MDIS/src/report_create_form.php

60 lines
2.2 KiB
PHP

<?php session_start(); ?>
<head>
<meta charset="utf-8">
<meta http-equiv="x-ua-compatible" content="ie=edge">
<title>Gestión de usuarios</title>
<meta name="description" content="">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="static/style.css" type="text/css" media="screen" />
<script src="validate_report.js"></script>
</head>
<body>
<?php include 'navbar.php'; ?>
<?php
include 'database.php';
$pdo = connectDatabase();
$doctors = listDoctors($pdo);
$patients = fetchPatients($pdo);
?>
<form name="create_form" method="post" action="report_management.php" onsubmit="return validateReport();">
<div class="input-group">
<label>Titulo</label>
<input type="text" name="titulo" value="">
</div>
<div class="input-group">
<label>fecha</label>
<input type="date" name="fecha" value="">
</div>
<div class="input-group">
<label>hora</label>
<input type="time" name="hora" value="">
</div>
<div class="input-group">
<select id="paciente" name="paciente">
<option>Seleccione un paciente</option>
<?php foreach ($patients as $row) : ?>
<option value="<?php echo $row[0]; ?>"><?php echo $row[1]; ?></option>
<?php endforeach ?>
</select>
</div>
<div class="input-group">
<select id="medico" name="medico">
<option>Seleccione un médico</option>
<?php foreach ($doctors as $row) : ?>
<option value="<?php echo $row[0]; ?>"><?php echo $row[1]; ?></option>
<?php endforeach ?>
</select>
</div>
<div class="input-group">
<label>contenido</label>
<input type="text" name="contenido" value="">
</div>
<div class="input-group">
<button class="btn" type="submit" name="create" >Guardar</button>
</div>
<input type="button" value="Imprimir" onClick="window.print()">
</form>
<?php closeDatabase($pdo); ?>
</body>