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1#@!#!123s
: / home / hearthospit / public_html / billing.hearthospitalpatna.com / application / views / admin /
Filename : discharge.php
back
<div class="page-wrapper">
    <!-- ============================================================== -->
    <!-- Bread crumb and right sidebar toggle -->
    <!-- ============================================================== -->
    <div class="page-breadcrumb">
        <div class="row">
            <div class="col-5 align-self-center">
                <h4 class="page-title">Create Bill for  <b><?=$pat[0]['ipname']?></b> </h4>
                
                <div class="d-flex align-items-center">
                   
                </div>
            </div>
            <div class="col-7 align-self-center">
                

                <div class="d-flex no-block justify-content-end align-items-center">
   
<a class="btn btn-info mt-3 p-15 pl-4 pr-4 mb-3" href="javascript:void(0)"  data-toggle="modal" data-target=".bs-example-modal-lg-cf">Add Custom field</a>
<a class="btn btn-warning mt-3 p-15 pl-4 pr-4 mb-3" href="javascript:void(0)"  data-toggle="modal" data-target=".bs-example-modal-lg-cc">Add Consession</a>

                </div>
            </div>
        </div>
    </div>
    <style type="text/css">
      .select2-container{
        width: 100% !important;
      }
      .select2-container--default .select2-selection--multiple .select2-selection__choice {
    background-color: #2b60f6 !important;
    border: 1px solid #3a66e4 !important;
    color: #fffbfbd4;
  }
  .select2-container--default .select2-selection--multiple .select2-selection__choice__remove {
    color: #FFEB3B !important;
  }
  .table td{
    padding: 5px !important;
  }
  .table td input{
    height: 30px !important;
  }
 
<?php
?>
  <?php if($bild[0]['is_opd']=='1'){

?>
 .opdi{
    display: none;
  }
   .opdid{
    display: block;
  }
<?php
}else{
  ?>
  .opdi{
    display: block;
  }
   .opdid{
    display: none;
  }
  <?php
} ?>
    </style>







    <div class="container-fluid">
        <!-- ============================================================== -->
        <!-- Start Page Content -->
        <!-- ============================================================== -->

          <div class="row" >        
            <div class="col-12">
                <div class="card">
                    <div class="card-body">
                             
                          <?php
                        if($msg!=""){

                         ?>
                         <div class="row">
                           <div class="col-md-4"></div>
                           <div class="col-md-4"><div class="alert alert-success"><?=$msg?></div></div>
                         </div>

                       <?php } ?>

                       <form method="post" enctype="multipart/form-data">    
                           <div class="row">
                            
                            <!--<div class="col-md-3">
                                <div class="form-group">
                                  <label>Select Department</label><br>
                                 <select class="form-control select2x"  id="depts" multiple="multiple" name="depts[]">
                                  <option value="-1" >All</option>
                                  <?php foreach($depts as $dp){ ?>
                                    <option value="<?=$dp['id']?>"><?=$dp['name']?></option>

                                  <?php } ?>
                                   
                                 </select>
                                </div>
                            </div>-->

                             <div class="col-md-2">

                                <div class="form-group">
                                   <label>Select Field</label><br>
                                 <select class="form-control selectxy"   name="xy">
                                  <option value="">Select field</option>
                                  <?php foreach($bfl as $b){ ?>
                                    <option value="<?=$b['id']?>"><?=$b['name']?></option>
                                  <?php } ?>
                                  
                                   
                                 </select>
                                </div>
                            </div>

                             <div class="col-md-2">
                                <div class="form-group">
                                   <label>Select blood test</label><br>
                                 <select class="form-control selectboft"   name="boft">
                                  <option value="-1" >Select blood test</option>

                                  <?php foreach($boft as $dp){ ?>
                                    <option value="<?=$dp['id']?>"><?=$dp['name']?></option>

                                  <?php } ?>
                                  
                                   
                                 </select>
                                </div>
                            </div>
                            <div class="col-md-2">
                <label for="validationDefault01">Admission Number/OPD NO</label>
                <input type="text" class="form-control" name="admission_no" value="<?=$pat[0]['admission_no']?>" >
              </div>
                             <div class="col-md-2">
                                <div class="form-group">
                                   <label>OPD Investigation</label><br>
                            <select name="is_opd" class="form-control opdic">
                              <option value="0" <?php if(count($bild)>0){ if($bild[0]['is_opd']=='0'){ echo "selected"; } }?>>No</option>
                              <option value="1" <?php if(count($bild)>0){ if($bild[0]['is_opd']=='1'){ echo "selected"; } }?>>Yes</option>

                            </select>  
                                </div>
                            </div>
                            <div class="col-md-3 opdi">
                                <div class="form-group">
                                   <label>Admit date</label><br>
                                 <input type="date"  value="<?php if(count($bild)>0){ echo $bild[0]['admit_date']; }?>" class="form-control" name="admit_date" />
                                </div>
                            </div>



<div class="col-md-3">

                                <div class="form-group">
                                   <label>Discharge Type</label><br>
                                 <select class="form-control" name="dicharge_type">
                                  <option value="Date of Discharge" <?php if($bild[0]['dicharge_type']=="" || $bild[0]['dicharge_type']=="Date of Discharge"){ echo "selected";} ?>>Date of Discharge</option>
                                <option value="Date of Death" <?php if($bild[0]['dicharge_type']=="Date of Death"){ echo "selected";} ?>>Date of Death</option>
                                <option value="Date of Discharge(LAMA)" <?php if($bild[0]['dicharge_type']=="Date of Discharge(LAMA)"){ echo "selected";} ?>>Date of Discharge(LAMA)</option>
                                <option value="Date of Discharge(DAMA)" <?php if($bild[0]['dicharge_type']=="Date of Discharge(DAMA)"){ echo "selected";} ?>>Date of Discharge(DAMA)</option>
                                <option value="Date of Referred)" <?php if($bild[0]['dicharge_type']=="Date of Referred)"){ echo "selected";} ?>>Date of Referred</option>

                                   
                                 </select>
                                </div>
                            </div>


                            <div class="col-md-2 opdi">
                                <div class="form-group">
                                   <label>Discharge date</label><br>
                                 <input type="date" value="<?php if(count($bild)>0){ echo $bild[0]['discharge_date']; }?>" class="form-control" name="discharge_date" />
                                </div>
                            </div>  
                             <div class="col-md-3 opdid">
                                <div class="form-group">
                                   <label>OPD & Investigation date</label><br>
                                 <input type=date  value="<?php if(count($bild)>0){ echo $bild[0]['opd_date']; }?>" class="form-control" name="opd_date" />
                                </div>
                            </div> 


                            <div class="col-md-2">
                                <div class="form-group">
                                   <label>Bill No</label><br>
                                 <input type="text" required="" value="<?php if(count($bild)>0){ echo $bild[0]['bill_no']; }?>" class="form-control" name="bill_no" />
                                </div>
                            </div> 
                            <div class="col-md-3">

                              <div class="form-group">
                                   <label>Signatory</label><br>
                                 <select class="form-control select2"   name="sign_id" required="">
                                  <option value="0" >Blank</option>

                                  <?php foreach($signs as $dp){ ?>
                                    <option value="<?=$dp['id']?>" <?php if(count($bild)>0){ if($bild[0]['sign_id']==$dp['id']){ echo "selected"; } }?>><?=$dp['name']?></option>

                                  <?php } ?>
                                  
                                   
                                 </select>
                                 <label>Insert Sign?</label>
                                 <label class="radio-inline"><input type="radio" name="insert_sign" value="1" <?php if(count($bild)>0){ if($bild[0]['insert_sign']==1 || $bild[0]['insert_sign']==0){ echo "checked"; } }?> />Yes</label>
                                  <label class="radio-inline"><input type="radio" name="insert_sign" value="-1" <?php if(count($bild)>0){ if($bild[0]['insert_sign']==-1){ echo "checked"; } }?> />No</label>
                                </div>
                              </div>
                              <div class="col-md-2">
                                <label>Contain Info header?</label>
                                <select name="header" class="form-control">
                                  <option value="1" <?php if(count($bild)>0){ if($bild[0]['with_header']=='1'){ echo "selected"; } }?>>Yes</option>
                                  <option value="0" <?php if(count($bild)>0){ if($bild[0]['with_header']=='0'){ echo "selected"; } }?>>No</option>
                                </select>
                                <br>
                              </div>
                              




 <div class="col-md-2">
                                <div class="form-group">
                                   <label>Advance Collected</label><br>
                                 <input type="text"  value="<?php  echo $pat[0]['adv']; ?>" class="form-control" name="adv" />
                                </div>
                            </div>
                            
                            
                             <div class="col-md-2">
                                <div class="form-group">
                                   <label>Advance Details</label><br>
                                 <input type="text"  value="<?php  echo $pat[0]['advr']; ?>" class="form-control" name="advr" />
                                </div>
                            </div>
                           
                           
                            
                            
                            
                             
                           


                              <div class="col-md-3">
                                <div class="form-group">
                                   <label>Remarks</label><br>
                                   <textarea class="form-control" name="blood_area_text"><?php if(count($bild)>0){ echo $bild[0]['blood_area_text']; }?></textarea>
                                </div>
                            </div> 
                            <div class="col-md-2">
                                <label>Authorised Amount</label>
                                <input type="text" name="amount_collected" value="<?php if(count($bild)>0){ echo $bild[0]['amount_collected']; }?>" class="form-control">
                               
                                <br>
                                 <input type="hidden"  value="<?php if(count($bild)>0){ if($bild[0]['cghs_id']!=""){ echo $bild[0]['cghs_id'];}else{ echo $pat[0]['cghs_id'];} }?>" class="form-control" name="cghs_id" />
                                 <input type="hidden"  value="<?php if(count($bild)>0){ if($bild[0]['entitlement']!=""){ echo $bild[0]['entitlement'];}else{ echo $pat[0]['entitlement']; } }?>" class="form-control" name="entitlement" />
                              </div>
                              
                              <div class="col-md-2">
                                <label>Type of bill</label>
                               <select class="form-control type_of_pay" name="type_of_pay">
                                <option value="Credit" <?php if(count($bild)>0){ if($bild[0]['type_of_pay']=='Credit'){ echo "selected"; } }?>>Credit</option>
                                <option value="Cash" <?php if(count($bild)>0){ if($bild[0]['type_of_pay']=='Cash'){ echo "selected"; } }?>>Cash</option>
                                 
                                  
                               </select>
                                <br>
                              </div>
                               <div class="col-md-2 claim_id" style="display: <?php if(count($bild)>0){ if($bild[0]['type_of_pay']=='Cash'){ echo 'none'; }else{ echo 'block'; } }else{ echo 'block'; }?>;">
                                <label>Claim Id</label>
                                <input type="text" name="claim_id" value="<?php if(count($bild)>0){ echo $bild[0]['claim_id']; }?>" class="form-control">
                               
                                <br>
                              </div>

                             <div class="col-md-1">
                              <br>
                               <input type="submit" value="Save" class="btn btn-primary btn-submit" style="margin-top: 8px;display: <?php if(count($bild)>0){ ?><?php }else{ ?>none<?php } ?>;" />
                             </div> 
                             <div class="col-md-6">
                                <label><b>Corporate ID: </b></label>
                                <?php if(count($bild)>0){ if($bild[0]['cghs_id']!=""){ echo $bild[0]['cghs_id'];}else{ echo $pat[0]['cghs_id'];} }?>
                              </div>
                              <div class="col-md-6">
                                <label><b>Entitlement: </b></label>
                                <?php if(count($bild)>0){ if($bild[0]['entitlement']!=""){ echo $bild[0]['entitlement'];}else{ echo $pat[0]['entitlement']; } }?>
                              </div>

                             <div class="col-md-5">
                              <?php if($bild[0]['is_opd']!=null ){?>
                                <?php if($inscsel[0]['is_cghs']==1){ ?>
                              
                              <a href="<?=base_url()?>admin/printBillCGHS/<?=$bild[0]['pat_id']?>/<?=$billid?>/1" style="    margin: 5px;" class="btn btn-primary btn-sm btn-round" style="border-radius: 12px;" target="_blank"><i class="fa fa-file-pdf-o"></i> Main BILL</a>
                            <?php } ?>
                            <?php if($inscsel[0]['is_cghs']!=1){ ?>
                              <a href="<?=base_url()?>admin/printBill/<?=$bild[0]['pat_id']?>/<?=$billid?>/2" style="    margin: 5px;" class="btn btn-danger btn-sm btn-round" style="border-radius: 12px;" target="_blank"><i class="fa fa-file-pdf-o"></i> Main bill</a>
                                <?php } ?>
                              <a href="<?=base_url()?>admin/printBill/<?=$bild[0]['pat_id']?>/<?=$billid?>/3" style="    margin: 5px;" class="btn btn-warning btn-sm btn-round" style="border-radius: 12px;" target="_blank"><i class="fa fa-file-pdf-o"></i> Interim bill</a>

                              
                           <!--
                              <a href="<?=base_url()?>admin/printBill/<?=$bild[0]['pat_id']?>/4" style="    margin: 5px;" class="btn btn-success btn-sm btn-round" style="border-radius: 12px;" target="_blank"><i class="fa fa-file-pdf-o"></i> Hospital bill</a>
                            -->
                               <?php if($bild[0]['amount_collected']!="" && $bild[0]['amount_collected']<$bild[0]['total_amount']){ ?>
                               
                               
                                 <a href="<?=base_url()?>admin/printuserBill/<?=$bild[0]['pat_id']?>/<?=$billid?>" style="    margin: 5px;" class="btn btn-info btn-sm btn-round" style="border-radius: 12px;" target="_blank"><i class="fa fa-file-pdf-o"></i> Patient bill</a>
                               <?php } ?>
                            <?php } ?>
                              
                            </div>


                             





               
                          
                           

                           </div>

                           <div class="row">
                             
                              <div class="col-md-12">
                               <table class="table table-striped table-bordered" id="bill-table" style="display: <?php if(count($bild)>0){ ?><?php }else{ ?>none<?php } ?>;">
                                 <thead>
                                   <tr>
                                     <th>Field</th>
                                     <th>Unit price</th>
                                     <th>Qty</th>
                                     <th>Subtotal</th>
                                     <th></th>
                                   </tr>
                                 </thead>
                                 <tbody class="body-paste">
<?php
$ta=0;
if(count($bild)>0){
$ftd=json_decode($bild[0]['field_data'],true);
$btd=json_decode($bild[0]['blood_test'],true);
}else{
$ftd=array();
$btd=array();
}
 ?>


<?php
$ftda=array();
$btda=array();
if(count($ftd)>0){
foreach($ftd as $f){
  $ftda[]=$f['id'];
  $index=-1;
  $count=0;
  foreach($bfl as $b){
    if($b['id']==$f['id']){
      $index=$count;
      break;

    }
    $count++;

  }
 ?>
                                  <tr id="tr_<?=$f['id']?>">
   <td><?=$bfl[$index]['name']?> <input type="hidden" name="fldc[]" value="<?=$f['id']?>"></td>
   <td><i class="fa fa-inr"></i><?=$f['price']?><input type="hidden" name="price[]" value="<?=$f['price']?>" /> </td>
   <td><input type="text" class="form-control changeqty" name="qty[]" value="<?=$f['qty']?>" style="width: 120px;" placeholder="Enter quantity" required="" data-unit="<?=$f['price']?>"></td>
   <td><i class="fa fa-inr"></i><span class="sbtotal"><?php $ta += $f['qty']*$f['price']; ?><?=$f['qty']*$f['price']?></span></td>
   <td><button role="button" class="btn btn-danger rm-bill-item" data-id="<?=$f['id']?>">X</button></td>

</tr>

<?php }} ?>

<?php
if(count($btd)>0){
foreach($btd as $f){
  $btda[]=$f['id'];
  $index=-1;
  $count=0;
  foreach($boft as $b){
    if($b['id']==$f['id']){
      $index=$count;
      break;

    }
    $count++;

  }
 ?>
                                  <tr id="tr_<?=$f['id']?>">
   <td><?=$boft[$index]['name']?><input type="hidden" name="btest[]" value="<?=$f['id']?>"></td>
   <td><i class="fa fa-inr"></i><?=$f['price']?><input type="hidden" name="bprice[]" value="<?=$f['price']?>" /> </td>
   <td><input type="text" class="form-control changeqty" name="bqty[]" value="<?=$f['qty']?>" style="width: 120px;" placeholder="Enter quantity" required="" data-unit="<?=$f['price']?>"></td>
   <td><i class="fa fa-inr"></i><span class="sbtotal"><?php $ta += $f['qty']*$f['price']; ?><?=$f['qty']*$f['price']?></span></td>
   <td>
     
     <button role="button" class="btn btn-danger rm-bill-item" data-id="<?=$f['id']?>">X</button>
   </td>

</tr>

<?php }} ?>



<?php 

$cflist=json_decode($bild[0]["extra_field"],true);
if(count($cflist)>0){
foreach($cflist as $f){
?>
                 <tr id="tr_<?=md5($f['name'])?>">
   <td><?=$f['name']?><input type="hidden" name="cfname[]" value="<?=$f['name']?>"></td>
   <td> </td>
   <td><input type="hidden"  name="cfamount[]" value="<?=$f['amount']?>" ></td>
   <td><i class="fa fa-inr"></i><span class="sbtotal"><?php $ta += $f['amount']; ?><?=$f['amount']?></span></td>
   <td>     
     <button role="button" class="btn btn-danger rm-bill-item" data-id="<?=$f['id']?>">X</button></td>

</tr>
<?php 
}
}
?>


<?php 

$cclist=json_decode($bild[0]["discount_text"],true);
if(count($cclist)>0){
foreach($cclist as $f){
?>
                 <tr id="tr_<?=md5($f['name'])?>">
   <td><?=$f['name']?><input type="hidden" name="ccname[]" value="<?=$f['name']?>"></td>
   <td> </td>
   <td><input type="hidden"  name="ccamount[]" value="<?=$f['amount']?>" ></td>
   <td><i class="fa fa-inr"></i><span class="sbtotal">-<?php $ta -= $f['amount']; ?><?=$f['amount']?></span></td>
   <td><button role="button" class="btn btn-danger rm-bill-item" data-id="<?=$f['id']?>">X</button></td>

</tr>
<?php 
}
}
?>



                                 
                                 </tbody>
                               </table>
                               <table class="table table-bordered">
                                 <tr>
  
  <td>Total Amout to pay:</td>
 
  <td style="text-align: right;"><i class="fa fa-inr"></i><span class="ta_amount"><?=$ta?></span></td>
</tr>
                               </table>
                             </div>

                           </div>

                           <div class="row">
                             <div class="col-md-12">
                              <input type="hidden" name="total_amount" id="total_amount" value="<?=$ta?>">
                               <input type="submit" value="Create now" class="btn btn-primary btn-submit" style="display: <?php if(count($bild)>0){ ?><?php }else{ ?>none<?php } ?>;" />
                             </div>
                           </div>
                        
 


                     

                       </form>
                   
                   </div>
               </div>
           </div>
       </div>
   </div>
        
    </div>

<!-- sample modal content -->
  <div class="modal fade bs-example-modal-lg-cc" tabindex="-1" role="dialog" aria-labelledby="myLargeModalLabel" aria-hidden="true" style="display: none;">
    <div class="modal-dialog modal-lg">
      <div class="modal-content">
        <div class="modal-header">
          <h4 class="modal-title" id="myLargeModalLabel">Add New <?php echo $title; ?></h4>
          <button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button>
        </div>
        <div class="modal-body">
          
            <div class="form-row">
              
              <div class="col-md-4">
                <label for="validationDefault01"> Concession Name</label>
                <input type="text" class="form-control ccname" name="ccname" required>
              </div>

              
                    <div class="col-md-4">
                <label for="validationDefault01">Amount</label>
                <input type="text" class="form-control ccamount" name="ccamount" required>
              </div>
              
              
            </div>
            
          </div>
          
          <div class="modal-footer">
            <button class="btn btn-primary cc-add" type="button">Add Now</button>
            <button type="button" class="btn btn-danger waves-effect text-left " data-dismiss="modal">Close</button>
          </div>
        </div>
      <!-- /.modal-content -->
    </div>
    <!-- /.modal-dialog -->
  </div>
  <!-- /.modal -->



<!-- sample modal content -->
  <div class="modal fade bs-example-modal-lg-cf" tabindex="-1" role="dialog" aria-labelledby="myLargeModalLabel" aria-hidden="true" style="display: none;">
    <div class="modal-dialog modal-lg">
      <div class="modal-content">
        <div class="modal-header">
          <h4 class="modal-title" id="myLargeModalLabel">Add New <?php echo $title; ?></h4>
          <button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button>
        </div>
        <div class="modal-body">
          
            <div class="form-row">
              
              <div class="col-md-4">
                <label for="validationDefault01"> Field Name</label>
                <input type="text" class="form-control cfname" name="cfname" required>
              </div>

              
                    <div class="col-md-4">
                <label for="validationDefault01">Amount</label>
                <input type="text" class="form-control cfamount" name="cfamount" required>
              </div>
              
              
            </div>
            
          </div>
          
          <div class="modal-footer">
            <button class="btn btn-primary cf-add" type="button">Add Now</button>
            <button type="button" class="btn btn-danger waves-effect text-left " data-dismiss="modal">Close</button>
          </div>
        </div>
      <!-- /.modal-content -->
    </div>
    <!-- /.modal-dialog -->
  </div>
  <!-- /.modal -->



    <script type="text/javascript">
     var filedup=<?=json_encode($ftda)?>;
var bfiledup=<?=json_encode($btda)?>;
  var pat = <?=json_encode($pat)?>;
  var depts = <?=json_encode($depts)?>;
  var formats = <?=json_encode($formats)?>;
  var bft = <?=json_encode($bft)?>;
  var boft = <?=json_encode($boft)?>;
  var bfl = <?=json_encode($bfl)?>;
  var insc = <?=json_encode($insc)?>;
  var inst = <?=json_encode($inst)?>;
</script>
Name	Size	Last Modified	Owner	Permissions
add-test.php	7.778 KB	January 21 2020 7:10:06	hearthospit	0644
all-bill.php	5.112 KB	January 21 2020 7:10:05	hearthospit	0644
biliing.php	1.233 KB	January 21 2020 7:10:05	hearthospit	0644
blood-format.php	3.783 KB	January 21 2020 7:10:06	hearthospit	0644
company.php	5.147 KB	January 21 2020 7:10:06	hearthospit	0644
cpwd.php	3.35 KB	January 21 2020 7:10:06	hearthospit	0644
discharge.php	25.654 KB	March 17 2020 4:12:57	hearthospit	0644
edit-company.php	2.938 KB	January 21 2020 7:10:06	hearthospit	0644
edit-dep.php	2.536 KB	January 21 2020 7:10:05	hearthospit	0644
edit-format.php	5.87 KB	January 21 2020 7:10:05	hearthospit	0644
edit-patient.php	4.533 KB	January 21 2020 7:10:06	hearthospit	0644
edit.php	15.325 KB	January 21 2020 7:10:05	hearthospit	0644
edit-tpa.php	2.628 KB	January 21 2020 7:10:06	hearthospit	0644
index.php	6.772 KB	July 31 2024 6:52:56	hearthospit	0644
list-dep.php	2.544 KB	January 21 2020 7:10:06	hearthospit	0644
list-format.php	3.408 KB	January 21 2020 7:10:06	hearthospit	0644
list-tpa.php	5.025 KB	January 21 2020 7:10:05	hearthospit	0644
login.php	9.014 KB	January 21 2020 7:10:06	hearthospit	0644
new-dep.php	2.507 KB	January 21 2020 7:10:06	hearthospit	0644
new-format.php	5.29 KB	January 21 2020 7:10:06	hearthospit	0644
patient.php	7.822 KB	January 21 2020 7:10:05	hearthospit	0644
plan.php	11.472 KB	January 21 2020 7:10:06	hearthospit	0644
reset.php	10.114 KB	January 21 2020 7:10:05	hearthospit	0644
settings.php	6.073 KB	January 21 2020 7:10:06	hearthospit	0644
sign.php	2.872 KB	January 21 2020 7:10:05	hearthospit	0644
tpa-tariff.php	11.428 KB	January 21 2020 7:10:06	hearthospit	0644
users.php	5.345 KB	January 21 2020 7:10:06	hearthospit	0644
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