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>"; }