Beispiel #1
0
			$sql = mysql_query($qry) or die(mysql_error());
			$row = mysql_fetch_array($sql);
		?>
			<h2><a name="tab1">Application</a></h2>
			<div class="view_application">
				<?php
					$getdata->MedicalView($row);
					echo "</div>";
				?>
			</div>
		</div>
			
		<div class="tabbertab">
		<?php
			$admin    = $_SESSION['username'];
			$admin_id = $getdata->GetDetailsByUsername($admin,"id");
		?>
			<?php
				include('../includes/upload-documents.php');
			?>
		</div>
		
		<div class="tabbertab">
			<?php
				include('../includes/assign-proffessional.php');
			?>
		</div>
		
		<div class="tabbertab">
			<?php
				include('../includes/update-status.php');
Beispiel #2
0
				<div class="attorney_row">
					<div class="attorney_left">
						<label>Work No.</label>
						<input type="text" name="office_no" maxlength="14" onkeyup="mask(event,this);"   onkeydown="mask(event,this);"  value="<?php 
    if (isset($_POST['office_no'])) {
        echo $_POST['office_no'];
    }
    ?>
"  id=""/>
						<span class="error validation"></span>
					</div>
					<div class="attorney_right">
						<label>Client Email</label>
						<input type="hidden" name="email_address" id="" value="<?php 
    echo $temp_profile->GetDetailsByUsername($panel, "email_id");
    ?>
"/>
						<input type="text" name="client_email_address" id="" value=""/>
						<span class="error validation"></span>
					</div>
				</div>
				<div class="attorney_row">
					<div class="attorney_left">
						<label>Date of Birth</label>
						<div class="dob">
							<select name="d_o_b_m" required>
								<option value="">Select Month</option>
								<?php 
    $array = array("Jan", "Feb", "Mar", "Apr", "May", "Jun", "Jul", "Aug", "Sep", "Oct", "Nov", "Dec");
    foreach ($array as $key => $value) {