<?php include "../../myDatabase.php"; $registrationNo = $_GET['registrationNo']; $username = $_GET['username']; $ro = new database(); $ro->getPatientProfile($registrationNo); ?> <?php echo "\n\n<style type='text/css'> \n \nBODY {\n\tPADDING-RIGHT: 0px;\n\tPADDING-LEFT: 0px;\n\tPADDING-BOTTOM: 0px;\n\tMARGIN: 0px;\n\tbackground-color:;\t\n \n}\n.style1 {\n\tfont-family: Geneva, Arial, Helvetica, sans-serif;\n\tfont-size:small;\n}\n.style3 {font-family: Geneva, Arial, Helvetica, sans-serif; font-size: 45px;}\n.style5 {font-size: x-small}\n\n.style55 {font-size: medium; font-family: Geneva, Arial, Helvetica, sans-serif; }\n.style56 {font-size: medium}\n.style58 {font-family: Geneva, Arial, Helvetica, sans-serif; font-size: small; font-style: italic; }\n.style60 {font-size: small; font-family: Geneva, Arial, Helvetica, sans-serif; font-weight: bold; }\n.style65 {font-size: 12px}\n.style69 {font-size: 10px}\n\n.labelz {\nfont-size:13px;\n}\n\n.pan {\nfont-size:10px;\n}\n\n.panData {\nfont-size:14px;\n}\n\n.pin {\nfont-size:17px;\n}\n\n.pinData {\npadding:35px 0px 25px 0px;\n}\n\n.birth {\nfont-size:18px;\n}\n\n.checkBox {\n\tborder: 1px solid #000;\n}\n\n.daysClaimed {\n\tborder: 1px solid #000;\n\tcolor: #000;\n\theight: 18px;\n\twidth: 25px;\n\tborder-color:white black black black;\n\ttext-align:center;\n}\n\n.daysClaimed1{\n\tborder: 1px solid #000;\n\tcolor: #000;\n\theight: 18px;\n\twidth: 20px;\n\tborder-color:white black black white;\n\ttext-align:center;\n}\n\n\n.death {\n\tborder: 1px solid #000;\n\tcolor: #000;\n\theight: 18px;\n\twidth: 13px;\n\tborder-color:white black black black;\n\ttext-align:center;\n}\n\n.death1{\n\tborder: 1px solid #000;\n\tcolor: #000;\n\theight: 18px;\n\twidth: 13px;\n\tborder-color:white black black white;\n\ttext-align:center;\n}\n\n\n.hospitalName{\n\tborder: 1px solid #000;\n\tcolor: #000;\n\theight: 28px;\n\twidth: 440px;\n\tborder-color:white white black white;\n\tfont-size:15px;\n\n}\n\n\n.patientName{\n\tborder: 1px solid #000;\n\tcolor: #000;\n\theight: 28px;\n\twidth: 740px;\n\tborder-color:white white black white;\n\tfont-size:17px;\n\n}\n\n\n.phicTable{\n\tborder: 1px solid #000;\n\tcolor: #000;\n\theight: 28px;\n\twidth: 110px;\n\tborder-color:white white white white;\n\tfont-size:17px;\n\ttext-align:center;\n}\n\n\n.phicTableRemarks{\n\tborder: 1px solid #000;\n\tcolor: #000;\n\theight: 28px;\n\twidth: 170px;\n\tborder-color:white white white white;\n\tfont-size:15px;\n\ttext-align:center;\n}\n\n#phicRow:hover {\nbackground-color:yellow;\ncolor:black;\n}\n\n\n.icd10{\n\tborder: 1px solid #000;\n\tcolor: #000;\n\theight: 20px;\n\twidth: 215px;\n\tborder-color:white white black white;\n\tfont-size:15px;\n\tpadding:2px 2px 2px 2px;\n}\n\n.admissionDiagnosis{\n\tborder: 1px solid #000;\n\tcolor: #000;\n\theight: auto;\n\twidth: 235px;\n\tborder-color:white white white white;\n\tfont-size:15px;\n\n}\n\n\n.finalDiagnosis{\n\tborder: 1px solid #000;\n\tcolor: #000;\n\theight: auto;\n\twidth: 565px;\n\tborder-color:white white white white;\n\tfont-size:15px;\n\n}\n\n\n.box{\n\tborder: 1px solid #000;\n\tcolor: #000;\n\theight: 18px;\n\twidth: 25px;\n\tborder-color:white black black black;\n\tfont-size:18px;\n\ttext-align:center;\n}\n\n.panz{\n\tborder: 1px solid #000;\n\tcolor: #000;\n\theight: 18px;\n\twidth: 20px;\n\tborder-color:white black black black;\n\tfont-size:15px;\n\ttext-align:center;\n}\n\n.panz1{\n\tborder: 1px solid #000;\n\tcolor: #000;\n\theight: 18px;\n\twidth: 20px;\n\tborder-color:white black black white;\n\tfont-size:15px;\n\ttext-align:center;\n}\n\n</style> \n\n\n"; $ro->coconutFormStart("get", "cf2PDF.php"); echo "\n\n<table width='860' border='0' align='center' cellpadding='0' cellspacing='0'>\n <tr>\n <td width='465' rowspan='4'><img src='http://" . $ro->getMyUrl() . "/COCONUT/myImages/logoclaims.jpg' width='261' height='90'/></td>\n <td width='448'><div align='left'><span class='style1'>This Form may be reproduced and is NOT FOR SALE</span></div></td>\n </tr>\n <tr>\n <td><div align='center' class='style3'>CF2</div></td>\n </tr>\n <tr>\n <td><div align='center'><span class='style5'>(Claim Form)<br />\n Revised February 2010</span><br />\n </div></td>\n </tr>\n <tr>\n <td><img src='http://" . $ro->getMyUrl() . "/COCONUT/myImages/Graphic2.jpg' width='416' height='32' /><br /></td>\n </tr>\n</table>\n"; echo "\n\n\n<table width='860' border='0' align='center' cellpadding='0' cellspacing='0'>\n <tr>\n <td><span class='style1'><font size=1><b>IMPORTANT REMINDERS</b></font></span></td>\n </tr>\n <tr>\n <td><span class='style1'><font size=1>PLEASE WRITE IN CAPITAL <b>LETTERS</b> AND <b>CHECK</b> THE APPROPRIATE BOXES.</font></span></td>\n </tr>\n <tr>\n <td><font size=1>For local confinement, this form together with CF1 and other supporting documents should be filed within <b>60 DAYS</b> from date of discharge. </font> </td>\n </tr>\n <tr>\n <td class='style1'><font size=1>All information required in this form are necessary and claim forms with incomplete information shall not be processed.</font></td>\n </tr>\n <tr>\n <td><span class='style1'><font size=1>FALSE/INCORRECT INFORMATION OR MISREPRESENTATION SHALL BE SUBJECT TO CRIMINAL, CIVIL OR ADMINISTRATIVE LIABILITIES</font></span></td>\n </tr>\n</table>\n\n"; echo "\n\n<br />\n<table width='860' border='0' align='center' cellpadding='0' cellspacing='0' bordercolor='#000000'>\n <tr>\n <td><div align='center' style='border:1px #000 solid;'><font size=3><b>PART 1 - PROVIDER INFORMATION (Institutional Health Care Provider to fill out items 1 to 13)</b></font></font> </div></td>\n </tr>\n</table>\n\n<br><table width='860' border='0' align='center' cellpadding='0' cellspacing='0'>\n <tr>\n <td width='115'><span class='style7'><font size=2>1. Name of Facility:</font></span></td>\n <td width='725'><input class='hospitalName' type=text value='" . $ro->getReportInformation("hmoSOA_name") . "' ></td>\n </tr>\n <tr>\n <td><span class='style7'><font size=2>2. Address:</font></span></td>\n <td><input type=text class='hospitalName' value='" . $ro->getReportInformation("hmoSOA_address") . "'></td>\n </tr>\n</table>\n"; $pinNo = preg_split("/\\-/", $ro->getRegistrationDetails_PIN()); //kkuning ung phic pin No echo "\n<table width='860' border='0' align='center' cellpadding='0' cellspacing='0'>\n <tr>\n <td width='190'><span class='style7'><font size=1>3. PhilHealth Accreditation No.(PAN):</font> </span><br /><font size=1><b>\n( Institutional Health Care Provider )</b></font></td>\n <td>\n<input type=text name='hospitalPin1' class='panz' maxlength=1 value='" . substr($ro->getReportInformation("PAN"), -9, 1) . "'><input type=text name='hospitalPin2' class='panz1' maxlength=1 value='" . substr($ro->getReportInformation("PAN"), -8, 1) . "'><input type=text name='hospitalPin3' maxlength=1 class='panz1' value='" . substr($ro->getReportInformation("PAN"), -7, 1) . "'><input type=text name='hospitalPin4' class='panz1' maxlength=1 value='" . substr($ro->getReportInformation("PAN"), -6, 1) . "'><input type=text name='hospitalPin5' maxlength=1 class='panz1' value='" . substr($ro->getReportInformation("PAN"), -5, 1) . "'><input type=text name='hospitalPin6' maxlength=1 class='panz1' value='" . substr($ro->getReportInformation("PAN"), -4, 1) . "'><input type=text name='hospitalPin7' maxlength=1 class='panz1' value='" . substr($ro->getReportInformation("PAN"), -3, 1) . "'><input type=text name='hospitalPin8' maxlength=1 class='panz1' value='" . substr($ro->getReportInformation("PAN"), -2, 1) . "'><input type=text name='hospitalPin9' maxlength=1 class='panz1' value='" . substr($ro->getReportInformation("PAN"), -1, 1) . "'>\n </td>\n<Td width='240'><font size=2>4.Category of Facility:</font></td>\n </tr>\n<tr>\n<Td><Font size='1'>5.PhilHealth Identification No.(PIN):</font><br><font size=1> \n\n\n( Member )</font></td>\n<td>"; echo "<input type=text name='patientPin1' maxlength=1 class='panz' value='" . substr($pinNo[0], 0, 1) . "'><input type=text name='patientPin2' maxlength=1 class='panz1' value='" . substr($pinNo[0], 1, 1) . "'>-"; echo "<input type=text name='patientPin3' maxlength=1 class='panz' value='" . substr($pinNo[0], 2, 1) . "'><input type=text name='patientPin4' maxlength=1 class='panz1' value='" . substr($pinNo[0], 3, 1) . "'><input type=text name='patientPin5' maxlength=1 class='panz1' value='" . substr($pinNo[0], 4, 1) . "'><input type=text name='patientPin6' maxlength=1 class='panz1' value='" . substr($pinNo[0], 5, 1) . "' ><input type=text name='patientPin7' maxlength=1 class='panz1' value='" . substr($pinNo[0], 6, 1) . "' ><input type=text name='patientPin8' maxlength=1 class='panz1' value='" . substr($pinNo[0], 7, 1) . "'><input type=text name='patientPin9' maxlength=1 class='panz1' value='" . substr($pinNo[0], 8, 1) . "'><input type=text name='patientPin10' maxlength=1 class='panz1' value='" . substr($pinNo[0], 9, 1) . "'><input type=text name='patientPin11' maxlength=1 class='panz1' value='" . substr($pinNo[0], 10, 1) . "'>-<input type=text name='patientPin12' maxlength=1 class='panz' value='" . substr($pinNo[0], 11, 1) . "'>"; //echo "<u><font size=3>".$ro->getRegistrationDetails_PIN()."</font></u>"; ///CATEGORY OF FACILITY if ($ro->getReportInformation("Facility") == "T-L4/L3") { echo "\n<Td> <input type=checkbox class='checkBox' name='facility' checked><font size=2>T-L4/L3</font> <input type=checkbox class='checkBox' name='facility'><font size=2>ASC</font> <input type=checkbox name='facility'><font size=2>RHU</font><br>\n <input type=checkbox name='facility'><font size=2>S-L2</font> <input type=checkbox name='facility'><font size=2>FDC</font>\n <input type=checkbox name='facility'><font size=2>TB-DOTS</font><br>\n <input type=checkbox name='facility'><font size=2>P-L1</font>\n <input type=checkbox name='facility'><font size=2>MCP</font>\n <input type=checkbox name='facility'><font size=2>__________</font><br> \n <font size=1>(OTHERS)</font>\n</tD>\n</tr>\n</table>\n"; } else { if ($ro->getReportInformation("Facility") == "ASC") { echo "\n<Td> <input type=checkbox class='checkBox' name='facility'><font size=2>T-L4/L3</font> <input type=checkbox class='checkBox' name='facility' checked><font size=2>ASC</font> <input type=checkbox name='facility'><font size=2>RHU</font><br>\n <input type=checkbox name='facility'><font size=2>S-L2</font> <input type=checkbox name='facility'><font size=2>FDC</font>\n <input type=checkbox name='facility'><font size=2>TB-DOTS</font><br>\n <input type=checkbox name='facility'><font size=2>P-L1</font>\n <input type=checkbox name='facility'><font size=2>MCP</font>\n <input type=checkbox name='facility'><font size=2>__________</font><br> \n <font size=1>(OTHERS)</font>\n</tD>\n</tr>\n</table>\n"; } else { if ($ro->getReportInformation("Facility") == "RHU") { echo "\n<Td> <input type=checkbox class='checkBox' name='facility'><font size=2>T-L4/L3</font> <input type=checkbox class='checkBox' name='facility'><font size=2>ASC</font> <input type=checkbox name='facility' checked><font size=2>RHU</font><br>\n <input type=checkbox name='facility'><font size=2>S-L2</font> <input type=checkbox name='facility'><font size=2>FDC</font>\n <input type=checkbox name='facility'><font size=2>TB-DOTS</font><br>\n <input type=checkbox name='facility'><font size=2>P-L1</font>\n <input type=checkbox name='facility'><font size=2>MCP</font>\n <input type=checkbox name='facility'><font size=2>__________</font><br> \n <font size=1>(OTHERS)</font>\n</tD>\n</tr>\n</table>\n";
include "../../myDatabase.php"; session_start(); $username = $_SESSION['username']; $module = $_SESSION['module']; $ro = new database(); echo "\n<style type='text/css'>\na { text-decoration:none; color:red; }\n</style>\n\n"; $ro->coconutDesign(); $ro->coconutHeading($module, "COCONUT/currentPatient/initializePatient.php"); $ro->coconutUpperMenuStart(); $ro->coconutUpperMenuStop(); $url = "http://" . $_SERVER['HTTP_HOST'] . $_SERVER['REQUEST_URI']; //kuhain ang current web address if (!isset($username) && !isset($module)) { header("Location:/LOGINPAGE/module.php "); die; } echo "<br><br><center>"; $ro->coconutBoxStart("600", "100"); echo "<br>"; echo "<font size=3 color=black>Logged as {$username}</font>"; echo "<Br>"; echo "<a href='http://" . $ro->getMyUrl() . "/LOGINPAGE/module.php'><font color=red size=2><< Sign Out</a> "; //echo " <a href='http://".$ro->getMyUrl()."/COCONUT/currentPatient/patientInterface.php?patientSearch=&username=$username&module=$module'><font color=blue size=2>Sign In >></font></a>"; $ro->coconutFormStart("post", "/COCONUT/currentPatient/patientInterface.php"); $ro->coconutHidden("patientSearch", ""); $ro->coconutHidden("username", $username); $ro->coconutHidden("module", $module); echo "<br>"; echo "<input type='submit' style='background:transparent; border:1px solid #0000FF; color:blue' value='Sign In >>>'>"; $ro->coconutFormStop(); $ro->coconutBoxStop();
<?php include "../../myDatabase.php"; $username = $_GET['username']; $phicID = $_GET['phicID']; $salaryBracket = $_GET['salaryBracket']; $salaryRange1 = $_GET['salaryRange1']; $salaryRange2 = $_GET['salaryRange2']; $salaryBase = $_GET['salaryBase']; $totalMonthlyPremium = $_GET['totalMonthlyPremium']; $employeeShare = $_GET['employeeShare']; $employerShare = $_GET['employerShare']; $ro = new database(); $ro->coconutDesign(); echo "<br>"; $ro->coconutFormStart("post", "/COCONUT/payroll/editPHIC1.php"); $ro->coconutHidden("username", $username); $ro->coconutHidden("phicID", $phicID); $ro->coconutBoxStart("500", "290"); echo "<br>"; echo "<table border=0>"; echo "<tr>"; echo "<Td><font size=2>Salary Bracket</font></tD>"; echo "<Td>" . $ro->coconutTextBox_return("salaryBracket", $salaryBracket) . "</tD>"; echo "</tr>"; echo "<tr>"; echo "<Td><font size=2>Range1</font></tD>"; echo "<Td>" . $ro->coconutTextBox_return("salaryRange1", $salaryRange1) . "</tD>"; echo "</tr>"; echo "<tr>"; echo "<Td><font size=2>Range2</font></tD>";
<?php include "../../myDatabase.php"; $payrollNo = $_GET['payrollNo']; $empID = $_GET['empID']; $username = $_GET['username']; $ro = new database(); $ro->coconutFormStart("post", "/COCONUT/payroll/deletePayroll1.php"); $ro->coconutHidden("payrollNo", $payrollNo); $ro->coconutHidden("empID", $empID); $ro->coconutHidden("username", $username); echo "<br><br><br><br><br><BR>"; $ro->coconutBoxStart_red("500", "100"); echo "<br>"; echo "<font color=red> Delete Payroll of</font> <font color='blue'>" . $ro->selectNow("registeredUser", "completeName", "employeeID", $empID) . "<font color=red> from " . $ro->selectNow("employeePayroll", "payFrom", "payrollNo", $payrollNo) . " to " . $ro->selectNow("employeePayroll", "payTo", "payrollNo", $payrollNo) . "?? </font>"; echo "<br><br>"; echo "<input type='submit' value='Delete' style='border:1px solid #ff0000;'>"; $ro->coconutBoxStop(); $ro->coconutFormStop();
<?php include "../../myDatabase.php"; $function = $_GET['function']; $description = $_GET['description']; $value = $_GET['value']; $id = $_GET['id']; $username = $_GET['username']; $ro = new database(); $ro->coconutDesign(); echo "<br><br>"; $ro->coconutBoxStart("600", "180"); echo "<Br>"; $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>";
$ro->coconutTableData($ro->getCurrentPHIC_check($registrationNo, "PROFESSIONAL FEE") . "- <font color=red>(" . ($ro->getCurrentPHIC_check($registrationNo, "PROFESSIONAL FEE") - $ro->getPHIClimit_pf()) . ")</font>"); } else { $ro->coconutTableData($ro->getCurrentPHIC_check($registrationNo, "PROFESSIONAL FEE")); } if ($ro->getTotal("company", "", $registrationNo) > $ro->getRegistrationDetails_limitHMO()) { $ro->coconutTableData("" . $ro->getTotal("company", "", $registrationNo) . " - <font color='red'>" . ($ro->getTotal("company", "", $registrationNo) - $ro->getRegistrationDetails_limitHMO()) . "</font>"); } else { $ro->coconutTableData($ro->getTotal("company", "", $registrationNo)); } $ro->coconutTableData($ro->getTotal("cashUnpaid", "", $registrationNo)); $ro->coconutTableRowStop(); $ro->coconutTableStop(); echo "<br><br>"; echo "<table border=0>"; echo "<td>"; $ro->coconutFormStart("get", "limitMagic.php"); $ro->coconutHidden("registrationNo", $registrationNo); $ro->coconutHidden("casetype", $casetype); $ro->coconutHidden("phicMed_excess", $ro->getTotal("phic", "MEDICINE", $registrationNo) - $ro->getPHIClimit_medicine()); $total = $ro->getCurrentPHIC_check($registrationNo, "SUPPLIES"); $ro->coconutHidden("phicSup_excess", $ro->getCurrentPHIC_check($registrationNo, "SUPPLIES") - $ro->getPHIClimit_supplies()); //$ro->coconutTextBox("phicMed_allowedLimit",$ro->getCurrentPHIC_check($registrationNo,"MEDICINE")); //$ro->coconutTextBox("phicMed_excess",$ro->getCurrentPHIC_check($registrationNo,"MEDICINE") - $ro->getPHIClimit_medicine()); //$ro->coconutButton("Generate"); $ro->coconutFormStop(); echo "</td>"; echo "<tr>"; echo "<td>"; $ro->coconutFormStart("get", "phicFuller_getReady.php"); $ro->coconutHidden("registrationNo", $registrationNo); $ro->coconutHidden("casetype", $casetype);
include "../../../myDatabase.php"; $chargesCode = $_GET['chargesCode']; $description = $_GET['description']; $service = $_GET['service']; $category = $_GET['category']; $opd = $_GET['opd']; $ward = $_GET['ward']; $soloward = $_GET['soloward']; $semiprivate = $_GET['semiprivate']; $private = $_GET['private']; $hmo = $_GET['hmo']; $unitCost = $_GET['unitCost']; $ro = new database(); $ro->coconutDesign(); $ro->coconutFormStart("get", "editCharges1.php"); $ro->coconutHidden("chargesCode", $chargesCode); $ro->coconutBoxStart("500", "185"); echo "<Br>"; echo "<Table border=0>"; echo "<tr>"; echo "<td>Description</td>"; echo "<td>"; $ro->coconutTextBox("description", $description); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>OPD Price</td>"; echo "<td>"; $ro->coconutTextBox_short("opdprice", $opd); echo "</td>";
$registrationNo = $_GET['registrationNo']; $ro = new database(); /* echo "<Br><br><br><br><br><br>"; echo "<center>"; $ro->coconutBoxStart_red("300","100"); echo "<Br>"; echo "<table width='90%' border=0>"; echo "<tr>"; echo "<td width='50%'><a href='http://".$ro->getMyUrl()."/COCONUT/Doctor/newPlan/medicineEdit.php?planNo=$planNo®istrationNo=$registrationNo' style='text-decoration:none;'><font color=blue>EDIT</font></a></td>"; echo "<td width='50%'><a href='http://".$ro->getMyUrl()."/COCONUT/Doctor/newPlan/deleteMeds.php?planNo=$planNo®istrationNo=$registrationNo' style='text-decoration:none'><font color=blue>DELETE</font></a></td>"; echo "</tr>"; echo "</table>"; $ro->coconutBoxStop(); */ echo "<center><br><br><br><br><br><Br><br>"; $ro->coconutFormStart("post", "http://" . $ro->getMyUrl() . "/COCONUT/android/doctor/medicineEdit.php"); $ro->coconutHidden("planNo", $planNo); $ro->coconutHidden("registrationNo", $registrationNo); echo "<button style='border: none;\n\tbackground: #47a3da;\n\tcolor: #fff;\n\tpadding: 1.5em;\n\tdisplay: block;\n\twidth: 50%;\n\tcursor: pointer;\n\tmargin: -20px 0;\n\tfont-size: 0.9em;'>EDIT</button>"; $ro->coconutFormStop(); echo "<br><br>"; echo " "; $ro->coconutFormStart("post", "http://" . $ro->getMyUrl() . "/COCONUT/android/doctor/deleteMeds.php"); $ro->coconutHidden("registrationNo", $registrationNo); $ro->coconutHidden("planNo", $planNo); echo "<button style='border: none;\n\tbackground: #47a3da;\n\tcolor: #fff;\n\tpadding: 1.5em;\n\tdisplay: block;\n\twidth: 50%;\n\tcursor: pointer;\n\tmargin: -20px 0;\n\tfont-size: 0.9em;'>DELETE</button>"; $ro->coconutFormStop(); ?>
include "../../../myDatabase.php"; session_start(); $registrationNo = $_GET['registrationNo']; $ro = new database(); $ro->getPatientProfile($registrationNo); $ro->coconutDesign(); $ro->coconutHeading("User Verification", "COCONUT/NURSING/initializeNursing.php"); unset($_SESSION['registrationNo']); session_destroy(); echo "<Br>"; echo "<center>"; $ro->coconutImages("lock2.jpeg"); echo " <font size=2 color=red>Pls Login first to access the Profile of " . $ro->getPatientRecord_lastName() . ", " . $ro->getPatientRecord_firstName() . " in " . $ro->getRegistrationDetails_room() . " </font>"; echo "<br>"; $ro->coconutFormStart("post", "verifyUser1.php"); $ro->coconutHidden("registrationNo", $registrationNo); $ro->coconutBoxStart("500", "150"); echo "<br><table border=0>"; echo "<tr>"; echo "<Td>" . $ro->coconutText("Username") . "</tD>"; echo "<td>"; $ro->coconutTextBox("username", ""); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>" . $ro->coconutText("Password") . "</td>"; echo "<td>"; echo "<input type=password name='password' class='txtBox' value=''>"; echo "</td>"; echo "</tr>";
<?php include "../../myDatabase.php"; $username = $_GET['username']; $ro = new database(); $ro->coconutDesign(); $ro->coconutFormStart("get", "addFloor1.php"); $ro->coconutHidden("username", $username); echo "<Br><br>"; $ro->coconutBoxStart("500", "100"); echo "<Br>"; echo "<table border=0>"; echo "<tr>"; echo "<td>" . $ro->coconutText("Floor") . "</td>"; echo "<Td>"; $ro->coconutTextBox("floor", ""); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>" . $ro->coconutText("Branch") . "</td>"; echo "<td>"; $ro->coconutComboBoxStart_long("branch"); $ro->showOption("branch", "branch"); $ro->coconutComboBoxStop(); echo "</td>"; echo "</tr>"; echo "</table>"; $ro->coconutButton("Proceed"); $ro->coconutFormStop(); $ro->coconutBoxStop();
<?php include "../myDatabase.php"; $ro = new database(); $ro->coconutDesign(); echo "<Br><Br><br>"; $ro->coconutFormStart("get", "addSupplier1.php"); $ro->coconutBoxStart("500", "222"); echo "<br>"; echo "<Table border=0>"; echo "<tr>"; echo "<td>Supplier Name</tD>"; echo "<td>"; $ro->coconutTextBox("supplierName", ""); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Address</tD>"; echo "<td>"; $ro->coconutTextBox("address", ""); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Contact Person</tD>"; echo "<td>"; $ro->coconutTextBox("contactPerson", ""); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Contact No</tD>"; echo "<td>";
<?php include "../../../myDatabase.php"; $username = $_GET['username']; $ro = new database(); $ro->coconutDesign(); $ro->coconutFormStart("get", "selectType1.php"); $ro->coconutHidden("username", $username); $ro->coconutBoxStart("500", "100"); echo "<br>"; echo "<table border=0>"; echo "<tr>"; echo "<td>" . $ro->coconutText("Type") . "</td>"; echo "<td>"; $ro->coconutComboBoxStart_long("type"); echo "<option value='OPD'>OPD</option>"; echo "<option value='I\tPD'>IPD</option>"; echo "</td>"; echo "</tr>"; echo "</table>"; echo "<br><br>"; $ro->coconutButton("Proceed"); $ro->coconutComboBoxStop(); $ro->coconutBoxStop(); $ro->coconutFormStop();
<?php include "../../../myDatabase.php"; $packageNo = $_GET['packageNo']; $inventoryCode = $_GET['inventoryCode']; $ro = new database(); $ro->coconutDesign(); echo "<br><br><br>"; $ro->coconutFormStart("get", "updateNow.php"); $ro->coconutHidden("packageNo", $packageNo); $ro->coconutHidden("inventoryCode", $inventoryCode); $ro->coconutBoxStart("400", "80"); echo "<br>"; echo "<table border=0>"; echo "<tr>"; echo "<td>QTY</td>"; echo "<td>"; $ro->coconutTextBox_short("qty", "1"); echo "</td>"; echo "</tr>"; echo "</table>"; echo "<br>"; $ro->coconutButton("Proceed"); $ro->coconutBoxStop(); $ro->coconutFormStop(); ?>
<?php include "../../../myDatabase.php"; $username = $_GET['username']; $ro = new database(); $ro->coconutDesign(); echo "<Br><Br>"; $ro->coconutFormStart("get", "addPayment1.php"); $ro->coconutHidden("username", $username); $ro->coconutHidden("datePaid", date("M_d_Y")); $ro->coconutBoxStart("500", "220"); echo "<Br>"; echo "<Table border=0>"; echo "<tr>"; echo "<TD>Name </tD>"; echo "<td>"; $ro->coconutTextBox("registrationNo", "manual_"); echo "</tD>"; echo "</tr>"; echo "<Tr>"; echo "<Td>Payment For </tD>"; echo "<Td>"; $ro->coconutTextBox("paymentFor", ""); /* $ro->coconutComboBoxStart_long("paymentFor"); echo "<option value='ADVANCE PAYMENT'>ADVANCE PAYMENT</option>"; echo "<option value='HOSPITAL BILL'>HOSPITAL BILL</option>"; echo "<option value='BILLED'>BILLED</option>"; echo "<option value='PARTIAL PAYMENT'>PARTIAL PAYMENT</option>"; echo "<option value='FULL PAYMENT'>FULL PAYMENT</option>"; echo "<option value='XRAY'>XRAY</option>";
<?php include "../../../myDatabase.php"; $ro = new database(); $ro->coconutDesign(); if (isset($_POST['key'])) { $key = $_POST['key']; if ($key == "9k7n3m2l921zdke=~!d9cja#=\$58&8!<>edDr8@!2Df~~##4@-[9k8j4m9x7ak0m29szla183jd1zxkaj1j4s5ac971k8jt3]") { echo "<Br><br><bR><br>"; $ro->coconutFormStart("post", "addUser1.php"); $ro->coconutBoxStart("500", "150"); echo "<br>"; echo "<table border=0>"; echo "<tr>"; echo "<td>Username</td>"; echo "<td>" . $ro->coconutTextBox_return("username", "") . "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Password</td>"; echo "<td>" . $ro->coconutPasswordBox_return("password", "") . "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Complete Name</td>"; echo "<td>" . $ro->coconutPasswordBox_return("name", "") . "</td>"; echo "</tr>"; echo "</table>"; echo "<br>"; $ro->coconutButton("Proceed"); $ro->coconutHidden("module", "APPROVAL"); $ro->coconutHidden("key", $key); $ro->coconutBoxStop();
<?php include "../../../myDatabase1.php"; $userz = $_GET['username']; $ro = new database(); $ro->coconutDesign(); $ro->coconutFormStart("get", "addVoucher1.php"); $ro->coconutHidden("username", $userz); $ro->coconutHidden("timeIssued", $ro->getSynapseTime()); echo "<Br><br>"; $ro->coconutBoxStart("500", "320"); echo "<br>"; echo "<table>"; echo "<tr>"; echo "<TD>Voucher#</tD>"; echo "<TD>"; $ro->coconutTextBox("voucherNo", ""); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<TD>Payment Mode</tD>"; echo "<TD>"; $ro->coconutComboBoxStart_long("paymentMode"); echo "<option value='cash'>Cash</option>"; echo "<option value='check'>Check</option>"; $ro->coconutComboBoxStop(); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<TD>Description</tD>"; echo "<TD>";
<?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++) {
<?php include "../../myDatabase2.php"; $registrationNo = $_GET['registrationNo']; $lastName = $_GET['lastName']; $firstName = $_GET['firstName']; $ro = new database(); $ro->coconutDesign(); echo "<br><br><br><br>"; echo "<center><font color=red size=2>To View [" . strtoupper($lastName . " " . $firstName) . "] enter your username and password</font></center>"; $ro->coconutFormStart("post", "patientLogin1.php"); $ro->coconutHidden("registrationNo", $registrationNo); $ro->coconutBoxStart("500", "120"); echo "<br>"; echo "<table border=0>"; echo "<tr>"; echo "<Td>Username </td>"; echo "<td>"; $ro->coconutTextBox("username", ""); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<Td>Password </td>"; echo "<td>" . $ro->coconutPasswordBox_return("password", "") . "</td>"; echo "</tr>"; echo "</table>"; echo "<br>"; $ro->coconutButton("Proceed"); $ro->coconutBoxStop(); $ro->coconutFormStop();
$Birthdate = $_GET['Birthdate']; $Age = $_GET['Age']; $Gender = $_GET['Gender']; $Senior = $_GET['Senior']; $Address = $_GET['Address']; $contactNo = $_GET['contactNo']; $PHIC = $_GET['PHIC']; $civilStatus = $_GET['civilStatus']; $username = $_GET['username']; $show = $_GET['show']; $desc = $_GET['desc']; $ro = new database(); $ro->coconutDesign(); $ro->coconutBoxStart("500", "500"); echo "<Br>"; $ro->coconutFormStart("get", "editPatientRecord1.php"); echo "<table border=0>"; echo "<tr>"; echo "<td><font class='labelz'>Last Name</font></td>"; echo "<td><input type=text class='txtBox' name='lastName' value='{$lastName}'></td>"; echo "</tr>"; echo "<tr>"; echo "<td><font class='labelz'>First Name</font></td>"; echo "<td><input type=text class='txtBox' name='firstName' value='{$firstName}'></td>"; echo "</tr>"; echo "<tr>"; echo "<td><font class='labelz'>Middle Name</font></td>"; echo "<td><input type=text class='txtBox' name='middleName' value='{$middleName}'></td>"; echo "</tr>"; echo "<tr>"; echo "<td><font class='labelz'>Middle Name</font></td>";
echo "</tr>"; //$ro->getPaymentHistory_showUp_returnPaid_setter($registrationNo); //$netTotal = ( ($gross - $disc) - $ro->getPaymentHistory_showUp_returnPaid() ); //if( $netTotal < 0 ) $netTotal=0; if ($ro->checkIfPackageExist($registrationNo) > 0) { echo "<Tr>"; echo "<td> <font color=red>Balance</font></tD>"; echo "<td> </tD>"; echo "<td> </tD>"; echo "<td> </tD>"; echo "<td> <font color=red>0.00</font> </tD>"; echo "</tr>"; } else { echo "<Tr>"; echo "<td> <font color=red>Balance</font></tD>"; echo "<td> </tD>"; echo "<td> </tD>"; echo "<td> </tD>"; echo "<td> <font color=red>" . number_format($grandTotalz - $ro->sumPartial($registrationNo), 2) . "</font> </tD>"; echo "</tr>"; } echo "</table>"; echo "<br>"; echo "<font size=2>Payment's</font>"; $ro->getPaymentHistory_showUp($registrationNo); echo "<br><br>\n<Table border=0>\n<td>\n__________________________<br><font size=2>Signature over Printed Name</font><br><font size=3>Relationship to Patient:___________________________</font><br><font size=3>Contact No#:_______________________________</font>\n</tD>\n<tD width='40%'> </tD>\n\n\n</table>\n<Br><hr><Br><br>\n<Table>\n<tD>\n<font size=2><u>MYNARD A. BAJO</u><Br><b>Billing Officer</b></font>\n</tD>\n<td width='40%'> </tD>\n\n<tD>\n\n\n<font size=2><u>HAZEL S. CASTIGADOR</u><Br><b>Medical Clerk</b></font>\n</tD>\n</table>\n<Br>\n\n<Table>\n<tD> \n<font size=2>Certified Correct:<br></font>\n<br>\n<font size=2><u>MARIBETH B. SANDIG</u><Br><b>Hospital Administrator</b></font>\n</tD>\n<td> </tD>\n\n</table>\n\n\n<br>"; $ro->coconutBoxStop(); $ro->coconutFormStart("get", "soa2pdf.php"); $ro->coconutButton("Export to PDF"); $ro->coconutHidden("registrationNo", $registrationNo); $ro->coconutFormStop();
$service = $_GET['service']; $title = $_GET['title']; $paidVia = $_GET['paidVia']; $cashPaid = $_GET['cashPaid']; $batchNo = $_GET['batchNo']; $username = $_GET['username']; $quantity = $_GET['quantity']; $inventoryFrom = $_GET['inventoryFrom']; $room = ""; $paycash = $_GET['paycash']; $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 </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>";
<?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>";
<?php include "../../../myDatabase.php"; $month = $_GET['month']; $year = $_GET['year']; $description = $_GET['description']; $ro = new database(); $ro->coconutFormStart("post", "bestSellingChart_ipd.php"); $ro->coconutHidden("month", $month); $ro->coconutHidden("year", $year); $ro->coconutHidden("description", $description); echo "<br><Br>"; $ro->coconutBoxStart("550", "90"); echo "<Br>"; echo "You are about to view the Chart of <br> {$description} for {$month} {$year}"; echo "<Br><Br>"; $ro->coconutButton("Proceed"); $ro->coconutBoxStop(); $ro->coconutFormStop();
<?php include "../../../myDatabase.php"; $registrationNo = $_GET['registrationNo']; $ro = new database(); $ro->getPatientProfile($registrationNo); $ro->coconutFormStart("get", "registrationCensusDelete1.php"); $ro->coconutHidden("registrationNo", $registrationNo); echo "<Br><Br><br><br><br><Br>"; $ro->coconutBoxStart_red("600", "120"); echo "<br>\t"; echo "<font size=3 color=red>You are about to delete the record of " . $ro->getPatientRecord_lastName() . ", " . $ro->getPatientRecord_firstName() . " <br>with a registration No#: " . $registrationNo . " and register by " . $ro->getRegistrationDetails_registeredBy() . "</font>"; echo "<br><br>"; $ro->coconutButton("Delete"); $ro->coconutBoxStop(); $ro->coconutFormStop();
<?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>";
<?php include "../../../myDatabase.php"; $ro = new database(); $ro->coconutDesign(); echo "<Br><br><br><br><br>"; echo "<center><font size=3> SSS Monthly Report</font></center>"; $ro->coconutFormStart("post", "sssMonthlyReport.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>";
<?php include "../../myDatabase.php"; $ro = new database(); $ro->coconutHeading("NURSING SERVICE", "COCONUT/NURSING/initializeNursing.php"); $ro->coconutDesign(); echo "<br><br>"; $ro->coconutFormStart("get", "nursingStation.php"); $ro->coconutHidden("username", ""); $ro->coconutHidden("module", ""); $ro->coconutBoxStart("600px", "125px"); echo "<Br><br>"; $ro->coconutComboBoxStart_long("branch"); $ro->showOption("branch", "branch"); $ro->coconutComboBoxStop(); echo "<br>"; $ro->coconutComboBoxStart_long("floor"); $ro->showFloor(); $ro->coconutComboBoxStop(); echo "<br><Br>"; $ro->coconutButton("Proceed"); $ro->coconutBoxStop(); $ro->coconutFormStop();
<?php include "../../../myDatabase1.php"; $ro = new database(); $ro->coconutDesign(); echo "<br><br>"; $ro->coconutFormStart("get", "phicReceivables.php"); $ro->coconutBoxStart("500", "160"); echo "<br>"; echo "<table border=0>"; echo "<tr>"; echo "<td>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 " "; $ro->coconutComboBoxStart_short("fromDay"); for ($x = 1; $x < 32; $x++) { if ($x < 10) {
<?php include "../myDatabase.php"; $ro = new database(); $ro->coconutDesign(); $ro->coconutFormStart("get", "networkConfiguration1.php"); echo "<center><br><br><Br><font size=3>Network </font><br>"; $ro->coconutBoxStart("400", "130"); echo "<br><br>"; $ro->coconutTextBox("ip", $ro->getMyUrl()); echo "<br><br>"; $ro->coconutButton("Proceed"); $ro->coconutBoxStop(); $ro->coconutFormStop();
<?php include "../../myDatabase.php"; $noteMessage = $_GET['noteMessage']; $registrationNo = $_GET['registrationNo']; $noteNo = $_GET['noteNo']; $noteType = $_GET['noteType']; $noteBy = $_GET['noteBy']; echo "\n\n<style type='text/css'>\n.message {\n\tborder: 1px solid #000;\n\tcolor: #000;\n\theight:329px;\n\twidth: 570px;\n\tpadding:4px 4px 4px 2px;\n}\n\n</style>\n\n"; $ro = new database(); $ro->coconutDesign(); $ro->coconutFormStart("post", "editNote1.php"); $ro->coconutHidden("registrationNo", $registrationNo); $ro->coconutHidden("noteNo", $noteNo); $ro->coconutBoxStart("650", "463"); echo "<br>"; echo "<table border=0>"; echo "<tr>"; echo "<td>" . $ro->coconutText("Note By") . "</td>"; echo "<td>"; $ro->coconutTextBox("noteBy", $noteBy); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>" . $ro->coconutText("Note Type") . "</td>"; echo "<td>"; $ro->coconutTextBox_readonly("noteType", $noteType); echo "</td>"; echo "</tr>"; echo "</table>"; echo $ro->coconutText("<font color=red>Message</font>");