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<?php
include "db.php";
include "header.php";
include "sidebar.php";
if(isset($_GET['edit'])){
$id=$_GET['edit'];
$query1="SELECT * FROM `form_data` WHERE id='$id'";
$result = $conn->query($query1);
$row=$result->fetch_assoc();
}
?>
<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;
}
</style>
<style>
@media (max-device-width: 660px){
.slideouter {
width:327px;
overflow-x: scroll;
margin: auto;
display: flex;
}
.card-sizeh{
height: 150px;
margin-left: -17px;
margin-top:-53px;
}
.slide-sample{
margin-top:-3%;
}
.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>
<h5>Image Name : <?php echo $row['img_name']; ?></h5>
</div>
<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" >
<div>
<button onclick="zoomIn()" class="btn btn-danger" style="font-size: 10px;">Zoom-In</button>
<button onclick="zoomOut()" class="btn btn-dark" style="font-size: 10px;">Zoom-Out</button><br>
</div>
<div class="card-body" style="height: 380px; max-height: 82vh;overflow-y: scroll;">
<!-- <iframe src="assets/img/<?php echo $pdf; ?>" width="100%" height="350px"></iframe> -->
<!-- <iframe src="assets/img/AnupChavhan_Resume.pdf" width="100%" height="300px"></iframe> -->
<img src="assets/img/<?php echo $row['img_name']; ?>" id="pic" class="card-img-bottom" alt="..." style="height:auto;">
</div>
</div>
</div>
<!-- End Sales Card -->
<form action="update.php" method="post" enctype="multipart/form-data">
<div class="slide-sample card info-card sales-card">
<!-- <a href="#" class="preSlide"><</a> -->
<div class="slideouter">
<div class="col-lg-12">
<div class="slideinner srcl">
<div>
<input name="sl_no" type="text" class="form-control" placeholder="serial no" required="" value="<?php echo $row['sl_no']; ?>" />
<input type="hidden" name="id" value="<?php echo $row['id']; ?>" />
<input type="hidden" name="imgid" value="<?php echo $row['img_id']; ?>" />
</div>
<div>
<input name="pa_fname" id="pa_fname" type="text" class="form-control" required="" value="<?php echo $row['pa_fname']; ?>" />
</div>
<div>
<input name="pa_lname" id="pa_lname" type="text" class="form-control" required="" value="<?php echo $row['pa_lname']; ?>" />
</div>
<div>
<input name="pa_address" id="pa_address" type="text" class="form-control" required="" value="<?php echo $row['pa_address']; ?>" />
</div>
<div>
<input name="pa_email" id="pa_email" type="text" class="form-control" required="" value="<?php echo $row['pa_email']; ?>" />
</div>
<div>
<input name="pa_contact" id="pa_contact" type="text" class="form-control" required="" value="<?php echo $row['pa_contact']; ?>" />
</div>
<div>
<input name="pa_dob" id="pa_dob" type="text" class="form-control" required="" value="<?php echo $row['pa_dob']; ?>" />
</div>
<div>
<input name="pa_city" id="pa_city" type="text" class="form-control" required="" value="<?php echo $row['pa_city']; ?>" />
</div>
<div>
<input name="pa_state" id="pa_state" type="text" class="form-control" required="" value="<?php echo $row['pa_state']; ?>" />
</div>
<div><input name="pa_zipcode" id="pa_zipcode" type="text" class="form-control" required="" value="<?php echo $row['pa_zipcode']; ?>" /></div>
<div>
<input name="pa_medical_claim_no" id="pa_medical_claim_no" type="text" class="form-control" required="" value="<?php echo $row['pa_medical_claim_no']; ?>" />
</div>
<div>
<input name="dr_fname" id="dr_fname" type="text" class="form-control" required="" value="<?php echo $row['dr_fname']; ?>" />
</div>
<div>
<input name="dr_lname" id="dr_lname" type="text" class="form-control" required="" value="<?php echo $row['dr_lname']; ?>" />
</div>
<div>
<input name="dr_physical_address" id="dr_physical_address" type="text" class="form-control" required="" value="<?php echo $row['dr_physical_address']; ?>" />
</div>
<div>
<input name="dr_phone" id="dr_phone" type="text" class="form-control" required="" value="<?php echo $row['dr_phone']; ?>" />
</div>
<div>
<input name="dr_city" id="dr_city" type="text" class="form-control" required="" value="<?php echo $row['dr_city']; ?>" />
</div>
<div>
<input name="dr_email" id="dr_city" type="text" class="form-control" required="" value="<?php echo $row['dr_email']; ?>" />
</div>
<div>
<input name="ag_fname" id="ag_fname" type="text" class="form-control" value="<?php echo $row['ag_fname']; ?>" />
</div>
<div>
<input name="ag_lname" id="ag_lname" type="text" class="form-control" value="<?php echo $row['ag_lname']; ?>" />
</div>
<div>
<input name="ag_contact" id="ag_contact" type="text" class="form-control" value="<?php echo $row['ag_contact']; ?>" />
</div>
<div>
<input name="ag_physical_address" id="ag_physical_address" type="text" class="form-control" value="<?php echo $row['ag_physical_address']; ?>" />
</div>
<div>
<input name="ag_state" id="ag_state" type="text" class="form-control" value="<?php echo $row['ag_state']; ?>" />
</div>
<div>
<input name="ag_zip_code" id="ag_zip_code" type="text" class="form-control" value="<?php echo $row['ag_zip_code']; ?>" />
</div>
<div>
<input name="ag_dob" id="ag_dob" name="diabletic" type="text" class="form-control" value="<?php echo $row['ag_dob']; ?>" />
</div>
<div>
<input name="ag_email" id="ag_email" type="text" class="form-control" value="<?php echo $row['ag_email']; ?>" />
</div>
</div>
</div>
<!-- <a href="#" class="nextSlide">></a> -->
</div>
<div class="text-center" 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" />
</div>
</form>
<?php //} ?>
</main>
<!-- End #main -->
</body>
</html>
<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>
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";
?>