Viewing file: AddTeach.php (35.89 KB) -rw-r--r-- Select action/file-type: (+) | (+) | (+) | Code (+) | Session (+) | (+) | SDB (+) | (+) | (+) | (+) | (+) | (+) |
<?php session_start(); if (session_is_registered("valid_user")) { //$Username = $valid_user; include("../include/FunctionDB.php"); include("admin_menu.php"); include("../include/Function.php"); ConnectDB(); $sql ="select * From personal_den_tb Where Person_code='$Person_code' "; $result = mysql_query($sql); $rs = mysql_fetch_array($result);
?>
<meta http-equiv="Content-Type" content="text/html; charset=TIS-620">
<table width="841" border="0" cellpadding="0" cellspacing="0"> <tr> <td width="981" ><br /> <fieldset> <legend><font size="2" color="<?php echo $GLOBALS["COLOR_FONT_3"]; ?>"><a href="index.php">หน้าหลัก</a> <img src="../picture/ico3.gif" width="10" height="10" border="0" align="absmiddle" /><a href="AddPlanteach.php?Person_code=<? echo $rs[Person_code]?>">บันทึกรายการรักษา</a> <img src="../picture/ico3.gif" width="10" height="10" border="0" align="absmiddle" /><a href="AddTeachPlan.php?Person_code=<? echo $rs[Person_code]?>">บันทึกการรักษา</a> <img src="../picture/ico3.gif" width="10" height="10" border="0" align="absmiddle" /><a href="TeachList.php?Person_code=<? echo $rs[Person_code]?>">ข้อมูลแผนการรักษา</a><img src="../picture/ico3.gif" width="10" height="10" border="0" align="absmiddle" />บันทึกแผนการรักษา</font></legend> <label> </label> <div align="center"> <form id="form1" name="form1" method="post" action="InsertTeachPlan.php"> <table width="82%" height="479" border="0" align="center" cellpadding="0" cellspacing="1" style="border:1px solid gray"> <tr bgcolor="#B6D0F1" background="" > <td height="28" colspan="3" nowrap="nowrap" bordercolor="#CCCCCC"><div align="center" class="d style2"><strong><font face="Tahoma">บันทึกแผนการรักษา</font></strong></div></td> </tr> <tr bgcolor="#ECF5FF"> <td width="23%" height="22" nowrap="nowrap" bordercolor="#CCCCCC" bgcolor="#eeeeee"><div align="center"><font color="#000066" size="2" face="Tahoma">เลขที่ HN</font></div></td> <td width="1%" bordercolor="#CCCCCC" bgcolor="#eeeeee"><div align="center"><font color="#FF0000" size="3" face="Tahoma">*</font></div></td> <td width="76%" nowrap="nowrap" bordercolor="#CCCCCC" bgcolor="#eeeeee"><span class="style17"><font color="#000000" size="2" face="Tahoma"> <font color="#000000" size="2" face="Tahoma"> <?php echo"$rs[HN_code]"; ?> </font></font></span></td> </tr> <tr bgcolor="#ECF5FF"> <td height="22" nowrap="nowrap" bordercolor="#CCCCCC" bgcolor="#eeeeee"><div align="center"><font color="#000066" size="2" face="Tahoma">ชื่อ - สกุล </font></div></td> <td bordercolor="#CCCCCC" bgcolor="#eeeeee"><div align="center"><font color="#FF0000" size="3" face="Tahoma">*</font></div></td> <td nowrap="nowrap" bordercolor="#CCCCCC" bgcolor="#eeeeee"><font color="#000000" size="2" face="Tahoma"><font color="#000000" size="2" face="Tahoma"> <?php echo"$rs[First_name]"; ?> <font color="#000000" size="2" face="Tahoma"> <?php echo"$rs[Name]"; ?> <strong><font color="#000000" size="2" face="Tahoma"> <?php echo"$rs[Lastname]"; ?> </font></strong></font></strong></font></strong></font><font size="2" face="Tahoma"> </font></td> </tr> <tr bgcolor="#ECF5FF"> <td height="24" nowrap="nowrap" bordercolor="#CCCCCC" bgcolor="#eeeeee"><div align="center"><font color="#000066" size="2" face="Tahoma">วันที่เข้าทำการรักษา</font></div></td> <td bordercolor="#CCCCCC" bgcolor="#eeeeee"> </td> <td bgcolor="#eeeeee"><font color="#000000" size="2" face="Tahoma, MS Sans Serif">วันที่ </font><font color="#000000" size="2" face="Tahoma"> <select name="mDate" id="mDate" class="select" > <?php $Datetype = $rs[Datetype]; $yearthai = explode("-",$Datetype); $mDate = intval($yearthai[2]); $mMonth = intval($yearthai[1]); $mYear = intval($yearthai[0]); for($i=0;$i<=31;$i++) { if( $i == 0) echo"\n\t<option value=\"$mDate\" selected>$mDate</option>\n "; else echo"\n\t<option value=\"$i\">$i</option>\n "; } // getDay1to31(); ?> </select> </font><font color="#000000" size="2" face="Tahoma, MS Sans Serif"> เดือน </font><font color="#000000" size="2" face="Tahoma"> <select name="mMonth" id="select2" class="select" > <?php $Datetype = $rs[Datetype]; $yearthai = explode("-",$Datetype); $mDate= intval($yearthai[2]); $Month = intval($yearthai[1]); $mYear2= intval($yearthai[0]); $mMonth = $Month; $CMonth = TxtThaiMonth($Month); for($i=-1;$i<=11;$i++) { $a = $i+1; if( $a == 0) echo"\n\t<option value=\"$mMonth\" selected>$CMonth</option>\n "; else echo"\n\t<option value=\"$a\">$ThaiMonth[$i]</option>\n "; } // getThaiMonth(); ?> </select> </font><font color="#000000" size="2" face="Tahoma, MS Sans Serif"> ปี พ.ศ. </font><font color="#000000" size="2" face="Tahoma"> <input name="mYear" type="text" class="d" id="mYear" value="<? echo $mYear?>" size="4" maxlength="4" /> </font></td> </tr> <tr bgcolor="#ECF5FF"> <td height="24" nowrap="nowrap" bordercolor="#CCCCCC" bgcolor="#eeeeee"><div align="center"><font color="#003366" size="2" face="Tahoma">นัดครั้งต่อไป</font></div></td> <td bordercolor="#CCCCCC" bgcolor="#eeeeee"><font color="#FF0000" size="3" face="Tahoma">*</font></td> <td bgcolor="#eeeeee"><font color="#000000" size="2" face="Tahoma, MS Sans Serif">วันที่ </font><font color="#000000" size="2" face="Tahoma"> <select name="mDate1" id="select3" class="select" > <?php $Date = $rs[Date]; $yearthai = explode("-",$Date); $mDate = intval($yearthai[2]); $mMonth = intval($yearthai[1]); $mYear = intval($yearthai[0]); for($i=0;$i<=31;$i++) { if( $i == 0) echo"\n\t<option value=\"$mDate\" selected>$mDate</option>\n "; else echo"\n\t<option value=\"$i\">$i</option>\n "; } // getDay1to31(); ?> </select> </font><font color="#000000" size="2" face="Tahoma, MS Sans Serif"> เดือน </font><font color="#000000" size="2" face="Tahoma"> <select name="mMonth1" id="select6" class="select" > <?php $Date = $rss[Date]; $yearthai = explode("-",$Date); $mDate= intval($yearthai[2]); $Month = intval($yearthai[1]); $mYear= intval($yearthai[0]); $mMonth = $Month; $CMonth = TxtThaiMonth($Month); for($i=-1;$i<=11;$i++) { $a = $i+1; if( $a == 0) echo"\n\t<option value=\"$mMonth\" selected>$CMonth</option>\n "; else echo"\n\t<option value=\"$a\">$ThaiMonth[$i]</option>\n "; } // getThaiMonth(); ?> </select> </font><font color="#000000" size="2" face="Tahoma, MS Sans Serif"> ปี พ.ศ. </font><font color="#000000" size="2" face="Tahoma"> <input name="mYear1" type="text" class="d" id="mYear1" value="<? echo $mYear?>" size="4" maxlength="4" /> </font><font color="#000000" size="2" face="Tahoma"> </font><font color="#000000" size="2" face="Tahoma">เวลา </font><font size="2" face="Tahoma"><span class="style21"><strong><font size="2" face="MS Sans Serif, Tahoma, sans-serif"> <input name="Time" type="text" id="Time" size="10" /> </font></strong></span></font><font color="#000000" size="2" face="Tahoma"> </font></td> </tr> <tr bgcolor="#ECF5FF"> <td height="24" nowrap="nowrap" bordercolor="#CCCCCC" bgcolor="#eeeeee"><div align="center"><font color="#003366" size="2" face="Tahoma">ทันแพทย์ผู้รักษา</font></div></td> <td bordercolor="#CCCCCC" bgcolor="#eeeeee"><font color="#FF0000" size="3" face="Tahoma">*</font></td> <td bordercolor="#CCCCCC" bgcolor="#eeeeee"><font size="2" face="Tahoma"><span class="style21"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><span class="style4"><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><span class="style1"><strong><font color="#003366" size="2" face="Tahoma"> <select name="Teacher_code" id="Teacher_code" class="d" > <?php $Teacher_code = $rs[Teacher_code]; $strSQL7 = "SELECT * FROM personal_tb Where Teacher_code='$Teacher_code' "; $result7 = mysql_query($strSQL7); $strSQL8 = "SELECT * FROM personal_tb Where Dentis_code='01' Order By Teacher_code "; $result8 = mysql_query($strSQL8); while( $rs7 = mysql_fetch_array($result7)) { echo"<option value=\"$rs7[Teacher_code]\" ><b>$rs7[First_name] $rs7[Teacher_name] $rs7[Teacher_lastname]</b></option>\n"; while( $rs8 = mysql_fetch_array($result8)) { echo"<option value=\"$rs8[Teacher_code]\" ><b>$rs8[First_name] $rs8[Teacher_name] $rs8[Teacher_lastname]</b></option>\n"; } } ?> </select> </font></strong></span></font></strong></font></span></font><font color="#003366" size="2" face="Tahoma"> </font></strong></font><font color="#003366" size="2" face="Tahoma"> </font></strong><font color="#003366" size="2" face="Tahoma">เวลาที่เริ่ม:</font><strong> <font size="2" face="MS Sans Serif, Tahoma, sans-serif"> <input name="Time_in" type="text" id="Time_in" size="6" /> </font></strong><font size="2" face="MS Sans Serif, Tahoma, sans-serif"> เวลาที่เสร็จ : <font size="2" face="Tahoma"> <strong><strong> <input name="Time_out" type="text" id="Time_out" size="6" /> </strong></strong></font></font></span></font></td> </tr> <tr bgcolor="#ECF5FF"> <td height="22" nowrap="nowrap" bordercolor="#CCCCCC" bgcolor="#eeeeee"><div align="center"><font color="#003366" size="2" face="Tahoma">นัดครั้งต่อไป</font></div></td> <td bordercolor="#CCCCCC" bgcolor="#eeeeee"><font color="#FF0000" size="3" face="Tahoma">*</font></td> <td bordercolor="#CCCCCC" bgcolor="#eeeeee"><font size="2" face="Tahoma"> <input type="radio" name="Religion" value="1 เดือน" onkeypress="return handleEnter(this, event)" /> 1 เดือน <input type="radio" name="Religion" value="3 เดือน" onkeypress="return handleEnter(this, event)" /> 3 เดือน <input type="radio" name="Religion" value="6 เดือน" onkeypress="return handleEnter(this, event)" /> 6 เดือน </font></td> </tr> <tr bgcolor="#ECF5FF"> <td height="239" colspan="3" nowrap="nowrap" bordercolor="#CCCCCC" bgcolor="#eeeeee"><table width="85%" border="0" align="center" cellpadding="0" cellspacing="1"> <tr bgcolor="#0000FF"> <td height="22" colspan="2"><div align="center" class="style23"> <div align="center" class="style23"><font size="2" face="Tahoma">การรักษา</font></div> </div></td> <td><div align="center" class="style23"><font size="2" face="Tahoma">ซี่ฟัน</font></div></td> <td colspan="2"><div align="center" class="style23"> <div align="center" class="style23"><font size="2" face="Tahoma">การรักษา</font></div> </div></td> <td><div align="center" class="style23"><font size="2" face="Tahoma">ซี่ฟัน</font></div></td> </tr> <tr> <td><div align="center"> <input type="radio" name="Teach1" value="X-ray" /> </div></td> <td class="style17"><div align="left" class="style27"> <p> <label> </label> <font color="#003366">X-ray</font> <br /> </p> </div></td> <td><div align="center"><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><span class="style21"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input name="Tooth_code1" type="text" id="Tooth_code1" size="2" maxlength="2" /> </font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></span></font></strong></font></strong></font><font color="#003366" size="2" face="Tahoma"> </font></strong></font></div></td> <td width="5%"><p align="center"> <input type="radio" name="Teach7" value="Surcigal Removal " /> <label> </label> </p></td> <td width="28%"><div align="left" class="style17"> <font size="2"> <label> </label> <font face="Tahoma"><font color="#003366">Surcigal Removal </font></font></font> </div></td> <td><div align="center"><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><span class="style21"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input name="Tooth_code7" type="text" id="Tooth_code7" size="2" maxlength="2" /> </font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font><font color="#003366" size="2" face="Tahoma"> </font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></span></font></strong></font></strong></font><font color="#003366" size="2" face="Tahoma"> </font></strong></font></div></td> </tr> <tr> <td><div align="center"><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input type="radio" name="Teach2" value="Scaling " /> </font></strong></font></div></td> <td class="style17"><div align="left" class="style27"> <p> <label> </label> <font color="#003366">Scaling </font> <br /> </p> </div></td> <td><div align="left"> </div></td> <td><p align="center"><font size="2" face="Tahoma"> <input type="radio" name="Teach8" value="Temporary Plate " /> </font> <label> </label> </p></td> <td><div align="left" class="style17"><font size="2" face="Tahoma"> <label> </label> <font color="#003366">Temporary Plate </font> </font></div></td> <td><div align="center"><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><span class="style21"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></span></font></strong></font></strong></font><font color="#003366" size="2" face="Tahoma"> </font></strong></font> </strong></font> <font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><span class="style21"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input name="Tooth_code8" type="text" id="Tooth_code8" size="2" maxlength="2" /> </font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></span></font></strong></font></strong></font></strong></font></div></td> </tr> <tr> <td><div align="center"><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong> <font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input type="radio" name="Teach3" value="tooth Bleaching " /> </font></strong></font> </strong></font></strong></font></strong></font></div></td> <td class="style17"><div align="left" class="style27"> <font color="#003366"> tooth Bleaching</font> </div></td> <td><div align="center"><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><span class="style21"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input name="Tooth_code3" type="text" id="Tooth_code3" size="2" maxlength="2" /> </font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font><font color="#003366" size="2" face="Tahoma"> </font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></span></font></strong></font></strong></font><font color="#003366" size="2" face="Tahoma"> </font></strong></font> </div></td> <td><p align="center"><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input type="radio" name="Teach9" value="Complete Denture " /> </font></strong></font> <label> </label> </p></td> <td><div align="left" class="style17"> <font size="2" face="Tahoma"><font color="#003366"> <label> </label> <font color="#003366">Complete Denture </font> </font></font></div></td> <td><div align="left"></div></td> </tr> <tr> <td><div align="center"><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input type="radio" name="Teach4" value="Filling " /> </font></strong></font></strong></font></strong></font></strong></font></strong></font></div></td> <td class="style17"><span class="style27"><font color="#003366"> Filling</font> </span></td> <td><div align="center"><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><span class="style21"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input name="Tooth_code4" type="text" id="Tooth_code4" size="2" maxlength="2" /> </font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font><font color="#003366" size="2" face="Tahoma"> </font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></span></font></strong></font></strong></font><font color="#003366" size="2" face="Tahoma"> </font></strong></font></div></td> <td><div align="center"> <input type="radio" name="Teach10" value="Single Denture " /> </div></td> <td><div align="left" class="style17"> <font size="2"> <label> </label> <font face="Tahoma"><font color="#003366" face="Tahoma">Single Denture</font></font></font> </div></td> <td><div align="left"></div></td> </tr> <tr> <td><div align="center"><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input type="radio" name="Teach5" value="RCT" /> </font></strong></font></strong></font></strong></font></strong></font></strong></font></div></td> <td class="style17"><span class="style27"><font color="#003366"> RCT</font> </span></td> <td><div align="center"><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><span class="style21"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input name="Tooth_code5" type="text" id="Tooth_code5" size="2" maxlength="2" /> </font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font><font color="#003366" size="2" face="Tahoma"></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font><font color="#003366" size="2" face="Tahoma"> </font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></span></font></strong></font></strong></font><font color="#003366" size="2" face="Tahoma"> </font></strong></font></div></td> <td><div align="center"> <input type="radio" name="Teach11" value="Crown " /> </div></td> <td><div align="left" class="style17"> <font size="2"> <label> </label> <font face="Tahoma"><font color="#003366" face="Tahoma">Crown</font></font></font> </div></td> <td><div align="center"><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><span class="style21"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input name="Tooth_code11" type="text" id="Tooth_code11" size="2" maxlength="2" /> </font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font><font color="#003366" size="2" face="Tahoma"> </font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></span></font></strong></font></strong></font><font color="#003366" size="2" face="Tahoma"> </font></strong></font></div></td> </tr> <tr> <td width="4%"><div align="center"><font size="2" face="Tahoma"><strong> <font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input type="radio" name="Teach6" value="Extraction" /> </font></strong></font> </strong></font></div></td> <td width="22%" class="style17"><div align="left" class="style27"> <font color="#003366"> Extraction</font> </div></td> <td width="12%"><div align="center"><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><span class="style21"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input name="Tooth_code6" type="text" id="Tooth_code6" size="2" maxlength="2" /> </font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font><font color="#003366" size="2" face="Tahoma"> </font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></span></font></strong></font></strong></font><font color="#003366" size="2" face="Tahoma"> </font></strong></font> </div></td> <td><div align="center"><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input type="radio" name="Teach12" value="Bridge " /> </font></strong></font> </div></td> <td><div align="left" class="style17"> <font size="2" face="Tahoma"><font color="#003366"> <label> </label> <font color="#003366">Bridge</font> </font></font></div></td> <td width="29%"><div align="center"><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><span class="style21"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></span></font></strong></font></strong></font><font color="#003366" size="2" face="Tahoma"> </font></strong></font> <font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><span class="style21"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input name="Tooth_code12" type="text" id="Tooth_code12" size="2" maxlength="2" /> </font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></span></font></strong></font></strong></font></strong></font></div></td> </tr> <tr> <td><div align="center"><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input type="radio" name="Teach13" value="Other TxPlan " /> </font></strong></font> </div></td> <td class="style17"><div align="left" class="style27"> <font color="#003366"> <label> </label> Other TxPlan</font> </div></td> <td colspan="4"><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <textarea name="Teach_13" cols="50" rows="4" class="input1" id="Teach_13"></textarea> </font></strong></font></td> </tr> </table></td> </tr> <tr bgcolor="#CFE0F5"> <td height="39" colspan="3" bgcolor="#eeeeee"><div align="center"> <input type="submit" name="Submit" value="บันทึก" /> <input type="reset" name="Reset" value=" ล้าง " /> <font size="2" face="Tahoma"><span class="style21"><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input name="Person_code" type="hidden" id="Person_code" value="<? echo $rs[Person_code]?>" /> </font></strong></font></strong><strong><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> <input name="HN_code" type="hidden" id="HN_code" value="<? echo $rs[HN_code]?>" /> </font><font size="2" face="Tahoma"><strong><font size="2" face="Tahoma"><strong><font color="#003366" size="2" face="Tahoma"> </font></strong></font></strong></font></strong></font></strong></font></strong></font></strong></span></font></div></td> </tr> </table> </form> </div> </fieldset> <br /> <font color="<?php echo $GLOBALS["COLOR_FONT_3"];?>" size="2"><b>หมายเหตุ :</b><br /> </font></td> </tr> </table> <?php } else { echo"<meta http-equiv=\"refresh\" content=\"2;URL=../login.php\">\n"; echo"Please Login "; } ?>
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