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< 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 " >
< link
href = " https://fonts.googleapis.com/css?family=Hind:400,700&subset=devanagari,latin-ext "
rel = " stylesheet " >
< head >
< style >
@ page {
size : auto ;
margin : 20 px ;
/* font-size: 100px; */
}
@ media print {
#printPageButton {
display : none ;
}
}
. tbl1 {
border : 2 px solid black ;
border - collapse : collapse ;
font - weight : 800 ;
padding : 15 px ;
}
. tbl1 , tr , td {
border : 1 px solid black ! important ;
}
. tbl3 , tr , td {
border : 1 px solid black ! important ;
font - size : 12 px ;
}
. tbl3 . tg - dvpl {
border - color : inherit ;
text - align : right ;
vertical - align : top ;
}
. btn {
background - color : #4CAF50;
border - radius : 10 % ; /* Green */
border : none ;
color : white ;
padding : 15 px 32 px ;
text - align : center ;
text - decoration : none ;
display : inline - block ;
font - size : 16 px ;
margin : 4 px 2 px ;
cursor : pointer ;
}
</ style >
</ head >
< div id = " medical_examination_form " style = " margin-top: -5px; " >
< ? php
include ( 'includes/config/config.php' );
include_once ( " includes/functions.php " );
include ( " log_entry.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 " cellspacing = " 0 " >
< 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
echo $sql_patient_physical_parameters = " select a.*,b.id,b.patient_name, b.father_name,b.dob,b.doj,b.designation_id,b.emp_code,b.gender,b.primary_phone,b.blood_group,b.photo,b.email_id,b.personal_phone from medical_examination a inner join patient_master b on b.id=a.patient_id where a.medical_exam_id=' " . $_REQUEST [ 'medical_exam_id' ] . " ' " ;
error_log ( $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 );
?>
< tr >
< td > Document No .</ td >
< td > F - MED - 08 </ 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 " > Initial Medical Examination Card
( Short Term ) </ td >
</ tr >
</ table >
< br >
< div style = " margin-top: 0px " >
< ? php
?> <table width="100%" class="tbl2"
style = " border: 1px solid black !important; " cellspacing = " 0 " >
< tr >
< td width = " 30% " > Serial No </ td >
< td width = " 50% " colspan = " 5 " >< ? php echo $ime_no ?> </td>
</ tr >
< tr >
< td width = " 30% " > Name </ td >
< td width = " 50% " colspan = " 3 " >< ? php echo $patient_name ?> </td>
< td width = " 20% " colspan = " 2 " rowspan = " 6 " ></ td >
</ tr >
< tr >
< td width = " 20% " > Father Name </ td >
< td width = " 20% " colspan = " 3 " >< ? php echo $father_name ?> </td>
</ tr >
< tr >
< td > Age / Sex </ td >
< td colspan = " 3 " >< ? 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>
</ tr >
< tr >
< td > Grade / Post </ td >
< td colspan = " 3 " >< ? php echo getTableFieldValue ( 'designation' , 'designation_name' , 'designation_id' , $designation_id ) ?> </td>
</ tr >
< tr >
< td > Mobile . No .</ td >
< td colspan = " 3 " >< ? 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 colspan = " 6 " >< b > TO BE FILLED IN BY THE CANDIDATE </ b ></ td >
</ tr >
< ? php
$past_present_illness_array = explode ( ',' , $past_present_illness );
$result_section = mysqli_query ( $conn , " SET NAMES utf8 " );
$sql_section = " select * from history_parameter where param_id in (1,2,3,4,5,6,7,8,9,10,12,13) order by param_id asc " ;
$count = 1 ;
$result_section = mysqli_query ( $conn , $sql_section );
while ( $row_section = mysqli_fetch_assoc ( $result_section ) ) {
if ( $count % 2 != 0 ) {
?> <tr><?php
}
?>
< td
width = " 50% " colspan = " 3 " >< input type = " checkbox "
id = " <?php echo $row_section['param_name'] ; ?> "
< ? php if ( in_array ( $row_section [ 'param_id' ], $past_present_illness_array )) echo " checked " ; ?>
name = " history_param "
value = " <?php echo $row_section['param_id'] ; ?> " > < b
style = " margin-top: -10px " > < ? php echo $row_section [ 'param_name' ]; ?> </b>
< span style = " margin-left: 20px " >
< ? php
if ( ! in_array ( $row_section [ 'param_id' ], $past_present_illness_array )) {
echo " X " ;
}
?> </span></td>
< ? php
if ( $count % 2 == 0 ) {
?> </tr><?php
}
$count ++ ;
}
?>
< tr >
< td colspan = " 6 " >< p >
</ br > Signature / Left Thumb Impression of Candidate
</ p ></ td >
</ tr >
</ table >
< br >
< div style = " margin-top: 0px " >
< table width = " 100% " style = " border: 1px solid black !important; "
class = " tbl3 " cellspacing = " 0 " >
< tr >
< td colspan = " 6 " > RECORD OF MEDICAL EXAMINATION </ td >
</ tr >
< tr >
< td colspan = " 2 " > Height ( cms ) </ td >
< td colspan = " 2 " >< ? php echo $height ?> </td>
< td colspan = " 2 " >< b > CLINICAL EXAMINATION </</ b ></ td >
</ tr >
< tr >
< td width = " 30% " colspan = " 2 " > Weight ( kgs ) </ td >
< td width = " 20% " colspan = " 2 " >< ? php echo $weight ?> </td>
< td width = " 20% " > PALLOR </ td >
< td width = " 30% " >< ? php echo $pallor ?> </td>
</ tr >
< tr >
< td colspan = " 2 " ></ td >
< td colspan = " 2 " ></ td >
< td > PULSE </ td >
< td >< ? php echo $pulse ?> </td>
</ tr >
< tr >
< td colspan = " 4 " align = " center " >< b > 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 > CVS </ td >
< td >< ? php echo $cvs ?> </td>
</ tr >
< tr >
< td > Distant Vision </ td >
< td width = " 30% " > Without Glasses </ td >
< td > 6 /< ? php echo $dis_without_right_eye ?> </td>
< td > 6 /< ? php echo $dis_without_left_eye ?> </td>
< td > RS </ td >
< td >< ? php echo $rs ?> </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 > MUSCULO SKELETAL </ td >
< td >< ? php echo $musculo_skeletal ?> </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 rowspan = " 3 " > ANY OTHER RELEVANT FINDING </ td >
< td rowspan = " 3 " >< ? php echo $other_relevant_findings ?> </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>
</ tr >
< tr >
< td colspan = " 2 " > IDENTIFICATION OF INDIVIDUAL COLOURS </ td >
< td colspan = " 2 " >< ? php echo $ident_of_individual_colors ; ?> </td>
</ tr >
< tr >
< td colspan = " 2 " > COLOR VISION </ td >
< td colspan = " 2 " >< ? php echo $color_vision ; ?> </td>
< td ></ td >
< td ></ td >
</ tr >
< tr >
< td colspan = " 3 " > OPINION / REMARKS ( BY MEDICAL ASSISTANT ) </ td >
< td colspan = " 3 " >< ? php echo $opinion_remarks_medical_assistant ; ?> </td>
</ tr >
< tr >
< td colspan = " 3 " > OPINION / REMARKS ( BY DOCTOR ) </ td >
< td colspan = " 3 " >< ? php echo $opinion_remarks ; ?> </td>
</ tr >
< tr >
< td rowspan = " 2 " colspan = " 3 " > Signature of Medical Assistant </ td >
< td rowspan = " 2 " colspan = " 3 " >< ? 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: 50px; " >
< ? 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( $row_sign['emp_sign'] )?> "
style = " display: block; width: 180px; height: 25px; " />
< ? php } ?>
</ span ></ td >
</ tr >
< tr ></ tr >
< ? php
// if($sign_medical_officer=='add'){
// $emp_id=getTableFieldValue('tbl_users','emp_id','user_id',$approved_by);
// $query_emp_sign = "select * from employee_signature where emp_id='" .$emp_id. "' ";
// if (! $result_emp_sign = @mysqli_query($conn,$query_emp_sign)) {
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// die(mysqli_error($conn));
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// } else {
// $row_emp_sign = @mysqli_fetch_array($result_emp_sign);
// @extract($row_emp_sign);
// }
// }
// echo $row_emp_sign['modified_by'];
?>
< 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 class = " tg-dvpl " colspan = " 6 " >< img
src = " data:<?php echo $doc_sign_image_type ?>;base64,<?php echo base64_encode( $approving_doc_sign_img )?> "
style = " width: 240px; height: 61px; " />< br > < br > SIGNATURE OF
MEDICAL OFFICER < br > ( WITH STAMP ) < br >< ? php echo $doctor_name ?> <br><?php echo $row_patient_physical_parameters['approving_doc_qualification']?> <br><?php echo $row_patient_physical_parameters['approving_doc_regd_no']?></td>
</ tr >
< tr >
</ table >
< div align = " center " >
< button align = " center " id = " printPageButton " class = " btn btn-success "
onClick = " window.print(); " > Print </ button >
</ div >
</ div >
</ div >
< form id = " medical_examination_form_pdf " action = " " method = " POST " >
< input type = " hidden " name = " htmlText " id = " htmlText " />
</ form >
</ div >
< 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 >
