<?php

include "../../../myDatabase.php";
$ro = new database();
$ro->coconutDesign();
echo "<Br><br><br><br><br>";
echo "<center><font size=3> Pag-ibig Monthly Report</font></center>";
$ro->coconutFormStart("post", "pagibigMonthlyReport.php");
$ro->coconutBoxStart("400", "120");
echo "<br>";
echo "<table border=0>";
echo "<tr>";
echo "<Td> From </tD>";
echo "<td>";
$ro->coconutComboBoxStart_short("fromYear");
echo "<option value=''>YYYY</option>";
for ($x = 2013; $x > 1999; $x--) {
    echo "<option value='{$x}'>{$x}</option>";
}
$ro->coconutComboBoxStop();
echo "-";
$ro->coconutComboBoxStart_short("fromMonth");
echo "<option value='MM'>MM</option>";
echo "<option value='01'>01</option>";
echo "<option value='02'>02</option>";
echo "<option value='03'>03</option>";
echo "<option value='04'>04</option>";
echo "<option value='05'>05</option>";
echo "<option value='06'>06</option>";
echo "<option value='07'>07</option>";
echo "<option value='08'>08</option>";
$remarks = $_GET['remarks'];
$url = $_GET['url'];
$ro = new database();
$ro->coconutDesign();
if ($title == "OT" || $title == "ST") {
    $ro->coconutFormStart("get", "http://" . $ro->getMyUrl() . "/COCONUT/patientProfile/therapyCharges.php");
    echo "<br><br>";
    $ro->coconutBoxStart("500", "100");
    echo "<Br>";
    echo "<font color=red>{$description}</font>";
    echo "<br>";
    echo "<table border=0>";
    echo "<tr>";
    echo "<Td>Date Charge&nbsp;</td>";
    echo "<Td>";
    $ro->coconutComboBoxStart_short("month");
    echo "<option value='" . date("m") . "'>" . date("M") . "</option>";
    echo "<option value='01'>Jan</option>";
    echo "<option value='02'>Feb</option>";
    echo "<option value='03'>Mar</option>";
    echo "<option value='04'>Apr</option>";
    echo "<option value='05'>May</option>";
    echo "<option value='06'>Jun</option>";
    echo "<option value='07'>Jul</option>";
    echo "<option value='08'>Aug</option>";
    echo "<option value='09'>Sep</option>";
    echo "<option value='10'>Oct</option>";
    echo "<option value='11'>Nov</option>";
    echo "<option value='12'>Dec</option>";
    $ro->coconutComboBoxStop();
    echo "-";
Beispiel #3
0
$ro->coconutFormStart("get", "editMisc.php");
$ro->coconutHidden("id", $id);
$ro->coconutHidden("username", $username);
echo "<table border=0>";
echo "<tr>";
echo "<td>" . $ro->coconutText("Function") . "</td>";
echo "<td><input type='text' name='function' value='{$function}' class='txtBox' readonly></td>";
echo "</tr>";
echo "<tr>";
echo "<td>" . $ro->coconutText("Description") . "</td>";
echo "<td><textarea class='txtArea' name='description'>{$description}</textarea></td>";
echo "</tr>";
echo "<tr>";
echo "<td>" . $ro->coconutText("Value") . "</td>";
if ($function == "anotherPrice") {
    echo "<Td>";
    $ro->coconutComboBoxStart_short("val");
    echo "<option value='{$value}'>{$value}</option>";
    echo "<option value='IPD'>IPD</option>";
    echo "<option value='OPD'>OPD</option>";
    $ro->coconutComboBoxStop();
    echo "</td>";
} else {
    echo "<td><input type='text' name='val' value='{$value}' class='txtBox'></td>";
}
echo "</tr>";
echo "</table>";
echo "<br>";
$ro->coconutButton("Proceed");
$ro->coconutFormStop();
$ro->coconutBoxStop();
Beispiel #4
0
echo "<option value='" . $ro->getPatientRecord_civilStatus() . "'>" . $ro->getPatientRecord_civilStatus() . "</option>";
$ro->showCivilStatus();
echo "</select></td>";
echo "</tr>";
echo "<tr>";
echo "<td>Gender&nbsp;</td>";
echo "<td>\n<select name='gender' class='comboBox'>";
echo "<option value='" . $ro->getPatientRecord_gender() . "'>" . $ro->getPatientRecord_gender() . "</option>";
echo "<option value='male'>male</option>";
echo "<option value='female'>female</option>";
echo "</select></td>";
echo "</tr>";
echo "<tr>";
echo "<td>Birth Date&nbsp;</td>";
echo "<Td>";
$ro->coconutComboBoxStart_short("bdayMonth");
echo "<option value='" . $bday[1] . "'>" . $bday[1] . "</option>";
echo "<option value='01'>Jan</option>";
echo "<option value='02'>Feb</option>";
echo "<option value='03'>Mar</option>";
echo "<option value='04'>Apr</option>";
echo "<option value='05'>May</option>";
echo "<option value='06'>Jun</option>";
echo "<option value='07'>Jul</option>";
echo "<option value='08'>Aug</option>";
echo "<option value='09'>Sep</option>";
echo "<option value='10'>Oct</option>";
echo "<option value='11'>Nov</option>";
echo "<option value='12'>Dec</option>";
$ro->coconutComboBoxStop();
echo "-";
Beispiel #5
0
<?php

include "../../myDatabase.php";
$username = $_GET['username'];
$ro = new database();
$ro->coconutDesign();
$ro->coconutFormStart("get", "transmitted.php");
$ro->coconutBoxStart("600", "170");
echo "<Br>";
echo "<table border=0>";
echo "<tr>";
echo "<td>" . $ro->coconutText("From Date") . "</td>";
echo "<td>";
$ro->coconutComboBoxStart_short("fromMonth");
echo "<option value='01'>Jan</option>";
echo "<option value='02'>Feb</option>";
echo "<option value='03'>Mar</option>";
echo "<option value='04'>Apr</option>";
echo "<option value='05'>May</option>";
echo "<option value='06'>Jun</option>";
echo "<option value='07'>Jul</option>";
echo "<option value='08'>Aug</option>";
echo "<option value='09'>Sep</option>";
echo "<option value='10'>Oct</option>";
echo "<option value='11'>Nov</option>";
echo "<option value='12'>Dec</option>";
$ro->coconutComboBoxStop();
echo "</td>";
echo "<td>";
$ro->coconutComboBoxStart_short("fromDay");
for ($x = 1; $x < 32; $x++) {
Beispiel #6
0
echo "&nbsp;<select name='toTime_seconds' class='comboBoxShort'>";
for ($x = 0; $x <= 60; $x++) {
    if ($x < 10) {
        echo "<option value='0{$x}'>0{$x}</option>";
    } else {
        echo "<option name='{$x}'>{$x}</option>";
    }
}
echo "</select>";
echo "</td>";
echo "</tr>";
if ($username == "cris") {
    echo "<tr>";
    echo "<tD>Show All:&nbsp;</tD>";
    echo "<Td>";
    $ro->coconutComboBoxStart_short("username");
    echo "<option value='{$username}'>No</option>";
    echo "<option value='smch'>Yes</option>";
    $ro->coconutComboBoxStop();
    echo "</td>";
    echo "</tr>";
    echo "<tr>";
    echo "<tD>Show Cut-off:&nbsp;</tD>";
    echo "<Td>";
    $ro->coconutComboBoxStart_short("cutoff");
    echo "<option value='no'>No</option>";
    echo "<option value='yes'>Yes</option>";
    $ro->coconutComboBoxStop();
    echo "</td>";
    echo "</tr>";
} else {
<?php

include "../../../myDatabase.php";
$ro = new database();
$ro->coconutDesign();
$ro->coconutFormStart("get", "pf_ipd.php");
$ro->coconutBoxStart("500", "100");
echo "<br>";
echo "<table border=0>";
echo "<tr>";
echo "<td>" . $ro->coconutText("From Date") . "</td>";
echo "<td>";
$ro->coconutComboBoxStart_short("fromDate_month");
echo "<option value='Jan'>Jan</option>";
echo "<option value='Feb'>Feb</option>";
echo "<option value='Mar'>Mar</option>";
echo "<option value='Apr'>Apr</option>";
echo "<option value='May'>May</option>";
echo "<option value='Jun'>Jun</option>";
echo "<option value='Jul'>Jul</option>";
echo "<option value='Aug'>Aug</option>";
echo "<option value='Sep'>Sep</option>";
echo "<option value='Oct'>Oct</option>";
echo "<option value='Nov'>Nov</option>";
echo "<option value='Dec'>Dec</option>";
$ro->coconutComboBoxStop();
echo " - ";
$ro->coconutComboBoxStart_short("fromDate_day");
for ($x = 1; $x < 32; $x++) {
    if ($x < 9) {
        echo "<option value='0{$x}'>0{$x}</option>";
echo "<tr>";
echo "<td><font class='labelz'>To Date&nbsp;</font></td>";
echo "<td>\n<select name='toMonth' class='comboBoxShort'>  \n<option value='01'>Jan</option>\n<option value='02'>Feb</option>\n<option value='03'>Mar</option>\n<option value='04'>Apr</option>\n<option value='05'>May</option>\n<option value='06'>Jun</option>\n<option value='07'>Jul</option>\n<option value='08'>Aug</option>\n<option value='09'>Sep</option>\n<option value='10'>Oct</option>\n<option value='11'>Nov</option>\n<option value='12'>Dec</option>\n</select>";
echo "&nbsp;<select name='toDay' class='comboBoxShort'>";
for ($x = 1; $x < 32; $x++) {
    if ($x < 10) {
        echo "<option value='0{$x}'>0{$x}</option>";
    } else {
        echo "<option value='{$x}'>{$x}</option>";
    }
}
echo "</select>";
echo "&nbsp;<input type=text name='toYear' class='shortField' value='" . date("Y") . "'>";
echo "</td>";
echo "</tr>";
echo "<tr>";
echo "<td>&nbsp;</td>";
echo "</tr>";
echo "<tr>";
echo "<Td>" . $ro->coconutText("Type") . "</td>";
echo "<td>";
$ro->coconutComboBoxStart_short("type");
echo "<option value='OPD'>OPD</option>";
echo "<option value='IPD'>IPD</option>";
$ro->coconutComboBoxStop();
echo "</td>";
echo "</tr>";
echo "</table>";
echo "<br><input type=submit value='Proceed' style='border:1px solid #000; background-color:#3b5998; color:white;' >";
echo "</div>";
echo "</form>";
Beispiel #9
0
<?php

include "../../myDatabase.php";
$ro = new database();
$ro->coconutDesign();
echo "<br><Br><br><br>";
$ro->coconutBoxStart("600", "130");
echo "<center><br>";
$ro->coconutFormStart("get", "admissionKit1.php");
echo $ro->coconutText("From Date:&nbsp;");
$ro->coconutComboBoxStart_short("month");
echo "<option value='01'>Jan</option>";
echo "<option value='02'>Feb</option>";
echo "<option value='03'>Mar</option>";
echo "<option value='04'>Apr</option>";
echo "<option value='05'>May</option>";
echo "<option value='06'>Jun</option>";
echo "<option value='07'>Jul</option>";
echo "<option value='08'>Aug</option>";
echo "<option value='09'>Sep</option>";
echo "<option value='10'>Oct</option>";
echo "<option value='11'>Nov</option>";
echo "<option value='12'>Dec</option>";
$ro->coconutComboBoxStop();
echo "&nbsp;";
$ro->coconutComboBoxStart_short("day");
for ($x = 1; $x <= 31; $x++) {
    if ($x < 10) {
        echo "<option value='0{$x}'>0{$x}</option>";
    } else {
        echo "<option value='{$x}'>{$x}</option>";
echo "<td><font class='labelz'>Cash Rate&nbsp;</font></td>";
echo "<td><input type=text name='cashAmount' class='shortField'></td>";
echo "</tr>";
echo "<tr>";
echo "<td><font class='labelz'>Company Rate&nbsp;</font></td>";
echo "\n<td>\n<select name='companyRate' class='comboBoxShort'>\n<option value='rate1'>rate1</option>\n<option value='rate2'>rate2</option>\n<option value='rate3'>rate3</option>\n<option value='rate4'>rate4</option>\n<option value='rate5'>rate5</option>\n</select>\n</td>";
echo "</tr>";
echo "<tr>";
echo "<td><font class='labelz'>PF Sharing&nbsp;</font></td>";
echo "<td><input type=text name='doctorShare' class='shortField'>&nbsp;<font size=2>Ex:</font>&nbsp;&nbsp;<font size=2 color=red>.60 = 60%</font></td>";
echo "</tr>";
echo "<tr>";
echo "<td><font class='labelz'>Discount&nbsp;</font></td>";
echo "<td><input type=text name='discount' class='shortField'>&nbsp;</td>";
echo "</tr>";
echo "<tr>";
echo "<Td><font class='labelz'>PhilHealth</font></tD>";
echo "<TD>";
$ro->coconutComboBoxStart_short("phic");
echo "<option value='yes'>yes</option>";
echo "<option value='no'>no</option>";
$ro->coconutComboBoxStop();
echo "</td>";
echo "</tr>";
echo "<tr><Td>&nbsp;</tD></tR>";
echo "<tr>";
echo "<td>&nbsp;</td><td><input type=submit value='Proceed' style='border:1px solid #000; background-color:#3b5998; color:white' ></td>";
echo "</tr>";
echo "</table>";
echo "</div>";
echo "</form>";
Beispiel #11
0
echo "<option value='" . date("d") . "'>" . date("d") . "</option>";
for ($x = 1; $x < 32; $x++) {
    if ($x < 10) {
        echo "<option value='0{$x}'>0{$x}</option>";
    } else {
        echo "<option value='{$x}'>{$x}</option>";
    }
}
echo "</select>";
echo "&nbsp;<input type=text name='year' class='shortField' value='" . date("Y") . "'>";
echo "</td>";
echo "</tr>";
echo "<Tr>";
echo "<Td>From Time</td>";
echo "<tD>";
$ro->coconutComboBoxStart_short("fromTime_hours");
for ($x = 0; $x <= 24; $x++) {
    if ($x < 10) {
        echo "<option value='0{$x}'>0{$x}</option>";
    } else {
        echo "<option value='{$x}'>{$x}</option>";
    }
}
$ro->coconutComboBoxStop();
echo "-";
$ro->coconutComboBoxStart_short("fromTime_minutes");
for ($x = 0; $x <= 24; $x++) {
    if ($x < 10) {
        echo "<option value='0{$x}'>0{$x}</option>";
    } else {
        echo "<option value='{$x}'>{$x}</option>";
Beispiel #12
0
$cashPaid = $_GET['cashPaid'];
$batchNo = $_GET['batchNo'];
$username = $_GET['username'];
$inventoryFrom = $_GET['inventoryFrom'];
$ro = new database();
$ro->coconutDesign();
echo "\n<style type='text/css'>\n.qty {\n\tborder: 1px solid #000;\n\tcolor: #000;\n\theight:25px;\n\twidth: 100px;\n\tpadding:4px 4px 4px 10px;\n}\n\n</style>\n\n";
//addCharges.php
echo "<br><Br><Br><center><font color=blue>Ambulance</font>";
echo "<form method='get' action='http://" . $ro->getMyUrl() . "/COCONUT/availableMisc/addCharges_ambulance.php'>";
echo "<center><div style='border:1px solid #000000; width:400px; height:100px;\t'>";
echo "<br><table border=0 cellpadding=0 cellspacing=0>";
echo "<tr>";
echo "<td><font size=3 color=red>Additional 10%?</font>&nbsp;&nbsp;</td>";
echo "<td>";
$ro->coconutComboBoxStart_short("additional");
echo "<option value='no'>No</option>";
echo "<option value='yes'>Yes</option>";
$ro->coconutComboBoxStop();
echo "</td>";
echo "</tr>";
echo "<tr><td>&nbsp;</td></tr>";
echo "<tr>";
echo "<td><input type='button' class='button' value=' Back  '\nonClick='javascript: history.go(-1)' style='border:1px solid #000000; background-color:transparent;'></td>";
echo "<td>&nbsp;&nbsp;</td>";
echo "<td><input type=submit value='Proceed' style='border:1px solid #000000; background-color:transparent; color:red; height:20px;'></td>";
echo "<input type=hidden name='status' value='{$status}'>";
echo "<input type=hidden name='registrationNo' value='{$registrationNo}'>";
echo "<input type=hidden name='chargesCode' value='{$chargesCode}'>";
echo "<input type=hidden name='description' value='{$description}'>";
echo "<input type=hidden name='sellingPrice' value='{$sellingPrice}'>";