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os-dexa.php
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os-dexa.php
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<?php
include("include/os-header.php");
?>
<!--MAIN Content-->
<div class="row clearfix">
<div class="col-lg-12">
<div class="card">
<div class="header">
<h2>Bone Desitometry Appoinments</h2>
<ul class="header-dropdown">
<div class="col-sm-13">
<li>
<div class="form-group">
<select class="form-control show-tick" name="services" >
<option value="">- Patient Id -</option>
<option value="Aid">1325</option>
<option value="Aid">1542</option>
</select>
</div>
</li>
<li>
<div class="action">
<button type="button" class="btn btn-sm -m2 btn-outline-secondary js-sweetalert" title="Edit">Mark Diagnosed</button>
</div>
</li>
</div>
</ul>
</div>
<div class="body">
<button type="button" class="btn btn-simple btn-sm btn-outline-warning btn-filter" data-target="all">All</button>
<button type="button" class="btn btn-simple btn-sm btn-outline-secondary btn-filter" data-target="Waiting">Waiting</button>
<button type="button" class="btn btn-simple btn-sm btn-outline-info btn-filter" data-target="Diagnosed">Diagnosed</button>
<div class="table-responsive m-t-20">
<table class="table table-filter table-hover m-b-0 ">
<tbody>
<tr>
<th>Patient ID</th>
<th>Patient Name</th>
<th>Refer Doctor</th>
<th>Date</th>
<th>Time</th>
<th>Status</th>
<th>Report</th>
<th>Physical Test</th>
<th>Remark</th>
</tr>
<tr data-status="Waiting">
<td>12</td>
<td>jacob</td>
<td>dr.jone</td>
<td>10-09-2022</td>
<td>9.30AM</td>
<td><span class="badge badge-outline-secondary">Waiting</span></td>
<td>report details</td>
<td><span class="badge badge-outline-secondary">Completed</span></td>
<td>problem</td>
</tr>
<tr data-status="Diagnosed">
<td>15</td>
<td>shubham</td>
<td>dr.roshan</td>
<td>16-06-2022</td>
<td>10.00AM</td>
<td><span class="badge badge-info">Diagnosed</span></td>
<td>Report Details</td>
<td><span class="badge badge-outline-secondary">InComplate</span></td>
<td>problem</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-lg-12 col-md-12 col-sm-12">
<div class="card">
<div class="header">
<h2>Report <small> </small> </h2>
</div>
<!--<div class="body">
<div class="row clearfix">
<div class="col-sm-4">
<div class="form-group">
<select class="form-control show-tick" name="services" >
<option value="">- patient Id -</option>
<option value="Aid">1325</option>
<option value="Aid">1542</option>
</select>
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<input type="text" class="form-control" placeholder="In Detail Report Of Dialysis" name="report">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<button type="submit" class="btn btn-success">Update</button>
</div>
</div>
</div>
</div>-->
<div class="body">
<div class="row clearfix">
<div class="col-sm-4">
<div class="form-group">
<select class="form-control show-tick" name="services" >
<option value="">- patient Id -</option>
<option value="Aid">1325</option>
<option value="Aid">1542</option>
</select>
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<input type="text" class="form-control" placeholder="Physical Test" name="phytst">
</div>
</div>
<!--<div class="col-sm-4">
<div class="form-group">
<input type="text" class="form-control" placeholder="Anesthesia" name="anesthesia">
</div>
</div>-->
<div class="col-sm-4">
<div class="form-group">
<input type="text" class="form-control" placeholder="Remark" name="remark">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label><small>Choose Reportfile if any</small></label>
<input type="file" class="form-control" placeholder="reportfile if any" name="reportfile">
</div>
</div>
<div class="col-sm-12">
<div class="form-group m-t-20">
<textarea rows="2" class="form-control" placeholder="In Detail Report Of Bone Desitometry" name="report"></textarea>
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<button type="submit" class="btn btn-success">Update</button>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<?php
include("include/os-footer.php");
?>