}
    } else {
        if (isset($_REQUEST['hidden_upload_user_avatar_image'])) {
            $patient_image = $_REQUEST['hidden_upload_user_avatar_image'];
        }
        $patient_image_url = $patient_image;
    }
    if (isset($_FILES['diagnosis']) && !empty($_FILES['diagnosis']) && $_FILES['diagnosis']['size'] != 0) {
        if ($_FILES['diagnosis']['size'] > 0) {
            $diagnosis_report = load_documets($_FILES['diagnosis'], 'diagnosis', 'report');
        }
    }
    if (isset($_REQUEST['action']) && $_REQUEST['action'] == 'insert') {
        if (!email_exists($_POST['email']) && !username_exists($_POST['username'])) {
            $result = $user_object->hmgt_add_user($_POST);
            $user_object->upload_diagnosis_report($result, $diagnosis_report);
            $returnans = update_user_meta($result, 'hmgt_user_avatar', $patient_image_url);
            if ($result) {
                $guardian_data = array('patient_id' => $result, 'doctor_id' => $_POST['doctor'], 'symptoms' => $_POST['symptoms'], 'inpatient_create_date' => date("Y-m-d H:i:s"), 'inpatient_create_by' => get_current_user_id());
                $inserted = add_guardian($guardian_data, $id);
                if ($inserted) {
                    wp_redirect(home_url() . '?dashboard=user&page=outpatient&tab=outpatientlist&message=1');
                }
            }
        } else {
            ?>
					<div id="message" class="updated below-h2">
					<p><p><?php 
            _e('Username Or Emailid All Ready Exist', 'hospital_mgt');
            ?>
</p></p>