echo "</tr>"; echo "</table>"; echo "<table border=0 width=55% >"; echo "<tr>"; echo "<td>Name: <input type='text' value='" . $ro->getPatientRecord_lastName() . ", " . $ro->getPatientRecord_firstName() . "' class='patientName'> </td>"; echo "</tr>"; echo "</table>"; echo "<table border=0 width=55% cellspacing=0>"; echo "<tr>"; echo "<td>Age: <input type='text' value='" . $ro->getPatientRecord_age() . "' class='registrationNo'> </td>"; echo "<td>Sex: <input type='text' value='" . $ro->getPatientRecord_gender() . "' class='registrationNo'> </td>"; echo "</tr>"; echo "</table>"; echo "<table border=0 width=55% >"; echo "<tr>"; echo "<td>Address: <input type='text' value='" . $ro->getPatientRecord_address() . "' class='address'> </td>"; echo "</tr>"; echo "<tr>"; echo "<td>Date Admitted: <input type='text' value='" . $ro->getRegistrationDetails_dateRegistered() . "' class='dateAdmitted'> </td>"; echo "</tr>"; echo "<tr>"; echo "<td>Date Discharged: <input type='text' value='" . $ro->getRegistrationDetails_dateUnregistered() . "' class='dateDischarged'> </td>"; echo "</tr>"; $ro->clinicalCoverSheet_atteding($registrationNo); echo "<tr>"; echo "<td>Admitting Diagnosis: <input type='text' value='" . $ro->getRegistrationDetails_IxDx() . "' class='admittingDiagnosis'> </td>"; echo "</tr>"; echo "<tr>"; echo "<td><font color='white'>Admitting Diagnosis:</font> <input type='text' value='' class='admittingDiagnosis'> </td>"; echo "</tr>"; if ($ro->selectNow("patientICD", "diagnosis", "registrationNo", $registrationNo) != "") {
echo "<br><font class='informationLabel'>Age:</font> " . $ro->getPatientRecord_age(); echo "<br><font class='informationLabel'>Gender:</font> " . $ro->getPatientRecord_gender(); echo "<br><font class='informationLabel'>Civil Status:</font> " . $ro->getPatientRecord_civilStatus(); echo "<br><font class='informationLabel'>Birth Date:</font> " . $ro->getPatientRecord_Birthdate(); echo "<br><font class='informationLabel'>Contact No#:</font> " . $ro->getPatientRecord_contactNo(); echo "<br><font class='informationLabel'>Senior:</font> " . $ro->getPatientRecord_senior(); echo "<br><font class='informationLabel'>PhilHealth:</font> " . $ro->getPatientRecord_phic(); echo "<br><font class='informationLabel'>PhilHealth Type:</font> " . $ro->getPHICtype_patientRecord(); echo "<br><font class='informationLabel'>Company:</font> " . $ro->getRegistrationDetails_company(); echo "<br><font class='informationLabel'>Time Registered:</font> " . $ro->getRegistrationDetails_timeRegistered(); echo "<br><font class='informationLabel'>Date Registered:</font> " . $ro->getRegistrationDetails_dateRegistered(); echo "<br><font class='informationLabel'>Branch Registered:</font> " . $ro->getRegistrationDetails_branch(); echo "<br><font class='informationLabel'>Case Type:</font> <a href='#' style='text-decoration:none; color:black;'>" . $ro->getRegistrationDetails_caseType() . "</a>"; echo "<br><font class='informationLabel'>Package:</font> <a href='#' style='text-decoration:none; color:black;'>" . $ro->getRegistrationDetails_package() . "</a>"; echo "<br><font class='informationLabel'>Room:</font> " . $room[0]; echo "<br><font class='informationLabel'>Address:</font> " . $ro->getPatientRecord_address(); echo "<br><font class='informationLabel'>Registered By:</font> " . $ro->getRegistrationDetails_registeredBy(); if ($ro->selectNow("reportHeading", "information", "reportName", "Credit Limit") == "Activate" and $ro->selectNow("registrationDetails", "type", "registrationNo", $registrationNo) == "IPD") { echo "<br><font class='informationLabel' color=blue>Allowed Balance:</font> " . number_format($ro->selectNow("registrationDetails", "LimitCASH", "registrationNo", $registrationNo), 2); echo "<br><font class='informationLabel' color=red>Current Balance:</font> " . number_format($ro->may_naibayad_naba_ang_patient($registrationNo), 2); } else { } if ($ro->getRegistrationDetails_dateUnregistered() != "") { echo "<br><font class='informationLabel'>Time Discharged:</font> " . $ro->getRegistrationDetails_timeUnregistered(); echo "<br><font class='informationLabel'>Discharged:</font> " . $ro->getRegistrationDetails_dateUnregistered(); } else { echo ""; } echo "<br><br><font size=2 color=red><b>VITAL SIGN</b></font>"; echo "<br><font class='informationLabel'>Height:</font> " . $ro->getRegistrationDetails_height(); echo "<br><font class='informationLabel'>Weight:</font> " . $ro->getRegistrationDetails_weight();
$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>"; echo "</tr>"; echo "<tr>"; echo "<td>TIME OF EXAMINATION: <input type='text' autocomplete='off' name='timeOfExamination' class='medicoLegalInformation' value=''></td>"; echo "</tr>";