This repository has been archived by the owner on Jul 12, 2022. It is now read-only.
-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathdadoMedico.php
executable file
·169 lines (133 loc) · 7.08 KB
/
dadoMedico.php
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<meta name="description" content="">
<meta name="author" content="">
<title>Home</title>
<script src="js/jquery.js"></script>
<!-- Bootstrap Core CSS -->
<link href="css/bootstrap.min.css" rel="stylesheet">
<!-- Custom CSS -->
<link href="css/sb-admin.css" rel="stylesheet">
<!-- Morris Charts CSS -->
<link href="css/plugins/morris.css" rel="stylesheet">
<!-- Custom Fonts -->
<link href="font-awesome/css/font-awesome.min.css" rel="stylesheet" type="text/css">
<link href="css/scrollTable.css" rel="stylesheet">
<!-- HTML5 Shim and Respond.js IE8 support of HTML5 elements and media queries -->
<!-- WARNING: Respond.js doesn't work if you view the page via file:// -->
<!--[if lt IE 9]>
<script src="https://oss.maxcdn.com/libs/html5shiv/3.7.0/html5shiv.js"></script>
<script src="https://oss.maxcdn.com/libs/respond.js/1.4.2/respond.min.js"></script>
<![endif]-->
</head>
<body>
<!-- DashBoard -->
<script src="js/common.js"></script>
<div id="page-wrapper">
<div class="container-fluid">
<!-- Page Heading -->
<div class="row">
<div class="col-lg-12">
<h1 class="page-header">
Ficha Médica do Discente - FMD
</h1>
</div>
</div><br><br><br>
<!-- /.row -->
<form action="" method="POST" enctype="multipart/form-data">
<div class="row">
<aside class="col-lg-2">
<img width="120px" class="img-rounded" src="fotos/.jpg">
<input type="file" name="fileToUpload" id="fileToUpload" style="">
</aside>
<div class="form-group">
<div class="col-lg-6">
<label>Nome do Curso</label>
<input class="form-control" type="text" name="nc" readonly>
</div>
<div class="col-lg-2">
<label>Turno</label>
<select class="form-control" name="turno" disabled>
<option value=""></option>
<option value="A">A - Oficiais Superiores</option>
<option value="B">B - Oficiais Subalternos</option>
<option value="C">C - Subtenentes e Sargentos</option>
</select>
</div>
<div class="col-lg-2">
<label>Matrícula</label>
<input class="form-control" type="text" name="mat" readonly>
</div>
</div>
</div><br/>
<div class="row">
<div class="form-group">
<div class="col-lg-2">
<input class="form-control" type="hidden">
</div>
<div class="col-lg-2">
<label>Posto/Graduação</label>
<input class="form-control" type="text" name="posto" readonly>
</div>
<div class="col-lg-4">
<label>Nome</label>
<input class="form-control" type="text" name="nome" readonly>
</div>
</div>
</div><br/>
<fieldset>
<legend>Dados da Consulta Médica</legend>
<div class="row">
<div class="form-group">
<div class="col-lg-2">
<label>Número</label>
<input class="form-control" type="text" name="num">
</div>
<div class="col-lg-2">
<label>Data da Consulta</label>
<input class="form-control" type="date" id="date" name="data">
</div>
<div class="col-lg-3">
<label>Médico (Posto e Nome de Guerra)</label>
<input class="form-control" type="text" name="num">
</div>
<div class="col-lg-5">
<label>Observações</label>
<input class="form-control" type="text">
</div>
</div>
</div><br/>
<div class="row">
<div class="form-group">
<div class="col-lg-6">
<label>Diagnóstico</label>
<textarea class="form-control" rows="2"></textarea>
</div>
<div class="col-lg-6">
<label>Prescrições</label>
<textarea class="form-control" rows="2"></textarea>
</div>
</div>
</div><br/>
</fieldset>
<div class="col-lg-10 col-lg-offset-4">
<button type="reset" class="btn btn-default" name="lFO">Limpar</button>
<button type="submit" class="btn btn-success" name="aFO">Adicionar</button>
</div>
</form>
</div> <br/>
</div>
<!-- jQuery -->
<script src="js/selectTable.js"></script>
<!-- Bootstrap Core JavaScript -->
<script src="js/bootstrap.min.js"></script>
<!-- Morris Charts JavaScript -->
<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>