Patient -
SAVE
SAVE
Back
Add Abnormality
Add Calculation
Ticket No
Patient ID
Employee Code
Employee Name
Date Of Birth
Employee Designation
Employee Department
Checkup Date
Valid Upto
modify($duration); $date_new = $date->format('Y-m-d'); error_log("due date " . $date_new); error_log(" row checkup date " . $row_checkup['valid_upto']); if ($row_checkup['valid_upto'] != null && $row_checkup['valid_upto'] != '0000-00-00' && $row_checkup['valid_upto'] != '') { $valid_duration_date = $row_checkup['valid_upto']; } else { $valid_duration_date = $date_new; } error_log("after date " . $valid_duration_date); ?>
" type="text" data-date-format="dd/mm/yyyy" />
Fitness Status
>Fit
>Provisionally Fit
>Temporarily Unfit
>Unfit
Remarks
<?php echo $row_employee['remarks']; ?>
Remarks
Checkup Date
Referred By
<?php echo $row_checkup['remarks']; ?>
Select Doc Name
Health Risk
Health Advice
Past Present Illness
Chronic Illnesses
Habits
Nominate Patient For Wellness Program
Program Status
>
Complete
>
Incomplete
Critical Findings
class="form-control" rows="2" name="findings" id="findings" style="width: 100%;" value=''><?php echo $row_checkup['findings']; ?>
Lab Technician Comments
class="form-control" rows="2" name="comments" id="comments" style="width:100%;" value=""><?php echo $row_checkup['comments']; ?>
Doctor Critical Findings
<?php echo $row_checkup['doc_findings']; ?>
Doctor Comments
<?php echo $row_checkup['doc_comments']; ?>
Checkup Section Header
Supporting Documents
Document Name
Download
Delete
'>
images/pdf.pngimages/image_icon.png' width='35' height='35'>
* "; } ?>
select"; $default_needed = true; for ($p = 0; $p < count($parameter_values_array); $p++) { $parameter_name = getTableFieldValue('checkup_parameter_value', 'parameter_value_name', 'parameter_value_id', $parameter_values_array[$p]); if ($data[$counter]['checkup_form_value'] == $parameter_values_array[$p]) { echo "
" . $parameter_name . "
"; $default_needed = false; } else { if ($default_needed && $parameter_values_array[$p] == $default_value_id) { echo "
" . $parameter_name . "
"; } else { echo "
" . $parameter_name . "
"; } } } ?>
" . $parameter_name . ""; } ?>
<?php if (empty(trim($data[$counter]['checkup_form_value']))) { echo $data[$counter]['default_value']; } else { echo $data[$counter]['checkup_form_value']; } ?>
Additional/Other Tests
* "; } ?>
select"; $default_needed = true; for ($p = 0; $p < count($add_parameter_values_array); $p++) { // error_log("selected val " .$row_add_param['checkup_form_value']); $add_parameter_name = getTableFieldValue('checkup_parameter_value', 'parameter_value_name', 'parameter_value_id', $add_parameter_values_array[$p]); if ($row_add_param['checkup_form_value'] == $add_parameter_values_array[$p]) { echo "
" . $add_parameter_name . "
"; $default_needed = false; } else { if ($default_needed && $add_parameter_values_array[$p] == $add_default_value_id) { echo "
" . $add_parameter_name . "
"; } else { echo "
" . $add_parameter_name . "
"; } } } ?>
select"; for ($p = 0; $p < count($add_parameter_values_array); $p++) { $add_parameter_name = getTableFieldValue('checkup_parameter_value', 'parameter_value_name', 'parameter_value_id', $add_parameter_values_array[$p]); if ($row_add_param['checkup_form_value'] == $add_parameter_values_array[$p]) { echo "
" . $add_parameter_name . "
"; } else { echo "
" . $add_parameter_name . "
"; } } ?>
<?php if (empty(trim($row_add_param['checkup_form_value']))) { echo $row_add_param['default_value']; } else { echo $row_add_param['checkup_form_value']; } ?>