<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: 20px;
/* font-size: 100px; */
}
@media print {
#printPageButton {
display: none;
}
}
.tbl1 {
border: 2px solid black;
border-collapse: collapse;
font-weight: 800;
padding: 15px;
}
.tbl1, tr, td {
border: 1px solid black !important;
}
.tbl3, tr, td {
border: 1px solid black !important;
font-size: 12px;
}
.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: 15px 32px;
text-align: center;
text-decoration: none;
display: inline-block;
font-size: 16px;
margin: 4px 2px;
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,$query_sign )) {
die ( mysqli_error($conn) );
} 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,$query_emp_sign)) {
// die(mysqli_error($conn));
// } 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>