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fichareceituario.php
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fichareceituario.php
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<!-- INCLUI O INICIO DO ARQUIVO -->
<? include ("header.php"); ?>
<script src="js/cep.js" type="text/javascript"></script> <!-- SCRIPT CEP -->
<script src="js/jquery.maskedinput.js" type="text/javascript"></script> <!-- SCRIPT MASK -->
<script>
//function zerar() {
// document.getElementById("divcpf").className = "input-control text";
// document.getElementById("divnome").className = "input-control text";
// document.getElementById("salvapaciente").reset();
//}
function valida(form) {
if (form.codigo.value=="") {
alert("Codigo não informado!!");
document.getElementById("divcodigo").className = "input-control text size2 error-state";
form.codigo.focus();
return false;
}
if (form.codigo.value!="") {
document.getElementById("divcodigo").className = "input-control text size2";
}
};
</script>
<script>
$(function() {
//jQuery(function($){
//$("#cpf").mask("999.999.999-99");
//});
var total = 0;
var aux = []; //Variavel de auxilio para o calculo do valor final
$('#codigo').change(function(){
if( $(this).val() ) {
$.getJSON('getnome.php?search=',{codigo: $(this).val(), ajax: 'true'}, function(j){
for (var i = 0; i < j.length; i++) {
$("input[name='nome']").val(j[i].nome);
}
});
}
});
$("#datepicker").datepicker({
//date: "2013-01-01", // set init date
format: "dd/mm/yyyy", // set output format
effect: "slide", // none, slide, fade
position: "bottom", // top or bottom,
locale: 'pt', // 'ru' or 'en', default is $.Metro.currentLocale (metro-locale.js)
});
});
</script>
<?
//Recebe as informacoes buscadas na busca de pacientes
if (isset($_GET["codigoaut"])){
$codigo = utf8_decode($_GET["codigoaut"]);
}else {if (isset($_POST["codigoaut"])){
$codigo = utf8_decode($_POST["codigoaut"]);
}};
$sqlpac = "SELECT nome, id, convenio FROM pacientes WHERE codigo = '$codigo'";
$resultadopac = mysql_query($sqlpac);
$resultpac = mysql_fetch_array($resultadopac);
?>
<!-- INICIO DO ARQUIVO -->
<body class="metro">
<br>
<img src="imagens/photo1.jpg" />
<br><br><br>
<center><img src="imagens/principal1.png" /></center>
<br><br>
<div class="grid">
<div class="row">
<? include ("menu.php"); ?>
<div class="span1"></div>
<div class="span10">
<form method="POST" onsubmit="return valida(this);" action="salvareceituario.php" name="salvareceituario" id="salvareceituario">
<div class="receituario">
<div class="tab-control" data-role="tab-control">
<ul class="tabs">
<li class="active"><a href="#_page_1">Dados Pessoais</a></li>
<li class=""><a href="#_page_2">Informações</a></li>
<li class=""><a href="#_page_3">Exames</a></li>
<li class=""><a href="#_page_4">Dieta Usual</a></li>
<li class=""><a href="#_page_5">Dieta</a></li>
<li class=""><a href="#_page_6">Conduta</a></li>
</ul>
<div class="frames">
<div class="frame" id="_page_1">
<label>Codigo</label>
<table><tr>
<td bgcolor="#FDFDFD">
<div class="input-control text size2" id="divcodigo" data-role="input-control">
<input type="text" id="codigo" name="codigo" placeholder="Codigo do Paciente" value="<? echo $codigo?>">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<a class="button image-button primary image-left" name="buscarPaciente" href="buscarpacientereceituario.php"><i class="icon-search on-left" style="top: -3px; left: 7px"></i>Buscar</a>
</td>
</tr></table>
<label>Nome</label>
<div class="input-control text" data-role="input-control">
<input type="text" id="nome" name="nome" readonly="readonly" value="<? echo utf8_encode($resultpac[0])?>" placeholder="Nome do Paciente">
<input type="hidden" id="id" name="id" value="<? echo $resultpac[1];?>"> <!-- Envia o id do paciente -->
<input type="hidden" id="opbd" name="opbd" value="cadastrar"> <!-- Envia qual ação o BD irá realizar -->
</div>
<table><tr>
<td bgcolor="#FDFDFD">
<label>Convênio</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" readonly="readonly" value="<? echo utf8_encode($resultpac[2]);?>" id="convenio" name="convenio" placeholder="Convênio">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<td bgcolor="#FDFDFD">
<label>Data</label>
<div class="input-control text" id="datepicker">
<input type="text" name="data" placeholder="Data">
<button class="btn-date"></button>
</div>
</td>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<table><tr>
<td bgcolor="#FDFDFD">
<label>Peso Atual</label>
<div class="input-control text size2" data-role="input-control">
<input type="text" id="pesoatual" name="pesoatual" placeholder="Peso Atual">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<td bgcolor="#FDFDFD">
<label>Altura</label>
<div class="input-control text size2" data-role="input-control">
<input type="text" name="altura" placeholder="Altura">
</div>
</td>
<br /></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<label>IMC</label>
<div class="input-control text size2" data-role="input-control">
<input type="text" id="imc" name="imc" placeholder="IMC">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<label>CA</label>
<div class="input-control text size2" data-role="input-control">
<input type="text" id="ca" name="ca" placeholder="CA">
</div>
<br></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<table><tr>
<td bgcolor="#FDFDFD">
<label>Peso Usual</label>
<div class="input-control text size2" data-role="input-control">
<input type="text" id="pesousual" name="pesousual" placeholder="Peso Usual">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<td bgcolor="#FDFDFD">
<label>PA</label>
<div class="input-control text size2" data-role="input-control">
<input type="text" name="pa" placeholder="PA">
</div>
</td>
<br /></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<br>
<center>
<button type="submit" class="image-button primary image-left">
Salvar
<i class="icon-floppy on-left" style="top: -3px; left: 7px">
</i>
</button>
<!--<button type="button" onclick="zerar();" class="image-button danger image-left">
Limpar
<i class="icon-spin on-left" style="top: -2px; left: 7px">
</i>
</button>-->
</center>
</div>
<div class="frame" id="_page_2">
<table><tr>
<td bgcolor="#FDFDFD">
<label>Médico Assitente</label>
<div class="input-control text size6" data-role="input-control">
<input type="text" id="med" name="med" placeholder="Médico Assitente">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<label>Queixa Principal</label>
<div class="input-control textarea" data-role="input-control">
<textarea name="queixa" placeholder="Queixa Principal"></textarea>
</div>
<label>História Patológica Pregressa</label>
<div class="input-control textarea" data-role="input-control">
<textarea name="histopato" placeholder="História Patológica Pregressa"></textarea>
</div>
<label>Medicamentos Regulares</label>
<div class="input-control textarea" data-role="input-control">
<textarea name="medreg" placeholder="Medicamentos Regulares"></textarea>
</div>
<table><tr>
<td bgcolor="#FDFDFD">
<label>Alergia Medicamentosa</label>
<div class="input-control select">
<select name="alergiamed">
<option value="">SELECIONE</option>
<option value="SIM">SIM</option>
<option value="NÃO">NÃO</option>
</select>
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<td bgcolor="#FDFDFD">
<label>Qual</label>
<div class="input-control text size4" data-role="input-control">
<input type="text" name="qualalergiamed" placeholder="Qual">
</div>
</td>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<table><tr>
<td bgcolor="#FDFDFD">
<label>Hábitos Intestinais</label>
<div class="input-control select">
<select name="habint">
<option value="">SELECIONE</option>
<option value="NORMAL">NORMAL</option>
<option value="CONSTIPADO">CONSTIPADO</option>
<option value="DIARRÉIA">DIARRÉIA</option>
</select>
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<label>Atividade Física</label>
<div class="input-control select">
<select name="ativfis">
<option value="">SELECIONE</option>
<option value="SIM">SIM</option>
<option value="NÃO">NÃO</option>
</select>
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<td bgcolor="#FDFDFD">
<label>Qual</label>
<div class="input-control text size4" data-role="input-control">
<input type="text" name="qualativfis" placeholder="Qual">
</div>
</td>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<br>
<center>
<button type="submit" class="image-button primary image-left">
Salvar
<i class="icon-floppy on-left" style="top: -3px; left: 7px">
</i>
</button>
<!--<button type="button" onclick="zerar();" class="image-button danger image-left">
Limpar
<i class="icon-spin on-left" style="top: -2px; left: 7px">
</i>
</button>-->
</center>
</div>
<div class="frame" id="_page_3">
<table><tr>
<td bgcolor="#FDFDFD">
<label>Colesterol Total</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="coltotal" name="coltotal" placeholder="Colesterol Total">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<label>HDL</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="hdl" name="hdl" placeholder="HDL">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<table><tr>
<td bgcolor="#FDFDFD">
<label>LDL</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="ldl" name="ldl" placeholder="LDL">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<label>VLDL</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="vldl" name="vldl" placeholder="VLDL">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<table><tr>
<td bgcolor="#FDFDFD">
<label>HT</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="ht" name="ht" placeholder="HT">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<label>HB</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="hb" name="hb" placeholder="HB">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<table><tr>
<td bgcolor="#FDFDFD">
<label>Glicose</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="glicose" name="glicose" placeholder="Glicose">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<label>HB Glicosada</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="hbglicosada" name="hbglicosada" placeholder="HB Glicosada">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<table><tr>
<td bgcolor="#FDFDFD">
<label>VCM</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="vcm" name="vcm" placeholder="VCM">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<label>Uréia</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="ureia" name="ureia" placeholder="Uréia">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<table><tr>
<td bgcolor="#FDFDFD">
<label>TGO</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="tgo" name="tgo" placeholder="TGO">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<label>TGP</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="tgp" name="tgp" placeholder="TGP">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<table><tr>
<td bgcolor="#FDFDFD">
<label>CPK</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="cpk" name="cpk" placeholder="CPK">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<label>Sódio</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="sodio" name="sodio" placeholder="Sódio">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<table><tr>
<td bgcolor="#FDFDFD">
<label>Potássio</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="potassio" name="potassio" placeholder="Potássio">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<label>Cálcio</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="calcio" name="calcio" placeholder="Cálcio">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<table><tr>
<td bgcolor="#FDFDFD">
<label>Vitamina D</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="vitaminad" name="vitaminad" placeholder="Vitamina D">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<label>Vitamina B12</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="vitaminab12" name="vitaminab12" placeholder="Vitamina B12">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<table><tr>
<td bgcolor="#FDFDFD">
<label>Ácido Fólico</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="acidofolico" name="acidofolico" placeholder="Ácido Fólico">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<label>PTNC</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="ptnc" name="ptnc" placeholder="PTNC">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<table><tr>
<td bgcolor="#FDFDFD">
<label>VHS</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="vhs" name="vhs" placeholder="VHS">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<label>Insulina</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="insulina" name="insulina" placeholder="Insulina">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<table><tr>
<td bgcolor="#FDFDFD">
<label>PTN Total</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="ptntotal" name="ptntotal" placeholder="PTN Total">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<label>TTOG</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="ttog" name="ttog" placeholder="TTOG">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<table><tr>
<td bgcolor="#FDFDFD">
<label>Albumina</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="albumina" name="albumina" placeholder="Albumina">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
<td bgcolor="#FDFDFD">
<label>Globulina</label>
<div class="input-control text size3" data-role="input-control">
<input type="text" id="globulina" name="globulina" placeholder="Globulina">
</div>
</td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td><td bgcolor="#FDFDFD"></td>
</tr>
</table>
<br>
<center>
<button type="submit" class="image-button primary image-left">
Salvar
<i class="icon-floppy on-left" style="top: -3px; left: 7px">
</i>
</button>
<!--<button type="button" onclick="zerar();" class="image-button danger image-left">
Limpar
<i class="icon-spin on-left" style="top: -2px; left: 7px">
</i>
</button>-->
</center>
</div>
<div class="frame" id="_page_4">
<label>Café da Manhã</label>
<div class="input-control textarea" data-role="input-control">
<textarea name="cafeusual" placeholder="Café da Manhã"></textarea>
</div>
<label>Colação</label>
<div class="input-control textarea" data-role="input-control">
<textarea name="colacaousual" placeholder="Colação"></textarea>
</div>
<label>Almoço</label>
<div class="input-control textarea" data-role="input-control">
<textarea name="almocousual" placeholder="Almoço"></textarea>
</div>
<label>Lanche</label>
<div class="input-control textarea" data-role="input-control">
<textarea name="lancheusual" placeholder="Lanche"></textarea>
</div>
<label>Jantar</label>
<div class="input-control textarea" data-role="input-control">
<textarea name="jantarusual" placeholder="Jantar"></textarea>
</div>
<label>Ceia</label>
<div class="input-control textarea" data-role="input-control">
<textarea name="ceiausual" placeholder="Ceia"></textarea>
</div>
<br>
<center>
<button type="submit" class="image-button primary image-left">
Salvar
<i class="icon-floppy on-left" style="top: -3px; left: 7px">
</i>
</button>
<!--<button type="button" onclick="zerar();" class="image-button danger image-left">
Limpar
<i class="icon-spin on-left" style="top: -2px; left: 7px">
</i>
</button>-->
</center>
</div>
<div class="frame" id="_page_5">
<label>Café da Manhã</label>
<div class="input-control textarea" data-role="input-control">
<textarea name="cafe" placeholder="Café da Manhã"></textarea>
</div>
<label>Colação</label>
<div class="input-control textarea" data-role="input-control">
<textarea name="colacao" placeholder="Colação"></textarea>
</div>
<label>Almoço</label>
<div class="input-control textarea" data-role="input-control">
<textarea name="almoco" placeholder="Almoço"></textarea>
</div>
<label>Lanche</label>
<div class="input-control textarea" data-role="input-control">
<textarea name="lanche" placeholder="Lanche"></textarea>
</div>
<label>Jantar</label>
<div class="input-control textarea" data-role="input-control">
<textarea name="jantar" placeholder="Jantar"></textarea>
</div>
<label>Ceia</label>
<div class="input-control textarea" data-role="input-control">
<textarea name="ceia" placeholder="Ceia"></textarea>
</div>
<label>Não Gosta</label>
<div class="input-control textarea" data-role="input-control">
<textarea name="naogosta" placeholder="Não Gosta"></textarea>
</div>
<br>
<center>
<button type="submit" class="image-button primary image-left">
Salvar
<i class="icon-floppy on-left" style="top: -3px; left: 7px">
</i>
</button>
<!--<button type="button" onclick="zerar();" class="image-button danger image-left">
Limpar
<i class="icon-spin on-left" style="top: -2px; left: 7px">
</i>
</button>-->
</center>
</div>
<div class="frame" id="_page_6">
<label>Conduta</label>
<div class="input-control textarea" data-role="input-control">
<textarea name="conduta" placeholder="Conduta" rows="10"></textarea>
</div>
<label>Observação</label>
<div class="input-control textarea" data-role="input-control">
<textarea name="obs" placeholder="Observação" rows="10"></textarea>
</div>
<br>
<center>
<button type="submit" class="image-button primary image-left">
Salvar
<i class="icon-floppy on-left" style="top: -3px; left: 7px">
</i>
</button>
<!--<button type="button" onclick="zerar();" class="image-button danger image-left">
Limpar
<i class="icon-spin on-left" style="top: -2px; left: 7px">
</i>
</button>-->
</center>
</div>
</div>
</div>
</div>
</form>
</div>
<br>
</div>
</div>
</body>
<!-- FIM DO ARQUIVO -->
<!-- INCLUI O FIM DO ARQUIVO -->
<? include ("footer.php"); ?>