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index.php
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index.php
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<?php
session_start();
if(isset($_POST['btn_login'])){
$useremail = $_POST['useremail'];
$userpass = $_POST['userpass'];
include('includes/conn.php');
$q1 = "SELECT * FROM doctor where email = '$useremail'";
$q2 = "SELECT * FROM patient where email = '$useremail'";
$q3 = "SELECT * FROM admin where email = '$useremail'";
$r = mysqli_query($con, $q1);
$rr = mysqli_query($con, $q2);
$ad = mysqli_query($con, $q3);
if(mysqli_num_rows($r)>0){
while($row = mysqli_fetch_assoc($r)){
$dbname = $row['name'];
$dbemail = $row['email'];
$dbpass = $row['password'];
$type = $row['type'];
}
if($useremail == $dbemail && $userpass == $dbpass){
$_SESSION['useremail'] =$useremail;
$_SESSION['userpass'] = $userpass;
if($_POST['remember'] == 'on' ){
$expire = time()+86400;
setcookie('dpp', $_POST['useremail'], $expire);
}
header("location:doctor.php");
}
else
{
echo "<script>";
echo "alert('Wrong Doctor Email or Password')";
echo "</script>";
}
}elseif(mysqli_num_rows($rr)>0){
while($row = mysqli_fetch_assoc($rr)){
$dbid = @$row['id'];
$dbname = $row['name'];
$dbemail = $row['email'];
$dbpass = $row['password'];
$type = $row['type'];
}
if($useremail == $dbemail && $userpass == $dbpass){
$_SESSION['useremail'] =$useremail;
$_SESSION['userpass'] = $userpass;
$_SESSION['status'] = "Success";
if($_POST['remember'] == 'on' ){
$expire = time()+86400;
setcookie('dpp', $_POST['useremail'], $expire);
}
header("location:patient.php");
}
else{
echo "<script>";
echo "alert('Wrong Patient Email or Password')";
echo "</script>";
}
}
elseif(mysqli_num_rows($ad)>0){
while($row = mysqli_fetch_assoc($ad)){
$dbname = $row['name'];
$dbemail = $row['email'];
$dbpass = $row['password'];
}
if($useremail == $dbemail && $userpass == $dbpass){
$_SESSION['useremail'] = $useremail;
$_SESSION['userpass'] = $userpass;
$_SESSION['status'] = "Success";
if($_POST['remember'] == 'on' ){
$expire = time()+86400;
setcookie('dpp', $_POST['useremail'], $expire);
}
header("location:adminpanel.php");
}else{
echo "<script>";
echo "alert('Wrong Patient Email or Password')";
echo "</script>";
}
}
else{
echo "<script>";
echo "alert('Account not exist')";
echo "</script>";
}
}
?>
<!DOCTYPE html>
<html lang="en">
<noscript>
<META HTTP-EQUIV="Refresh" CONTENT="0;URL=nojs.html">
</noscript>
<head>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<!-- The above 3 meta tags *must* come first in the head; any other head content must come *after* these tags -->
<title>Welcome To Doctor Patient Portal</title>
<!-- Bootstrap -->
<link href="css/bootstrap.min.css" rel="stylesheet">
<link href="theme/home.css" rel="stylesheet">
<!-- HTML5 shim and Respond.js for IE8 support of HTML5 elements and media queries -->
<!-- WARNING: Respond.js doesn't work if you view the page via file:// -->
<!--[if lt IE 9]>
<script src="https://oss.maxcdn.com/html5shiv/3.7.3/html5shiv.min.js"></script>
<script src="https://oss.maxcdn.com/respond/1.4.2/respond.min.js"></script>
<![endif]-->
</head>
<style>
.navbar-inverse .navbar-nav > .open > a, .navbar-inverse .navbar-nav > .open > a:focus, .navbar-inverse .navbar-nav > .open > a:hover{
background-color:green;
border-top-left-radius:1em;
border-top-right-radius:1em;
}
.navbar-inverse .navbar-nav > .open > a:hover{
background-color:red;
border-top-left-radius:1em;
border-top-right-radius:1em;
border-bottom-left-radius:0em;
border-bottom-right-radius:0em;
}
button.list-group-item{
cursor:default;
}
button.list-group-item:hover{
background:#337ab7;
color:white;
border-left:6px solid #F03333;
transition:0.5s;
}
.aa{
text-decoration:none;
color:#555;
}
.aa:hover{
text-decoration:none;
color:white;
}
</style>
<body>
<br>
<?php
include('includes/conn.php');
@$eml = $_SESSION['useremail'];
$qry = "SELECT * FROM doctor where email = '$eml'";
$qry2 = "SELECT * FROM patient where email = '$eml'";
$qry3 = "SELECT * FROM admin where email = '$eml'";
$h = mysqli_query($con, $qry);
$h2 = mysqli_query($con, $qry2);
$h3 = mysqli_query($con, $qry3);
while($row = mysqli_fetch_assoc($h)){
$id = $row['did'];
$user = $row['name'];
$type = $row['type'];
$docid = $row['docid'];
$age = $row['age'];
$phone = $row['phone_number'];
$email = $row['email'];
$sex = $row['gender'];
}
while($row = mysqli_fetch_assoc($h2)){
$user = $row['name'];
$type = $row['type'];
$patid = $row['pid'];
$agep = $row['age'];
$mob = $row['phone'];
$sexp = $row['gender'];
$adrid = $row['adharno'];
$emailp = $row['email'];
}
while($row = mysqli_fetch_assoc($h3)){
$user = $row['name'];
$type = $row['type'];
}
?>
<?php if(!isset($_SESSION['useremail'])){?>
<div style="padding:25px; border-top-left-radius:0.5em; border-top-right-radius:0.5em;" class="mainmenu container nav navbar-inverse" data-spy="affix" data-offset-top="100">
<button type="button" style="background:#005173; border-color:#005173;" class="navbar-toggle" data-toggle="collapse" data-target="#coo">
<span class="icon-bar"></span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
</button>
<a class="navbar-brand"><img width="85px" height="85px" style="margin-top:-38%;" title="Doctor Patient Portal" class="logomain" src="img/logom.png"/></a>
<div class="collapse navbar-collapse" id="coo">
<ul class="nav navbar-nav pull-right">
<li class="active"><a href="#"><span class="glyphicon glyphicon-home"></span> Home</a></li>
<li><a href="about.php"><span class="glyphicon glyphicon-info-sign"></span> About</a></li>
<li><a href="contact.php"><span class="glyphicon glyphicon-earphone"></span> Contact Us</a></li>
<li><a href="help.php"><span class="glyphicon glyphicon-question-sign"></span> Help</a></li>
<li class="a"><a data-toggle="modal" data-target="#login" href="#"><span class="glyphicon glyphicon-user"></span> Login</a></li>
<li class="ar"><a data-toggle="modal" data-target="#register" href="#"><span class="glyphicon glyphicon-registration-mark"></span> Register</a></li>
</ul>
</div>
</div><?php }else{
?>
<div style="padding:25px; border-top-left-radius:0.5em; border-top-right-radius:0.5em;" class="mainmenu container nav navbar-inverse" data-spy="affix" data-offset-top="100">
<button style="border:0px;" type="button" class="navbar-toggle" data-toggle="collapse" data-target="#co">
<span class="icon-bar"></span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
</button>
<a class="navbar-brand"><img width="85px" height="85px" style="margin-top:-38%;" title="Doctor Patient Portal" class="logomain" src="img/logom.png"/></a>
<div id="co" class="collapse navbar-collapse">
<ul class="nav navbar-nav pull-right">
<li class="active"><a href="#"><span class="glyphicon glyphicon-home"></span> Home</a></li>
<li><a href="about.php"><span class="glyphicon glyphicon-info-sign"></span> About</a></li>
<li><a href="contact.php"><span class="glyphicon glyphicon-earphone"></span> Contact Us</a></li>
<li><a href="help.php"><span class="glyphicon glyphicon-question-sign"></span> Help</a></li>
<?php if($type=="doc"){?>
<li class="a" ><a data-toggle="dropdown" aria-haspopup="true" aria-expanded="false"><span class="glyphicon glyphicon-user"></span> Hi <?php echo $user?>
<span class="caret"></span></a>
<ul style="float:left; margin-left:-35%;" class="dropdown-menu">
<li><a data-toggle="modal" href="#profiletab"><span class="glyphicon glyphicon-eye-open"></span> Your Profile</a></li>
<li role="separator" class="divider"></li>
<li><a href="doctor.php"><span class="glyphicon glyphicon-th-list"></span> Your Dashboard</a></li>
<li role="separator" class="divider"></li>
<li><a href="logout.php"><span class="glyphicon glyphicon-off"></span> Logout</a></li>
</ul>
</li>
<?php } ?>
<?php if($type=="pat"){?>
<li class="a" ><a data-toggle="dropdown" aria-haspopup="true" aria-expanded="false"><span class="glyphicon glyphicon-user"></span> Hi <?php echo $user?>
<span class="caret"></span></a>
<ul style="float:left; margin-left:-35%;" class="dropdown-menu">
<li><a href="doclist.php"><span class="glyphicon glyphicon-list-alt"></span> Quick Doctor List</a></li>
<li role="separator" class="divider"></li>
<li><a data-toggle="modal" href="#profiletab2"><span class="glyphicon glyphicon-eye-open"></span> Your Profile</a></li>
<li role="separator" class="divider"></li>
<li><a href="patient.php"><span class="glyphicon glyphicon-th-list"></span> Your Dashboard</a></li>
<li role="separator" class="divider"></li>
<li><a href="logout.php"><span class="glyphicon glyphicon-off"></span> Logout</a></li>
</ul>
</li>
<?php } ?>
<?php if($type=="admin"){?>
<li class="a" ><a data-toggle="dropdown" aria-haspopup="true" aria-expanded="false"><span class="glyphicon glyphicon-user"></span> Hi <?php echo $user?>
<span class="caret"></span></a>
<ul style="float:left; margin-left:-35%;" class="dropdown-menu">
<li><a href="adminpanel.php"><span class="glyphicon glyphicon-th-list"></span> Your Dashboard</a></li>
<li role="separator" class="divider"></li>
<li><a href="logout.php"><span class="glyphicon glyphicon-off"></span> Logout</a></li>
</ul>
</li>
<?php } ?>
</div>
</ul>
</div>
<?php } ?>
<div class="container">
<h2 style="position:absolute;"><a href="#ab" data-toggle="collapse">Welcome To Doctor Patient Portal</h2></a>
<div style="position:absolute; margin-top:15%;" class="collapse" id="ab">
<div style="width:100%; margin-top:-10%;" class="row">
<div class="col-md-6">
<div style="text-align:justify; opacity:0.8" class="well">
<font size="8px"><b>P</b></font>atient portals are secure, convenient online tools that help you to manage and keep track of you and your family’s and whanau's health 24/7.
Use it to book appointments, access your appointments history, You can even book advance appointments for next 5 days.
It’s safe, easy to use and a great way to keep tabs on your health whenever you need to.
VIEW YOUR HEALTH RECORDS SECURELY ONLINE WITH YOUR PATIENT PORTAL.
The easy way to keep up to date with your health information.
</div>
</div>
<div class="col-md-6">
<img style="margin-left:10%;float:left; margin-top:-5%;opacity:0.8;" width="270px" src="img/logom.png"/>
</div>
</div>
</div>
<img style="margin-top:0.0%;" class="dppbanner" src="img/220356.jpg"/>
<div style="margin-left:-1.3%; width:102.7%; float:left; border-radius:0em;" class="jb jumbotron">
<p> </p>
<div style="margin-top:-7%;" class="row">
<div class="col-md-4">
<div style="margin-left:-12%; width:115%; float:left;" class="panel panel-primary">
<div class="panel-heading"><span class="glyphicon glyphicon-cloud"></span> Services</div>
<div class="panel-body">
<div style="font-family:calibri;" class="list-group">
<button type="button" class="list-group-item"><span class="glyphicon glyphicon-cloud"></span>
<a class="aa" href="doclist.php">Get Quick Doctor List</a></button>
<button type="button" class="list-group-item"><span class="glyphicon glyphicon-cloud"></span> Make Appointments Quickly</button>
<button type="button" class="list-group-item"><span class="glyphicon glyphicon-cloud"></span>
<a class="aa" href="doclist.php">Only Verified Doctor Here</a></button>
<button type="button" class="list-group-item"><span class="glyphicon glyphicon-cloud"></span> All Types of doctor available</button>
<button type="button" class="list-group-item"><span class="glyphicon glyphicon-cloud"></span> Message System Between Doctor Patient</button>
</div>
</div>
</div>
</div>
<div class="col-md-4">
<div style="margin-left:-2%; width:110%; float:left;" class="panel panel-primary">
<div class="panel-heading"><span class="glyphicon glyphicon-ok-sign"></span> Benifits</div>
<div class="panel-body">
<div style="font-family:calibri;" class="list-group">
<button type="button" class="list-group-item"><span class="glyphicon glyphicon-ok-circle"></span> No need to wait in line for appointment</button>
<button type="button" class="list-group-item"><span class="glyphicon glyphicon-ok-circle"></span> Manage Appointment in your own Dashboard</button>
<button type="button" class="list-group-item"><span class="glyphicon glyphicon-ok-circle"></span> Personal Message System</button>
<button type="button" class="list-group-item"><span class="glyphicon glyphicon-ok-circle"></span> One Step to fill Appointment Form</button>
<button type="button" class="list-group-item"><span class="glyphicon glyphicon-ok-circle"></span> Manage your profile and more..</button>
</div>
</div>
</div>
</div>
<div class="col-md-4">
<div style="margin-left:3%; width:110%; float:left;" class="panel panel-primary">
<div class="panel-heading"><span class="glyphicon glyphicon-comment"></span> Testimonials</div>
<div class="panel-body">
<?php
$q = "SELECT feed,pid FROM feedback AS feed ORDER BY RAND() LIMIT 1";
$rr = mysqli_query($con,$q);
$res = mysqli_fetch_array($rr);
$p = $res['feed'];
$d = $res['pid'];
if($res == ""){
echo "No feedback given yet";
}
elseif($p && $d !=""){
$qq = "select * from patient where pid='$d' ";
$rq = mysqli_query($con,$qq);
while($row = mysqli_fetch_array($rq)){
$na = $row['name'];
$adr = $row['adharno'];
}
$dir = "patient/".$adr."/img/";
$open = opendir($dir);
while(($files = readdir($open)) != FALSE){
if($files!="."&&$files!=".."&&$files !="Thumbs.db"){
echo "<div style='font-family:calibri' class='well'><img id='hello' style='margin-top:2%; border-radius:6em;' width='50' height='50' src='$dir/$files'> Given By <b>$na</b>";
}
}
echo "<br><br>$p</div>";
}
?>
</div>
</div>
</div>
</div>
<div style="font-family:calibri; font-size:14px; text-align:center;" id="static">
<?php
include('includes/conn.php');
$q = "SELECT COUNT(*) as cnt FROM doctor WHERE status='success'";
$r = mysqli_query($con,$q);
$res = mysqli_fetch_array($r);
$doc = $res ['cnt'];
$q1 = "SELECT COUNT(*) as cnt FROM patient";
$r1 = mysqli_query($con,$q1);
$res2 = mysqli_fetch_array($r1);
$pat = $res2 ['cnt'];
$q3 = "SELECT COUNT(*) as cnt FROM appointments";
$r2 = mysqli_query($con,$q3);
$res = mysqli_fetch_array($r2);
$pen = $res ['cnt'];
?>
<b>Total Verified Doctor <span class="badge"><?php echo $doc;?></span> | Total Patient Registered <span class="badge"><?php echo $pat;?></span> | Total Appointments <span class="badge"><?php echo $pen;?></span> |</b>
</div>
</div>
<div style="width:102.5%; margin-left:-1.2%;margin-top:-5%;" class="container footer"><center>© 2017 | All Rights Reserved | Themed By <a style="color:white; cursor:pointer; target="_blank" href="https://www.facebook.com/ankitthegr8">@nkit</a> |
<a style="color:white;" href="sitemap.php">Sitemap</a></center></div>
</div>
<!-- jQuery (necessary for Bootstrap's JavaScript plugins) -->
<script src="https://ajax.googleapis.com/ajax/libs/jquery/1.12.4/jquery.min.js"></script>
<script>
$(function () {
$('[data-toggle="tooltip"]').tooltip()
});
</script>
<!-- Include all compiled plugins (below), or include individual files as needed -->
<script src="js/bootstrap.min.js"></script>
<!--Profile tab start-->
<div class="modal fade" id="profiletab" tabindex="-1" role="dialog" aria-labelledby="myModalLabel">
<div style="width:35%; border-radius:0em;" class="modal-dialog" role="document">
<div class="modal-content">
<div style="background:#005173; height:35px; color:white;" class="modal-header">
<button style="margin-top:-1.5%;" type="button" class="close" data-dismiss="modal" aria-label="Close"><span style="color:white;" aria-hidden="true">×</span></button>
<h5 style="font-family:calibri; margin-top:-1.5%;" class="modal-title" id="myModalLabel"><b><?php echo "#$id $user";?></b></h5>
</div>
<div style="border-bottom-left-radius:0px;" class="modal-body">
<div class="row">
<div class="col-md-4">
<?php
$dir = "doctor/".$docid."/img/";
$open = opendir($dir);
while(($files = readdir($open)) != FALSE){
if($files!="."&&$files!=".."&&$files !="Thumbs.db"){
echo "<img id='hello' style='float:left; margin-left:15%; border-radius:6em;' width='100' height='100' title='$user' src='$dir/$files'>";
}
}
?>
<p align="center" style="font-family:calibri;"> </p>
<p align="center" style="font-family:calibri; margin-top:-18%;"><?php echo " <b>ID : $docid</b>";?></p>
</div>
<div class="col-md-4">
<img src="img/line.png"/>
</div>
<div class="col-md-4">
<div style="font-family:calibri; float:left;margin-left:-70%;">
<label>Name </label> : <?php echo $user;?><br>
<label>Email </label> : <?php echo $email;?><br>
<label>Phone </label> : <?php echo "+91-$phone";?><br>
<label>Gender </label> : <?php echo $sex;?><br>
<label>Age </label> : <?php echo $age;?><br>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<!--profile tab end-->
<!--patient Profile tab start-->
<div class="modal fade" id="profiletab2" tabindex="-1" role="dialog" aria-labelledby="myModalLabel">
<div style="width:35%; border-radius:0em;" class="modal-dialog" role="document">
<div class="modal-content">
<div style="background:#005173; height:35px; color:white;" class="modal-header">
<button style="margin-top:-1.5%;" type="button" class="close" data-dismiss="modal" aria-label="Close"><span style="color:white;" aria-hidden="true">×</span></button>
<h5 style="font-family:calibri; margin-top:-1.5%;" class="modal-title" id="myModalLabel"><b><?php echo "#$patid $user";?></b></h5>
</div>
<div style="border-bottom-left-radius:0px;" class="modal-body">
<div class="row">
<div class="col-md-4">
<?php
$dir = "patient/".$adrid."/img/";
$open = opendir($dir);
while(($files = readdir($open)) != FALSE){
if($files!="."&&$files!=".."&&$files !="Thumbs.db"){
echo "<img id='hello' style='float:left; margin-left:15%; border-radius:6em;' width='100' height='100' title='$user' src='$dir/$files'>";
}
}
?>
<p align="center" style="font-family:calibri;"> </p>
<p align="center" style="font-family:calibri; margin-top:-18%;"><?php echo " <b>A. ID : $adrid</b>";?></p> </div>
<div class="col-md-4">
<img src="img/line.png"/>
</div>
<div class="col-md-4">
<div style="font-family:calibri; float:left;margin-left:-70%;">
<label>Name </label> : <?php echo $user;?><br>
<label>Email </label> : <?php echo $emailp;?><br>
<label>Phone </label> : <?php echo "+91-$mob";?><br>
<label>Gender </label> : <?php echo $sexp;?><br>
<label>Age </label> : <?php echo $agep;?><br>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<!--patint profile tab end-->
<!--Login Form-->
<div class="modal fade" id="login" tabindex="-1" role="dialog" aria-labelledby="myModalLabel">
<div class="modal-dialog" role="document">
<div class="modal-content">
<div style="background:#005173; color:white;" class="modal-header">
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span style="color:white;" aria-hidden="true">×</span></button>
<h4 class="modal-title" id="myModalLabel"><span class="glyphicon glyphicon-user"></span> Login Form Portal</h4>
</div>
<div class="modal-body">
<br>
<form action="" name="lfrom" method="POST">
<div class="input-group">
<span class="input-group-addon" id="sizing-addon2"><span class="glyphicon glyphicon-envelope"></span></span>
<input type="email" class="form-control" required name="useremail" placeholder="Enter your email" aria-describedby="sizing-addon2">
</div><br>
<div class="input-group">
<span class="input-group-addon" id="sizing-addon2"><span class="glyphicon glyphicon-lock"></span></span>
<input type="password" required class="form-control" name="userpass" placeholder="Enter your password" aria-describedby="sizing-addon2">
</div>
<div class="modal-footer">
<center><input type="submit" value="Login" name="btn_login" class="btn btn-success"></center>
</div>
<center><a style="font-family:calibri;" href="forgetpass.php">Forget Password?</a></center>
<center><input type="checkbox" name="remember"/> Remember me? </center>
</form>
</div>
</div>
</div>
</div>
<!--Login form end-->
<!--Register Form-->
<div class="modal fade" id="register" tabindex="-1" role="dialog" aria-labelledby="myModalLabel">
<div class="modal-dialog" role="document">
<div class="modal-content">
<div style="background:#005173; color:white;" class="modal-header">
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span style="color:white;" aria-hidden="true">×</span></button>
<h4 class="modal-title" id="myModalLabel2"><span class="glyphicon glyphicon-saved" aria-hidden="true"></span> Register to Portal</h4>
</div>
<div class="modal-body">
<ul class="nav nav-tabs" role="tablist">
<li role="presentation" class="active"><a href="#patient" aria-controls="patient" role="tab" data-toggle="tab">
<span class="glyphicon glyphicon-user"></span> Patient</a></li>
<li role="presentation"><a href="#doctor" aria-controls="doctor" role="tab" data-toggle="tab">
<span class="glyphicon glyphicon-education"></span> Doctor</a></li>
</ul>
<div class="tab-content">
<!--Patient Registration-->
<div role="tabpanel" class="tab-pane fade in active" id="patient">
<br>
<form method="POST" action="dp.php" ENCTYPE="multipart/form-data" action="" id="form1">
<input type="text" name="pname" class="form-control" onkeyup="letters(this)" required placeholder="Enter your name"><br>
<input type="email" name="pemail" class="form-control" required placeholder="Enter your email"><br>
<input type="number" name="p_age" class="form-control" required placeholder="Enter your age"><br>
<input type="password" name="p_password" class="form-control" required placeholder="Enter your password"><br>
<input type="text" name="adridpt" class="form-control" required placeholder="Enter your Aadhar ID"><br>
<input type="text" name="paddress" class="form-control" required placeholder="Enter your address"><br>
<label>Gender : </label>
<input type="radio" value="Male" name="pgender" required> Male
<input type="radio" value="Female" name="pgender" required> Female <br></br>
<div class="input-group form-group ">
<span class="input-group-addon">+91</span>
<input type="number" name="p_phone" class="form-control" id="user" maxlength="10" placeholder="Enter your contact no." required >
</div>
<label>Your Picture</label>
<input type="file" class="form-control" required name="pupload"/><br>
<label data-toggle="tooltip" data-placement="right" title="Choose and remember answer carefully at the time of forget password it will be use">Select Security Question*</label>
<br>
<select name="sques" style="padding:5px">
<option>Choose a security question</option>
<option value="Whats the place where your mother born?">Whats the place where your mother born?</option>
<option value="What is your first vehice no.?">What is your first vehice no.?</option>
<option value="What is your first pet name?">What is your first pet name?</option>
<option value="What is your childood friend name?">What is your best friend name?</option>
</select>
<br><br>
<label>Your Answer</label>
<input type="text" class="form-control" placeholder="Enter your answer" required name="answer"/><br>
<center><input type="submit" value="Register" name="btn_pat" class="btn btn-danger">
<input type="button" value="Reset" onclick="rset()" class="btn btn-warning"></center>
</form>
</div>
<!--Doctor Registration-->
<div role="tabpanel" class="tab-pane fade" id="doctor">
<br>
<form ENCTYPE="multipart/form-data" method="POST" action="dp.php" id="form2">
<input type="text" name="name" class="form-control" onkeyup="letters(this)" required placeholder="Enter your name"><br>
<input type="email" name="email" class="form-control" required placeholder="Enter your email"><br>
<input type="number" name="age" class="form-control" required placeholder="Enter your age"><br>
<input type="password" name="password" class="form-control" required placeholder="Enter your password"><br>
<input type="text" name="address" class="form-control" required placeholder="Enter your address"><br>
<label>Gender : </label>
<input type="radio" value="Male" name="gender" required> Male
<input type="radio" value="Female" name="gender" required> Female <br></br>
<input type="text" name="docid" class="form-control" required placeholder="Enter your Doctor ID"><br>
<input type="text" name="adrid" class="form-control" required placeholder="Enter your Aadhar ID"><br>
<label>Specialist in : </label>
<select style="color:solid #ccc; border-radius:0.2em; padding:5px;" name="doccat">
<option>Choose</option>
<option value="Denitst">Denitst</option>
<option value="Cardiologist">Cardiologist</option>
<option value="Allergist">Allergist</option>
<option value="Physcit">Physcit</option>
<option value="Gynoclogist">Gyncologist</option>
</select><sup style="color:red;"> *Required</sup><br></br>
<div class="input-group form-group ">
<span class="input-group-addon">+91</span>
<input type="number" name="phone" class="form-control" id="user" maxlength="10" placeholder="Enter your contact no." required >
</div>
<label data-toggle="tooltip" data-placement="right" title="PDF File Supported Only">Upload Your ID*</label>
<input type="file" class="form-control" name="file" required /><br>
<label>Your Picture</label>
<input type="file" class="form-control" required name="newpic"/><br>
<label data-toggle="tooltip" data-placement="right" title="Choose and remember answer carefully at the time of forget password it will be use">Select Security Question*</label>
<br>
<select name="psques" style="padding:5px">
<option value="Choose a security question">Choose a security question</option>
<option value="Whats the place where your mother born?">Whats the place where your mother born?</option>
<option value="What is your first vehice no.?">What is your first vehice no.?</option>
<option value="What is your first pet name?">What is your first pet name?</option>
<option value="What is your childood friend name?">What is your best friend name?</option>
</select>
<br><br>
<label>Your Answer</label>
<input type="text" class="form-control" placeholder="Enter your answer" required name="answer"/><br>
<center><input type="submit" value="Register" name="btn_doc" class="btn btn-danger">
<input type="button" value="Reset" onclick="rrset()" class="btn btn-warning"></center>
</form>
</div>
</div>
</div>
</div>
</div>
</div>
<script>
function rset() {
document.getElementById("form1").reset();
}
function rrset() {
document.getElementById("form2").reset();
}
function letters(input) {
var regex = /[^ a-z]/gi;
input.value = input.value.replace(regex, "");
}
</script>
</body>
</html>