Assignment 6: SetB Q.2 Solution

Create a form to accept patient details like name, address birthdate, and mobile number. Once the Patient information is accepted, and then accepts health details like medicare number, health fund and critical information. Display patient details and health details on the next form.

HTMl Form


                  <html>
  <body>
    <h1>Patient details</h1>
    <form method="post" action="form2.php">
      <input type="text" name="pn" placeholder="Patient Name">
        <br><br>
      <input type="text" name="add" placeholder="Address">
        <br><br>
        Date of Birth:
      <input type="date" name="dob">
        <br><br>
      <input type="number" name="mn" placeholder="Mobile number">
        <br><br>
      <input type="submit">
    </form>
  </body>
</html>

PHP SCRIPT


                  <?php
  $pn=$_POST['pn'];
  $add=$_POST['add'];
  $dob=$_POST['dob'];
  $mn=$_POST['mn'];

  setcookie('pname',$pn);
  setcookie('padd',$add);
  setcookie('pdob',$dob);
  setcookie('pmn',$mn);
?>


<html>
  <body>
    <h1>Health Details</h1>
    <form method="post" action="php.php">
      <input type="number" name="medno" placeholder="Medicare Number">
        <br><br>
      <input type="number" name="hf" placeholder="Health Fund">
        <br><br>
      <select name="critical">
        <option >Select Critical Information</option>
        <option value="Low">Low</option>
        <option value="Normal">Normal</option>
        <option value="High">High</option>
      </select>
        <br><br>
      <input type="submit">
    </form>
  </body>
</html>

PHP SCRIPT


                  <?php
  $medno=$_POST['medno'];
  $hf=$_POST['hf'];
  $critical=$_POST['critical'];


  setcookie('medno',$medno);
  setcookie('hf',$hf);
  setcookie('critical',$critical);

  echo"<h1>Patient Details:</h1><br>";
  echo"Patient Name : $_COOKIE[pname] <br>";
  echo"Mobile Number : $_COOKIE[pmn] <br>";
  echo"Address : $_COOKIE[padd] <br>";
  echo"Date Of Birth : $_COOKIE[pdob] <br>";
  
  echo"<br><h1>Patient Health Details:</h1><br>";
  echo"Medicare Number : $_COOKIE[medno] <br>";
  echo"Health Fund : $_COOKIE[hf] <br>";
  echo"Critical Information : $_COOKIE[critical] <br>";
?>

Coding Gear

2. Create a form to accept patient details like name, address birthdate, and mobile number. Once the Patient information is accepted, and then accepts health details like medicare number, health fund and critical information. Display patient details and health details on the next form.

Assignment 6: SetB Q.2 Solution

Create a form to accept patient details like name, address birthdate, and mobile number. Once the Patient information is accepted, and then accepts health details like medicare number, health fund and critical information. Display patient details and health details on the next form.

HTMl Form

PHP SCRIPT

PHP SCRIPT

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