Darrel Israel
124 lines
5.8 KiB
PHP
124 lines
5.8 KiB
PHP
<?php
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require_once "dbconn.php";
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if (isset($_POST["btnPatientEdit"])) {
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$patientID = $_POST["patientID"];
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// Query the database to get patient data
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$sql = "SELECT * FROM tblpatient WHERE patientid = $patientID";
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$result = mysqli_query($conn, $sql);
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if ($result && mysqli_num_rows($result) === 1) {
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$row = mysqli_fetch_assoc($result);
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$patientFirstName = $row["fname"];
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$patientMiddleName = $row["mname"];
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$patientLastName = $row["lname"];
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$patientAge = $row["patientage"];
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$patientSex = $row["sex"];
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$patientCivilStatus = $row["civilstatus"];
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$patientAddress = $row["address"];
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$patientDateOfBirth = $row["dateofbirth"];
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}
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// Debug statements
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/*
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echo "Patient ID: " . $patientID . "<br>";
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echo "First Name: " . $patientFirstName . "<br>";
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echo "Middle Name: " . $patientMiddleName . "<br>";
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echo "Last Name: " . $patientLastName . "<br>";
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echo "Age: " . $patientAge . "<br>";
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echo "Sex: " . $patientSex . "<br>";
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echo "Civil Status: " . $patientCivilStatus . "<br>";
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echo "Address: " . $patientAddress . "<br>";
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echo "Date of Birth: " . $patientDateOfBirth . "<br>";
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*/
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}
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?>
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<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta charset="utf-8" />
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<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no" />
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<title>Dashboard</title>
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<link rel="stylesheet" href="assets/vendors/mdi/css/materialdesignicons.min.css">
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<link rel="stylesheet" href="assets/vendors/flag-icon-css/css/flag-icon.min.css">
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<link rel="stylesheet" href="assets/vendors/css/vendor.bundle.base.css">
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<link href="https://cdn.jsdelivr.net/npm/bootstrap@5.5.0/dist/css/bootstrap.min.css" rel="stylesheet">
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<script src="https://cdn.jsdelivr.net/npm/bootstrap@5.5.0/dist/js/bootstrap.bundle.min.js"></script>
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<link rel="stylesheet" href="path-to-your-css/bootstrap.min.css">
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<script src="path-to-your-js/jquery.min.js"></script>
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<script src="path-to-your-js/bootstrap.min.js"></script>
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<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/4.5.2/css/bootstrap.min.css">
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<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.5.1/jquery.min.js"></script>
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<script src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.16.0/umd/popper.min.js"></script>
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<script src="https://maxcdn.bootstrapcdn.com/bootstrap/4.5.2/js/bootstrap.min.js"></script>
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<script src='https://kit.fontawesome.com/a076d05399.js' crossorigin='anonymous'></script>
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<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.min.css">
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<link rel="stylesheet" href="assets\css\a.css">
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<link rel="stylesheet" href="assets/vendors/jquery-bar-rating/css-stars.css" />
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<link rel="stylesheet" href="assets/vendors/font-awesome/css/font-awesome.min.css" />
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<link rel="stylesheet" href="assets/css/demo_1/style.css" />
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<link rel="shortcut icon" href="assets/images/favicon.png" />
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<link rel="stylesheet" href="assets\css\editpatient.css" />
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</head>
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<br><br>
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<body>
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<br>
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<form action="updatepatient.php" method="POST">
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<fieldset class="custom-fieldset">
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<legend>
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<h1><b>Patient Information</b></h1>
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</legend>
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<input type="hidden" name="patientID" value="<?= $patientID ?>">
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<div class="modal-body">
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<div class>
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<label for="firstName">First Name:</label>
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<input class="form-control" type="text" id="firstName" name="fname" value="<?= $patientFirstName ?>">
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</div>
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<div class><br>
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<label for="middleName">Middle Name:</label>
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<input class="form-control" type="text" id="middleName" name="mname" value="<?= $patientMiddleName ?>">
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</div>
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<div class><br>
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<label for="lastName">Last Name:</label>
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<input class="form-control" type="text" id="lastName" name="lname" value="<?= $patientLastName ?>">
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</div>
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<div class><br>
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<label for="age">Age:</label>
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<input class="form-control" type="text" id="age" name="age" value="<?= $patientAge ?>">
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</div>
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<div class>
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<label for="sex">Sex:</label><br>
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<input type="radio" name="sex" id="male" value="male" <?= ($patientSex === 'male') ? 'checked' : '' ?>>
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<label for="male">Male</label>
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<input type="radio" name="sex" id="female" value="female" <?= ($patientSex === 'female') ? 'checked' : '' ?>>
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<label for="female">Female</label>
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</div>
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<div class>
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<label for="civilStatus">Civil Status:</label>
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<input class="form-control" type="text" id="civilStatus" name="civilStatus" value="<?= $patientCivilStatus ?>">
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</div>
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<div class><br>
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<label for="address">Address:</label>
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<input class="form-control" type="text" id="address" name="address" value="<?= $patientAddress ?>">
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</div>
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<div class><br>
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<label for="dateOfBirth">Date Of Birth:</label><br>
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<input type="date" id="dateOfBirth" name="dateOfBirth" value="<?= $patientDateOfBirth ?>">
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</div>
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<br>
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<div class="text-right">
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<button type="submit" class="btn btn-primary" name="btnPatientUpdate">Save Changes</button>
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</div>
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</div>
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</fieldset>
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</div>
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</body>
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</html>
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