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Donor_reg.php
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Donor_reg.php
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<?php
include("config.php");
error_reporting(0);?>
<!DOCTYPE html>
<html lang="en">
<head>
<?php include("head.php");?>
</head>
<body>
<?php
include("top_nav.php");
?>
<div class="container" style='margin-top:70px;'>
<div class="row">
<div class="col-md-12">
<h3 class=" text-danger"> New Donor Registration</h3>
<hr>
</div>
</div>
<div class="row centered-form ">
<div class="col-xs-12 col-sm-8 col-md-6 col-sm-offset-2 col-md-offset-3">
<?php
if(isset($_POST["submit"]))
{
$target_dir = "donor_image/";
$img="donor_image/noimage.jpg";
$target_file = $target_dir.rand(100,999). basename($_FILES["fileToUpload"]["name"]);
$uploadOk = 1;
$imageFileType = pathinfo($target_file,PATHINFO_EXTENSION);
$check = getimagesize($_FILES["fileToUpload"]["tmp_name"]);
if($check !== false) {
echo "";
$uploadOk = 1;
} else {
$uploadOk = 0;
}
if (file_exists($target_file)) {
$uploadOk = 0;
}
if ($_FILES["fileToUpload"]["size"] > 5000000000) {
$uploadOk = 0;
}
if($imageFileType != "jpg" && $imageFileType != "png" && $imageFileType != "jpeg"
&& $imageFileType != "gif" ) {
$uploadOk = 0;
}
if ($uploadOk == 0) {
} else {
if (move_uploaded_file($_FILES["fileToUpload"]["tmp_name"], $target_file)) {
$img=$target_file;
} else {
}
}
$country="";
$state="";
$qry="SELECT COUNTRY_NAME FROM country WHERE COUNTRY_ID={$_POST["COUNTRY"]}";
$res=$con->query($qry);
if($res->num_rows>0)
{
if($row=$res->fetch_assoc())
{
$country=$row["COUNTRY_NAME"];
}
}
$qry="SELECT DIVISION_NAME FROM division WHERE DIVISION_ID={$_POST["DIVISION"]}";
$res=$con->query($qry);
if($res->num_rows>0)
{
if($row=$res->fetch_assoc())
{
$division=$row["DIVISION_NAME"];
}
}
$districtname=$_POST["DISTRICT"];
$sql="
INSERT INTO blood_donor
(NAME, FATHER_NAME, GENDER, DOB, BLOOD, BODY_WEIGHT, EMAIL, ADDRESS, DISTRICT, POST_CODE, DIVISION, CONTACT_1, CONTACT_2, VOLUNTARY, VOLUNTARY_GROUP,NEW_DONOR, LAST_D_DATE, DONOR_PIC,COUNTRY)
VALUES
('{$_POST["NAME"]}', '{$_POST["FATHER_NAME"]}', '{$_POST["GENDER"]}', '{$_POST["DOB"]}', '{$_POST["BLOOD"]}', '{$_POST["BODY_WEIGHT"]}', '{$_POST["EMAIL"]}', '{$_POST["ADDRESS"]}', '$districtname', '{$_POST["POST_CODE"]}', '{$division}', '{$_POST["CONTACT_1"]}', '{$_POST["CONTACT_2"]}', '{$_POST["VOLUNTARY"]}', '{$_POST["VOLUNTARY_GROUP"]}', '{$_POST["NEW_DONOR"]}','{$_POST["LAST_D_DATE"]}', '{$img}','{$country}');";
if($con->query($sql))
{
echo '
<div class="alert alert-success">
<a href="#" class="close" data-dismiss="alert" aria-label="close">×</a>
<strong>Success!</strong> Thank you for adding you as donor.
</div>
';
}
}
?>
<div class="panel panel-danger">
<div class="panel-heading">
<h3 class="panel-title text-center" style="padding:5px;font-size:16px;font-weight:bold"> REGISTER AS BLOOD DONOR</h3>
</div>
<div class="panel-body">
<form method="post" action="Donor_reg.php" autocomplete="off" role="form" enctype="multipart/form-data">
<div class="form-group">
<label class="control-label text-danger" for="NAME" >Name</label>
<input type="text" placeholder="Full Name" id="NAME" name="NAME" required class="form-control input-sm">
</div>
<div class="form-group">
<label class="control-label text-danger" for="FATHER_NAME">Father Name</label>
<input type="text" placeholder="Father Name" id="FATHER_NAME" name="FATHER_NAME" required class="form-control input-sm">
</div>
<div class="form-group">
<label class="control-label text-danger" for="GENDER">Gender</label>
<select id="gen" name="GENDER" required class="form-control input-sm">
<option value="">Select Gender</option>
<option value="Male">Male</option>
<option value="Female">Female</option>
</select>
</div>
<div class="form-group">
<label class="control-label text-danger" for="DOB">D.O.B</label>
<input type="text" placeholder="YYYY/MM/DD" required id="DOB" name="DOB" class="form-control input-sm DATES">
</div>
<div class="form-group">
<label class="control-label text-danger" for="BLOOD" >Blood Group</label>
<select id="blood" name="BLOOD" required class="form-control input-sm">
<option value="">Select Blood</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 class="form-group">
<label class="control-label text-danger" for="BODY_WEIGHT" >Body Weight</label>
<input type="text" required placeholder="Weight In Kgs" name="BODY_WEIGHT" id="BODY_WEIGHT" class="form-control input-sm">
</div>
<div class="form-group">
<label class="control-label text-danger" for="EMAIL" >Email ID</label>
<input type="email" required name="EMAIL" id="EMAIL" class="form-control" placeholder="Email Address">
</div>
<div class="form-group">
<label class="control-label text-danger" for="COUNTRY">Country</label>
<select name="COUNTRY" id="COUNTRY" required class="form-control">
<option value="">Select Country</option>
<?php
$sql="SELECT COUNTRY_ID,COUNTRY_NAME FROM country ORDER BY COUNTRY_NAME ASC";
$result=$con->query($sql);
if($result->num_rows>0)
{
while($row=$result->fetch_assoc())
{
echo "<option value='{$row['COUNTRY_ID']}'>{$row['COUNTRY_NAME']} </option>";
}
}
?>
</select>
</div>
<div class="form-group">
<label class="control-label text-danger" for="DIVISION">Division</label>
<select name="DIVISION" id="DIVISION" required class="form-control">
<option value="">Select Division</option>
<?php
$sql="SELECT DIVISION_ID,DIVISION_NAME FROM division ORDER BY DIVISION_NAME ASC";
$result=$con->query($sql);
if($result->num_rows>0)
{
while($row=$result->fetch_assoc())
{
echo "<option value='{$row['DIVISION_ID']}'>{$row['DIVISION_NAME']} </option>";
}
}
?>
</select>
</div>
<div class="form-group">
<label class="control-label text-danger" for="DISTRICT" >District</label>
<select name="DISTRICT" id="DISTRICT" required class="form-control">
<option value="">Select District</option>
<?php
$sql="SELECT DISTRICT_NAME,DISTRICT_ID FROM district ORDER BY DISTRICT_NAME";
$result=$con->query($sql);
if($result->num_rows>0)
{
while($row=$result->fetch_assoc())
{
echo "<option value='{$row['DISTRICT_ID']}'>{$row['DISTRICT_NAME']} </option>";
}
}
?>
</select>
</div>
<div class="form-group">
<label class="control-label text-danger" for="ADDRESS">Address</label>
<textarea required name="ADDRESS" id="ADDRESS" rows="5" style="resize:none;"class="form-control" placeholder="Full Address"></textarea>
</div>
<div class="form-group">
<label class="control-label text-danger" for="POST_CODE">POST_CODE</label>
<input type="text" required name="POST_CODE" id="POST_CODE" class="form-control" placeholder="Insert POST_CODE">
</div>
<div class="form-group">
<label class="control-label text-danger" for="CONTACT_1" >Contact-1</label>
<input type="text" required name="CONTACT_1" id="CONTACT_1" class="form-control" placeholder="Contact No-1">
</div>
<div class="form-group">
<label class="control-label text-danger" for="CONTACT_2" >Contact-2</label>
<input type="text" required name="CONTACT_2" id="CONTACT_2" class="form-control" placeholder="Contact No-2">
</div>
<hr>
<div class="form-group">
<label class="control-label text-danger"><input type="checkbox" id="c1" > Voluntary Donor</label>
</div>
<div id="volu">
<div class="form-group">
<select name="VOLUNTARY" id="VOLUNTARY" class="form-control input-sm">
<option value="">Select</option>
<option value="Yes">Yes</option>
<option selected value="No">No</option>
</select>
</div>
<div class="form-group">
<input type="text" name="VOLUNTARY_GROUP" id="VOLUNTARY_GROUP" class="form-control" placeholder="Voluntary Group Name" value="Nill">
</div>
<div class="form-group">
<label class="control-label text-danger" for="LAST_D_DATE">Last Blood Donoted Date</label>
<input type="text" name="LAST_D_DATE" value="0000/00/00" id="LAST_D_DATE" placeholder="YYYY/MM/DD" class="form-control input-sm DATES">
</div>
</div>
<hr>
<div class="form-group" id="new">
<label class="control-label text-danger" for="NEW_DONOR">New Donor</label>
<select name="NEW_DONOR" id="NEW_DONOR" class="form-control input-sm">
<option value="">Select</option>
<option value="Yes" >Yes</option>
<option value="No" selected>No</option>
</select>
</div>
<div class="form-group">
<label class="control-label text-success" for="fileToUpload" >Upload Photo</label>
<input type="file" class="form-control" name="fileToUpload">
</div>
<div class="form-group">
<label class="control-label text-success"><input type="checkbox" checked id="c2"> I have read the eligibility criteria and confirm that i am eligible to donate blood.</label>
<label class="control-label text-success"><input type="checkbox" checked id="c3" > I agree to the Term and Conditions and consent to have my contact and donor information published to the potential blood recipients.</label>
</div>
<div class="form-group">
<button class="btn btn-success" type="submit" name="submit" >Registar Now</button>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
<?php include("footer.php"); ?>
<script>
$(document).ready(
function(){
$("#volu").hide();
$("#c1").click(function(){
if($("#c1").is(':checked'))
{
$("#volu").show(1000);
$("#new").hide(100);
}
else
{
$("#volu").hide(1000);
$("#new").show(100);
}
});
$("#COUNTRY").change(function(){
var countr=$("#COUNTRY").val();
//alert(city);
$.post('get_division.php',{G_DIVISION_ID:countr},function(data){
// alert(data);
$("#DIVISION").html(data);
});
});
$("#DIVISION").change(function(){
var stid=$("#DIVISION").val();
//alert(city);
$.post('get_district.php',{G_DIVISION_ID:stid},function(data){
// alert(data);
$("#DISTRICT").html(data);
});
});
});
</script>
</body>
</html>