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add_patient.php
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<?php
if(!isset($_SESSION))
{
session_start();
}
?>
<?php
include("header.php");
include("library.php");
?>
<div class="about">
<div class="container">
<h2>Bem-vindo, paciente!</h2>
<div class='alert alert-info'>
<strong>Informações!</strong> Caso queira desmarcar o pré agendamento, favor entrar em contato com a recepçãoda clínica.</div>
<?php
if(isset($_POST['apfullname'])){
$i = enter_patient_info($_POST['apfullname'],$_POST['apAge'],$_POST['apConvenio'],$_POST['apphone_no'],$_POST['apaddress']);
appointment_booking($i, $_POST['apSpecialist'],$_POST['apCorpo'] ,$_POST['apCondition']);
unset($_POST['apfullname']); //unset all post variables
if (isset($_POST['apfullname'])){
echo '<script type="text/javascript">location.reload();</script>';
}
}
?>
<form action="add_patient.php" method="POST">
<div class="form-group" >
<label for="usr">Nome Completo:</label>
<input type="text" class="form-control" id="usr" name="apfullname" required>
</div>
<div class="form-group">
<label for="pwd">Idade:</label>
<input type="number" class="form-control" id="pwd" name="apAge" min="1" max="200" required>
</div>
<div class="form-group">
<label for="pwd">Convênio:</label>
<input type="tel" class="form-control" id="pwd" name="apConvenio" required>
</div>
<div class="form-group">
<label for="pwd">Telefone - Celular e fixo:</label>
<input type="tel" class="form-control" id="pwd" name="apphone_no" required>
</div>
<div class="form-group">
<label for="pwd">Endereço:</label>
<textarea class="form-control" id="pwd" name="apaddress" required></textarea>
</div>
<div class="form-group">
<label for="pwd">Especialidade de Fisioterapia:</label>
<select required value=1 name="apSpecialist">
<option value="Fisioterapia geriátrica" class="option">Fisioterapia geriátrica</option>
<option value="Fisioterapia ortopédica" class="option">Fisioterapia ortopédica</option>
<option value="Osteopatia" class="option">Osteopatia</option>
<option value="Método McKenzie" class="option">Método McKenzie</option>
<option value="Acupuntura" class="option">Acupuntura</option>
<option value="Ventosaterapia" class="option">Ventosaterapia</option>
<option value="Realidade Virtual" class="option">Realidade Virtual</option>
<option value="Pilates" class="option">Pilates</option>
<option value="Hidroterapia" class="option">Hidroterapia</option>
</select>
<label for="pwd" style="margin-left: 20px">Membro do corpo:</label>
<select required value=1 name="apCorpo">
<option value="Ombro" class="option">Ombro</option>
<option value="Cotovelo" class="option">Cotovelo</option>
<option value="Punho e dedos" class="option">Punho e dedos</option>
<option value="Pescoço" class="option">Pescoço</option>
<option value="Colona" class="option">Coluna</option>
<option value="Torácica" class="option">Torácica</option>
<option value="Colona lombar" class="option">Colona lombar</option>
<option value="Quadril" class="option">Quadril</option>
<option value="Caxa" class="option">Coxa</option>
<option value="Joelho" class="option">Joelho</option>
<option value="Tornozelo" class="option">Tornozelo</option>
<option value="Pé" class="option">Pé</option>
</select>
</div>
<div class="form-group">
<label for="pwd">Condição médica/propósito da visita:</label>
<textarea class="form-control" id="pwd" name="apCondition" required></textarea>
</div>
<div class="form-group">
<input type="submit" value="Salvar" class="btn btn-primary" >
<input type="reset" value="Reset" class="btn btn-danger">
</div>
</form>
</div>
</div>
<?php
include("footer.php");
?>