Exemple #1
0
<?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>&nbsp;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 &nbsp;&nbsp;&nbsp;(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&nbsp;</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>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;\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>&nbsp;&nbsp;<input type=checkbox class='checkBox' name='facility' checked><font size=2>T-L4/L3</font>&nbsp;&nbsp;<input type=checkbox class='checkBox' name='facility'><font size=2>ASC</font>&nbsp;&nbsp;<input type=checkbox name='facility'><font size=2>RHU</font><br>\n&nbsp;&nbsp;<input type=checkbox name='facility'><font size=2>S-L2</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type=checkbox name='facility'><font size=2>FDC</font>\n&nbsp;<input type=checkbox name='facility'><font size=2>TB-DOTS</font><br>\n&nbsp;&nbsp;<input type=checkbox name='facility'><font size=2>P-L1</font>\n&nbsp;&nbsp;&nbsp;&nbsp;<input type=checkbox name='facility'><font size=2>MCP</font>\n&nbsp;<input type=checkbox name='facility'><font size=2>__________</font><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;\n&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<font size=1>(OTHERS)</font>\n</tD>\n</tr>\n</table>\n";
} else {
    if ($ro->getReportInformation("Facility") == "ASC") {
        echo "\n<Td>&nbsp;&nbsp;<input type=checkbox class='checkBox' name='facility'><font size=2>T-L4/L3</font>&nbsp;&nbsp;<input type=checkbox class='checkBox' name='facility' checked><font size=2>ASC</font>&nbsp;&nbsp;<input type=checkbox name='facility'><font size=2>RHU</font><br>\n&nbsp;&nbsp;<input type=checkbox name='facility'><font size=2>S-L2</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type=checkbox name='facility'><font size=2>FDC</font>\n&nbsp;<input type=checkbox name='facility'><font size=2>TB-DOTS</font><br>\n&nbsp;&nbsp;<input type=checkbox name='facility'><font size=2>P-L1</font>\n&nbsp;&nbsp;&nbsp;&nbsp;<input type=checkbox name='facility'><font size=2>MCP</font>\n&nbsp;<input type=checkbox name='facility'><font size=2>__________</font><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;\n&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<font size=1>(OTHERS)</font>\n</tD>\n</tr>\n</table>\n";
    } else {
        if ($ro->getReportInformation("Facility") == "RHU") {
            echo "\n<Td>&nbsp;&nbsp;<input type=checkbox class='checkBox' name='facility'><font size=2>T-L4/L3</font>&nbsp;&nbsp;<input type=checkbox class='checkBox' name='facility'><font size=2>ASC</font>&nbsp;&nbsp;<input type=checkbox name='facility' checked><font size=2>RHU</font><br>\n&nbsp;&nbsp;<input type=checkbox name='facility'><font size=2>S-L2</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type=checkbox name='facility'><font size=2>FDC</font>\n&nbsp;<input type=checkbox name='facility'><font size=2>TB-DOTS</font><br>\n&nbsp;&nbsp;<input type=checkbox name='facility'><font size=2>P-L1</font>\n&nbsp;&nbsp;&nbsp;&nbsp;<input type=checkbox name='facility'><font size=2>MCP</font>\n&nbsp;<input type=checkbox name='facility'><font size=2>__________</font><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;\n&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<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://" . $ro->getMyUrl() . "/LOGINPAGE/module.php'><font color=red size=2><< Sign Out</a>&nbsp;&nbsp;&nbsp;";
//echo "&nbsp;&nbsp;<a href='http://".$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();
Exemple #3
0
<?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>";
Exemple #4
0
<?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();
Exemple #5
0
<?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>";
Exemple #6
0
    $ro->coconutTableData($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=$planNo&registrationNo=$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&registrationNo=$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 "&nbsp;&nbsp;&nbsp;";
$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();
?>

Exemple #9
0
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 "&nbsp;<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>";
Exemple #10
0
<?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();
Exemple #11
0
<?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>";
Exemple #12
0
<?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();
Exemple #13
0
<?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();
?>


Exemple #14
0
<?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&nbsp;&nbsp;</tD>";
echo "<td>";
$ro->coconutTextBox("registrationNo", "manual_");
echo "</tD>";
echo "</tr>";
echo "<Tr>";
echo "<Td>Payment For&nbsp;&nbsp;</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>";
Exemple #15
0
<?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();
Exemple #16
0
<?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++) {
Exemple #18
0
<?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&nbsp;</td>";
echo "<td>";
$ro->coconutTextBox("username", "");
echo "</td>";
echo "</tr>";
echo "<tr>";
echo "<Td>Password&nbsp;</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>";
Exemple #20
0
echo "</tr>";
//$ro->getPaymentHistory_showUp_returnPaid_setter($registrationNo);
//$netTotal = (  ($gross - $disc) - $ro->getPaymentHistory_showUp_returnPaid() );
//if( $netTotal < 0 ) $netTotal=0;
if ($ro->checkIfPackageExist($registrationNo) > 0) {
    echo "<Tr>";
    echo "<td>&nbsp;<font color=red>Balance</font></tD>";
    echo "<td>&nbsp;</tD>";
    echo "<td>&nbsp;</tD>";
    echo "<td>&nbsp;</tD>";
    echo "<td>&nbsp;<font color=red>0.00</font>&nbsp;</tD>";
    echo "</tr>";
} else {
    echo "<Tr>";
    echo "<td>&nbsp;<font color=red>Balance</font></tD>";
    echo "<td>&nbsp;</tD>";
    echo "<td>&nbsp;</tD>";
    echo "<td>&nbsp;</tD>";
    echo "<td>&nbsp;<font color=red>" . number_format($grandTotalz - $ro->sumPartial($registrationNo), 2) . "</font>&nbsp;</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%'>&nbsp;</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%'>&nbsp;</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>&nbsp;&nbsp;\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>&nbsp;</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&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>";
<?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>";
Exemple #23
0
<?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>";
Exemple #27
0
<?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();
Exemple #28
0
<?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 "&nbsp;";
$ro->coconutComboBoxStart_short("fromDay");
for ($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 &nbsp;</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>");