echo "<tr>"; echo "<td>Tax</td>"; echo "<td>"; $ro->coconutTextBox_short("tax", ""); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Discount</td>"; echo "<td>"; $ro->coconutTextBox_short("discount", ""); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Company</td>"; echo "<td>"; $ro->coconutTextBox_readonly("company", $companyName); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Payment For</td>"; echo "<td>"; $ro->coconutComboBoxStart_long("paymentFor"); echo "<option value='HOSPITAL BILL'>HOSPITAL BILL</option>"; $ro->coconutComboBoxStop(); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Date</td>"; echo "<td>"; $ro->coconutComboBoxStart_short("month"); echo "<option value='" . date("m") . "'>" . date("M") . "</option>";
echo "<tr>"; echo "<td>Tax</td>"; echo "<td>"; $ro->coconutTextBox_short("tax", ""); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Discount</td>"; echo "<td>"; $ro->coconutTextBox_short("discount", ""); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Company</td>"; echo "<td>"; $ro->coconutTextBox_readonly("company", $companyName); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Payment For</td>"; echo "<td>"; $ro->coconutComboBoxStart_long("paymentFor"); echo "<option value='PROFESSIONAL FEE'>PROFESSIONAL FEE</option>"; $ro->coconutComboBoxStop(); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Doctor</td>"; echo "<td>"; $ro->coconutTextBox_readonly("doctor", $doctorName); echo "</td>";
$description = $_GET['description']; $quantity = $_GET['quantity']; $username = $_GET['username']; $batchNo = $_GET['batchNo']; $ro = new database2(); $ro->coconutDesign(); echo "<Br><br><br>"; $ro->coconutFormStart("post", "editItem1.php"); $ro->coconutHidden("verificationNo", $verificationNo); $ro->coconutHidden("username", $username); $ro->coconutHidden("batchNo", $batchNo); $ro->coconutBoxStart("500", "100"); echo "<Br>"; echo "<table border=0>"; echo "<tr>"; echo "<td>Description</td>"; echo "<td>"; $ro->coconutTextBox_readonly("description", $description); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<Td>QTY</td>"; echo "<td>"; $ro->coconutTextBox_short("quantity", $quantity); echo "</td>"; echo "</tr>"; echo "</table>"; echo "<Br>"; $ro->coconutButton("Proceed"); $ro->coconutBoxStop(); $ro->coconutFormStop();
echo "<tr>"; echo "<td>Tax</td>"; echo "<td>"; $ro->coconutTextBox_short("tax", ""); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Discount</td>"; echo "<td>"; $ro->coconutTextBox_short("discount", ""); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Company</td>"; echo "<td>"; $ro->coconutTextBox_readonly("company", $ro->getRegistrationDetails_company()); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Date</td>"; echo "<td>"; $ro->coconutComboBoxStart_short("month"); echo "<option value='" . date("m") . "'>" . date("M") . "</option>"; echo "<option value='01'>Jan</option>"; echo "<option value='02'>Feb</option>"; echo "<option value='03'>Mar</option>"; echo "<option value='04'>Apr</option>"; echo "<option value='05'>May</option>"; echo "<option value='06'>Jun</option>"; echo "<option value='07'>Jul</option>"; echo "<option value='08'>Aug</option>";
$reconcileNo = $_GET['reconcileNo']; $registrationNo = $_GET['registrationNo']; $ro = new database2(); $ro->getPatientProfile($registrationNo); $ro->coconutDesign(); echo "<Br><Br><Br>"; $ro->coconutFormStart("get", "reconcileDetails_editNow.php"); $ro->coconutHidden("reconcileNo", $reconcileNo); $ro->coconutHidden("registrationNo", $registrationNo); $ro->coconutBoxStart("500", "200"); echo "<Br>"; echo "<table border=0>"; echo "<Tr>"; echo "<Td>Patient </tD>"; echo "<td>"; $ro->coconutTextBox_readonly("patient", $ro->getPatientRecord_lastName() . ", " . $ro->getPatientRecord_firstName()); echo "</td>"; echo "</tr>"; echo "<Tr>"; echo "<Td>Ref No#: </tD>"; echo "<td>"; $ro->coconutTextBox("refno", $ro->doubleSelectNow("phicReconcile", "refno", "registrationNo", $registrationNo, "reconcileNo", $reconcileNo)); echo "</td>"; echo "</tr>"; echo "<Tr>"; echo "<Td>Amount </tD>"; echo "<td>"; $ro->coconutTextBox("amount", $ro->doubleSelectNow("phicReconcile", "amount", "registrationNo", $registrationNo, "reconcileNo", $reconcileNo)); echo "</td>"; echo "</tr>"; $datePd = preg_split("/\\_/", $ro->doubleSelectNow("phicReconcile", "date", "registrationNo", $registrationNo, "reconcileNo", $reconcileNo));
$ro->coconutBoxStart("500", "180"); echo "<Br><table border=0>"; echo "<tr>"; echo "<tD>Description</td>"; echo "<Td>"; $ro->coconutTextBox("description", $description); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<tD>QTY</td>"; echo "<Td>"; $ro->coconutTextBox_short("qty", $qty); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<tD>From</td>"; echo "<Td>"; $ro->coconutTextBox_readonly("borrowerDepartment", $borrowerDepartment); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<tD>Return By</td>"; echo "<Td>"; $ro->coconutTextBox("returnBy", ""); echo "</td>"; echo "</tr>"; echo "</table>"; echo "<br>"; $ro->coconutButton("Proceed"); $ro->coconutBoxStop(); $ro->coconutFormStop();
$packageIncluded_qty = $_GET['packageIncluded_qty']; $added = $_GET['added']; $packageNo = $_GET['packageNo']; $ro = new database2(); $ro->coconutDesign(); $pricez = preg_split("/\\_/", $packageIncluded_description); $ro->coconutFormStart("get", "http://" . $ro->getMyUrl() . "/COCONUT/hospitalPackage/editItem1.php"); $ro->coconutHidden("packageNo", $packageNo); echo "<br><br>"; $ro->coconutBoxStart("500", "155"); echo "<br>"; echo "<table border=0>"; echo "<Tr>"; echo "<td>Package Name</td>"; echo "<td>"; $ro->coconutTextBox_readonly("packageName", $packageName); echo "</td>"; echo "</tr>"; echo "<Tr>"; echo "<td>Description</td>"; echo "<td>"; $ro->coconutTextBox_readonly("qty", $packageIncluded_description); echo "</td>"; echo "</tr>"; echo "<Tr>"; echo "<td>Price</td>"; echo "<td>"; $ro->coconutTextBox_short("price", $added); echo "</td>"; echo "</tr>"; echo "</table>";
echo "<td>"; $ro->coconutTextBox_short("tax", ""); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Payment For</td>"; echo "<td>"; $ro->coconutComboBoxStart_long("paymentFor"); echo "<option value='PROFESSIONAL FEE'>PROFESSIONAL FEE</option>"; $ro->coconutComboBoxStop(); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Doctor</td>"; echo "<td>"; $ro->coconutTextBox_readonly("doctor", $ro->selectNow("patientCharges", "description", "itemNo", $itemNo)); echo "</td>"; echo "</tr>"; echo "<tr>"; echo "<td>Date</td>"; echo "<td>"; $ro->coconutComboBoxStart_short("month"); echo "<option value='" . date("m") . "'>" . date("M") . "</option>"; echo "<option value='01'>Jan</option>"; echo "<option value='02'>Feb</option>"; echo "<option value='03'>Mar</option>"; echo "<option value='04'>Apr</option>"; echo "<option value='05'>May</option>"; echo "<option value='06'>Jun</option>"; echo "<option value='07'>Jul</option>"; echo "<option value='08'>Aug</option>";