</ b ></ td >
</ tr >
< tr >
< td > Weight ( kgs ) </ td >< td >< ? php echo $weight ?> </td>
< td > Hip ( cms ) </ td >< td >< ? php echo $hip ?> </td>
< td > NAILS </ td >< td >< ? php echo $nails ?> </td>
</ tr >
< tr >
< td > BMI ( cms ) </ td >< td >< ? php echo $bmi ?> </td>
< td ></ td >
< td ></ td >
< td > PULSE </ td >< td >< ? php echo $pulse ?> </td>
</ tr >
< tr >
< td colspan = " 4 " >< b style = " margin-left: 188px " > Vision </ b ></ td >
< td > BP </ td >< td >< ? php echo $bp ?> mm of Hg</td>
</ tr >
< tr >
< td ></ td >
< td ></ td >
< td > RT . EYE </ td >< td > LT . EYE </ td >
< td colspan = " 2 " >< b > ABDOMEN </ b ></ td >
</ tr >
< tr >
< td > Distant Vision </ td >< td > Without Glasses </ td >
< td > 6 /< ? php echo $dis_without_right_eye ?> </td><td>6/<?php echo $dis_without_left_eye?></td>
< td > Liver </ td > < td >< ? php echo $liver
?> </td>
</ tr >
< tr >
< td ></ td >< td > With Glasses </ td >
< td > 6 /< ? php echo $dis_with_right_eye ?> </td><td>6/<?php echo $dis_with_left_eye?></td>
< td > Speen </ td > < td >< ? php echo $speen
?> </td>
</ tr >
< tr >
< td > Near Vision </ td >< td > Without Glasses </ td >
< td > N /< ? php echo $near_without_right_eye ?> </td><td>N/<?php echo $near_without_left_eye?></td>
< td > Tenderness </ td > < td >< ? php echo $tenderness ?> </td>
</ tr >
< tr >
< td ></ td >< td > With Glasses </ td >
< td > N /< ? php echo $near_with_right_eye ?> </td><td>N/<?php echo $near_with_right_eye?></td>
< td > Any other abnormality </ td > < td >< ? php echo $any_other_abnormality ?> </</td>
</ tr >
< tr >
< td ></ td >
< td ></ td >
< td ></ td >
< td ></ td >
< td > SKIN </ td >
< td >< ? php echo $skin ?> </td>
</ tr >
< tr >
< td colspan = " 2 " > COLOR VISION </ td >
< td colspan = " 2 " >< ? php echo $color_vision ?> </td>
< td > RS </ td >
< td >< ? php echo $rs ?> </td>
</ tr >
</ table >
< table width = " 100% " class = " tbl2 " >
< tr >
< td colspan = " 4 " >< center >< b > CVS </ b ></ center ></ td >
< td > MUSCULO SKELETAL </ td >
< td >< ? php echo $musculo_skeletal ?> </td>
</ tr >
< tr >
< td > S1 </ td >
< td >< ? php echo $s1 ?> </td>
< td > S2 </ td >
< td >< ? php echo $s2 ?> </td>
< td > CNS </ td >
< td >< ? php echo $cns ?> </td>
</ tr >
< tr >
< td > Any other Sound </ td >
< td >< ? php echo $any_other_sound ?> </td>
< td > ECG ( 12 Lead ) findings </ td >
< td >< ? php echo $ecg_findings ?> </td>
< td colspan = " 2 " >< b > ENT </ b > </ td >
</ tr >
< tr >
< td > 2 D Echo / TMT Findings </ td >
< td >< ? php echo $tmt_findings ?> </td>
< td ></ td >
< td ></ td >
< td > Conversational Hearing </ td >
< td >< ? php echo $conversational_hearing ?> </td>
</ tr >
< tr >
< td colspan = " 4 " ></ td >
< td > AUROSCOPY </ td >
< td >< ? php echo $auroscopy ?> </td>
</ tr >
< tr >
< td colspan = " 4 " ></ td >
< td > EAC </ td >
< td >< ? php echo $eac ?> </td>
</ tr >
< tr >
< td colspan = " 4 " ></ td >
< td > NOSE </ td >
< td >< ? php echo $nose ?> </td>
</ tr >
< tr >
< td colspan = " 4 " ></ td >
< td > THROAT </ td >
< td >< ? php echo $throat ?> </td>
</ tr >
</ table >
</ div >
< br >< br >< br >< br >< br >
< table width = " 100% " width = " 100% " class = " tbl2 " >
< tr >
< td rowspan = " 4 " colspan = " 2 " >< b > FINDINGS OF CHEST RADIOGRAPH </ b ></ td >
< td rowspan = " 4 " colspan = " 2 " >< ? php echo $chest_radiograph ?> </td>
< td colspan = " 2 " >< b > URINE RE / ME </ b ></ td >
</ tr >
< tr >
< td > Appearance </ td >
< td >< ? php echo $appearance ?> </td>
</ tr >
< tr >
< td > Pus cells </ td >
< td >< ? php echo $pus_cells ?> </td>
</ tr >
< tr >
< td > RBCs </ td >
< td >< ? php echo $rbcs ?> </td>
</ tr >
</ br >
< tr >
< td rowspan = " 4 " colspan = " 2 " >< b > STOOL RE / ME </ b ></ td >
< td rowspan = " 4 " colspan = " 2 " >< ? php echo $stool_re_me ?> </td>
< td > Epithelial cells </ td >
< td >< ? php echo $epithelial_cells ?> </td>
</ tr >
< tr >
< td > Other Rel . findings </ td >
< td >< ? php echo $other_relevant_findings ?> </td>
</ tr >
< tr >
< td > Albumin </ td >
< td >< ? php echo $albumin ?> </td>
</ tr >
< tr >
< td > Sugar </ td >
< td >< ? php echo $sugar ?> </td>
</ tr >
</ table >
</ div >
< br >
< br >
< div style = " margin-top: 20px " >
< table width = " 100% " width = " 100% " class = " tbl2 " >
< tr >
< td colspan = " 6 " align = " center " >< b style = " font-weight: 800 " > RESULT OF SPIROMETRY Findings </ b ></ td >
</ tr >
< tr >
< td colspan = " 2 " > Parameters </ td >
< td colspan = " 2 " > Value ( Pre - medication ) </ td >
< td colspan = " 2 " > Value ( Post - medication ) </ td >
</ tr >
< tr >
< td colspan = " 2 " > Forced Vital Capacity ( FVC ) </ td >
< td colspan = " 2 " >< ? php echo $fvc_pre ?> </td>
< td colspan = " 2 " >< ? php echo $fvc_post ?> </b></td>
</ tr >
< tr >
< td colspan = " 2 " > Forced Expiratory Volume in 1 sec ( FEV1 ) </ td >
< td colspan = " 2 " >< ? php echo $fev1_pre ?> </b></td>
< td colspan = " 2 " >< ? php echo $fev1_post ?> </td>
</ tr >
< tr >
< td colspan = " 2 " > FEV1 / FVC </ td >
< td colspan = " 2 " >< ? php echo $fev1_fvc_pre ?> </td>
< td colspan = " 2 " >< ? php echo $fev1_fvc_post ?> </td>
</ tr >
< tr >
< td colspan = " 2 " > Peak Expiratory Flow </ td >
< td colspan = " 2 " >< ? php echo $peak_expiratory_flow_pre ?> </td>
< td colspan = " 2 " >< ? php echo $peak_expiratory_flow_post ?> </td>
</ tr >
< tr >
< td colspan = " 6 " align = " center " >< b style = " font-weight: 800 " > RESULT OF AUDIOMETRY FINDINGS </ b ></ td >
</ tr >
< tr >
< td colspan = " 2 " > Conduction Type </ td >
< td colspan = " 2 " align = " center " > Left Ear </ td >
< td colspan = " 2 " align = " center " > Right Ear </ td >
</ tr >
< tr >
< td colspan = " 2 " > Air Conduction </ td >
< td colspan = " 2 " > < ? php echo $air_cond_left ?> </td>
< td colspan = " 2 " > < ? php echo $air_cond_right ?> </td>
</ tr >
< tr >
< td colspan = " 2 " > Bone Conduction </ td >
< td colspan = " 2 " >< ? php echo $bone_cond_left ?> </td>
< td colspan = " 2 " >< ? php echo $bone_cond_left ?> </td>
</ tr >
< tr >
< td colspan = " 6 " align = " center " >< b style = " font-weight: 800 " > INVESTIGATIONS </ b ></ td >
</ tr >
< tr >
< td align = " center " colspan = " 6 " > Blood Group < span style = " margin-left:20px " >< ? php echo $blood_group ?> </span></td>
</ tr >
< tr >
< td > Hb </ td >< td >< ? php echo $hb ?> </td>
< td > TLC </ td >< td >< ? php echo $tlc ?> </td>
< td > DLC - N </ td >< td >< ? php echo $dlc_n ?> </td>
</ tr >
< tr >
< td > DLC - L </ td >< td >< ? php echo $dlc_l ?> </td>
< td > DLC - M </ td >< td >< ? php echo $dlc_m ?> </td>
< td > DLC - E </ td >< td >< ? php echo $dlc_e ?> </td>
</ tr >
< tr >
< td > Platelets </ td >< td >< ? php echo $platelets ?> </td>
< td > S . Urea </ td >< td >< ? php echo $s_urea ?> </td>
< td > S . Creatinine </ td >< td >< ? php echo $s_creatinine ?> </td>
</ tr >
< tr >
< td > Blood Sugar </ td >< td >< ? php echo $blood_sugar ?> </td>
< td > ESR </ td >< td >< ? php echo $esr ?> </td>
< td > BUN </ td >< td >< ? php echo $bun ?> </td>
</ tr >
< tr >
< td > Uric Acid </ td >< td >< ? php echo $uric_acid ?> </td>
< td > Acid Phosphatase </ td >< td >< ? php echo $acid_phosphatase ?> </td>
< td > PSA </ td >< td >< ? php echo $psa ?> </td>
</ tr >
< tr >
< td colspan = " 2 " > Lipid Profile </ td >
< td colspan = " 4 " >< ? php echo $lipid_profile ?> </td>
</ tr >
< tr >
< td colspan = " 2 " > Liver Function Test </ td >
< td colspan = " 4 " >< ? php echo $live_function_test ?> </td>
</ tr >
< tr >
< td colspan = " 2 " > Thyroid Profile ( Females ) </ td >
< td colspan = " 4 " >< ? php echo $thyroid_profile ?> </td>
</ tr >
< tr >
< td colspan = " 2 " > Dental Examination Report </ td >
< td colspan = " 4 " >< ? php echo $dental_exam_report ?> </td>
</ tr >
< tr >
< td colspan = " 2 " > Findings of Mammography ( Females ) </ td >
< td colspan = " 4 " >< ? php echo $mammography ?> </td>
</ tr >
< tr >
< td colspan = " 2 " > Findings of PAP Smear ( Females ) </ td >
< td colspan = " 4 " >< ? php echo $pap_smear ?> </td>
</ tr >
< tr >
< td colspan = " 2 " > Any other Significant Finding </ td >
< td colspan = " 4 " >< ? php echo $any_other ?> </td>
</ tr >
< tr >
< td colspan = " 2 " > Digital Signature By Medical Assistant </ td >
< td colspan = " 4 " > < ? php
if ( $sign_medical_ass == 'add' ){
$emp_id = getTableFieldValue ( 'tbl_users' , 'emp_id' , 'user_id' , $medical_attend );
$query_sign = " select * from employee_signature where emp_id=' " . $emp_id . " ' " ;
//echo $query_emp_sign;
if ( ! $result_sign = @ mysqli_query ( $conn , $query_sign )) {
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die ( mysqli_error ( $conn ));
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} else {
$row_sign = @ mysqli_fetch_array ( $result_sign );
@ extract ( $row_sign );
}
}
// echo $row_emp_sign['modified_by'];
?>
< span class = " profile-picture " style = " margin-left:170px; " >
< ? php if ( isset ( $row_sign [ 'emp_sign' ]) && $row_sign [ 'emp_sign' ] != null ){ ?>
< img class = " editable img-responsive " id = " avatar "
src = " data:<?php echo $row_sign['image_type'] ?>;base64,<?php echo base64_encode( $row_sign['emp_sign'] )?> "
style = " display: block; width: 180px; height: 25px; " />
< ? php } ?>
</ span >
</ td >
</ tr >
< tr >
< td colspan = " 2 " > Opinion / Remarks ( By Doctor ) </ td >
< td colspan = " 4 " >< ? php echo $opinion_remarks ?> </td>
</ tr >
< tr >
< ? php
$doc_emp_id = getFieldfromTable ( 'emp_id' , 'tbl_users' , 'user_id' , $sign_medical_officer );
$doctor_name = getFieldfromTable ( 'patient_name' , 'patient_master' , 'id' , $doc_emp_id ) ?>
< td colspan = " 2 " > Signature of Medical Officer </ td >
< td colspan = " 4 " >
< span >
< img
src = " data:<?php echo $doc_sign_image_type ?>;base64,<?php echo base64_encode( $approving_doc_sign_img )?> "
style = " width: 80px; height: 40px; " />
</ span >
</ td >
</ tr >
< tr >
< td colspan = " 2 " > Doctor Name </ td >
< td colspan = " 4 " >< ? php echo $doctor_name ; ?> </td>
</ tr >
< tr >
< td colspan = " 2 " > Qualification </ td >
< td colspan = " 4 " >< ? php echo $row_patient_physical_parameters [ 'approving_doc_qualification' ] ?> </td>
</ tr >
< tr >
< td colspan = " 2 " > Registration No </ td >
< td colspan = " 4 " >< ? php echo $row_patient_physical_parameters [ 'approving_doc_regd_no' ] ?> </td>
</ tr >
</ table >
</ div >
</ div >
</ div >
< form id = " medical_examination_form_pdf " action = " " method = " POST " >
< input type = " hidden " name = " htmlText " id = " htmlText " />
</ form >
< script >
formSubmit ();
function formSubmit (){
$ ( " #htmlText " ) . val ( $ ( " #medical_examination_form " ) . html ());
document . forms [ 'medical_examination_form_pdf' ] . action = " pdf_dynamic.php " ;
document . forms [ 'medical_examination_form_pdf' ] . method = " post " ;
document . forms [ 'medical_examination_form_pdf' ] . submit ();
}
</ script >