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/modules/ecombill/confirmfinalbill.php

https://bitbucket.org/vincentbii/amurt
PHP | 200 lines | 167 code | 16 blank | 17 comment | 3 complexity | 2e0fda4cc75ba01e04d37fda8e223c26 MD5 | raw file
Possible License(s): GPL-2.0, Apache-2.0, LGPL-2.1, MPL-2.0-no-copyleft-exception, MIT, BSD-3-Clause, LGPL-2.0, GPL-3.0 
    

  1. <?php
    2. 

  2. error_reporting(E_COMPILE_ERROR|E_ERROR|E_CORE_ERROR);
    3. 

  3. /**
    4. 

  4. * eComBill 1.0.04 for Care2002 beta 1.0.04 
    5. 

  5. * (2003-04-30)
    6. 

  6. * adapted from eComBill beta 0.2 
    7. 

  7. * developed by ecomscience.com http://www.ecomscience.com 
    8. 

  8. * GPL License
    9. 

  9. */
    10. 

  10. require('./roots.php');
    11. 

  11. require($root_path.'include/inc_environment_global.php');
    12. 

  12. define('NO_CHAIN',1);
    13. 

  13. require_once($root_path.'include/inc_front_chain_lang.php');
    14. 

  14. require_once($root_path.'include/inc_date_format_functions.php');
    15. 

  15. 

  16.    /* include('includes/condb.php');
    17. 

  17.     error_reporting(0);
    18. 

  18.     connect_db();*/
    19. 

  19. 

  20. 	//$patqry="SELECT * FROM care_admission_patient WHERE encounter_nr=$patientno";
    21. 

  21. 	$patqry="SELECT e.*,p.* FROM care_encounter AS e, care_person AS p WHERE e.encounter_nr=$patientno AND e.pid=p.pid";
    22. 

  22.     //$resultpatqry=mysql_query($patqry);
    23. 

  23. 	if($resultpatqry=$db->Execute($patqry)){
    24. 

  24. 		if($resultpatqry->RecordCount()){
    25. 

  25. 			$patient=$resultpatqry->FetchRow();
    26. 

  26. 		}
    27. 

  27. 	}
    28. 

  28. 

  29. /*    $finalqry="SELECT bill_amount,bill_outstanding FROM care_billing_bill WHERE bill_encounter_nr=$patientno ORDER BY bill_bill_no";
    30. 

  30.     $resultfinalqry=mysql_query($finalqry);
    31. 

  31.     $cntbill=mysql_num_rows($resultfinalqry);
    32. 

  32. */
    33. 

  33.     $amtwithdisc=$totalbill-($discount*$totalbill/100);
    34. 

  34.     $amtdue=$amtwithdisc-$paidamt;
    35. 

  35. 

  36.     if($discount=="")
    37. 

  37.      $discount=0;
    38. 

  38.     $presdate=date("Y-m-d");
    39. 

  39. $breakfile='final_bill.php'.URL_APPEND.'&patientno='.$patientno.'&full_en='.$full_en;
    40. 

  40. 

  41. ?>
    42. 

  42. <?php html_rtl($lang); ?>
    43. 

  43. 

  44. <head>
    45. 

  45. <?php echo setCharSet(); ?>
    46. 

  46. <title>Patient Name</title>
    47. 

  47. <SCRIPT language="JavaScript">
    48. 

  48. <!--
    49. 

  49. 	function submitform()
    50. 

  50. 	{
    51. 

  51. 		document.confirmfrmfinal.action = "postfinalbill.php";
    52. 

  52. 		document.confirmfrmfinal.submit();
    53. 

  53. 	}
    54. 

  54. //-->
    55. 

  55. </SCRIPT>
    56. 

  56. </head>
    57. 

  57. 

  58. <body bgcolor="#FFFFFF" topmargin=0 leftmargin=0 marginwidth=0 marginheight=0>
    59. 

  59. <table border="0" width="101%" bgcolor=#99ccff>
    60. 

  60.       <tr>
    61. 

  61.         <td width="101%"><font color="#330066" size="+2" face="Arial"><strong>eComBill - Final bill preview</strong></font></td>
    62. 

  62.       </tr>
    63. 

  63.     </table>
    64. 

  64. 

  65. <form name=confirmfrmfinal method="POST" action="postfinalbill.php">
    66. 

  66.   <p>&nbsp;</p>
    67. 

  67.   <div align="center">
    68. 

  68.     <center>
    69. 

  69.     <table border="1" width="585" height="233" bordercolor="#000000" style="border-style: solid">
    70. 

  70.       <tr>
    71. 

  71.         <td width="348" height="155" valign="top" bordercolor="#FFFFFF">
    72. 

  72.           <b>General Information:</b>
    73. 

  73.           <table border="0" width="721%" height="155" cellpadding="0">
    74. 

  74.             <tr>
    75. 

  75.               <td width="100%" height="19">Patient Name:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
    76. 

  76. 				<?php echo $patient['title'].' '.$patient['name_first'].' '.$patient['name_last'];?></td>
    77. 

  77.             </tr>
    78. 

  78.             <tr>
    79. 

  79.                	<td valign=top width="20%">Address: <?php echo $patient['addr_str'].' '.$patient['addr_str_nr'].'<br>'.$patient['addr_zip'].' '.$patient['addr_citytown_nr'];?></td>
    80. 

  80.             </tr>
    81. 

  81.             <tr>
    82. 

  82.               <td width="100%" height="25">Patient Type:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
    83. 

  83.                 <?php echo $patient['encounter_class_nr'];?></td>
    84. 

  84.             </tr>
    85. 

  85.             <tr>
    86. 

  86.               <td width="100%" height="25">Date of Birth:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
    87. 

  87.                 <?php echo formatDate2Local($patient['date_birth'],$date_format);?></td>
    88. 

  88.             </tr>
    89. 

  89.             <tr>
    90. 

  90.               <td width="100%" height="19">Sex :&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
    91. 

  91.                 <?php echo $patient['sex'];?></td>
    92. 

  92.             </tr>
    93. 

  93.             <tr>
    94. 

  94.               <td width="100%" height="12">Patient No:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<?php echo $full_en;?></td>
    95. 

  95.             </tr>
    96. 

  96.           </table>
    97. 

  97.         </td>
    98. 

  98.         <td width="287" height="155" valign="top" bordercolor="#FFFFFF">
    99. 

  99.           &nbsp;
    100. 

  100.           <table border="0" width="100%" height="150">
    101. 

  101.             <tr>
    102. 

  102.               <td width="100%" height="19">Bill No:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<?php echo $final_bill_no; ?></td>
    103. 

  103.             </tr>
    104. 

  104.             <tr>
    105. 

  105. 	                  <td width="100%" height="19">Bill
    106. 

  106. 	                    Date&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
    107. 

  107. 	                    :&nbsp; <?php echo $presdate; ?></td>
    108. 

  108.             </tr>
    109. 

  109.             <tr>
    110. 

  110.               <td width="100%" height="19">Date of Admission: <?php echo formatDate2Local($patient['encounter_date'],$date_format);?></td>
    111. 

  111.             </tr>
    112. 

  112.             <tr>
    113. 

  113.               <td width="100%" height="19"></td>
    114. 

  114.             </tr>
    115. 

  115.             <tr>
    116. 

  116.               <td width="100%" height="19"></td>
    117. 

  117.             </tr>
    118. 

  118.             <tr>
    119. 

  119.               <td width="100%" height="19"></td>
    120. 

  120.             </tr>
    121. 

  121. 

  122.             <tr>
    123. 

  123.               <td width="100%" height="19"></td>
    124. 

  124.             </tr>
    125. 

  125.           </table>
    126. 

  126.         </td>
    127. 

  127.       </tr>
    128. 

  128.       <tr><td colspan="2" height="1" width="641" bordercolor="#FFFFFF">&nbsp;
    129. 

  129.           <p><b>Billing Information:</b></p>
    130. 

  130.         </td></tr>
    131. 

  131. 

  132.       <tr><td height="107" width="414" bordercolor="#FFFFFF">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
    133. 

  133.           <table border="0" width="107%" height="127">
    134. 

  134.             <tr>
    135. 

  135.               <td width="75%" valign="middle" align="left" height="18">Total
    136. 

  136.                 bill amount</td>
    137. 

  137.               <td width="28%" valign="middle" align="right" height="18"><?php echo $totalbill; ?></td>
    138. 

  138.             </tr>
    139. 

  139.             <tr>
    140. 

  140.               <td width="75%" valign="middle" align="left" height="19" bordercolor="#FFFFFF">Discount on total amount
    141. 

  141.                 (in percentage)</td>
    142. 

  142.               <td width="28%" valign="middle" align="right" height="19">
    143. 

  143.               <?php echo $discount; ?>
    144. 

  144.               </td>
    145. 

  145.             </tr>
    146. 

  146.             <tr>
    147. 

  147.               <td width="75%" valign="middle" align="left" height="18">Amount
    148. 

  148.                 after discount</td>
    149. 

  149.               <td width="28%" valign="middle" align="right" height="18"><?php echo $amtwithdisc; ?></td>
    150. 

  150.             </tr>
    151. 

  151.             <tr>
    152. 

  152.               <td width="75%" valign="middle" align="left" height="19">Amount
    153. 

  153.                 previously received</td>
    154. 

  154.               <td width="28%" valign="middle" align="right" height="19"><?php echo $paidamt; ?></td>
    155. 

  155.             </tr>
    156. 

  156.             <tr>
    157. 

  157.               <td width="75%" valign="middle" align="left" height="19"><span style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;;
    158. 

  158. mso-fareast-font-family:&quot;Times New Roman&quot;;mso-ansi-language:EN-US;mso-fareast-language:
    159. 

  159. EN-US;mso-bidi-language:AR-SA">Amount due</span></td>
    160. 

  160.               <td width="28%" valign="middle" align="right" height="19"><?php echo $amtdue; ?></td>
    161. 

  161.             </tr>
    162. 

  162. 

  163.             <tr>
    164. 

  164. 		  <td width="75%" valign="middle" align="left" height="19" bordercolor="#FFFFFF">Current paid amount</td>
    165. 

  165. 		  <td width="28%" valign="middle" align="right" height="19">
    166. 

  166. 		  <input type="text" name="currentamt" size=5>
    167. 

  167. 		  </td>
    168. 

  168. 		  
    169. 

  169.             </tr>
    170. 

  170.           </table>
    171. 

  171.         </td></tr>
    172. 

  172. 

  173.     </table>
    174. 

  174.     <input type="hidden" name="patientno" value=<?php echo $patientno; ?>>
    175. 

  175.     <input type="hidden" name="totalbill" value=<?php echo $totalbill; ?>>
    176. 

  176.     <input type="hidden" name="discount" value=<?php echo $discount; ?>>
    177. 

  177.     <input type="hidden" name="paidamt" value=<?php echo $paidamt; ?>>
    178. 

  178.     <input type="hidden" name="amtdue" value=<?php echo $amtdue; ?>>
    179. 

  179.     <input type="hidden" name="final_bill_no" value=<?php echo $final_bill_no; ?>>
    180. 

  180. 	<input type="hidden" name="lang" value="<?php echo $lang ?>">
    181. 

  181. 	<input type="hidden" name="sid" value="<?php echo $sid ?>">
    182. 

  182. 	<input type="hidden" name="full_en" value="<?php echo $full_en ?>">
    183. 

  183. 	
    184. 

  184.   <p>&nbsp;
    185. 

  185. 	<a href="javascript:submitform();"><img <?php echo createLDImgSrc($root_path,'savedisc.gif','0'); ?>></a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
    186. 

  186. 	<a href="<?php echo $breakfile ?>"><img <?php echo createLDImgSrc($root_path,'cancel.gif','0'); ?>></a>      </center>
    187. 

  187. 

  188.     </center>
    189. 

  189.   </div>
    190. 

  190.   <p>&nbsp;&nbsp;
    191. 

  191. <!--   &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="button" value="Continue" name="B1" Onclick="javascript:submitform();">&nbsp;&nbsp;&nbsp;&nbsp;
    192. 

  192.  -->  </p>
    193. 

  193.   <p>&nbsp;</p>
    194. 

  194. </form>
    195. 

  195. <?php
    196. 

  196. require($root_path.'include/inc_load_copyrite.php');
    197. 

  197. ?>
    198. 

  198. </body>
    199. 

  199. </html>
    200. 

  200. 

  201.