Health/child.php at master · timtimooya/Health · GitHub

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
<!DOCTYPE html>
<html lang="en">
<html>
    <head>
	<link rel="stylesheet" type="text/css" href="css/bootstrap.css">
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
        <title>Registration page</title>

    <body>
	            <h1 align="center">REPUBLIC OF KENYA</h1>
				<h2 align="center">3E BIRTHS AND DEATHS REGISTRATION ACT</h2>
				<h3 align="center">(Cap. 149)</h3>
				<h4 align="center">REGISTER OF BIRTH</h4>
			<u><h5 align="left">REGISTER OF BIRTH</h5></u>
     <div class="container-fluid">

		<form action="" method="post">
		<div class="form-group">
		    <u>
			<label>Serial No: </label>
			     <input type="text" name="serial_no" class="form-control" placeholder="Enter serial number" required/>
		</u>
		</div>
        <hr class="my-4">
		<div class="form-group">
		   <label> FirstName:</label>
		          <input type="text" name="firstnamen" class="form-control" placeholder="Enter first name"required/>
		</div>
		<div class="form-group">
		    <label>Othername:</label>
			       <input type="text" name="othername" class="form-control" placeholder="Enter other name" required/>
		</div>

		<div class="form-group">
		    <label>Surname(fathers name or tribal)</label>:
			       <input type="text" name="surname" class="form-control" placeholder="Enter surname" required/>
		</div>

		 <div class="form-group">
		    <label>Date of Birth:</label>
			       <input type="date" name="dob" class="form-control" required/>
		 </div>

			<div class="form-group">
			  <div class="radio">
			     <label>sex :</label>
			        <input type="radio" name="sex" value="Male"/>Male
			        <input type="radio" name="sex" value="Female" />Female
			  </div>
			</div>
			<div class="form-group">
			  <div class="radio">
			   <label>Type of birth:</label>
			            <input type="radio" name="typeofbirt" value="single" />single
			            <input type="radio" name="typeofbirt" value="twins" />twins
			 </div>
			</div>
			<div class="form-group">
			 <div class="radio">
			  <label>Nature of birth:</label>
			         <input type="radio" name="natureofbirt" value="Born alive"/>Born Alive
                     <input type="radio" name="natureofbirt" value="Born Dead"/>Born Dead
			 </div>
			</div>

			<div class="form-group">
			  <div class="option">
			     <label>Place of birth:</label>
				 <select name="place" class="form-control">
				 <option>choose hospital</option>
			     <option>kericho hospital</option>
			     <option> Nairobi hospital</option>
			     <option>Kisumu Hospital</option>
			     <option>Mombasa Hospital</option>
			     <option>Machakos Hospital</option>
			     <option>Maseno health centre</option>
			     </select>
			</div>
			</div>

			<div class="form-group">
			  <div class="option">
			    <label>District:</label>
			       <select name="District" class="form-control">
				     <option>choose District</option>
			         <option>kericho</option>
			         <option>Nairobi</option>
			         <option>Kisumu</option>
			         <option>Mombasa</option>
			         <option>Machakos</option>
			         <option>Maseno</option>
			       </select>
             </div>
			</div>

			<div>
        <input type="submit" name="submit" value="Save"/>
		</div>
    </div>

	</form>
	</div>
	<?php


 $conn= mysqli_connect("localhost", "root", "" )or die (mysqli_error());
              mysqli_select_db ($conn, "health" )or die(mysqli_error());


    if(isset($_POST['submit'])){
$serial_no=$_POST['serial_no'];
	$firstnamen = $_POST['firstnamen'];
	 $othername= $_POST['othername'];
	  $surname = $_POST['surname'];
	   $dob = $_POST['dob'];
		 $sex = $_POST['sex'];
		 $typeofbirt = $_POST['typeofbirt'];
		 $natureofbirt = $_POST['natureofbirt'];
         $placeofbirth = $_POST['place'];
         $district = $_POST['District'];


		 if($firstname='' && $othername='' && $surname='' && $dob='' && $sex='' && $typeofbirt='' && $natureofbirt='' && $place_of_birth='' && $district=''){
			 echo'<script>window.alert("Empty fields detected.")</script>';
		 }else if($placeofbirth=='choose hospital'){
			 echo'<script>window.alert("Please choose appropriate place of birth.")</script>';


		 }else if($district=='choose District'){
			 echo'<script>window.alert("Please choose appropriate district of birth.")</script>';


		 }
		 else{

    $sql = "INSERT INTO child (serial_no, Firstname, Othername, Surname, Date_of_birth, Sex, Type_of_birth, Nature_of_birth, place_of_birth, District) VALUES
	                     ('$serial_no','$firstnamen','$othername','$surname','$dob','$sex','$typeofbirt','$natureofbirt','$placeofbirth', '$district')" or die (mysqli_error($conn));
   //$sql= "INSERT INTO `child`(`serial_no`, `Firstname`, `Othername`, `Surname`, `Date_of_birth`, `phone`, `Sex`, `Type_of_birth`, `Nature_of_birth`, `place_of_birth(hospital)`, `District`) VALUES
	//([$serial_no],[$firstname],[$othername],[$surname],[$dob],[$phone],[$sex],[$typeofbirt],[$natureofbirt],[$placeofbirth],[$district])" or die (mysql_error());
	if(mysqli_query( $conn, $sql)){
    echo  '<script type="text/javascript">';
        echo 'window.alert("Records added successfully.");';
		//header('location.mother.php');
		echo'window.location.href="mother.php";';
		echo '</script>';

    } else{

        echo '<script>window.alert("ERROR: Could not able to execute $sql. ")</script>';

    }

	}
	}

    // close connection

    mysqli_close($conn);

    ?>
</body>
</html>