!c99Shell v. 1.0 pre-release build #16!

Software: Apache/2.2.3 (CentOS). PHP/5.1.6 

uname -a: Linux mx-ll-110-164-51-230.static.3bb.co.th 2.6.18-194.el5PAE #1 SMP Fri Apr 2 15:37:44
EDT 2010 i686
 

uid=48(apache) gid=48(apache) groups=48(apache) 

Safe-mode: OFF (not secure)

/var/www/html/manage/Std_Acc_depart/Student/Health/   drwxr-xr-x
Free 50.92 GB of 127.8 GB (39.84%)
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Viewing file:     AddHealthData.php (6.51 KB)      -rw-r--r--
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<?php
include("../../../include/FunctionDB.php");
include(
"../../../include/Function.php");
ConnectDB();
$sql ="Select * From student_tb Where Student_id='$Student_id' ";
$result mysql_query($sql) or die("Error".mysql_error());
$rs mysql_fetch_array($result);
?>
<html>
<head>
<title>Add Student's Heatth</title>
<meta http-equiv="Content-Type" content="text/html; charset=windows-874">
<link href="../../../css/style1.css" rel="stylesheet" type="text/css">
</head>

<body bgcolor="#FFFFFF">
<font face="Tahoma, MS Sans Serif"> 
<table width="100%" border="0" cellspacing="0" cellpadding="0">
  <tr> 
    <td height="416" colspan="2"> 
      <form name="form1" method="post" action="InsertHealth.php">
        <table width="95%" border="0" align="center" cellpadding="0" cellspacing="1" bordercolor="#99CCFF">
          <tr bgcolor="#D7EABD"> 
            <td height="25" colspan="3"> <div align="center"><strong><font color="#003366" size="4" face="Tahoma">เพิ่มข้อมูลสุขภาพนักศึกษา 
                </font></strong></div></td>
          </tr>
          <tr> 
            <td width="27%" bgcolor="#EEEEEE"><div align="center"><font size="2" face="Tahoma, MS Sans Serif">ชื่อ-นามสกุล</font></div></td>
            <td width="3%" bgcolor="#EEEEEE">&nbsp;</td>
            <td width="70%" bgcolor="#EEEEEE"><strong><font size="2" face="Tahoma"><? echo $rs[First_name]?>&nbsp;<? echo $rs[Name]?> 
              <? echo $rs[Lastname]?></font></strong></td>
          </tr>
          <tr> 
            <td bgcolor="#EEEEEE"><div align="center"><font color="#000000" size="2" face="Tahoma">น้ำหนัก</font></div></td>
            <td bgcolor="#EEEEEE"><div align="center"><font color="#FF0000" size="4" face="Tahoma"><strong>*</strong></font></div></td>
            <td bgcolor="#EEEEEE"><input name="Weight" type="text" id="Weight" size="5"> 
              <font size="2" face="Tahoma, MS Sans Serif">ส่วนสูง 
              <input name="Height" type="text" id="Height2" size="5">
              </font></td>
          </tr>
          <tr> 
            <td bgcolor="#EEEEEE"> <div align="center"><font size="2" face="Tahoma">วันที่บันทึก</font></div></td>
            <td bgcolor="#EEEEEE"><div align="center"><font color="#FF0000" size="4" face="Tahoma"><strong>*</strong></font></div></td>
            <td bgcolor="#EEEEEE"><font color="#000000" size="2" face="Tahoma">วันที่ 
              <select name="mDate" id="mDate" class="select" >
                <? getDay1to31();?>
              </select>
              เดือน 
              <select name="mMonth" id="mMonth" class="select" >
                <? getThaiMonth();?>
              </select>
              ปี พ.ศ. 
              <input name="mYear" type="text" id="mYear" size="10" class="input1" >
              </font></td>
          </tr>
          <tr> 
            <td bgcolor="#EEEEEE"> <div align="center"><font size="2" face="Tahoma, MS Sans Serif">กรุ๊ปเลือด</font></div></td>
            <td bgcolor="#EEEEEE"><div align="center"><font color="#FF0000" size="4" face="Tahoma"><strong>*</strong></font></div></td>
            <td bgcolor="#EEEEEE"><font size="2" face="Tahoma"> 
              <input type="radio" name="B_group" value="A">
              A 
              <input type="radio" name="B_group" value="B">
              B 
              <input type="radio" name="B_group" value="AB">
              AB 
              <input type="radio" name="B_group" value="O">
              O </font> </td>
          </tr>
          <tr> 
            <td bgcolor="#EEEEEE"> <div align="center"><font size="2" face="Tahoma, MS Sans Serif">ความดัน</font></div></td>
            <td bgcolor="#EEEEEE"><div align="center"><font color="#FF0000" size="4" face="Tahoma"><strong>*</strong></font></div></td>
            <td bgcolor="#EEEEEE"><font size="2"> 
              <input name="Presure" type="text" id="Presure" size="20">
              </font></td>
          </tr>
          <tr> 
            <td bgcolor="#EEEEEE"> <div align="center"><font size="2" face="Tahoma, MS Sans Serif">โรคประจำตัว</font></div></td>
            <td nowrap bordercolor="#CCCCCC" bgcolor="#EEEEEE">&nbsp;</td>
            <td nowrap bordercolor="#CCCCCC" bgcolor="#EEEEEE"><textarea name="Disease" cols="40" rows="3" id="Disease"></textarea></td>
          </tr>
          <tr bordercolor="#CCCCCC"> 
            <td nowrap bordercolor="#CCCCCC" bgcolor="#EEEEEE"> <div align="center"><font color="#000000" size="2" face="Tahoma">อาการ</font></div></td>
            <td bordercolor="#CCCCCC" bgcolor="#EEEEEE">&nbsp;</td>
            <td nowrap bordercolor="#CCCCCC" bgcolor="#EEEEEE"><font size="2" face="Tahoma"> 
              <textarea name="Symptom" cols="40" rows="5" id="Symptom"></textarea>
              </font></td>
          </tr>
          <tr> 
            <td bgcolor="#EEEEEE"> <div align="center"><font size="2" face="Tahoma, MS Sans Serif">การรักษา</font></div></td>
            <td bgcolor="#EEEEEE">&nbsp;</td>
            <td bgcolor="#EEEEEE"> <textarea name="Treat" cols="40" rows="5" id="Treat"></textarea></td>
          </tr>
          <tr> 
            <td bgcolor="#EEEEEE"><div align="center"><font size="2" face="Tahoma">ยาที่ได้รับ</font></div></td>
            <td bgcolor="#EEEEEE">&nbsp;</td>
            <td bgcolor="#EEEEEE"><textarea name="Medicine" cols="40" rows="3" id="textarea3"></textarea></td>
          </tr>
          <tr> 
            <td bgcolor="#EEEEEE"><div align="center"><font size="2" face="Tahoma">อาการแพ้ยา</font></div></td>
            <td bgcolor="#EEEEEE">&nbsp;</td>
            <td bgcolor="#EEEEEE"><textarea name="Bad_Medic" cols="40" rows="3" id="textarea4"></textarea></td>
          </tr>
          <tr> 
            <td bgcolor="#EEEEEE"><div align="center"><font size="2" face="Tahoma">อาการแพ้อาหาร</font></div></td>
            <td bgcolor="#EEEEEE">&nbsp;</td>
            <td bgcolor="#EEEEEE"><textarea name="Bad_Food" cols="40" rows="3" id="textarea5"></textarea></td>
          </tr>
          <tr> 
            <td bgcolor="#EEEEEE"><div align="center"><font size="2" face="Tahoma">สถานที่รักษา</font></div></td>
            <td bgcolor="#EEEEEE">&nbsp;</td>
            <td bgcolor="#EEEEEE"><input name="Place_Treat" type="text" id="Place_Treat" size="60"></td>
          </tr>
          <tr bgcolor="#D7EABD"> 
            <td colspan="3"> 
              <div align="center"> 
                <input type="hidden" name="Student_id" value="<? echo $rs[Student_id]?>">
                <input type="submit" name="Submit" value="  เพิ่ม  ">
              </div></td>
          </tr>
        </table>
      </form></td>
  </tr>
</table>
</font>
</body>
</html>

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