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userRegister.php
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userRegister.php
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<?php
$success = NULL;
$message = NULL;
if (isset($_POST['submitBtn'])) {
$fname = $_POST['fname'];
$mname = $_POST['mname'];
$lname = $_POST['lname'];
$sex = $_POST['sex'];
$mail = $_POST['mail'];
$mobile = $_POST['mobile'];
$haddress = $_POST['haddress'];
$city = $_POST['city'];
$hstate = $_POST['hstate'];
$pincode = $_POST['pincode'];
$dob = $_POST['dob'];
$dov = $_POST['dov'];
$bg = $_POST['bg'];
$cnic = $_POST['cnic'];
$location = $_POST['location'];
require_once 'DBConnect.php';
$db = new DBConnect();
$flag = $db->registerUser($fname, $mname, $lname, $sex, $mail, $mobile, $haddress, $city, $hstate, $pincode, $dob, $dov, $bg, $cnic, $location);
if ($flag) {
$success = "The Report has been successfully added to the database!";
} else {
$message = "There was some error saving the user to the database!";
}
}
// Employee Ke Game
$title = "Employee";
$setEmployeeActive = "active";
include 'layout/header1.php';
?>
<nav class="navbar navbar-expand-lg navbar-dark bg-primary">
<div class="container-fluid">
<img class="img-fluid" src="assets/FreeVaccineLogo.png" width="80px">
<button class="navbar-toggler" type="button" data-bs-toggle="collapse" data-bs-target="#navbarNav" aria-controls="navbarNav" aria-expanded="false" aria-label="Toggle navigation">
<span class="navbar-toggler-icon"></span>
</button>
<div class="collapse navbar-collapse" id="navbarNav">
<ul class="navbar-nav ms-auto mb-2 mb-lg-0">
<!-- <li class="nav-item">
<a class="nav-link active" href="details.php">Register a Person</a>
</li> -->
<!-- <li class="nav-item">
<a class="nav-link" href="details-1.php">Get Vaccination Report</a>
</li>
<li class="nav-item"> -->
<!-- <a class="nav-link" href="logout.php">Log Out</a>
</li> -->
</ul>
</div>
</div>
</nav>
<div class="container" style="margin-top:2%;">
<?php if (isset($success)) : ?>
<div class="alert-success fade-out-5"><?= $success; ?></div>
<?php endif; ?>
<?php if (isset($message)) : ?>
<div class="alert-danger fade-out-5"><?= $message; ?></div>
<?php endif; ?>
<h1 style="text-align:center">Register for Vaccine</h1>
<hr>
<form method="post" role="form" action="register.php">
<div class="container details">
<div class="row">
<div class="form-group col-md-4 col-12">
<label for="fname"><b>First Name</b></label>
<input type="text" class="form-control" placeholder="Enter First Name*" name="fname" required>
</div>
<div class="form-group col-md-4 col-12">
<label for="mname"><b>Middle Name</b></label>
<input type="text" class="form-control" placeholder="Enter Middle Name" name="mname">
</div>
<div class="form-group col-md-4 col-12">
<label for="lname"><b>Last Name</b></label>
<input type="text" class="form-control" placeholder="Enter Last Name*" name="lname" required>
</div>
</div>
<br>
<div class="form-group col-md-12 col-12">
<label for="inputEmail4"><b>Email</b></label>
<input type="email" class="form-control" placeholder="Email" name="mail">
</div>
<br>
<div class="form-group col-md-12 col-12">
<label for="gender"><b>Gender </b></label>
<br>
<input type="radio" name="sex" value="male" checked="true"> Male
<input type="radio" name="sex" value="female"> Female
<input type="radio" name="sex" value="other"> Other<br>
</div>
<br>
<div class="form-group col-md-12 col-12">
<label for="inpcnic"><b>CNIC</b></label>
<input type="text" class="form-control" placeholder="17301*********" name="cnic" required>
</div>
<br>
<div class="row">
<div class="form-group col-md-6 col-12">
<label for="mobile"><b>Mobile No. +92</b></label>
<input type="text" class="form-control" placeholder="10 digit mobile no" name="mobile" required>
</div>
<div class="form-group col-md-6 col-12">
<label for="bg"><b>Blood Group </b></label>
<input type="city" placeholder="Blood Group" class="form-control" name="bg" required>
</div>
</div>
<br>
<div class="form-group col-md-12 col-12">
<label for="haddress"><b>Address </b></label>
<input type="text" placeholder="Full Address" class="form-control" name="haddress" required>
</div>
<br>
<div class="row">
<div class="form-group col-md-4 col-12">
<label for="city"><b>City </b></label>
<input type="city" placeholder="City" class="form-control" name="city" required>
</div>
<div class="form-group col-md-4 col-12">
<label for="hstate"><b>State </b></label>
<input type="city" placeholder="State" class="form-control" name="hstate" required>
</div>
<div class="form-group col-md-4 col-12">
<label for="pincode"><b>Pincode </b></label>
<input type="number" placeholder="Pincode" class="form-control" name="pincode" required>
</div>
</div>
<br>
<div class="row">
<div class="col-md-6 col-12">
<label for="dob"><b>Enter Date of Birth </b></label>
<input type="date" placeholder="mm/dd/yyyy" class="form-control" name="dob" required>
</div>
<div class="col-md-6 col-12">
<label for="dov"><b>Schedule Date for Vaccination </b></label>
<input type="date" placeholder="mm/dd/yyyy" class="form-control" name="dov" required>
</div>
</div>
<div class="row mx-1">
<div class="form-group col-md-12 col-12 px-2">
<label for="Location"><b>Location</b></label>
<select id="Location" type="dropdown" name="location">
<option value="JB-Abt">Jallal Baba Auditorium,Abottabad</option>
<option value="NH-Pesh">Nishtar Hall,Peshawar</option>
<option value="KTH-Pesh">Khyber Teaching Hospital,Peshawar</option>
<option value="LRH-Pesh">Lady Reading Hospital,Peshawar</option>
</select>
</div>
</div>
</div>
</div>
<div class="submit-btn">
<button type="submit" name="submitBtn" class="btn btn-dark">Register</button>
</div>
</form>
</div>
</div>
</div>
<?php
include 'layout/footer1.php'
?>