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AddPatient.aspx
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AddPatient.aspx
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<%@ Page Language="C#" AutoEventWireup="true" CodeBehind="AddPatient.aspx.cs" Inherits="HospitalsDashboard.AddPatient" MasterPageFile="~/Main.Master" %>
<asp:Content ID="Content2" ContentPlaceHolderID="ContentPlaceHolder1" runat="server">
<script src="https://code.jquery.com/jquery-1.12.4.js"></script>
<script src="https://code.jquery.com/ui/1.12.1/jquery-ui.js"></script>
<script>
$(document).ready(function () {
$("#datepicker").datepicker({
dateFormat: 'mm/dd/yy',
changeMonth: true,
changeYear: true,
yearRange: '-100y:c+nn',
maxDate: '-1d'
});
$("#submitRecord").on('click', function (e) {
$('#fnameerror').hide();
$('#lnameerror').hide();
$('#emailerror').hide();
$('#numbererror').hide();
$("#cprerror").hide();
$("#secnumbererror").hide();
$('#<%=racha.ClientID%>').hide();
//$('#prooferror').hide();
e.preventDefault();
var userDetails = {};
userDetails.firstName = $("#fname").val();
userDetails.lastName = $("#lname").val();
userDetails.middleName = $("#mname").val();
userDetails.country = $("#country").val();
userDetails.address = $("#address").val();
userDetails.number = $("#number").val();
userDetails.email = $("#email").val();
userDetails.secnumber = $("#secnumber").val();
if (document.getElementById("optionsRadios1").checked) {
userDetails.gender = $("#optionsRadios1").val();
}
else {
userDetails.gender = $("#optionsRadios2").val();
}
var input = {}, verification = {};
input.type = 'email'; input.value = $("#email").val();
if (validation(input)) {
verification.email = true;
} else {
$('#emailerror').show();
}
input.type = 'ordinaryField'; input.value = $("#fname").val();
if (validation(input)) {
verification.fname = true;
} else {
$('#fnameerror').show();
}
input.type = 'ordinaryField'; input.value = $("#lname").val();
if (validation(input)) {
verification.lname = true;
} else {
$('#lnameerror').show();
}
input.type = 'number'; input.value = $("#number").val();
if (validation(input)) {
verification.number = true;
} else {
$('#numbererror').show();
}
input.type = 'secnumber'; input.value = $("#secnumber").val();
if (validation(input)) {
verification.secnumber = true;
}
else {
$("#secnumbererror").show();
}
//input.type = 'proof'; input.value = $("#proof").val();
//if (validation(input)) {
// verification.proof = true;
//} else {
// $("#prooferror").show();
//}
function validation(validation) {
var regNumber = new RegExp('^[0-9]+$');
var regString = new RegExp('^[a-zA-Z]+$');
var secnumber = new RegExp('^\s*[0-9]+\s*$');
var regEmail = new RegExp('^\w+([\.-]?\w+)*@\w+([\.-]?\w+)*(\.\w{2,3})+$');
// var ext = document.getElementById("proof").value.substring(document.getElementById("proof").value.lastIndexOf('.') + 1);
if (input.type == 'email') {
if (/^\w+([\.-]?\w+)*@\w+([\.-]?\w+)*(\.\w{2,3})+$/.test(input.value)) {
return true;
}
} else if (input.type == 'ordinaryField' && regString.test(input.value)) {
return true;
}
else if (input.type == 'number' && regNumber.test(input.value)) {
return true;
}
else if (input.type == 'secnumber' && secnumber.test(input.value)) {
return true;
}
//else if(input.type=='proof' && ext == 'pdf' || ext == 'img' || ext =='jpeg' || ext =='png' )
//{
// return true;
//}
else {
return false;
}
}
if (verification.email && verification.fname && verification.lname && verification.number && $("#datepicker").val()) {
aaddPatientAaxHelper();
} else {
$('#msg').html('Please Fill the Form and Submit');
}
function aaddPatientAaxHelper() {
$.ajax({
type: "POST",
url: "AddPatient.aspx/AddData",
data: JSON.stringify({ fname: $("#fname").val(), mname: $("#mname").val(), lname: $("#lname").val(), dob: $("#datepicker").val(), gender: userDetails.gender, country: $("#country").val(), address: $("#address").val(), number: $("#number").val(),secnumber:$("#secnumber").val(), email: $("#email").val(),cpr:$("#cpr").val() }),
contentType: "application/json; charset=utf-8",
dataType: "json",
success: OnSuccess,
error: OnErrorCall
});
function OnSuccess(response) {
console.log(response);
var result = response.d;
$('#<%=racha.ClientID%>').show();
$('#<%=racha.ClientID%>').html("User Created with ID:"+response.d).css("color","green");
$("#msg").html("New record addded successfully :)").css("color", "green");
$("#fname").val("");
$("#mname").val("");
$("#lname").val("");
$("#datepicker").val("");
$("#country").val("");
$("#address").val("");
$("#email").val("");
$("#cpr").val();
$("#secnumber").val();
//$("#proof").val("");
}
function OnErrorCall(response) {
$("#msg").html("Error occurs :( Please check the all values").css("color", "red");
}
}
});
});
</script>
<div id="page-wrapper">
<div class="container-fluid" style="min-height: 100%; height: 100%;">
<!-- Page Heading -->
<div class="row">
<div class="col-lg-12">
<ol class="breadcrumb">
<li>
<i class="fa fa-dashboard"></i><a href="Home.aspx">Home</a>
</li>
<li>
<i class="fa fa-dashboard"></i><a href="PatientDetails.aspx">Patient Details</a>
</li>
<li class="active">
<i class="fa fa-edit"></i>Add Patient Details
</li>
</ol>
</div>
</div>
<form id="form1">
<div class="row">
<div class="col-lg-4">
<div> <asp:Label ID="racha" runat="server" ></asp:Label></div>
<div class="form-group">
<label>First Name</label>
<input class="form-control" placeholder="Enter First Name" id="fname">
<label id="fnameerror" style="color: red; display: none">Not a valid Name</label>
</div>
<div class="form-group">
<label>Middle Initial</label>
<input class="form-control" placeholder="Enter Middle Name" id="mname">
</div>
<div class="form-group">
<label>Last Name</label>
<input class="form-control" placeholder="Enter Last Name" id="lname">
<label id="lnameerror" style="color: red; display: none">Not a valid Name</label>
</div>
<div>
<p>Date of Birth<input type="text" placeholder="Pick the Date" id="datepicker" /></p>
</div>
<div class="form-group">
<label>Gender</label>
<div class="radio">
<label>
<input type="radio" name="optionsRadios" id="optionsRadios1" value="Male" checked>Male
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="optionsRadios" id="optionsRadios2" value="FeMale">Female
</label>
</div>
</div>
<div class="form-group">
<label>Nationality</label>
<select id="country" name="countries">
<option value="Afghanistan">Afghanistan</option>
<option value="Åland Islands">Åland Islands</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain" selected>Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, The Democratic Republic of The">Congo, The Democratic Republic of The</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote D'ivoire">Cote D'ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czechia">Czechia</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-bissau">Guinea-bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island and Mcdonald Islands">Heard Island and Mcdonald Islands</option>
<option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran, Islamic Republic of">Iran, Islamic Republic of</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
<option value="Korea, Republic of">Korea, Republic of</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macao">Macao</option>
<option value="Macedonia, The Former Yugoslav Republic of">Macedonia, The Former Yugoslav Republic of</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia, Federated States of">Micronesia, Federated States of</option>
<option value="Moldova, Republic of">Moldova, Republic of</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestinian Territory, Occupied">Palestinian Territory, Occupied</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and The Grenadines">Saint Vincent and The Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia and The South Sandwich Islands">South Georgia and The South Sandwich Islands</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syrian Arab Republic">Syrian Arab Republic</option>
<option value="Taiwan, Province of China">Taiwan, Province of China</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania, United Republic of">Tanzania, United Republic of</option>
<option value="Thailand">Thailand</option>
<option value="Timor-leste">Timor-leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Viet Nam">Viet Nam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
</div>
</div>
<div class="col-lg-4">
<div class="form-group">
<label>Present Address</label>
<input class="form-control" placeholder="Enter Address" id="address">
</div>
<div class="form-group">
<label>CRP/ID</label>
<input class="form-control" placeholder="Enter CPR ID" id="cpr">
<label id="cprerror" style="color: red; display: none">Not a valid Input</label>
</div>
<div class="form-group">
<label>Phone Number</label>
<input class="form-control" placeholder="Primary Phone Number" id="number">
<label id="numbererror" style="color: red; display: none">Not a valid Number</label>
</div>
<div class="form-group">
<label>Phone Number (Optional)</label>
<input class="form-control" placeholder="Enter Secondary Phone Number" id="secnumber">
<label id="secnumbererror" style="display: none">optional number</label>
</div>
<div class="form-group">
<label>Email Address</label>
<input class="form-control" placeholder="Enter Email" id="email">
<label id="emailerror" style="color: red; display: none">Not a valid Email</label>
</div>
<label id="msg"></label>
<div class="center-block">
<%--<button type="submit" class="btn btn-default" id="submitRecord"></button>--%>
<input type="button" class="btn btn-default btn-success" id="submitRecord" value="submit">
<%-- <button type="reset" class="btn btn-default">Reset Button</button>--%>
</div>
</div>
</div>
<!-- /#page-wrapper -->
</form>
</div>
<!-- /#wrapper -->
</div>
</asp:Content>