function form_consult_service() {
if (func_num_args()>0) {
$arg_list = func_get_args();
$menu_id = $arg_list[0];
$post_vars = $arg_list[1];
$get_vars = $arg_list[2];
$validuser = $arg_list[3];
$isadmin = $arg_list[4];
}
print "<table width='300'>";
print "<form action = '".$_SERVER["SELF"]."?page=".$get_vars["page"]."&menu_id=".$get_vars["menu_id"]."&consult_id=".$get_vars["consult_id"]."&ptmenu=DETAILS&module=philhealth&philhealth=SVC' name='form_consult_service' method='post'>";
print "<tr valign='top'><td>";
print "<b>".INSTR_PHILHEALTH_SERVICE."</b><br/><br/>";
// does member have philhealth id?
$patient_id = healthcenter::get_patient_id($get_vars["consult_id"]);
$patient_name = patient::get_name($patient_id);
$philhealth_id = philhealth::get_philhealth_id($patient_id);
if (!$philhealth_id) {
// try to see if any family member has a philhealth id
$family_id = family::get_family_id($patient_id);
$philhealth_info = philhealth::whois_philhealth_member($family_id);
$patient_name = $philhealth_info["patient_lastname"].", ".$philhealth_info["patient_firstname"];
$philhealth_id = $philhealth_info["philhealth_id"];
}
if ($philhealth_id && $patient_name) {
print "BENEFICIARY: <b>$patient_name</b><br/>";
print "PHILHEALTH ID: <b>$philhealth_id</b><br/><br/>";
print "<input type='hidden' name='philhealth_id' value='$philhealth_id'/>";
} else {
print "<font color='red'>No PHILHEALTH membership found.</font><br/>";
}
print "</td></tr>";
print "<tr valign='top'><td>";
print "<span class='boxtitle'>".LBL_WHICH_SERVICES_USED."</span><br> ";
print philhealth::checkbox_philhealth_services();
print "<br/></td></tr>";
print "<tr><td>";
if ($_SESSION["priv_add"]) {
print "<input type='submit' value = 'Save Data' class='textbox' name='submitservice' style='border: 1px solid #000000'><br> ";
}
print "</td></tr>";
print "</form>";
print "</table><br>";
}
