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Mini Shell
<!DOCTYPE html>
<html lang="en">
<head>
<!-- Required meta tags -->
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
<title>Purple Admin</title>
<!-- plugins:css -->
<link rel="stylesheet" href="vendors/iconfonts/mdi/css/materialdesignicons.min.css">
<link rel="stylesheet" href="vendors/css/vendor.bundle.base.css">
<!-- endinject -->
<!-- plugin css for this page -->
<!-- End plugin css for this page -->
<!-- inject:css -->
<link rel="stylesheet" href="css/style.css">
<!-- endinject -->
<link rel="shortcut icon" href="images/favicon.png" />
</head>
<?php
$sa = mt_rand();
?>
<body>
<div class="container-scroller">
<!-- partial:../../partials/_navbar.html -->
<nav class="navbar default-layout-navbar col-lg-12 col-12 p-0 fixed-top d-flex flex-row">
<div class="text-center navbar-brand-wrapper d-flex align-items-center justify-content-center">
<a class="navbar-brand brand-logo" href="index.html"><img src="images/logo.png" alt="logo"/></a>
<a class="navbar-brand brand-logo-mini" href="index.html"><img src="images/logo-mini.svg" alt="logo"/></a>
</div>
<div class="navbar-menu-wrapper d-flex align-items-stretch">
<ul class="navbar-nav navbar-nav-right">
<li class="nav-item nav-profile dropdown">
<a class="nav-link dropdown-toggle" id="profileDropdown" href="#" data-toggle="dropdown" aria-expanded="false">
<div class="nav-profile-img">
</div>
</a>
<div class="dropdown-menu navbar-dropdown" aria-labelledby="profileDropdown">
<div class="dropdown-divider"></div> <a class="dropdown-item" href="logout_action.php">
<i class="mdi mdi-logout mr-2 text-primary"></i>
Signout
</a>
</div>
</li>
<li class="nav-item d-none d-lg-block full-screen-link">
<a class="nav-link">
<i class="mdi mdi-fullscreen" id="fullscreen-button"></i>
</a>
</li>
</ul>
<button class="navbar-toggler navbar-toggler-right d-lg-none align-self-center" type="button" data-toggle="offcanvas">
<span class="mdi mdi-menu"></span>
</button>
</div>
</nav>
<!-- partial -->
<div class="container-fluid page-body-wrapper">
<!-- partial:../../partials/_sidebar.html -->
<?php include "sidemenu.php"; ?>
<!-- partial -->
<div class="main-panel">
<div class="content-wrapper">
<div class="col-12 grid-margin stretch-card">
<div class="card">
<div class="card-body">
<?php
include("model/dboperation.php");
$id=$_POST['name'];
$sql="SELECT * FROM swathi_patient WHERE mobile='$id'";
$result = $mysqli->query($sql);
if ($result->num_rows > 0) {
// output data of each row
while($row = $result->fetch_assoc()) {
?>
<h4 class="card-title">Patients Profile Details</h4>
<p class="card-description">
</p>
<form class="forms-sample" action="controller/patients_profile_update.php" method="post">
<div class="form-group">
<label for="exampleInputName1">Speciality Medicines</label>
<input type="text" name="spmedicine" class="form-control" id="exampleInputName1" value="<?php echo $row['speciality_medicine_p'];?>">
</div>
<div class="form-group">
<label for="exampleInputName1">Profile number</label>
<input type="text" class="form-control" name="profile_number" id="exampleInputName1" value="<?php echo $row['profile_no'];?>" >
</div>
<div class="form-group">
<label for="exampleInputEmail3"> Name</label>
<input type="text" class="form-control" name="name" id="exampleInputEmail3" placeholder="Name" value="<?php echo $row['patients_name'];?>">
</div>
<div class="form-group">
<label for="exampleInputEmail3"> Age</label>
<input type="text" class="form-control" name="age" id="exampleInputEmail3" placeholder="Age" value="<?php echo $row['patients_age'];?>">
</div>
<div class="form-group">
<label for="exampleTextarea1">Address</label>
<textarea class="form-control" id="exampleTextarea1" name="address" rows="5" cols="5"><?php echo $row['address'];?></textarea>
</div>
<div class="form-group">
<label for="exampleInputEmail3"> Doctor name</label>
<input type="text" class="form-control" id="exampleInputEmail3" name="doctor_name" placeholder="Doctor name" value="<?php echo $row['doctor_name'];?>">
</div>
<div class="form-group">
<label for="exampleSelectGender">Gender</label>
<input type="text" class="form-control" id="exampleInputEmail3" name="gender" placeholder="Doctor name" value="<?php echo $row['gender'];?>">
</div>
<div class="form-group">
<label for="exampleInputPassword4">Hospital/Clinic name</label>
<input type="text" class="form-control" name="hospital" placeholder="Hospital/Clinic name" value="<?php echo $row['hospital'];?>">
</div>
<div class="form-group">
<label for="exampleTextarea1">Phone</label>
<input type="text" class="form-control" name="phone" placeholder="Phone" value="<?php echo $row['phone'];?>" >
</div>
<div class="form-group">
<label for="exampleTextarea1">Mobile</label>
<input type="text" class="form-control" name="mobile" placeholder="Mobile" value="<?php echo $row['mobile'];?>">
</div>
<div class="form-group">
<label for="exampleTextarea1">Medicines</label>
<textarea class="form-control" id="exampleTextarea1" name="medicines" rows="5" cols="5"><?php echo $row['medicines'];?></textarea>
</div>
<div class="form-group">
<label for="exampleTextarea1">Volume of Business</label>
<input type="text" class="form-control" name="bvolume" placeholder="Volume of Business" value="<?php echo $row['volume_of_business'];?>">
</div>
<div class="form-group">
<label for="exampleTextarea1">Enquery Date</label>
<input type="text" class="form-control" name="endate" value="<?php echo $row['date_enquery'];?>">
</div>
<div class="form-group">
<label for="exampleTextarea1">Delivery Date</label>
<input type="text" class="form-control" name="delidate" value="<?php echo $row['date_delivery'];?>">
</div>
<div class="form-group">
<label for="exampleTextarea1">Reminder Date</label>
<input type="text" class="form-control" name="remindate" value="<?php echo $row['date_remin'];?>">
</div>
<input type="hidden" value="<?php echo $row['ids'];?>" name="ids" />
<button type="submit" class="btn btn-gradient-primary mr-2">Submit</button>
</form>
<?php
}
}
?>
</div>
</div>
</div>
</div>
<!-- content-wrapper ends -->
<!-- partial:../../partials/_footer.html -->
<footer class="footer">
<div class="d-sm-flex justify-content-center justify-content-sm-between">
<span class="text-muted text-center text-sm-left d-block d-sm-inline-block">Copyright © 2017 <a href="https://www.bootstrapdash.com/" target="_blank">Bootstrap Dash</a>. All rights reserved.</span>
<span class="float-none float-sm-right d-block mt-1 mt-sm-0 text-center">Hand-crafted & made with <i class="mdi mdi-heart text-danger"></i></span>
</div>
</footer>
<!-- partial -->
</div>
<!-- main-panel ends -->
</div>
<!-- page-body-wrapper ends -->
</div>
<!-- container-scroller -->
<!-- plugins:js -->
<script src="vendors/js/vendor.bundle.base.js"></script>
<script src="vendors/js/vendor.bundle.addons.js"></script>
<!-- endinject -->
<!-- Plugin js for this page-->
<!-- End plugin js for this page-->
<!-- inject:js -->
<script src="js/off-canvas.js"></script>
<script src="js/misc.js"></script>
<!-- endinject -->
<!-- Custom js for this page-->
<!-- End custom js for this page-->
</body>
</html>
Zerion Mini Shell 1.0