Hệ thống bổ nhiệm bác sĩ trong PHP bằng mã nguồn
1 <?php include('header.php'); ?>
2
3 <?php include('Admin/function.php'); ?>
4
5
6
7 <!-- this is for donor registraton -->
8 <div class="contact" style="background-color: #7faf81;">
9 <h1 class="text-center">Contact us</h1>
10 <form enctype="multipart/form-data" method="post" class="text-center">
11
12 Name:<input type="text" name="t1" required="required" pattern="[a-zA-Z _]{2,15}" title="please enter only character between 2 to 15 for donor name" /> <br>
13
14 E-Mail</td><td><input type="email" name="t2" required="required" /> <br>
15
16 Mobile No</td><td><input type="number" name="t3" pattern="[0-9]{10,12}" title="please enter only numbers between 10 to 12 for mobile no." /> <br>
17
18 Subject</td><td><textarea name="t4"></textarea> <br>
19
20 <input type="submit" value="Send Us" name="sbmt">
21 </form>
22 </div>
23
24
25
26
27 <?php include('footer.php'); ?>
28
29
30
31 </div><!-- containerFluid Ends -->
32
33
34
35
36 <script src="js/bootstrap.min.js"></script>
37
38
39
40
41
42 <?php include('regivalidate.php'); ?>
43
44 <?php
45 if(isset($_POST["sbmt"]))
46 {
47
48 $cn=makeconnection();
49
50 $s="insert into contacts(name,email,mobile,subj) values('" . $_POST["t1"] ."','" . $_POST["t2"] . "','" . $_POST["t3"] . "','" . $_POST["t4"] ."')";
51
52
53 $q=mysqli_query($cn,$s);
54 mysqli_close($cn);
55 if($q>0)
56 {
57 echo "<script>alert('Record Save');</script>";
58 }
59 else
60 {echo "<script>alert('Saving Record Failed');</script>";
61 }
62
63 }
64
65
66 ?>
67 </body>
68 </html>
