$sql = mysql_query($qry) or die(mysql_error()); $row = mysql_fetch_array($sql); ?> <h2><a name="tab1">Application</a></h2> <div class="view_application"> <?php $getdata->MedicalView($row); echo "</div>"; ?> </div> </div> <div class="tabbertab"> <?php $admin = $_SESSION['username']; $admin_id = $getdata->GetDetailsByUsername($admin,"id"); ?> <?php include('../includes/upload-documents.php'); ?> </div> <div class="tabbertab"> <?php include('../includes/assign-proffessional.php'); ?> </div> <div class="tabbertab"> <?php include('../includes/update-status.php');
<div class="attorney_row"> <div class="attorney_left"> <label>Work No.</label> <input type="text" name="office_no" maxlength="14" onkeyup="mask(event,this);" onkeydown="mask(event,this);" value="<?php if (isset($_POST['office_no'])) { echo $_POST['office_no']; } ?> " id=""/> <span class="error validation"></span> </div> <div class="attorney_right"> <label>Client Email</label> <input type="hidden" name="email_address" id="" value="<?php echo $temp_profile->GetDetailsByUsername($panel, "email_id"); ?> "/> <input type="text" name="client_email_address" id="" value=""/> <span class="error validation"></span> </div> </div> <div class="attorney_row"> <div class="attorney_left"> <label>Date of Birth</label> <div class="dob"> <select name="d_o_b_m" required> <option value="">Select Month</option> <?php $array = array("Jan", "Feb", "Mar", "Apr", "May", "Jun", "Jul", "Aug", "Sep", "Oct", "Nov", "Dec"); foreach ($array as $key => $value) {