addLaboratoryResultInPatient($registrationNo,$itemNo,$chargesCode,$medtech,$date,$result);
}
*/
echo "<script type='text/javascript' src='/ckeditor/ckeditor.js'></script>";
echo "<br>";
echo "<center><font size=4><b>PAGADIAN CITY MEDICAL CENTER</b></font></center>";
echo "<center><b><font size=3><b>LABORATORY DEPARTMENT</b></font></b></center>";
echo "<center><font size=3>Cabrera St., Pagadian City</font></center>";
echo "<center><font size=3>Tel No. 062-2143237</font></center>";
echo "<br><br>";
echo "<center>";
echo "<table border=0 cellspacing=0 cellpadding=1 width='100%' >";
echo "<tr>";
echo "<td> <b>Name:</b> " . $ro->getPatientRecord_lastName() . ", " . $ro->getPatientRecord_firstName() . "</td>";
echo "<td> <b>Age/Sex:</b> " . $ro->getPatientRecord_Age() . "/" . $ro->getPatientRecord_gender() . "</td>";
echo "<Td> <b>Date:</b> " . date("M d, Y") . "</td>";
echo "</tr>";
echo "<tr>";
echo "<td> <b>D.O.B:</b> " . $ro->getPatientRecord_birthDate() . "</td>";
echo "<Td> <b>WARD:</b> " . $ro->getRegistrationDetails_type() . "</td>";
echo "</tr>";
echo "</table>";
echo "<Br><br>";
$ro->coconutFormStart("POST", "addLabToPatient.php");
$ro->coconutHidden("registrationNo", $registrationNo);
$ro->coconutHidden("itemNo", $itemNo);
$ro->coconutHidden("chargesCode", $chargesCode);
$ro->coconutHidden("username", $username);
$ro->coconutHidden("date", date("M_d_Y"));
echo "<textarea id='result' name='result'>" . $ro->selectNow("labResultList", "template", "templateNo", $templateNo) . "</textarea>";
echo "<style type='text/css'>";
echo "\r\n.patientName{\r\n\tborder: 1px solid #000;\r\n\tcolor: #000;\r\n\theight: 28px;\r\n\twidth: 340px;\r\n\tborder-color:white white black white;\r\n\tfont-size:17px;\r\n\r\n}\r\n\r\n.patientAge{\r\n\tborder: 1px solid #000;\r\n\tcolor: #000;\r\n\theight: 28px;\r\n\twidth: 120px;\r\n\tborder-color:white white black white;\r\n\tfont-size:17px;\r\n\r\n}\r\n\r\n.patientAddress{\r\n\tborder: 1px solid #000;\r\n\tcolor: #000;\r\n\theight: 28px;\r\n\twidth: 80%;\r\n\tborder-color:white white black white;\r\n\tfont-size:17px;\r\n\r\n}\r\n\r\n.medicoLegalInformation{\r\n\tborder: 1px solid #000;\r\n\tcolor: #000;\r\n\theight: 28px;\r\n\twidth: 50%;\r\n\tborder-color:white white black white;\r\n\tfont-size:17px;\r\n\r\n}\r\n\r\n.medicoLegalInformation1{\r\n\tborder: 1px solid #000;\r\n\tcolor: #000;\r\n\theight: 28px;\r\n\twidth: 60%;\r\n\tborder-color:white white black white;\r\n\tfont-size:17px;\r\n\r\n}\r\n\r\n.txtBox {\r\n\tborder: 1px solid #000;\r\n\tcolor: #000;\r\n\theight: 130px;\r\n\twidth: 80%;\r\n\tpadding:4px 4px 4px 5px;\r\n}\r\n\r\n";
echo "</style>";
echo "<form method='post' action='medicoLegal_insert.php'>";
$ro->coconutHidden("registrationNo", $registrationNo);
echo "<center>";
echo "<font size=3>Cabrera St,Pagadian City</font>";
echo "<br><font size=2>Philipines</font>";
echo "<br><font size=2>Tel No.(062) 2143737</font>";
echo "<hr>";
echo "<br><b><font size=5>MEDICO LEGAL</font></b>";
echo "<br><br><br>";
echo "<table border=0 width='70%'>";
echo "<Tr>";
echo "<td width='70%'>Name: <input type='text' class='patientName' value='" . $ro->getPatientRecord_lastName() . ", " . $ro->getPatientRecord_firstName() . "'></td>";
echo "<td width='30%'>Age: <input type='text' class='patientAge' value='" . $ro->getPatientRecord_Age() . "'></td>";
echo "</tr>";
echo "</table>";
echo "<table border=0 width='70%'>";
echo "<td>Address: <input type='text' class='patientAddress' value='" . $ro->getPatientRecord_address() . "'></td>";
echo "</table>";
echo "<Br><br>";
echo "<table border=0 width='70%'>";
echo "<tr>";
echo "<td>DATE OF INCIDENCCE: <input type='text' autocomplete='off' name='dateOfIncidence' class='medicoLegalInformation' value=''></td>";
echo "</tr>";
echo "<tr>";
echo "<td>TIME OF INCIDENCCE: <input type='text' autocomplete='off' name='timeOfIncidence' class='medicoLegalInformation' value=''></td>";
echo "</tr>";
echo "<tr>";
echo "<td>DATE OF EXAMINATION: <input type='text' autocomplete='off' name='dateOfExamination' class='medicoLegalInformation' value=''></td>";
