Viewing file:  AddDentis.php (13.7 KB) -rw-r--r--
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<?php
include("../include/FunctionDB.php");
include("admin_menu.php");
include("../include/Function.php");
ConnectDB();
?>
<meta http-equiv="Content-Type" content="text/html; charset=TIS-620">
<script language="JavaScript" type="text/JavaScript">
function browse()
{
form1.Imag1.src = form1.Img1.value;
}
function MM_reloadPage(init) { //reloads the window if Na v4 resized
if (init==true) with (navigator) {if ((appName=="Netscape")&&(parseInt(appVersion)==4)) {
document.MM_pgW=innerWidth; document.MM_pgH=innerHeight; onresize=MM_reloadPage; }}
else if (innerWidth!=document.MM_pgW || innerHeight!=document.MM_pgH) location.reload();
}
MM_reloadPage(true);
//-->
function chk(c){
if (c.checked){
document.all.Soulmate.disabled=true;
document.all.Total_child.disabled=true;
}
else{
document.all.Soulmate.disabled=false;
document.all.Total_child.disabled=false;
}
}
var highlightcolor="lightyellow"
var ns6=document.getElementById&&!document.all
var previous=''
var eventobj
//Regular expression to highlight only form elements
var intended=/INPUT|TEXTAREA|SELECT|OPTION/
//Function to check whether element clicked is form element
function checkel(which){
if (which.style&&intended.test(which.tagName)){
if (ns6&&eventobj.nodeType==3)
eventobj=eventobj.parentNode.parentNode
return true
}
else
return false
}
//Function to highlight form element
function highlight(e){
eventobj=ns6? e.target : event.srcElement
if (previous!=''){
if (checkel(previous))
previous.style.backgroundColor=''
previous=eventobj
if (checkel(eventobj))
eventobj.style.backgroundColor=highlightcolor
}
else{
if (checkel(eventobj))
eventobj.style.backgroundColor=highlightcolor
previous=eventobj
}
}
function handleEnter (field, event) {
var keyCode = event.keyCode ? event.keyCode : event.which ? event.which : event.charCode;
if (keyCode == 13) {
var i;
for (i = 0; i < field.form.elements.length; i++)
if (field == field.form.elements[i])
break;
i = (i + 1) % field.form.elements.length;
field.form.elements[i].focus();
return false;
}
else
return true;
}
</script>
<style type="text/css">
<!--
.style1 {color: #000066}
-->
</style>
<table width="815" border="0" cellpadding="0" cellspacing="0">
<tr>
<td width="815" ><br />
<fieldset>
<legend><font size="2" color="<?php echo $GLOBALS["COLOR_FONT_3"]; ?>"><a href="index.php">˹éÒËÅÑ¡</a> <img src="../picture/ico3.gif" width="10" height="10" border="0" align="absmiddle" /><a href="DentisList.php">¢éÍÁÙŷѹµá¾·Âì</a></font></legend>
<label> </label>
<div align="center">
<form action="InsertDentis.php" method="post" enctype="multipart/form-data" name="form1" id="form1">
<table width="73%" height="56" border="0" cellpadding="0" cellspacing="1" bordercolor="#99CCFF">
<tr bgcolor="#eeeeee">
<td height="30" colspan="3"><div align="center"><font face="Tahoma, MS Sans Serif"><strong><font color="#003366" size="4">à¾ÔèÁ¢éÍÁÙŷѹµá¾·Âì</font></strong></font></div></td>
</tr>
<tr bgcolor="#eeeeee">
<td width="23%" height="22"><div align="center" class="style1"><font size="2" face="Tahoma, MS Sans Serif">àÅ¢·Õè㺻ÃСͺâäÈÔÅ»</font></div></td>
<td width="2%"><div align="center"><font color="#FF0000" size="4" face="Tahoma, MS Sans Serif"><strong>*</strong></font></div></td>
<td width="75%"><font face="Tahoma, MS Sans Serif">
<input name="Orderlist" type="text" id="Orderlist" size="10" />
</font></td>
</tr>
<tr bgcolor="#eeeeee">
<td height="22"><div align="center" class="style1"><font size="2" face="Tahoma, MS Sans Serif">¤Ó¹Ó˹éÒ</font></div></td>
<td><div align="center"><font color="#FF0000" size="4" face="Tahoma, MS Sans Serif"><strong>*</strong></font></div></td>
<td><font size="2" face="Tahoma, MS Sans Serif">
<input type="radio" name="First_name" value="·¾." onkeypress="return handleEnter(this, event)">
·¾.
<input type="radio" name="First_name" value="·¾." onkeypress="return handleEnter(this, event)">
·¾. </font></td>
</tr>
<tr bgcolor="#eeeeee">
<td height="22"><div align="center" class="style1"><font size="2" face="Tahoma, MS Sans Serif">ª×èÍ - ä·Â </font></div></td>
<td><div align="center"><font color="#FF0000" size="4" face="Tahoma, MS Sans Serif"><strong>*</strong></font></div></td>
<td><font face="Tahoma, MS Sans Serif">
<input name="Name" type="text" id="Name" size="20" />
<font size="2">¹ÒÁÊ¡ØÅ
<input name="Lastname" type="text" id="Lastname" size="20" />
</font></font></td>
</tr>
<tr bgcolor="#eeeeee">
<td height="22"><div align="center" class="style1"><font size="2" face="Tahoma, MS Sans Serif">Firstname(Eng)</font></div></td>
<td><div align="center"><font color="#FF0000" size="4" face="Tahoma, MS Sans Serif"><strong>*</strong></font></div></td>
<td><font face="Tahoma, MS Sans Serif">
<input name="Name_eng" type="text" id="Name_eng" size="20" />
<font size="2">Lastname(Eng)
<input name="Lastname_eng" type="text" id="Lastname_eng" size="20" />
</font></font></td>
</tr>
<tr bgcolor="#eeeeee">
<td height="22"><div align="center" class="style1"><font size="2" face="Tahoma, MS Sans Serif">à¾È</font></div></td>
<td><div align="center"><font color="#FF0000" size="4" face="Tahoma, MS Sans Serif"><strong>*</strong></font></div></td>
<td><font size="2" face="Tahoma, MS Sans Serif">
<input type="radio" name="Sex" value="ªÒÂ" />
ªÒÂ
<input type="radio" name="Sex" value="ËÔ§" />
ËÔ§</font></td>
</tr>
<tr bgcolor="#eeeeee">
<td height="24"><div align="center" class="style1"><font size="2" face="Tahoma, MS Sans Serif">Çѹ/à´×͹/»Õ·ÕèàÃÔèÁ·Ó§Ò¹</font></div></td>
<td nowrap="nowrap" bordercolor="#CCCCCC"><div align="center"><font color="#FF0000" size="4" face="Tahoma, MS Sans Serif"><strong>*</strong></font></div></td>
<td nowrap="nowrap" bordercolor="#CCCCCC"><font color="#000000" size="2" face="Tahoma, MS Sans Serif">Çѹ·Õè
<select name="mDate" id="mDate" class="select" >
<? getDay1to31();?>
</select>
à´×͹
<select name="mMonth" id="mMonth" class="select" >
<? getThaiMonth();?>
</select>
»Õ ¾.È.
<input name="mYear" type="text" class="input" id="mYear" size="5" maxlength="4">
</font></td>
</tr>
<tr bgcolor="#eeeeee">
<td height="24"><div align="center" class="style1"><font size="2" face="Tahoma, MS Sans Serif">Çѹ-à´×͹-»Õ
à¡Ô´</font></div></td>
<td nowrap="nowrap" bordercolor="#CCCCCC"><div align="center"><font color="#FF0000" size="4" face="Tahoma, MS Sans Serif"><strong>*</strong></font></div></td>
<td nowrap="nowrap" bordercolor="#CCCCCC"><font color="#000000" size="2" face="Tahoma, MS Sans Serif">Çѹ·Õè
<select name="mDate1" id="mDate1" class="select" >
<? getDay1to31();?>
</select>
à´×͹
<select name="mMonth1" id="mMonth1" class="select" >
<? getThaiMonth();?>
</select>
»Õ ¾.È.
<input name="mYear1" type="text" class="input" id="mYear1" size="5" maxlength="4">
</font></td>
</tr>
<tr bordercolor="#CCCCCC" bgcolor="#eeeeee">
<td height="22" nowrap="nowrap" bordercolor="#CCCCCC"><div align="center" class="style1"><font size="2" face="Tahoma, MS Sans Serif">ÈÒʹÒ</font></div></td>
<td bordercolor="#CCCCCC"> </td>
<td nowrap="nowrap" bordercolor="#CCCCCC"><font size="2" face="Tahoma, MS Sans Serif">
<input type="radio" name="Religion" value="¾Ø·¸" onkeypress="return handleEnter(this, event)" />
¾Ø·¸
<input type="radio" name="Religion" value="¤ÃÔʵì" onkeypress="return handleEnter(this, event)" />
¤ÃÔʵì
<input type="radio" name="Religion" value="ÍÔÊÅÒÁ" onkeypress="return handleEnter(this, event)" />
ÍÔÊÅÒÁ
<input type="radio" name="Religion" value="Í×è¹æ" onkeypress="return handleEnter(this, event)" />
Í×è¹æ</font></td>
</tr>
<tr bgcolor="#eeeeee">
<td height="86"><div align="center" class="style1"><font size="2" face="Tahoma, MS Sans Serif">·ÕèÍÂÙè</font></div></td>
<td> </td>
<td><font face="Tahoma, MS Sans Serif">
<textarea name="Address" cols="50" rows="5" id="Address"></textarea>
</font></td>
</tr>
<tr bgcolor="#eeeeee">
<td height="24"><div align="center" class="style1"><font size="2" face="Tahoma, MS Sans Serif">¨Ñ§ËÇÑ´</font></div></td>
<td><div align="center"><font color="#FF0000" size="4" face="Tahoma, MS Sans Serif"><strong>*</strong></font></div></td>
<td><font face="Tahoma, MS Sans Serif"> </font><font size="2" face="Tahoma"><span class="style1"><strong><font color="#003366" size="2" face="Tahoma">
<select name="ProvinceId" id="ProvinceId" class="input1">
<?php
$strSQL1 = "SELECT * FROM province Order By ProvinceId ";
$result1 = mysql_query($strSQL1);
while( $rs1 = mysql_fetch_array($result1))
{
echo"<option value=\"$rs1[ProvinceId]\" ><b>$rs1[ProvinceName]</b></option>\n";
}
?>
</select>
</font></strong></span></font><font face="Tahoma, MS Sans Serif"> </font></td>
</tr>
<tr bgcolor="#eeeeee">
<td height="24"><div align="center" class="style1"><font face="Tahoma, MS Sans Serif"><font size="2">â·ÃÈѾ·ì·ÕèºéÒ¹</font></font></div></td>
<td><div align="center"><font color="#FF0000" size="4" face="Tahoma, MS Sans Serif"><strong>*</strong></font></div></td>
<td><font face="Tahoma, MS Sans Serif"> <font color="#000000" size="2">
<input name="Phone_1" type="text" id="Phone_1" size="10" />
Á×Ͷ×Í </font><font face="Tahoma, MS Sans Serif"><font color="#000000" size="2">
<input name="Phone_2" type="text" id="Phone_2" size="10" />
Email@ </font><font face="Tahoma, MS Sans Serif"><font face="Tahoma, MS Sans Serif"><font color="#000000" size="2">
<input name="Email" type="text" id="Email" size="25" />
</font></font></font></font> </font></td>
</tr>
<tr bgcolor="#eeeeee">
<td height="22"><div align="center" class="style1"><font size="2" face="Tahoma, MS Sans Serif">¨º¨Ò¡ÁËÇÔ·ÂÒÅÑÂ</font></div></td>
<td><div align="center"><font color="#FF0000" size="4" face="Tahoma, MS Sans Serif"><strong>*</strong></font></div></td>
<td><font face="Tahoma, MS Sans Serif">
<input name="Description_1" type="text" id="Description_1" size="30" />
»Õ ¾.È <font face="Tahoma, MS Sans Serif"><font color="#000000" size="2">
<input name="Year_1" type="text" id="Year_1" size="10" />
</font></font></font></td>
</tr>
<tr bgcolor="#eeeeee">
<td height="22"><div align="center" class="style1"><font size="2" face="Tahoma, MS Sans Serif">੾ÒзҧÊÒ¢Ò</font></div></td>
<td><div align="center"><font color="#FF0000" size="4" face="Tahoma, MS Sans Serif"><strong>*</strong></font></div></td>
<td><font face="Tahoma, MS Sans Serif">
<input name="Description_2" type="text" id="Description_2" size="30" />
</font></td>
</tr>
<tr bgcolor="#eeeeee">
<td height="100"><div align="center" class="style1"><font size="2" face="Tahoma, MS Sans Serif">ÃÙ»ÀÒ¾</font></div></td>
<td> </td>
<td><table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="63%"><div align="center"> <font face="Tahoma, MS Sans Serif">
<input name="Img1" type="file" id="Img1" onchange="browse()" />
</font></div></td>
<td width="37%"><div align="left"><font face="Tahoma, MS Sans Serif"><img src=" " name="Imag1" width="100" height="100" id="Imag1" /> </font></div></td>
</tr>
</table></td>
</tr>
<tr bgcolor="#eeeeee">
<td height="30" colspan="3"><div align="center"><font face="Tahoma, MS Sans Serif">
<input type="submit" name="Submit" value=" à¾ÔèÁ " />
<input type="reset" name="Reset" value="¡àÅÔ¡ " />
</font></div></td>
</tr>
</table>
</form>
</div>
</fieldset>
<br />
<font color="<?php echo $GLOBALS["COLOR_FONT_3"];?>" size="2"><b>ËÁÒÂà赯 :</b><br />
</font></td>
</tr>
</table>
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