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bloodbook.php
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<?php
session_start();
$username="";
$email="";
$Aadhar="";
$password="";
$errors=array();
$db = mysqli_connect('localhost','root','','datablood');
if(!empty($_POST['submit']))
{
$username = mysqli_real_escape_string($db,$_POST['fname']);
$Address = mysqli_real_escape_string($db,$_POST['Address']);
$Aadhar = mysqli_real_escape_string($db,$_POST['aadhar']);
$daddress = mysqli_real_escape_string($db,$_POST['daddress']);
$mobile = mysqli_real_escape_string($db,$_POST['mnumber']);
$bgroup = mysqli_real_escape_string($db,$_POST['bgroup']);
$amount = mysqli_real_escape_string($db,$_POST['amount']);
if(empty($username))
{
array_push($errors,"User Name is Required");
}
if(empty($Address))
{
array_push($errors,"address is Required");
}
if(empty($daddress))
{
array_push($errors,"Delivery Address is required");
}
if(empty($mobile))
{
array_push($errors,"mobile number is required");
}
if(empty($Aadhar))
{
array_push($errors,"Aadhar number is required");
}
if(count($errors)==0)
{
$sql= "INSERT INTO blood_orders (name,address,aadhar,delivery_address,mobile_number,blood_group,amount) VALUES ('$username','$Address','$Aadhar','$daddress','$mobile','$bgroup','$amount')";
$y=mysqli_query($db,$sql);
if($y==0)
{
echo "Insertion Failed";
}
$_SESSION['name']= $username;
header('location: db.php');
}
}
?>
<!DOCTYPE html>
<html>
<head>
<title>organ Book</title>
<link rel="stylesheet" href="css/bootstrap.min.css" type="text/css">
<link href="css/sb-admin.css" rel="stylesheet">
<link href="css/plugins/morris.css" rel="stylesheet">
<link href="font-awesome/css/font-awesome.min.css" rel="stylesheet" type="text/css">
<link rel="stylesheet" href="https://use.fontawesome.com/releases/v5.3.1/css/all.css" integrity="sha384-mzrmE5qonljUremFsqc01SB46JvROS7bZs3IO2EmfFsd15uHvIt+Y8vEf7N7fWAU" crossorigin="anonymous">
</head>
<body>
<div id="wrapper">
<nav class="navbar navbar-inverse navbar-fixed-top" role="navigation">
<div class="navbar-header">
<button type="button" class="navbar-toggle" data-toggle="collapse" data-target=".navbar-ex1-collapse">
<span class="sr-only">Toggle navigation</span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
</button>
<img src="img/logo1.PNG" style="width: 40px; height: 40px; float: left; ">
<a class="navbar-brand " href="index.php">SHALYA PURAN</a>
</div>
<ul class="nav navbar-right top-nav">
<li class="dropdown">
<a href="#" class="dropdown-toggle" data-toggle="dropdown"><i class="fa fa-user"></i>
Admin<b class="caret"></b></a>
<ul class="dropdown-menu">
<li class="divider"></li>
<li>
<a href="db.php?logout='1'"><i class="fa fa-fw fa-power-off"></i> Log Out</a>
</li>
</ul>
</li>
</ul>
<div class="collapse navbar-collapse navbar-ex1-collapse">
<ul class="nav navbar-nav side-nav">
<li class="active">
<a href="db.php"><i class="fas fa-home"></i>Home</a>
</li>
<li>
<a href="organbook.php"> <i class="fa fa-hand-holding-heart"></i>Organ Bank</a>
</li>
<li>
<a href="hospitalbook.php"><i class="fa fa-fw fa-table"></i>Hospital Appointment</a>
</li>
<li>
<a href="bloodbook.php"><i class="fa fa-tint"></i>Blood Bank</a>
</li>
<li>
<a href="#"><i class="fa fa-fw fa-wrench"></i>Users</a>
</li>
</ul>
</div>
</nav>
<div id="page-wrapper">
<div class="container-fluid">
<div class="row">
<div class="col-lg-12">
<h1 class="page-header">Blood Book</h1>
<ol class="breadcrumb">
<li class="active">
<i class="fa fa-tint"></i> Fill the Form
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-md-6 col-md-offset-3">
<div class="panel panel-bank">
<div class="row">
<div class="col-md-12">
<form action="bloodbook.php" method="post" role="list" style="display: block">
<?php include('errors.php'); ?>
<div class="form-group">
<div class="col-md-3">
<label>Full Name:</label>
</div>
<div class="col-md-9">
<input type="text" name="fname" placeholder="Full Name" class="form-control" required>
</div>
</div>
<br>
<br>
<div class="form-group">
<div class="col-md-3">
<label>Address:</label>
</div>
<div class="col-md-9">
<textarea name="Address" class="form-control" placeholder="Address" required></textarea>
</div>
</div>
<br>
<br>
<br>
<div class="form-group">
<div class="col-md-3">
<label>Aadhar Number:</label>
</div>
<div class="col-md-9">
<input type="number" name="aadhar" class="form-control" placeholder="Aadhar Number" required>
</div>
</div>
<br>
<br>
<div class="form-group">
<div class="col-md-3">
<label>Delivery Address:</label>
</div>
<div class="col-md-9">
<textarea name="daddress" class="form-control" placeholder="Delivery Address" required></textarea>
</div>
</div>
<br>
<br>
<br>
<div class="form-group">
<div class="col-md-3">
<label>Contact Number:</label>
</div>
<div class="col-md-9">
<input type="number" name="mnumber" class="form-control" placeholder="Mobile Number" required>
</div>
</div>
<br>
<br>
<div class="form-group">
<div class="col-md-3">
<label>Blood Group</label>
</div>
<div class="col-md-9">
<select name="bgroup" class="form-control">
<option value="select">select</option>
<option value="A+">A+</option>
<option value="B+">B+</option>
<option value="O+">O+</option>
<option value="AB+">AB+</option>
<option value="A-">A-</option>
<option value="B-">B-</option>
<option value="O-">O-</option>
<option value="AB-">AB-</option>
</select>
</div>
</div>
<br>
<br>
<div class="form-group">
<div class="col-md-3">
<label>Select Amount</label>
</div>
<div class="col-md-9">
<select name="amount" class="form-control">
<option value="select">Select</option>
<option value="1 Unit">1 Unit</option>
<option value="2 Unit">2 Unit</option>
<option value="3 Unit">3 Unit</option>
</select>
</div>
</div>
<br>
<br>
<div class="form-group">
<div class="row">
<div class="col-sm-5 col-sm-offset-4">
<input type="submit" name="submit" class="form-control btn btn-primary" value="submit">
</div>
</div>
</div>
<br>
<br>
<br>
<br>
<br>
<br>
</form>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<script src="js/jquery.js"></script>
<script src="js/bootstrap.min.js"></script>
<script src="js/plugins/morris/raphael.min.js"></script>
<script src="js/plugins/morris/morris.min.js"></script>
<script src="js/plugins/morris/morris-data.js"></script>
</body>
</html>