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PHP Version : 8.1.31
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Current File : /home/mhmsfzcs/vflyorions.com/.well-known/../../www/new_form.php
<style>
    .para{
        color:red;
        text-align:center;
        padding-top:10rem;
    }
</style>
<?php
   include "db.php";
   include "header.php";
   
   $date="2023-03-27";   

$sql = "SELECT * FROM profile where id='$log_id'";
$result = $conn->query($sql);

if ($result->num_rows>0) {
    
   while($row = $result->fetch_assoc()) {

       $targetdate=$row['targetdate'];
       //echo $targetdate;
}
}

   //if($date<$targetdate)or($date<$targetdate){
     if($date == $targetdate){  
       echo '<p class="para">Your project expired you can`t acces this page Now</p>';
   }else{

   
   
   
   include "sidebar.php";
   
      $user_id=$_SESSION['id'];
   
     /* $stmt3=("SELECT * FROM `form_data` WHERE user_id='$user_id'");
      $result3 = $conn->query($stmt3);
       if($result3->num_rows>0){
         
        while($row3=$result3->fetch_assoc()){      
        
           $userid2=$row3['user_id'];
           $mgid=$row3['img_id'];
         }    
       }else{
              $userid2='image not allocated';
              $mgid='image not allocated';
       }
       // echo $mgid;
       $stmt2=("SELECT COUNT(*) as id FROM `form_data` WHERE img_id='$mgid' AND user_id='$userid2'");
       $result2 = $conn->query($stmt2);
     
      if($result2->num_rows>0){
    
       while($row2=$result2->fetch_assoc())
            {
                  $cntimgid=$row2['id'];
            }
      }else{
              $cntimgid='Data not available';
          }
          */
$date=date("Y-m-d");          
$sql = "SELECT * FROM profile where `targetdate`='$date' AND `id`='$user_id'";
$result = $conn->query($sql);

if ($result->num_rows > 0) {
    
    echo 'Proejct Expired';
  // output data of each row
//   while($row = $result->fetch_assoc()) {
//     echo "id: " . $row["id"]. " - Name: " . $row["firstname"]. " " . $row["lastname"]. "<br>";
//   }
}else {
  echo "0 results";
}      
          
?>
<style>
   @media(max-width: 600px)
   {
   .hide{
   display: none;
   }
   .hide1{
   display: show;
   }
   }
   @media(min-width: 601px)
   {
   .hide{
   display: show;
   }
   .hide1{
   display: none;
   }
   }
</style>
<style>
   div.scrollmenu {
   background-color: white;
   overflow: auto;
   white-space: nowrap;
   }
   div.scrollmenu a {
   display: inline-block;
   color: white;
   text-align: center;
   padding: 14px;
   text-decoration: none;
   }
   div.scrollmenu a:hover {
   background-color: white;
   }
   .previous {
   background-color: #f1f1f1;
   color: black;
   }
   .next {
   background-color: #04AA6D;
   color: white;
   }
   .round {
   border-radius: 50%;
   }
   a {
   text-decoration: none;
   font-weight: bold;
   }
   .outer{border: 1px solid;}
   .srcl {
   display: flex;
   margin: auto;
   width: 1100px;
   margin: 10px auto;
   justify-content: space-between;
   }
  
   .slide-sample{
   margin: auto;
   position: relative;
   display: table;
   }
   .slideouter {
   width:950px;
   overflow-x: scroll;
   margin: auto;
   display: flex;
   }
   .preSlide {
   left: -23px;
   position: absolute;
   top: 11px;
   font-size: 27px;
   color: #0080cd;
   }
   .nextSlide {
   right: -24px;
   position: absolute;
   top: 11px;
   font-size: 27px;
   color: #0080cd;
   }
   .social{text-align:center;}
   .form-control{
   width:auto;
   }
   .card-sizeh{
   height: 410px;    
   margin-left: -17px;"
   }
   @media (max-width: 660px){
   .slideouter {
   width:327px;
   overflow-x: scroll;
   margin: auto;
   display: flex;
   }
   .card-sizeh{
   height: 210px;    
   margin-left: -17px;
   margin-top:-30px;
   }
   .slide-sample{
   margin-top:-1%;
   }
   .header {
   height: 63px;
   }
   }
   }
</style>
<main id="main" class="main">
   <!-- <link href="https://stackpath.bootstrapcdn.com/bootstrap/4.3.1/css/bootstrap.min.css" rel="stylesheet"> -->
   <script src="https://code.jquery.com/jquery-3.4.1.js"></script>
  
   <section class="section dashboard">
   <div class="row">
   <!-- Left side columns -->
   <div class="col-lg-12">
   <div class="row">
   <!-- Sales Card -->
   <div class="col-lg-12" >
      <div class="card info-card sales-card card-sizeh" style="margin-top:0rem">
         <!--     <button  class="btn btn-light" style="font-size: 10px;">PreviousImg</button>
            <button  class="btn btn-success" style="font-size: 10px;">NextImg</button> -->
         <div class="row" style="padding-top:10px;">
            <div class="col-lg-6"> 
               <button onclick="zoomIn()" class="btn btn-success" style="font-size: 15px;">ZoomIn</button>
               <button onclick="zoomOut()" class="btn btn-danger" style="font-size: 15px;">ZooOut</button>
            </div>
            <div class="col-lg-6 ">
               <form method="post">
                  <div class="row" >
                     <div class="col-lg-7 col-4" >
                        <select  name="img_id" id="imgei" class="form-control imgeid msg" >
                           <option value=" ">Select Image</option>
                           <?php
                              //echo $user_id;
                              $stmt=("SELECT * FROM new_resume WHERE `user`='$user_id'");
                               $result = $conn->query($stmt);
                                  while($row=$result->fetch_assoc())
                                  { ?>    
                           <option value="<?php echo $row['id'];?>"><?php echo $row['resume'];?></option>
                           <?php } ?>     
                        </select>
                     </div>
                   
                  </div>
               </form>
            </div>
         </div>
         <div class="card-body cp"  onload = "GFG()"  style="height: 550px; max-height: 82vh;overflow-y: scroll;">
            <!--    <php echo $pdf;?>
               <php echo $imgid;?>   -->
            <img src""  class="card-img-bottom" alt="Please Select Image" style="height:auto;cursor: -webkit-grab; cursor: grab;"/>
         </div>
      </div>
   </div>
   
   <!-- End Sales Card -->
   <form  action="javascript:void(0)" method="post" id="new_form">
      <div class="slide-sample card info-card sales-card form-width">
         <!--   <a href="#" class="preSlide">&#60;</a> -->
         <div class="slideouter">
            <div class="col-lg-12">
               <div class="slideinner srcl">
                  <div>
                     <input type="hidden" name="uid" id="uid" class="form-control" 
                        value="<?php echo $user_id;?>"/>
                     <input type="hidden" name="imgname" id="imgname" class="for-control cp"  />
                     <input type="hidden" name="imgid" id="imgid" class="form-control cp"/>
                     <input name="sl_no" id="sl_no" type="text" class="form-control"   placeholder="1" autocomplete="off"  required="" />
                  </div>
                  <div>
                     <input name="pa_fname" id="pa_fname" type="text" class="form-control" autocomplete="off"  placeholder="2" required="" />
                  </div>
                  <div>
                     <input name="pa_lname" id="pa_lname" type="text" class="form-control" autocomplete="off"  placeholder="3" required="" />
                  </div>
                  <div>
                     <input name="pa_address" id="pa_address" type="text" class="form-control" autocomplete="off" placeholder="4" required="" />
                  </div>
                  <div>
                     <input name="pa_email" id="pa_email" type="text" class="form-control" autocomplete="off"  placeholder="5" required="" />
                  </div>
                  <div>
                     <input name="pa_contact" id="pa_contact" type="text" class="form-control" autocomplete="off" placeholder="6" required="" />
                  </div>
                  <div>
                     <input name="pa_dob" id="pa_dob" type="text" class="form-control" autocomplete="off"  placeholder="7" required="" />
                  </div>
                  <div>
                     <input name="pa_city" id="pa_city" type="text" class="form-control" autocomplete="off" placeholder="8" required="" />
                  </div>
                  <div>
                     <input name="pa_state" id="pa_state" type="text" class="form-control" autocomplete="off" placeholder="9" required="" />
                  </div>
                  <div><input name="pa_zipcode" id="pa_zipcode" type="text" class="form-control" autocomplete="off" placeholder="10" required="" />
                  </div>
                  <div>
                     <input name="pa_medical_claim_no" id="pa_medical_claim_no"  type="text" autocomplete="off" class="form-control"  placeholder="11" required="" />
                  </div>
                  <div>
                     <input name="dr_fname" id="dr_fname" type="text" class="form-control" autocomplete="off" placeholder="12" required="" />
                  </div>
                  <div>
                     <input name="dr_lname" id="dr_lname" type="text" class="form-control" autocomplete="off" placeholder="13" required="" />
                  </div>
                  <div>
                     <input name="dr_physical_address" id="dr_physical_address" type="text" class="form-control" autocomplete="off"  placeholder="14" required="" />
                  </div>
                  <div>
                     <input name="dr_phone" id="dr_phone" type="text" class="form-control" autocomplete="off" placeholder="15" required="" />
                  </div>
                  <div>
                     <input name="dr_city" id="dr_city" type="text" class="form-control" autocomplete="off" placeholder="16" required="" />
                  </div>
                  <div>
                     <input name="dr_email" id="dr_email" type="text" class="form-control" autocomplete="off" placeholder="17" required="" />
                  </div>
                  <div>
                     <input name="ag_fname" id="ag_fname" type="text" class="form-control" autocomplete="off"  placeholder="18" required="" />
                  </div>
                  <div>
                     <input name="ag_lname" id="ag_lname"  type="text" class="form-control" autocomplete="off" placeholder="19" required="" />
                  </div>
                  <div>
                     <input name="ag_contact" id="ag_contact" type="text" class="form-control" autocomplete="off" placeholder="20" />
                  </div>
                  <div>
                     <input name="ag_physical_address" id="ag_physical_address" type="text" autocomplete="off" class="form-control"  placeholder="21" />
                  </div>
                  <div>
                     <input name="ag_state" id="ag_state" type="text" class="form-control" autocomplete="off" placeholder="22"  />
                  </div>
                  <div>
                     <input name="ag_zip_code" id="ag_zip_code" type="text" class="form-control" autocomplete="off" placeholder="23" />
                  </div>
                  <!--<div>-->
                  <!--   <input name="ag_dob" id="ag_dob" type="text" class="form-control" autocomplete="off" placeholder="24"  />-->
                  <!--</div>-->
                  <!--<div>-->
                  <!--   <input name="ag_email" id="ag_email" type="text" class="form-control" autocomplete="off" placeholder="25"  />-->
                  <!--</div>-->
               </div>
            </div>
            <!--  <a href="#" class="nextSlide">&#62;</a> -->
         </div>
         <!--<p>TOtal Record Entered=<php echo $cntimgid; ?></p> -->
         <div class="text-center show_msg" style="margin-top:15px;margin-bottom:15px">
            <input type="submit" name="submit" class="btn btn-primary" style="background-image: radial-gradient( circle farthest-corner at 10.2% 55.8%, rgb(15 13 14) 0%, rgb(22 19 21) 46.2%, rgb(182 23 177) 90.1% );" value="submit" />
            <p class="" id="show_message"  style="color:green;font-size:20px">Form data submitted!</p>
         </div>
     </form>
   
   </div>
   <!--this section for count show -->
  <p class="cp2 text-center">
      
  </p>  
   <?php //} ?> 
</main>
<!-- End #main -->


<!--this Script using for insert data through ajax  -->
<script type="text/javascript">
   $(document).ready(function($){
   // hide messages 
   $("#error").hide();
   $("#show_message").hide();
   // on submit...
   $('#new_form').submit(function(e){
   e.preventDefault();
   $("#error").hide();
   
   //name required
   var uid = $("input#uid").val();
   if(uid == ""){
   $("#error").fadeIn().text("sl no required.");
   $("input#uid").focus();
   return false;
   }
   //name required
   var imgname = $("input#imgname").val();
   if(imgname == ""){
   $("#error").fadeIn().text("sl no required.");
   $("input#imgname").focus();
   return false;
   }
   //name required
   var imgid = $("input#imgid").val();
   if(imgid == ""){
   $("#error").fadeIn().text("sl no required.");
   $("input#imgid").focus();
   return false;
   }
   //name required
   var sl_no = $("input#sl_no").val();
   if(sl_no == ""){
   $("#error").fadeIn().text("sl no required.");
   $("input#sl_no").focus();
   return false;
   }
   //name required
   var pa_fname = $("input#pa_fname").val();
   if(pa_fname == ""){
   $("#error").fadeIn().text("PA firstname required.");
   $("input#pa_fname").focus();
   return false;
   }
   // email required
   var pa_lname = $("input#pa_lname").val();
   if(pa_lname == ""){
   $("#error").fadeIn().text("PA lastname required");
   $("input#pa_lname").focus();
   return false;
   }
   // height number required
   var pa_address = $("input#pa_address").val();
   if(pa_address == ""){
   $("#error").fadeIn().text("PA address  required");
   $("input#pa_address").focus();
   return false;
   }
   // state1  required
   var pa_email = $("input#pa_email").val();
   if(pa_email == ""){
   $("#error").fadeIn().text(" PA email required");
   $("input#pa_email").focus();
   return false;
   }
   // country1  required
   var pa_contact = $("input#pa_contact").val();
   if(pa_contact == ""){
   $("#error").fadeIn().text("PA contact required");
   $("input#pa_contact").focus();
   return false;
   }
   // dob  required
   var pa_dob = $("input#pa_dob").val();
   if(pa_dob == ""){
   $("#error").fadeIn().text("pa_dob required");
   $("input#pa_dob").focus();
   return false;
   }
   // dob  required
   var pa_city = $("input#pa_city").val();
   if(pa_city == ""){
   $("#error").fadeIn().text("pa_city required");
   $("input#pa_city").focus();
   return false;
   }
   // state  required
   var pa_state = $("input#pa_state").val();
   if(pa_state == ""){
   $("#error").fadeIn().text("pa_state required");
   $("input#pa_state").focus();
   return false;
   }
   // zip code required
   var pa_zipcode = $("input#pa_zipcode").val();
   if(pa_zipcode == ""){
   $("#error").fadeIn().text("pa_zipcode required");
   $("input#pa_zipcode").focus();
   return false;
   }
   // medical claim no  required
   var pa_medical_claim_no = $("input#pa_medical_claim_no").val();
   if(pa_medical_claim_no == ""){
   $("#error").fadeIn().text("pa_medical_claim_no required");
   $("input#pa_medical_claim_no").focus();
   return false;
   }
   // dr fname  required
   var dr_fname = $("input#dr_fname").val();
   if(dr_fname == ""){
   $("#error").fadeIn().text("dr_fname required");
   $("input#dr_fname").focus();
   return false;
   }
   // dr lname  required
   var dr_lname = $("input#dr_lname").val();
   if(dr_lname == ""){
   $("#error").fadeIn().text("dr_lname required");
   $("input#dr_lname").focus();
   return false;
   }
   // dr physical address  required
   var dr_physical_address = $("input#dr_physical_address").val();
   if(dr_physical_address == ""){
   $("#error").fadeIn().text("dr_physical_address required");
   $("input#dr_physical_address").focus();
   return false;
   }
   // dr phone  required
   var dr_phone = $("input#dr_phone").val();
   if(dr_phone == ""){
   $("#error").fadeIn().text("dr_phone required");
   $("input#dr_phone").focus();
   return false;
   }
   // dr city  required
   var dr_city = $("input#dr_city").val();
   if(dr_city == ""){
   $("#error").fadeIn().text("dr_city required");
   $("input#dr_city").focus();
   return false;
   }
   // dr city  required
   var dr_email = $("input#dr_email").val();
   if(dr_email == ""){
   $("#error").fadeIn().text("dr_email required");
   $("input#dr_email").focus();
   return false;
   }
   
   // ag fname  required
   var ag_fname = $("input#ag_fname").val();
   if(ag_fname == ""){
   $("#error").fadeIn().text("ag_fname required");
   $("input#ag_fname").focus();
   return false;
   }
   // ag lname  required
   var ag_lname = $("input#ag_lname").val();
   if(ag_lname == ""){
   $("#error").fadeIn().text("ag_lname required");
   $("input#ag_lname").focus();
   return false;
   }
   // ag contact  required
   var ag_contact = $("input#ag_contact").val();
   if(ag_contact == ""){
   $("#error").fadeIn().text("ag_contact required");
   $("input#ag_contact").focus();
   return false;
   }
   // dr lname  required
   var ag_physical_address = $("input#ag_physical_address").val();
   if(ag_physical_address == ""){
   $("#error").fadeIn().text("ag_physical_address required");
   $("input#ag_physical_address").focus();
   return false;
   }
   // dr lname  required
   var ag_state= $("input#ag_state").val();
   if(ag_state == ""){
   $("#error").fadeIn().text("ag_state required");
   $("input#ag_state").focus();
   return false;
   }
   // dr lname  required
   var ag_zip_code= $("input#ag_zip_code").val();
   if(ag_zip_code == ""){
   $("#error").fadeIn().text("ag_zip_code required");
   $("input#ag_zip_code").focus();
   return false;
   }
   // dr lname  required
   var ag_dob= $("input#ag_dob").val("");
   if(ag_dob == ""){
   $("#error").fadeIn().text("ag_dob required");
   $("input#ag_dob").focus();
   return false;
   }
   // dr lname  required
   var ag_email= $("input#ag_email").val("");
   if(ag_email == ""){
   $("#error").fadeIn().text("ag_email required");
   $("input#ag_email").focus();
   return false;
   }
   
   // ajax
   $.ajax({
   //var cntimgid = <php echo $cntimgid['cntimgid']; ?>;
   type:"POST",
   url: "ajax-form-save.php",
   data: $(this).serialize(), // get all form field value in serialize form
   success: function(){    
   //alert('form was submitted');
    
   $("input[type='text']").val(""); //this code all input do empty after form submit to helpful
   $("#show_message").fadeIn();
   //$("#new_form").fadeOut();
   }
   });
   });  
   return false;
   });
</script>
<!--END this Script using for insert data through ajax END -->

</body>
</html>

<!--this script use for selected  option image fetch below   -->
<script type="text/javascript">
   $(document).ready(function()
   {
   $(".imgeid").change(function()
   {
   
   var img_id=$(this).val();
   var post_id = 'id='+ img_id;
    //console.log(post_id);
    //cnsole.log
   $.ajax
   ({
   type: "POST",
   url: "fetch.php",
   data: post_id,
   cache: false,
   success: function(cities)
   {
   
   $(".cp").html(cities);
   //console.log(cp);
   } 
   });
   
   });
   });
</script>
<!--END -->

<!--this script use for  after select image then show image against count fetch below   -->
<script type="text/javascript">
   $(document).ready(function()
   {
   $(".imgeid").change(function()
   {
   
   var img_id=$(this).val();
   var post_id = 'id='+ img_id;
    //console.log(post_id);
    //cnsole.log
   $.ajax
   ({
   type: "POST",
   url: "count_fetch.php",
   data: post_id,
   cache: false,
   success: function(cities)
   {
   
   $(".cp2").html(cities);
   //console.log(cp);
   } 
   });
   
   });
   });
</script>
<!--END -->

<!-- Include jQuery library if not already included  for Count fetch wrritten by chat gpt  -->
<!--<script src="https://code.jquery.com/jquery-3.6.0.min.js"></script>-->

<!--<script type="text/javascript">-->
<!--$(document).ready(function() {-->
<!--    $(".imgeid").change(function() {-->
<!--        var img_id = $(this).val();-->
<!--        var post_data = { id: img_id };-->
        <!--// Create a JavaScript object with the 'id' key and img_id as the value-->
        
<!--        $.ajax({-->
<!--            type: "POST",-->
<!--            url: "count_fetch.php",-->
<!--            data: post_data, -->
            <!--// Send the JavaScript object as data-->
<!--            cache: false,-->
<!--            success: function(response) {-->
<!--                $(".cp2").html(response); -->
                <!--//Update the content of elements with class "cp2" with the response from the server-->
<!--            },-->
<!--            error: function(xhr, status, error) {-->
<!--                console.error("AJAX Request Error: " + status + " - " + error);-->
<!--            }-->
<!--        });-->
<!--    });-->
<!--});-->
<!--</script>-->



<script>
   function zoomIn() {
   var pic = document.getElementById("pic");
   var width = pic.clientWidth;
   pic.style.width = width + 100 + "px";
   }
   
   
   
   function zoomOut() {
   var pic = document.getElementById("pic");
   var width = pic.clientWidth;
   pic.style.width = width - 100 + "px";
   }
</script>
<!-- script using for scroll input boxes  -->
<script>
   var step = 100;
       var scrolling = true;
   
       // Wire up events for the 'scrollUp' link:
       $(".preSlide").bind("click", function(event) {
         event.preventDefault();
         // Animates the scrollTop property by the specified
         // step.
         $("div").animate({
           scrollLeft: "+=" + step + "px"
         });
       });
   
       $(".nextSlide").bind("click", function(event) {
         event.preventDefault();
         $("div").animate({
           scrollLeft: "-=" + step + "px"
         });
       })
       
</script>

<script>
        function GFG() {
               
            var CustomOp = {
                center:new google.maps.LatLng(
                            28.502212, 77.405603), 
                zoom:15, 
                mapTypeId:google.maps.MapTypeId.ROADMAP
            };
               
            // Map object
            var map = new google.maps.Map(
                document.getElementById("DivID"),
                CustomOp
            );
        }
    </script>
    
<script>
document.addEventListener('contextmenu', event=> event.preventDefault()); 
document.onkeydown = function(e) { 
if(event.keyCode == 123) { 
return false; 
} 
if(e.ctrlKey && e.shiftKey && e.keyCode == 'I'.charCodeAt(0)){ 
return false; 
} 
if(e.ctrlKey && e.shiftKey && e.keyCode == 'J'.charCodeAt(0)){ 
return false; 
}
if(e.ctrlKey && e.shiftKey && e.keyCode == 'C'.charCodeAt(0)){ 
return false; 
} 

if(e.ctrlKey && e.keyCode == 'U'.charCodeAt(0)){ 
return false; 
} 
} 
</script>
    
<?php
   include "footer.php";
   } //else close
     ?>

AnonSec - 2021