<?php session_start(); include('includes/config/config.php'); include_once("includes/functions.php"); include_once("log_entry.php"); mysqli_query($conn, 'SET character_set_results=utf8'); error_reporting(0); $query = "select * from company_profile where company_id =5 "; //echo $query; $result = mysqli_query($conn, $query); $row_for_company = mysqli_fetch_array($result); @extract($row_for_company); ?> <!DOCTYPE html> <html lang="en"> <head> <meta charset="UTF-8"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <link rel="preconnect" href="https://fonts.gstatic.com" crossorigin> <link href="https://fonts.googleapis.com/css2?family=Lora&display=swap" rel="stylesheet"> <title>Medical Examinatuin For Driving License </title> <style> /* .sign{ position: relative; padding: 0 , 50px , 0 , 20px; } */ .single_line { padding: 10px; } .logo_td { position: relative; top: -20%; padding-top: -20%; } .space { padding-bottom: 10px; } .plant { left: 37%; } .free { /* top: 25px; */ left: 10%; margin-top: -30px; /* background-color: black; */ font-size: 19px; color: black; /* padding-left: 10%; padding-right: 10%; */ } .table_free { position: relative; /* left: 10%; */ /* margin-top: -50px; */ width: 70%; } b { font-weight: lighter; } .table_2 { left: 10%; width: 100%; text-align: left; } td.table_2 { height: 20px; text-align: left; font-weight: unset; } .div { padding-left: 10px; } th, tr { border-radius: 40px; } table { width: 1000px; margin-right: 50px; border-radius: 100px; } .table_2_th { background-color: powderblue; } .table_3 { left: 10%; width: 100%; } .table_sign { left: 10%; width: 100%; } .tt { height: 50px; text-align: left; } .table_sign_2 { left: 10%; width: 100%; } body { font-family: Arial, Helvetica, sans-serif } .trans_border { border-color: #ffffff; } .table_header { border: 1px solid black; background-color: powderblue; } .logo { position: relative; /* padding-right: 50%; */ /* margin-left: 50%; */ left: 15%; top: 20%; border-radius: 100px; } .comname { position: relative; left: -10%; } .comadd { position: relative; } .btn { position: relative; background-color: #4CAF50; top: -40px; border-radius: 5%; /* Green */ border: none; color: white; padding: 5px 8px; text-align: right; text-decoration: none; left: 87%; font-size: 12px; margin: 4px 2px; cursor: pointer; } @media print { #printPageButton { display: none; } } </style> </head> <body> <div class="container trans_border"> <center> <?php include("pdf_ohc_header.php"); ?> </center> <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.6.0/jquery.min.js"></script> <button id="printPageButton" class="btn btn-success" onClick="window.print();">Print</button> <center> <h2 class="free"> Medical Examinatuin For Driving License </h2> </center> </div> <?php $patient_id = $_POST['patient_id']; $response_id = $_POST['response_id']; $dlf_no = $_POST['dlf_no']; error_log("patient_id" . $patient_id . " response_id " . $response_id . " dlf_no " . $dlf_no); $sql_patient = "select a.*,b.question_id,b.question_remarks, b.question_answer,date_format(a.screen_date,'%d-%m-%Y %H:%i') as screening_date,c.primary_phone,c.section_id,c.id,c.patient_name,c.blood_group,c.designation_id,c.bu_id,c.dept_id,c.dob,c.gender,c.emp_code from questionaire_master_response a left join questionaire_master_response_details b on a.response_id = b.response_id left join patient_master c on a.patient_id = c.id where a.form_type='dlf' and a.patient_id='" . $_REQUEST['patient_id'] . "'"; error_log("query " . $sql_patient); $result_patient = mysqli_query($conn, $sql_patient); $row_patient = mysqli_fetch_assoc($result_patient); @extract($row_patient); ?> <center> <table class="table_free" style="border-color: grey; width:1000px"> <tr class="table_header"> <td class="table_header"> EXAMINATION NO. </td> <td width="15%" class="table_header"> <?= $row_patient['medical_examination_no'] ?> </td> <td class="table_header"> EXAMINATION DATE: </td> <td width="15%" class="table_header"> <?= $row_patient['screen_date']?> </td> </tr> <tr class="table_header"> <td width="5%" class="table_header"> PATIENT NAME: </td> <td width="15%" class="table_header"> <?= $row_patient['patient_name'] ?> </td> <td class="table_header"> EMPLOYEE ID: </td> <td width="15%" class="table_header"> <?= $row_patient['emp_code']?> </td> </tr> <tr class="table_header"> <td class="table_header">Age.</td> <td width="5%" class="table_header"><?php echo datediff($row_patient['dob'],"age") ?></td> <td width="5%" class="table_header"> GENDER </td class="table_header"> <td width="5%" class="table_header"><?php if ($row_patient['gender'] == "M" || $row_patient['gender'] == "m") { echo "MALE"; } else if ($row_patient['gender'] == "F" || $row_patient['gender'] == "f") { echo "FEMALE"; } else {echo "OTHER";} ?></td> </tr> <tr class="table_header"> <td width="5%" class="table_header"> BLOOD GROUP: </td> <td width="15%" class="table_header"> <?= $row_patient['blood_group'] ?> </td> <td width="5%" class="table_header"> DESIGNATION: </td> <td width="15%" class="table_header"> <?php $desig = "select `designation_name` from `designation` where `designation_id`='" . $row_patient['designation_id'] . "'"; error_log($desig); $designation = @mysqli_query($conn, $desig); $desig_row = @mysqli_fetch_assoc($designation); echo $desig_row['designation_name']; ?> </td> </tr> <tr class="table_header"> <td width="5%" class="table_header"> DIVISION </td> <td width="15%" class="table_header"> <?php $bu_uni = "select `bu_name` from `bussiness_unit` where `bu_id`='" . $row_patient['bu_id'] . "'"; error_log($bu_uni); $division = @mysqli_query($conn, $bu_uni); $div = @mysqli_fetch_assoc($division); echo $div['bu_name']; ?> </td> <td width="5%" class="table_header"> DEPARTMENT </td> <td width="15%" class="table_header"> <?php $dept = "select `dept_name` from `department` where `dept_id`= '" . $row_patient['dept_id'] . "'"; error_log($dept); $department = @mysqli_query($conn, $dept); $depart = @mysqli_fetch_assoc($department); echo $depart['dept_name']; ?> </td> </tr> <tr class="table_header"> <td class="table_header">UTE:</td> <td width="10%" class="table_header"> <?php $ute = "SELECT * FROM `section` WHERE `section_id`='".$row_patient['section_id']."'"; error_log('ute'.$ute); $U = @mysqli_query($conn, $ute); $ROW_UTE= @mysqli_fetch_assoc($U); echo $ROW_UTE['section_name']; ?></td> <td width="5%" class="table_header"> Contact: </td> <td width="15%" class="table_header"> <?= $row_patient['primary_phone'] ?> </td> </tr> </table> <table class="form-control" style="margin-top: 20px ;width: 1000px; text-align:left; margin-bottom: 20px "> <tr class="table_header"> <td width="1%" class="table_header"> 1) Identification Mark </td> <td class="table_header" style="text-align:left;"><?php echo $row_patient['id_mark1'] ?></td> </tr> <tr class="table_header"> <td width="1%" class="table_header"> 2) Identification Mark </td> <td width="10%" class="table_header" style="text-align:left;"><?php echo $row_patient['id_mark2'] ?> </td> </tr> </table> <table class="table_free" style="border-color: grey; width: 1000px;"> <?php $sql_dl = "select * from patient_master WHERE id ='" . $_REQUEST['patient_id'] . "' "; // echo $_REQUEST ['flex_patient_id'] ; $result_dl = mysqli_query($conn, $sql_dl); $row_dl = mysqli_fetch_assoc($result_dl); error_log('sql'.$sql_dl); ?> <tr class="table_header"> <td width="15%" class="table_header"> HEIGHT </td> <td width="15%" class="table_header"> <?php echo " ".$row_patient['height']." Cms" ?> </td> <td width="15%" class="table_header"> WEIGHT </td> <td width="15%" class="table_header"> <?php echo " ".$row_patient['weight']." Kg" ?> </td> </tr> <tr class="table_header"> <td width="15%" class="table_header"> BMI </td> <td width="15%" class="table_header"> <?php echo " ".$row_patient['bmi'] ?> </td> <td width="15%" class="table_header"> BP </td> <td width="15%" class="table_header"> <?php echo " ".$row_patient['bp']." Mm/Hg" ?> </td> </tr> <tr class="table_header"> <td width="15%" class="table_header"> PULSE </td> <td width="15%" class="table_header"> <?php echo " ".$row_patient['pulse']." P/Min" ?> </td> <td width="15%" class="table_header"> DISTANCE VISION RT EYE </td> <td width="15%" class="table_header"> <?php echo " ".$row_patient['distance_vis_rt'] ?> </td> </tr> <tr class="table_header"> <td width="15%" class="table_header"> DISTANCE VISION LT EYE </td> <td width="15%" class="table_header"> <?php echo " ".$row_patient['distance_vis_lt'] ?> </td> <td width="15%" class="table_header"> NEAR VISION RT EYE </td> <td width="15%" class="table_header"> <?php echo " ".$row_patient['near_vis_rt'] ?> </td> </tr> <tr class="table_header"> <td width="15%" class="table_header"> NEAR VISION LT EYE </td> <td width="15%" class="table_header"> <?php echo " ".$row_patient['near_vis_lt'] ?> </td> <td width="15%" class="table_header"> COLOR VISION AS PER (ISHIHARA CHART) </td> <td width="15%" class="table_header"> <?php echo " ".$row_patient["color_vis"] ?> </td> </tr> </table> <br> <h4 style="text-align: left ; width:1000px; margin-bottom: 8px; "> Declaration: </h4> <table class="table_2" style="width: 1000px"> <?php $sql_sub_section = "select sub_section_order,section_name from questionaire_master where question_type='dlf' and sub_section_available='Y' group by sub_section_order"; $result_sub_section = mysqli_query($conn, $sql_sub_section); $i = 0; if (mysqli_num_rows($result_sub_section) > 0) { while ($row_sub_section = mysqli_fetch_assoc($result_sub_section)) { $section_name = $row_sub_section['section_name'];?> <thead> <tr class="table_2_th" style="display: none"> <?php $sql_config = "select value from config where key_name = 'QUESTIONNAIRE_LANGUAGE'"; $result_config = @mysqli_query($conn, $sql_config); $row_config = @mysqli_fetch_array($result_config); if ($row_config['value'] == 'LOCAL_LANGUAGE') { ?> <th>क्रमांक</th> <th><?= $section_name ?></th> <th>हां/नहीं</th> <?php } elseif ($row_config['value'] == 'ENGLISH') { ?> <th>Sr.No</th> <th><?= $section_name ?></th> <th>Yes/No</th> <th>Observation and remark</th> <?php } else { ?> <th>क्रमांक / Sr.No</th> <th><?= $section_name ?></th> <th>हां/नहीं / Yes/No</th> <th>Observation and remark</th> <?php }?> </tr> </thead> <tbody class="table_header"> <?php $sql = "select patient_name from patient_master WHERE id ='" . $_REQUEST['patient_id'] . "' "; // echo $_REQUEST ['flex_patient_id'] ; if (!$result = @mysqli_query($conn, $sql)) { die(mysqli_error($conn)); } if (mysqli_num_rows($result) > 0) { while ($row = @mysqli_fetch_array($result)) { //echo $row ['patient_name']; } } error_log($sql); ?> <?php $row = null; $sql = "select * from questionaire_master where question_type='dlf' and sub_section_order='" . $row_sub_section['sub_section_order'] . "' "; $result = @mysqli_query($conn, $sql); $num_rows = @mysqli_num_rows($result); $row = @mysqli_fetch_array($result); do { ?> <tr class="table_header"> <td style="width:5%" class="table_header"><?php echo $i + 1; ?></td> <td style="width: 60%" class="table_header"> <?php if ($row_config['value'] == 'LOCAL_LANGUAGE') { ?> <?php echo $row['question_hindi'] ?> <?php } elseif ($row_config['value'] == 'ENGLISH') { ?> <?php echo $row['question'] ?> <?php } else { ?> <?php echo $row['question'] ?> <?php echo $row['question_local_lang'] ?> <?php } ?> </td> <?php $sql_r = "select question_remarks,question_answer from questionaire_master_response_details a left join questionaire_master_response b on a.response_id = b.response_id where b.patient_id='" . $_REQUEST['patient_id'] . "' and a.question_id='" . $row['question_id'] . "' and b.medical_examination_no='" . $dlf_no . "'"; error_log("remarks sql " . $sql_r); $result_r = mysqli_query($conn, $sql_r); $row_r = mysqli_fetch_assoc($result_r); ?> <td style="width: 20%" class="table_header"> <?php if ($row_r['question_answer'] == 'Y') { ?> Yes <?php } else { ?> No <?php } ?> </td> <td style="width: 30%;" class="table_header"> <?php echo $row_r['question_remarks'] ?> </td> </tr> <?php $i++; } while ($row = @mysqli_fetch_array($result)); } ?> <?php } else { ?> <thead> <tr style="display: none ;"> <?php $sql_config = "select value from config where key_name = 'QUESTIONNAIRE_LANGUAGE'"; $result_config = @mysqli_query($conn, $sql_config); $row_config = @mysqli_fetch_array($result_config); if ($row_config['value'] == 'LOCAL_LANGUAGE') { ?> <th>क्रमांक</th> <th>कृपया नीचे दिये गए प्रश्न के उत्तर हाँ या ना मे दीजिये </th> <th>हां/नहीं</th> <?php } elseif ($row_config['value'] == 'ENGLISH') { ?> <th>Sr.No</th> <th>Please answer the questions in Yes or No</th> <th>Yes/No</th> <th>Observation and remark</th> <?php } else { ?> <th>क्रमांक / Sr.No</th> <th>कृपया नीचे दिये गए प्रश्न के उत्तर हाँ या ना मे दीजिये / Please answer the questions in Yes or No</th> <th>हां/नहीं / Yes/No</th> <th>Observation and remark</th> <?php } ?> </tr> </thead> <tbody class="table_header"> <?php $sql = "select patient_name from patient_master WHERE id ='" . $_REQUEST['flex_patient_id'] . "' "; // echo $_REQUEST ['flex_patient_id'] ; if (!$result = @mysqli_query($conn, $sql)) { die(mysqli_error($conn)); } if (mysqli_num_rows($result) > 0) { while ($row = @mysqli_fetch_array($result)) { //echo $row ['patient_name']; } } error_log($sql); ?> <?php $i = 0; $row = null; $sql = "select * from questionaire_master where question_type='dlf'"; $result = @mysqli_query($conn, $sql); $num_rows = @mysqli_num_rows($result); $row = @mysqli_fetch_array($result); do { $count = 0; ?> <tr class="table_header"> <td style="width:5%" class="table_header"><b> <?php echo $i + 1; ?><b></td> <td style="width: 60%" class="table_header"> <?php if ($row_config['value'] == 'LOCAL_LANGUAGE') { ?> <b><?php echo $row['question_hindi'] ?><b> <?php } elseif ($row_config['value'] == 'ENGLISH') { ?> <b><?php echo $row['question'] ?><b> <?php } else { ?> <b><?php echo $row['question'] ?> / <?php echo $row['question_hindi'] ?></b> <?php } ?> </td> <?php $sql_r = "select question_remarks,question_answer from questionaire_master_response_details a left join questionaire_master_response b on a.response_id = b.response_id where b.patient_id='" . $_REQUEST['patient_id'] . "' and a.question_id='" . ($i + 1) . "' and b.medical_examination_no='" . $dlf_no . "'"; error_log("remarks sql " . $sql_r); $result_r = mysqli_query($conn, $sql_r); $row_r = mysqli_fetch_assoc($result_r); ?> <td style="width: 20%" class="table_header"> <?php if ($row_r['question_answer'] == 'Y') { ?> Yes <?php } else { ?> No <?php } ?> </td> </tr> <?php $i++; } while ($row = @mysqli_fetch_array($result)); //end of while } ?> </tbody> </table> </center> <br> <table class="table_sign" style="width:910px;margin-left: 90px; ;"> <tr> <td style="height: 100px;text-align:right"> <span style="position: relative; font-weight: bold; text-align: right; top: 30%; width: fit-content;">(Signature Of Individual)</span> </td> </tr> </table> <br> <table class="form-control" style="width: 910px ;margin-left: 50px; margin-bottom:20px"> <tr> <th style=" text-decoration: underline; padding-bottom: 10px;"> Medical Fitness Certificate </th> </tr> <tr> <td class="tt" width="20%" style="height: 0px;"> <span>This is certifying that I have personally examined the applicant</span> </td> </tr> <tr> <td class="tt" width="20%" style="height: 0px;"> <span> (i) that while examining the applicant I have directed special attention to his/her distant vision.</span> </td> </tr> <tr> <td class="tt" width="20%" style="height: 0px;"> <span> (ii) while examining the applicant, I have directed special attention to his/her hearing ability,</span> </td> </tr> <tr> <td class="tt" width="20%" style="height: 0px;"> <span>the condition of the arms, legs, hands and joints of both extremities of the applicant.</span> </td> </tr> <tr> <td class="tt" width="20%" style="height: 0px;"> <span> (iii) I have personally examined the applicant for reaction time, side vision, and therefore</span> I certify that, to the best of my judgment, he is medically <?php if ($row_patient['remarks'] == 'FIT') { ?> <span style="font-weight: bold">FIT</span> <?php } else if ($row_patient['remarks'] == 'NOT FIT') { ?> <span style="font-weight: bold">UNFIT</span> <?php } else { ?> Unhealthy but can return to work after <?php } ?> to hold a driving license. </td> </tr> </table> <table class="table_sign"> <tr> <?php if ($row_patient['approval_user'] == null || $row_patient['approval_user'] == '' ) {?> <td style="height: 100px;"> <center> <span>(Name of Medical Assistant )</span></center> </td> <?php }else{ $medical_officer ="select b.*,c.patient_name from tbl_users a left join employee_signature b on a.emp_id = b.emp_id left join patient_master c on a.emp_id = c.id where a.user_id ='" . $row_patient['medical_attend'] . "'"; error_log("PDF EMPI ". $row_patient['medical_attend']."--". $medical_officer); $sign_medical = @mysqli_query($conn, $medical_officer); $sign_medical_officer = @mysqli_fetch_assoc($sign_medical); @extract($sign_medical_officer); ?> <td> <center><img style=" width:150px; height:80px;" class="card-img-bottm" src="data:<?= $sign_medical_officer['image_type']; ?>;base64,<?= base64_encode($sign_medical_officer['emp_sign']) ?>"> </center> <center> <span><?= $sign_medical_officer['patient_name'];?></span></center> <center> <span>(Name of Medical Assistant) </span></center> <?php } ?> </td> <?php if ($row_patient['approval_user'] == null || $row_patient['approval_user'] == '' ) {?> <td style="height: 100px;"> <center> <span>(Factory Medical Officer)</span> </center> </td> <?php }else{ $medical_officer1 ="select b.*,c.patient_name from tbl_users a left join employee_signature b on a.emp_id = b.emp_id left join patient_master c on a.emp_id = c.id where a.user_id='" . $row_patient['approval_user'] . "'"; error_log("PDF EMPI ". $row_patient['approval_user']."--". $medical_officer1); $sign_medical1 = @mysqli_query($conn, $medical_officer1); $sign_medical_officer1 = @mysqli_fetch_assoc($sign_medical1); @extract($sign_medical_officer1); ?> <td> <center><img style=" width:150px; height:80px;" class="card-img-bottm" src="data:<?= $sign_medical_officer1['image_type']; ?>;base64,<?= base64_encode($sign_medical_officer1['emp_sign']) ?>"> </center> <center> <span><?= $sign_medical_officer1['patient_name'];?></span></center> <center> <span>(Factory Medical Officer )</span></center> <?php } ?> </td> </tr> </table> </html> </div>