<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: 2px solid black;
	border-collapse: collapse;
	font-weight: 800;
	padding: 15px;
}
</style>

</head>
<div id="medical_examination_form" >
<?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>

		<tr >
             <td>Document No.</td>
			<td>F-MED-09</td>
		</tr>

		<tr >
            <td>Revision</td>
			<td>0</td>
		</tr>

		<tr >
			<td>Implementation Date</td>

			<td></td>
		</tr>
         <tr  >
         <td align="center" colspan="4">Form O</td>
         </tr>

	</table>
<div  style="margin-top: 20px" id="">
	
	
</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>