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Payment.php
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<?php
include('config.php');
include('loginfirst.php');
if (!array_key_exists("resalertmsg",$_SESSION)) {
$_SESSION['resalertmsg'] = '';
}
$currentdate = date("Y/m/d")
?>
<!DOCTYPE html>
<html>
<head>
<link rel="stylesheet" type="text/css" href="assets/css/style.css">
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.min.css">
<title>Payment - Receptionist</title>
<style type="text/css">
</style>
</head>
<body>
<!--main navigation bar !-->
<nav class="navbar navbar-expand-lg navbar-dark bg-dark">
<div class="collapse navbar-collapse" id="navbarColor02">
<ul class="navbar-nav mr-auto">
<li class="nav-item">
<a class="nav-link" href="Home.php">Home</a>
</li>
<li class="nav-item">
<a class="nav-link" href="logout.php">Log Out</a>
</li>
</ul>
</div>
</nav>
<!--Patient navigation bar !-->
<ul class="nav nav-tabs">
<li class="nav-item">
<a class="nav-link" href="ReceptionistProfile.php">Profile</a>
</li>
<li class="nav-item">
<a class="nav-link" href="AboutDoctorsRec.php">About Doctors</a>
</li>
<li class="nav-item">
<a class="nav-link " href="SearchForDoctorsRec.php">Search for Doctor</a>
</li>
<li class="nav-item">
<a class="nav-link " href="ReservationByRec.php">Make a Reservation</a>
</li>
<li class="nav-item">
<a class="nav-link " href="RegistrationRec.php">Registration</a>
</li>
<li class="nav-item">
<a class="nav-link active" href="Payment.php">Payment</a>
</li>
</ul>
<?php
echo "<br>";
echo '<b>'.' Username : '.'</b>' . $_SESSION['username'];
echo "<br>";
?>
<!--form for make appointment !-->
<div class="container">
<div class="center card border-primary mb-3" style="max-width: 40rem; margin: auto; top : 20px;">
<div class="card-header"><center><h2>Take Payments</h2></center></div>
<div class="card-body">
<?php if ($_SESSION['resalertmsg'] != ''): ?>
<div class="alert alert-dismissible alert-warning">
<button type="button" class="close" data-dismiss="alert">×</button>
<h4 class="alert-heading">Warning!</h4>
<p class="mb-0"> <?php echo $_SESSION['resalertmsg'] ?> </p>
</div>
<?php $_SESSION['resalertmsg'] = ''; ?>
<?php endif; ?>
<form action="PaymentFnc.php" method="post" autocomplete="on">
<fieldset>
<input hidden="" type="text" class="form-control" name="character" value="1" required>
<div class="form-group">
<label class="col-form-label" for="inputDefault">Patient User Name</label>
<input type="text" class="form-control" name="username" placeholder="User Name" pattern="[A-Za-z0-9_]{1,40}" title="You can use (a-z) / (A-Z) / (0-9) / _ and less than 40 character" required>
</div>
<div class="form-group">
<label class="col-form-label" for="inputDefault">Reservation ID</label>
<input type="text" class="form-control" name="resId" placeholder="Reservation ID" pattern="[0-9]{1,40}" title="You can use (0-9) and less than 40 character" required>
</div>
<div class="form-group">
<label class="col-form-label" for="inputDefault">Payment For Reservation</label>
<input type="text" class="form-control" name="respayment" placeholder="Payment For Reservation" pattern="[0-9]{1,40}" title="You can use (0-9) and less than 40 character" required>
</div>
<div class="form-group">
<label class="col-form-label" for="inputDefault">Payment For Pharmacy</label>
<input type="text" class="form-control" name="phapayment" placeholder="Payment For Pharmacy" pattern="[0-9]{1,40}" title="You can use (0-9) and less than 40 character" required>
</div>
<button type="submit" name="submit" class="btn btn-success btn-lg" style="font-size:24px; texregchr.phpt-align:right;">Add Payment <i class="fa fa-handshake-o" style="font-size:24px;"></i></button>
</div>
</body>
</html>