MERMS/MermsEmrWeb
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fix

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This commit is contained in:
Olusesan Ameye
2021-02-20 20:41:46 -05:00
parent c9e4228bdd
commit 25bd22d245
3 changed files with 114 additions and 36 deletions
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providerwww/application/views/provider/patient/newpatient.php
+8 -8
View File
@@ -21,7 +21,7 @@
<div class="card card-statistics h-100 mb-0">
<div class="card-header d-flex justify-content-between">
<div class="card-heading">
<h4 class="card-title">New Patient</h4>
<h4 class="card-title">New Patient - <?= $account_message ?> </h4>
</div>
<div class="dropdown">
<!-- a class="btn btn-round btn-inverse-primary btn-xs" href="#">View all </a -->
@@ -53,11 +53,11 @@
<div class="form-group col-md-6">
<label for="inputPassword4">Gendar</label>
<select class="form-control" aria-label="Default select example">
<option selected>Open this select menu</option>
<option value="1">One</option>
<option value="2">Two</option>
<option value="3">Three</option>
<select class="form-control" aria-label="Select Gender" name ="gender">
<option selected>Select</option>
<option value="M">Male</option>
<option value="F">Female</option>
<option value="U">Unknown</option>
</select>
</div>
@@ -102,13 +102,13 @@
<input type="text" class="form-control" id="zipcode" name="zipcode" value="<?= $zipcode ?>">
</div>
</div>
<div class="form-group">
<!-- div class="form-group">
<div class="form-check">
<label class="form-check-label">
<?= $account_message ?>
</label>
</div>
</div>
</!-->
<div class="form-row">
<div class="form-group col-md-9">
providerwww/application/views/provider/patient/thispatient.php
+71 -16
View File
@@ -32,45 +32,101 @@
<div class="card card-statistics h-100 mb-0">
<div class="card-header d-flex justify-content-between">
<div class="card-heading">
<h4 class="card-title">Edit Patient</h4>
<h4 class="card-title"><?=$firstname?> <?=$lastname?></h4>
</div>
<div class="dropdown">
<!-- a class="btn btn-round btn-inverse-primary btn-xs" href="#">View all </a -->
<button type="button" class="btn btn-primary btn-sm">Reminders</button>
<button type="button" class="btn btn-outline-primary btn-sm">Tracking</button>
<button type="button" class="btn btn-info btn-sm">Charts</button>
</div>
</div>
<div class="card-body">
<div class="card-body">
<form method="POST" action="/patient/addnew">
<div class="form-row">
<form method="POST" action="/patient/updatepatient">
<div class="form-row">
<div class="form-group col-md-6">
<label for="inputEmail4">Firstname</label>
<input type="text" class="form-control" id="firstname" name="firstname" value="<?=$firstname?>" placeholder="Firstname">
<input type="text" class="form-control" id="firstname" name="firstname" value="<?= $firstname ?>" placeholder="Firstname">
</div>
<div class="form-group col-md-6">
<label for="inputPassword4">Lastname</label>
<input type="text" class="form-control" id="lastname" name="lastname" value="<?=$lastname?>" placeholder="Lastname">
<input type="text" class="form-control" id="lastname" name="lastname" value="<?= $lastname ?>" placeholder="Lastname">
</div>
</div>
<div class="form-row">
<div class="form-group col-md-12">
<label for="inputEmail4">Email</label>
<input type="email" class="form-control" id="inputEmail4" value="<?=$email?>" placeholder="Email">
<div class="form-group col-md-6">
<label for="inputEmail4">DOB</label>
<input type="text" class="form-control date-picker-default" value="" name="dob">
</div>
<div class="form-group col-md-6">
<label for="inputPassword4">Gendar</label>
<select class="form-control" aria-label="Select Gender" name ="gender">
<option selected>Select</option>
<option value="M">Male</option>
<option value="F">Female</option>
<option value="U">Unknown</option>
</select>
</div>
</div>
<div class="form-row">
<div class="form-group col-md-6">
<label for="inputEmail4">Email</label>
<input type="email" class="form-control" id="inputEmail4" placeholder="Email">
</div>
<div class="form-group col-md-6">
<label for="inputPassword4">Password</label>
<input type="password" class="form-control" id="password" value="" placeholder="Password">
</div>
</div>
<div class="form-group">
<label for="inputAddress">Address</label>
<input type="text" class="form-control" id="street1" name="street1" value="" placeholder="1234 Main St">
</div>
<div class="form-group">
<label for="inputAddress2">Address 2</label>
<input type="text" class="form-control" id="street2" name="street2" value="" placeholder="Apartment, studio, or floor">
</div>
<div class="form-row">
<div class="form-group col-md-6">
<label for="inputCity">City</label>
<input type="text" class="form-control" id="city" name="city" value="">
</div>
<div class="form-group col-md-4">
<label for="inputState">State</label>
<select id="inputState" class="form-control" name="state">
<option selected>Select State</option>
<option value="OGUN">Ogun</option>
<option value="OYO">Oyo</option>
<option value="OSUN" selected>Osun</option>
</select>
</div>
<div class="form-group col-md-2">
<label for="inputZip">Zip</label>
<input type="text" class="form-control" id="zipcode" name="zipcode" value="">
</div>
</div>
<div class="form-row">
<div class="form-group col-md-9">
</div>
<div class="form-group col-md-3">
<button type="submit" class="btn btn-primary">Update</button>
<button type="submit" class="btn btn-danger btn-block">Update</button>
</div>
</div>
</form>
@@ -80,7 +136,6 @@
</div>
</div>