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PHP Decode
<?php ${"\x47\x4c\x4fB\x41\x4cS"}["k\x76gd\x71tm"]="\x54\x6f\x64a\x79\x44at\x65";${"\x47\x..
Decoded Output download
<?php ${"GLOBALS"}["kvgdqtm"]="TodayDate";${"GLOBALS"}["kolwurfsyxht"]="Row4";${"GLOBALS"}["ftrkxyiu"]="row1";defined("BASEPATH")OR exit("No direct script access allowed");$sflckmaix="detail_info";echo "
";include viewPath("includes/header");if(${$sflckmaix}){$qdobkvhemn="detail_info";foreach(${$qdobkvhemn} as${${"GLOBALS"}["ftrkxyiu"]}){echo "<section class="content-header\">
<div class=\"container-fluid">
<div class=\"row mb-2">
<div class=\"col-sm-6">
<h1>";echo lang("Record");echo " | ";echo lang("Record_edit");echo "</h1>
</div>
<div class="col-sm-6">
<ol class=\"breadcrumb float-sm-right">
<li class="breadcrumb-item\"><a href=\"";echo url("/");echo "">";echo lang("home");echo "</a></li>
<li class=\"breadcrumb-item\"><a href="";echo url("/record/view/".$row1->id);echo "\">";echo lang("Back");echo "</a></li>
<li class=\"breadcrumb-item active"><a href="";echo url("/record/edit/".$row1->id);echo "\">";echo lang("Record_edit");echo "</a></li>
</ol>
</div>
</div>
</div><!-- /.container-fluid -->
</section>
<section class=\"content\">
<div class=\"card card-solid\">";$this->load->view("account/includes/loading");echo " <div class="card-header">
<h3 class="card-title\"><a href=\"";echo url("/record/view/".$row1->id);echo "\"><i class="fa fa-caret-left\"></i> ";echo lang("Back");echo "</a> </h3>
<h3 class=\"card-title"><a href=\"";echo url("/record/edit/".$row1->id);echo "\"><i class=\"fa fa-caret-right\"></i> ";echo lang("Record_edit");echo "</a></h3>
<div class="card-tools">
<button type="button" class=\"btn btn-tool\" data-card-widget=\"collapse\"><i class=\"fas fa-minus"></i></button>
<button type=\"button" class=\"btn btn-tool" data-card-widget="maximize"><i class="fas fa-expand\"></i></button>
</div>
</div>
";echo form_open("record/update/".$row1->id,["class"=>"form-validate"]);echo " <div class=\"card-body\">
<div class=\"row">
<div class=\"col-sm-7">
<div class=\"row\">
<div class=\"col-sm-6">
<div class=\"card">
<div class="card-header\">
<h3 class=\"card-title">";echo lang("user_basic");echo "</h3>
</div>
<div class="card-body">
<div class="form-group\">
<label for=\"RecordNo\">";echo lang("RecordNumber");echo "</label>
<input type=\"text\" class="form-control" name=\"RecordNo\" id=\"RecordNo\" value=\"";echo$row1->RecordNo;echo "\" id=\"formClient-Name\" placeholder="";${"GLOBALS"}["wzqvrpv"]="Row3";echo lang("RecordNumber");echo "" readonly required />
</div>
<div class="form-group\">
<label for=\"Pdate">";echo lang("Pdate");echo "(DD/MM/YY)</label>
<input type="text" class=\"form-control" name="Pdate" id="Pdate" value=\"";echo$row1->Pdate;echo "\" placeholder=\"";echo lang("Pdate");echo "" required />
";echo form_error("Pdate","<span style=\"display:block\" class="error invalid-feedback\">","</span>");echo " </div>
<div class="form-group\">
<label for="Card_no\">";echo lang("Card_no");echo "</label>
<input type="text\" class=\"form-control" name="Card_no\" value=\"";echo$row1->Card_no;echo "" id=\"Card_no" placeholder=\"";echo lang("Card_no");echo "" autofocus required />
</div>
<div class=\"form-group">
<label for="Pfull_name">";echo lang("Pfull_name");echo "</label>
<input type=\"text\" class=\"form-control\" name="Pfull_name\" id=\"Pfull_name\" value=\"";echo$row1->Pfull_name;echo "\" placeholder=\"";echo lang("Pfull_name");echo "" required />
</div>
<div class=\"row">
<div class=\"col-sm-6\">
<div class="form-group">
<label for=\"Gender\">";echo lang("Gender");echo "</label>
<select name=\"Gender\" class=\"form-control select2\" id="Gender\" required>
<option>";echo$row1->Gender;echo "</option>
<option>";echo lang("Male");echo "</option>
<option>";echo lang("Female");echo "</option>
</select>
</div>
</div>
<div class=\"col-sm-6\">
<div class="form-group">
<label for="Age\">";echo lang("Age");echo "</label>
<input type="number" min=\"0\" max="100" class=\"form-control" name="Age" value="";echo$row1->Age;echo "\" id=\"Age\" placeholder="";echo lang("Age");echo "\" />
</div>
</div>
</div>
</div>
</div>
</div>
<div class="col-sm-6\">
<div class=\"card">
<div class=\"card-header\">
<h3 class=\"card-title">";echo lang("Personal_info");echo "</h3>
</div>
<div class=\"card-body">
<div class=\"form-group\">
<label for=\"Payment_type\">";echo lang("Payment_type");echo "</label>
<select name=\"Payment_type\" class=\"form-control select2" id="Payment_type">
<option>";echo$row1->Payment_type;echo "</option>
<option>P</option>
<option>I</option>
</select>
</div>
<div class="form-group\">
<label for="Cbhi_code\">";echo lang("Cbhi_code");echo "</label>
<input type="text" name="Cbhi_code\" id="Cbhi_code\" value="";echo$row1->Cbhi_code;echo "\" class="form-control\" placeholder=\"";echo lang("Cbhi_code");echo "" required />
</div>
<div class=\"form-group\">
<label for="Wereda">";echo lang("Asakami");echo "</label>
<select name=\"Wereda" id=\"Wereda\" class=\"form-control select2\">
<option value=\"";echo$row1->Wereda;echo "">";echo$this->db_op->Get_Tbl_ColVal_By_1_Col("tbl_set1","Name","Value",$row1->Wereda,"Yes");echo "</option>
";foreach($this->db_op->Fetch_Tbl_SingleRow_By_1_Col("tbl_set1","CategoryCode","Wereda","Yes","ACS")as${${"GLOBALS"}["wzqvrpv"]}){foreach($this->db_op->Fetch_Tbl_SingleRow_By_1_Col("tbl_set1","dataType",$Row3->id,"Yes","ACS")as${${"GLOBALS"}["kolwurfsyxht"]}){echo " <option value="";echo$Row4->Value;echo "\">";echo$Row4->Name;echo "</option>
";}}echo " </select>
</div>
<div class=\"form-group">
<label for="Kebele">";echo lang("Kebele");echo "</label>
<input type="text" name="Kebele\" id="Kebele\" value=\"";echo$row1->Kebele;echo "" class=\"form-control" placeholder="";echo lang("Kebele");echo "" />
</div>
<div class="form-group\">
<label for="Got\">";echo lang("Got");echo "</label>
<input type=\"text\" name=\"Got\" id="Got\" value="";echo$row1->Got;echo "" class="form-control" placeholder=\"";echo lang("Kebele");echo "" />
</div>
<div class=\"form-group">
<label for="Ptype\">";echo lang("Ptype");echo "</label>
<select name=\"Ptype" id=\"Ptype\" class="form-control select2" id=\"Ptype">
<option>";echo$row1->Ptype;echo "</option>
<option>";echo lang("Ptype1");echo "</option>
<option>";echo lang("Ptype2");echo "</option>
<option>";echo lang("Ptype3");echo "</option>
</select>
</div>
</div>
</div>
</div>
</div>
";if(setting("add_refer_info")=="Yes"){echo " <div class="row">
<div class="col-sm-12">
<div class="card\">
<div class=\"card-header">
<h3 class=\"card-title">";echo lang("Personal_info");echo "</h3>
</div>
<div class="card-body">
<div class="row\">
<div class=\"col-sm-4">
<div class="form-group">
<label for="Refer_type">";echo lang("Refer_type");echo "</label>
<select name=\"Refer_type\" id=\"Refer_type" class=\"form-control select2\">
<option>";echo$row1->Refer_type;echo "</option>
<option></option>
<option>Refer</option>
<option>Emergency</option>
</select>
</div>
</div>
<div class=\"col-sm-4">
<div class=\"form-group">
<label for="Ref_no\">";echo lang("Ref_no");echo "</label>
<input type=\"text\" class="form-control" name="Ref_no" id=\"Ref_no\" value="";echo$row1->Ref_no;echo "\" placeholder="";echo lang("Ref_no");echo "\" />
</div>
</div>
<div class=\"col-sm-4\">
<div class=\"form-group\">
<label for="Ref_date">";echo lang("Ref_date");echo "</label>
<input type=\"text\" name=\"Ref_date" id="Ref_date\" value="";echo$row1->Ref_date;echo "" class=\"form-control\" placeholder=\"DD/MM/YYYY\" />
";echo form_error("Ref_date","<span style="display:block" class=\"error invalid-feedback">","</span>");echo " </div>
</div>
</div>
</div>
</div>
</div>
</div>
";}echo " </div>
<div class="col-sm-5">
<div class=\"col-sm-12">
<div class="card">
<div class="card-header">
<h3 class=\"card-title\">";echo lang("Services_type");echo "</h3>
</div>
";if(setting("allow_past_month_edit")=="Yes"){echo " <div class="card-body\">
<div class=\"row">
<div class=\"col-sm-6\">
<div class="form-group">
<label for=\"For_card\" >";echo lang("For_card");echo "</label>
<select name=\"For_card" id=\"For_card" class=\"form-control select2\" >
<option>";echo$row1->For_card;$tfnawhelb="row_i";echo "</option>
";foreach($this->db_op->Fetch_Tbl_SingleRow_By_1_Col_Ord_By("tbl_set1","CategoryCode","Cardpayment","Yes","Value","ACS")as${$tfnawhelb}){foreach($this->db_op->Fetch_Tbl_SingleRow_By_1_Col("tbl_set1","dataType",$row_i->id,"Yes","ACS")as${${"GLOBALS"}["kolwurfsyxht"]}){echo " <option>";echo$Row4->Value;echo "</option>
";}}echo " </select>
</div>
</div>
<div class="col-sm-1"><br><br>+</div>
<div class=\"col-sm-4\">
<label for=\"For_card_add\">";echo lang("Added");echo "</label>
<input type="text" class=\"form-control" name=\"For_card_add" id=\"For_card_add" onkeypress=\"return isFloat(event)\" onClick=\"this.select();\" placeholder="";echo lang("Added");echo "" />
</div>
<div class="col-sm-1"><br><br>
<div id=\"btn_1\"><li class="fa fa-plus\"></li></div>
</div>
</div>
<div class="row">
<div class=\"col-sm-6\">
<div class="form-group">
<label for="For_lab">";echo lang("For_lab");echo "</label>
<input type="text\" class=\"form-control" name="For_lab\" id=\"For_lab" value=\"";echo$row1->For_lab;echo "\" onkeypress=\"return isFloat(event)\" onClick=\"this.select();\" placeholder="";echo lang("For_lab");echo "\" />
</div>
</div>
<div class=\"col-sm-1"><br><br>+</div>
<div class="col-sm-4\">
<label for=\"For_lab_add\">";echo lang("Added");echo "</label>
<input type=\"text\" class=\"form-control" name="For_lab_add" id=\"For_lab_add" onkeypress=\"return isFloat(event)" onClick="this.select();" placeholder=\"";echo lang("Added");echo "\" />
</div>
<div class=\"col-sm-1\"><br><br>
<div id=\"btn_2\"><li class=\"fa fa-plus"></li></div>
</div>
</div>
<div class=\"row\">
<div class="col-sm-6">
<div class="form-group">
<label for="For_emergency">";echo lang("For_emergency");echo "</label>
<input type=\"text\" class="form-control" name="For_emergency\" id=\"For_emergency" value=\"";echo$row1->For_emergency;echo "" onkeypress=\"return isFloat(event)\" onClick=\"this.select();" placeholder="";echo lang("For_emergency");echo "\" />
</div>
</div>
<div class=\"col-sm-1"><br><br>+</div>
<div class="col-sm-4\">
<label for=\"For_emergency_add">";echo lang("Added");echo "</label>
<input type=\"text" class="form-control" name="For_emergency_add\" id=\"For_emergency_add" onkeypress="return isFloat(event)" onClick="this.select();\" placeholder="";echo lang("Added");echo "" />
</div>
<div class="col-sm-1"><br><br>
<div id=\"btn_3\"><li class="fa fa-plus"></li></div>
</div>
</div>
<div class=\"row\">
<div class="col-sm-6\">
<div class=\"form-group">
<label for="For_drug">";echo lang("For_drug");echo "</label>
<input type="text" class=\"form-control" name=\"For_drug" id="For_drug" value="";echo$row1->For_drug;echo "\" onkeypress=\"return isFloat(event)" onClick="this.select();\" placeholder="";echo lang("For_drug");echo "\" />
</div>
</div>
<div class=\"col-sm-1"><br><br>+</div>
<div class=\"col-sm-4">
<label for="For_drug_add">";echo lang("Added");echo "</label>
<input type=\"text\" class=\"form-control" name=\"For_drug_add\" id=\"For_drug_add\" onkeypress=\"return isFloat(event)" onClick=\"this.select();\" placeholder=\"";echo lang("Added");echo "" />
</div>
<div class=\"col-sm-1"><br><br>
<div id="btn_4"><li class="fa fa-plus\"></li></div>
</div>
</div>
<div class=\"row">
<div class="col-sm-6">
<div class="form-group\">
<label for="For_surgery\">";echo lang("For_surgery");echo "</label>
<input type="text" class="form-control\" name="For_surgery" id="For_surgery\" value=\"";echo$row1->For_surgery;echo "" onkeypress="return isFloat(event)" onClick="this.select();\" placeholder="";echo lang("For_surgery");echo "\" />
</div>
</div>
<div class="col-sm-1"><br><br>+</div>
<div class="col-sm-4">
<label for=\"For_surgery_add">";echo lang("Added");echo "</label>
<input type="text" class="form-control\" name="For_surgery_add" id="For_surgery_add\" onkeypress="return isFloat(event)" onClick=\"this.select();\" placeholder=\"";echo lang("Added");echo "" />
</div>
<div class="col-sm-1\"><br><br>
<div id=\"btn_5"><li class=\"fa fa-plus"></li></div>
</div>
</div>
<div class="row">
<div class=\"col-sm-6\">
<div class=\"form-group\">
<label for="For_bed\">";echo lang("For_bed");echo "</label>
<input type=\"text" class="form-control\" name="For_bed" id="For_bed" value="";echo$row1->For_bed;echo "" onkeypress="return isFloat(event)\" onClick=\"this.select();" placeholder="";echo lang("For_bed");echo "" />
</div>
</div>
<div class="col-sm-1"><br><br>+</div>
<div class="col-sm-4\">
<label for="For_bed_add">";echo lang("Added");echo "</label>
<input type=\"text\" class="form-control" name="For_bed_add\" id=\"For_bed_add\" onkeypress=\"return isFloat(event)" onClick=\"this.select();" placeholder=\"";echo lang("Added");echo "\" />
</div>
<div class="col-sm-1\"><br><br>
<div id=\"btn_6\"><li class=\"fa fa-plus"></li></div>
</div>
</div>
<div class=\"row\">
<div class=\"col-sm-6">
<div class=\"form-group\">
<label for=\"For_others">";echo lang("For_others");echo "</label>
<input type=\"text" class=\"form-control\" name=\"For_others" id="For_others\" value=\"";echo$row1->For_others;echo "\" onkeypress="return isFloat(event)" onClick="this.select();" placeholder="";echo lang("For_others");echo "" />
</div>
</div>
<div class=\"col-sm-1\"><br><br>+</div>
<div class="col-sm-4">
<label for=\"For_others_add\">";echo lang("Added");echo "</label>
<input type="text\" class=\"form-control" name=\"For_others_add" id=\"For_others_add" onkeypress="return isFloat(event)" onClick=\"this.select();" placeholder=\"";echo lang("Added");echo "" />
</div>
<div class=\"col-sm-1\"><br><br>
<div id=\"btn_7"><li class=\"fa fa-plus"></li></div>
</div>
</div>
<div class="row\">
<div class="col-sm-6\">
<div class="form-group">
<label for=\"Total\">";echo lang("Total");echo "</label>
<input type="text\" class="form-control\" name="Total\" id="Total\" value=\"";echo$row1->Total;echo "\" placeholder="";echo lang("Total");echo "" readonly />
</div>
</div>
<div class="col-sm-1\"><br><br>+</div>
<div class=\"col-sm-4">
<label for="Total_add\">";echo lang("Added");echo "</label>
<input type=\"text\" class="form-control\" name="Total_add\" id=\"Total_add" readonly="true\" onkeypress=\"return isFloat(event)" onClick="this.select();\" placeholder="";echo lang("Added");echo "" />
</div>
</div>
</div>
";}else{${"GLOBALS"}["qckpkef"]="Pdate";$lqfglejwhffd="Pdate";${"GLOBALS"}["iwrqiacpjmp"]="Today";$ckmthhb="TodayDate";${"GLOBALS"}["byfprqxolovj"]="Today";echo " ";${${"GLOBALS"}["qckpkef"]}=substr($row1->Pdate,6,4).substr($row1->Pdate,3,2);${${"GLOBALS"}["kvgdqtm"]}=$this->sym->TodayDate();${${"GLOBALS"}["byfprqxolovj"]}=substr(${$ckmthhb},6,4).substr(${${"GLOBALS"}["kvgdqtm"]},3,2);if(${$lqfglejwhffd}==${${"GLOBALS"}["iwrqiacpjmp"]}){echo " <div class=\"card-body">
<div class="row\">
<div class=\"col-sm-6">
<div class="form-group">
<label for="For_card\" >";echo lang("For_card");echo "</label>
<select name=\"For_card" id="For_card\" class="form-control select2">
<option>";echo$row1->For_card;echo "</option>
<option></option>
<option>10</option>
<option>15</option>
<option>20</option>
<option>25</option>
<option>30</option>
<option>35</option>
</select>
</div>
</div>
<div class=\"col-sm-1"><br><br>+</div>
<div class="col-sm-4\">
<label for="For_card_add\">";echo lang("Added");echo "</label>
<input type="text\" class=\"form-control" name="For_card_add" id="For_card_add\" onkeypress=\"return isFloat(event)" onClick=\"this.select();\" placeholder="";echo lang("Added");echo "" />
</div>
<div class=\"col-sm-1"><br><br>
<div id="btn_1"><li class=\"fa fa-plus"></li></div>
</div>
</div>
<div class=\"row\">
<div class=\"col-sm-6">
<div class="form-group">
<label for="For_lab\">";echo lang("For_lab");echo "</label>
<input type="text\" class="form-control\" name="For_lab\" id="For_lab" value=\"";echo$row1->For_lab;echo "" onkeypress="return isFloat(event)\" onClick=\"this.select();" placeholder=\"";echo lang("For_lab");echo "" />
</div>
</div>
<div class=\"col-sm-1"><br><br>+</div>
<div class=\"col-sm-4\">
<label for=\"For_lab_add\">";echo lang("Added");echo "</label>
<input type=\"text\" class="form-control" name="For_lab_add" id=\"For_lab_add\" onkeypress=\"return isFloat(event)" onClick="this.select();" placeholder=\"";echo lang("Added");echo "\" />
</div>
<div class="col-sm-1"><br><br>
<div id=\"btn_2"><li class="fa fa-plus\"></li></div>
</div>
</div>
<div class=\"row\">
<div class=\"col-sm-6">
<div class=\"form-group\">
<label for=\"For_emergency">";echo lang("For_emergency");echo "</label>
<input type=\"text\" class=\"form-control\" name="For_emergency" id="For_emergency" value="";echo$row1->For_emergency;echo "" onkeypress="return isFloat(event)" onClick="this.select();\" placeholder=\"";echo lang("For_emergency");echo "" />
</div>
</div>
<div class=\"col-sm-1"><br><br>+</div>
<div class="col-sm-4\">
<label for="For_emergency_add">";echo lang("Added");echo "</label>
<input type="text" class="form-control\" name="For_emergency_add" id="For_emergency_add\" onkeypress=\"return isFloat(event)\" onClick="this.select();\" placeholder="";echo lang("Added");echo "" />
</div>
<div class="col-sm-1"><br><br>
<div id="btn_3"><li class=\"fa fa-plus"></li></div>
</div>
</div>
<div class=\"row">
<div class=\"col-sm-6\">
<div class=\"form-group">
<label for="For_drug">";echo lang("For_drug");echo "</label>
<input type="text\" class="form-control" name="For_drug\" id="For_drug\" value=\"";echo$row1->For_drug;echo "" onkeypress=\"return isFloat(event)\" onClick=\"this.select();\" placeholder=\"";echo lang("For_drug");echo "" />
</div>
</div>
<div class=\"col-sm-1\"><br><br>+</div>
<div class=\"col-sm-4">
<label for="For_drug_add">";echo lang("Added");echo "</label>
<input type="text\" class="form-control" name="For_drug_add" id="For_drug_add" onkeypress="return isFloat(event)\" onClick="this.select();\" placeholder="";echo lang("Added");echo "\" />
</div>
<div class=\"col-sm-1"><br><br>
<div id=\"btn_4"><li class=\"fa fa-plus\"></li></div>
</div>
</div>
<div class=\"row\">
<div class=\"col-sm-6\">
<div class=\"form-group\">
<label for="For_surgery\">";echo lang("For_surgery");echo "</label>
<input type=\"text" class="form-control" name="For_surgery" id=\"For_surgery\" value=\"";echo$row1->For_surgery;echo "" onkeypress=\"return isFloat(event)" onClick="this.select();\" placeholder=\"";echo lang("For_surgery");echo "" />
</div>
</div>
<div class="col-sm-1"><br><br>+</div>
<div class=\"col-sm-4\">
<label for="For_surgery_add\">";echo lang("Added");echo "</label>
<input type=\"text" class="form-control" name=\"For_surgery_add" id=\"For_surgery_add" onkeypress="return isFloat(event)" onClick="this.select();\" placeholder=\"";echo lang("Added");echo "" />
</div>
<div class=\"col-sm-1"><br><br>
<div id="btn_5"><li class=\"fa fa-plus"></li></div>
</div>
</div>
<div class=\"row">
<div class="col-sm-6">
<div class="form-group">
<label for=\"For_bed">";echo lang("For_bed");echo "</label>
<input type="text" class="form-control\" name="For_bed" id="For_bed\" value=\"";echo$row1->For_bed;echo "\" onkeypress="return isFloat(event)\" onClick="this.select();\" placeholder="";echo lang("For_bed");echo "\" />
</div>
</div>
<div class=\"col-sm-1"><br><br>+</div>
<div class=\"col-sm-4\">
<label for="For_bed_add\">";echo lang("Added");echo "</label>
<input type=\"text" class="form-control\" name=\"For_bed_add\" id="For_bed_add" onkeypress=\"return isFloat(event)\" onClick="this.select();" placeholder=\"";echo lang("Added");echo "" />
</div>
<div class="col-sm-1\"><br><br>
<div id=\"btn_6"><li class=\"fa fa-plus\"></li></div>
</div>
</div>
<div class=\"row\">
<div class="col-sm-6">
<div class=\"form-group">
<label for="For_others">";echo lang("For_others");echo "</label>
<input type=\"text" class="form-control" name=\"For_others\" id=\"For_others\" value=\"";echo$row1->For_others;echo "\" onkeypress=\"return isFloat(event)\" onClick=\"this.select();\" placeholder="";echo lang("For_others");echo "" />
</div>
</div>
<div class="col-sm-1"><br><br>+</div>
<div class="col-sm-4">
<label for="For_others_add\">";echo lang("Added");echo "</label>
<input type=\"text" class="form-control" name="For_others_add" id="For_others_add" onkeypress="return isFloat(event)\" onClick="this.select();\" placeholder=\"";echo lang("Added");echo "\" />
</div>
<div class="col-sm-1"><br><br>
<div id="btn_7\"><li class=\"fa fa-plus\"></li></div>
</div>
</div>
<div class="row">
<div class=\"col-sm-6">
<div class="form-group\">
<label for=\"Total\">";echo lang("Total");echo "</label>
<input type="text\" class="form-control" name=\"Total" id="Total" value="";echo$row1->Total;echo "" placeholder="";echo lang("Total");echo "\" readonly />
</div>
</div>
<div class=\"col-sm-1\"><br><br>+</div>
<div class=\"col-sm-4\">
<label for=\"Total_add\">";echo lang("Added");echo "</label>
<input type=\"text\" class=\"form-control\" name=\"Total_add" id=\"Total_add" readonly="true" onkeypress=\"return isFloat(event)\" onClick="this.select();\" placeholder="";echo lang("Added");echo "" />
</div>
</div>
</div>
";}else{echo " <div class=\"card-body\">
<div class=\"row">
<div class="col-sm-12">
<input type=\"hidden" name=\"For_card\" value="";echo$row1->For_card;echo ""/>
<input type=\"hidden" name=\"For_lab" value=\"";echo$row1->For_lab;echo ""/>
<input type="hidden" name=\"For_emergency" value=\"";echo$row1->For_emergency;echo "\"/>
<input type=\"hidden" name=\"For_drug\" value="";echo$row1->For_drug;echo "\"/>
<input type="hidden\" name=\"For_surgery" value="";echo$row1->For_surgery;echo ""/>
<input type=\"hidden\" name=\"For_bed" value="";echo$row1->For_bed;echo "\"/>
<input type=\"hidden" name="For_others" value="";echo$row1->For_others;echo ""/>
<input type="hidden\" name="Total" value="";echo$row1->Total;echo ""/>
<div class="alert alert-danger\">You can not update the payment of last month record, you can add as a new record</div>
<table class=\"table table-bordered table-hover table-striped\">
<tr><td>";echo lang("For_card");echo "</td> <td>";echo nf($row1->For_card);echo "</td></tr>
<tr><td>";echo lang("For_lab");echo "</td> <td>";echo nf($row1->For_lab);echo "</td></tr>
<tr><td>";echo lang("For_emergency");echo "</td> <td>";echo nf($row1->For_emergency);echo "</td></tr>
<tr><td>";echo lang("For_drug");echo "</td> <td>";echo nf($row1->For_drug);echo "</td></tr>
<tr><td>";echo lang("For_surgery");echo "</td> <td>";echo nf($row1->For_surgery);echo "</td></tr>
<tr><td>";echo lang("For_bed");echo "</td> <td>";echo nf($row1->For_bed);echo "</td></tr>
<tr><td>";echo lang("For_others");echo "</td> <td>";echo nf($row1->For_others);echo "</td></tr>
<tr><td>";echo lang("Total");echo "</td> <td>";echo nf($row1->Total);echo "</td></tr>
</table>
</div>
</div>
</div>
";}echo " ";}echo " </div>
</div>
</div>
</div>
</div>
<div class=\"card-footer">
<div class=\"row\">
<div class="col\"><a href="";echo url("/users");echo "" onclick="" class="btn btn-flat btn-danger">";echo lang("cancel");echo "</a></div>
<div class=\"col text-right"><button type="submit" class="btn btn-flat btn-primary\">";echo lang("submit");echo "</button></div>
</div>
</div>
";echo form_close();echo " </div>
</section>
<script>
\$('.select2').select2()
</script>
<script>
\$(document).ready(function(){
\$(\"#btn_1\").click(function(){
var val1 = \$('#For_card').val();
var val2 = \$('#For_card_add').val();
if(val2 == '.'){
}else{
var Sum = Number(val1) + Number(val2);
}
\$('#For_card').val(Number(Sum));
total();
total_add();
});
\$("#btn_2").click(function(){
var val1 = \$('#For_lab').val();
var val2 = \$('#For_lab_add').val();
var Sum = Number(val1) + Number(val2);
\$('#For_lab').val(Number(Sum));
total();
total_add();
});
\$(\"#btn_3").click(function(){
var val1 = \$('#For_emergency').val();
var val2 = \$('#For_emergency_add').val();
var Sum = Number(val1) + Number(val2);
\$('#For_emergency').val(Number(Sum));
total();
total_add();
});
\$("#btn_4\").click(function(){
var val1 = \$('#For_drug').val();
var val2 = \$('#For_drug_add').val();
var Sum = Number(val1) + Number(val2);
\$('#For_drug').val(Number(Sum));
total();
total_add();
});
\$("#btn_5\").click(function(){
var val1 = \$('#For_surgery').val();
var val2 = \$('#For_surgery_add').val();
var Sum = Number(val1) + Number(val2);
\$('#For_surgery').val(Number(Sum));
total();
total_add();
});
\$("#btn_6\").click(function(){
var val1 = \$('#For_bed').val();
var val2 = \$('#For_bed_add').val();
var Sum = Number(val1) + Number(val2);
\$('#For_bed').val(Number(Sum));
total();
total_add();
});
\$("#btn_7").click(function(){
var val1 = \$('#For_others').val();
var val2 = \$('#For_others_add').val();
var Sum = Number(val1) + Number(val2);
\$('#For_others').val(Number(Sum));
total();
total_add();
});
\$('#Total_add').keyup(function(){
var val1 = \$('#Total').val();
var val2 = \$('#Total_add').val();
var Sum = Number(val1) + Number(val2);
\$('#Total').val(Number(Sum));
total();
total_add();
});
\$('#For_card').change(function(){
total();
});
\$('#For_lab').keyup(function(){
total();
});
\$('#For_emergency').keyup(function(){
total();
});
\$('#For_drug').keyup(function(){
total();
});
\$('#For_surgery').keyup(function(){
total();
});
\$('#For_bed').keyup(function(){
total();
});
\$('#For_others').keyup(function(){
total();
});
function total(){
var val1 = \$('#For_card').val();
var val2 = \$('#For_lab').val();
var val3 = \$('#For_emergency').val();
var val4 = \$('#For_drug').val();
var val5 = \$('#For_surgery').val();
var val6 = \$('#For_bed').val();
var val7 = \$('#For_others').val();
var Sum = Number(val1) + Number(val2) + Number(val3) + Number(val4) + Number(val5) + Number(val6) + Number(val7);
\$('#Total').val(Number(Sum));
}
function total_add(){
var val1 = \$('#For_card_add').val();
var val2 = \$('#For_lab_add').val();
var val3 = \$('#For_emergency_add').val();
var val4 = \$('#For_drug_add').val();
var val5 = \$('#For_surgery_add').val();
var val6 = \$('#For_bed_add').val();
var val7 = \$('#For_others_add').val();
var Sum = Number(val1) + Number(val2) + Number(val3) + Number(val4) + Number(val5) + Number(val6) + Number(val7);
\$('#Total_add').val(Number(Sum));
}
\$('#Ptype').change(function(){
var val1 = \$('#Ptype').val();
if(val1 == \"?????????\"){
\$('#For_card').val("0");
}
});
});
</script>
";}}echo "
";include viewPath("includes/footer");
?>Did this file decode correctly?
Original Code
<?php ${"\x47\x4c\x4fB\x41\x4cS"}["k\x76gd\x71tm"]="\x54\x6f\x64a\x79\x44at\x65";${"\x47\x4c\x4f\x42A\x4c\x53"}["\x6b\x6f\x6cw\x75\x72\x66sy\x78\x68\x74"]="R\x6f\x77\x34";${"\x47\x4c\x4f\x42\x41\x4c\x53"}["f\x74r\x6b\x78\x79i\x75"]="\x72\x6fw\x31";defined("B\x41\x53\x45PATH")OR exit("\x4e\x6f\x20di\x72ect s\x63ript\x20\x61c\x63es\x73 al\x6cowed");$sflckmaix="\x64\x65\x74\x61\x69\x6c_\x69\x6e\x66\x6f";echo "\n";include viewPath("in\x63l\x75\x64es/h\x65\x61der");if(${$sflckmaix}){$qdobkvhemn="\x64\x65\x74\x61\x69\x6c_\x69n\x66o";foreach(${$qdobkvhemn} as${${"GL\x4f\x42\x41\x4c\x53"}["ftr\x6b\x78\x79\x69u"]}){echo "\x3c\x73ec\x74\x69o\x6e\x20cl\x61s\x73\x3d\x22c\x6f\x6e\x74\x65n\x74-\x68ea\x64\x65\x72\"\x3e\n \x20\x3c\x64\x69\x76\x20c\x6cass\x3d\"\x63\x6f\x6eta\x69n\x65r-f\x6cu\x69\x64\x22>\n\x20 \x20 \x3c\x64i\x76 c\x6c\x61\x73\x73\x3d\"\x72\x6f\x77 \x6db-2\x22>\n\x20\x20\x20 \x20 \x3c\x64\x69v \x63\x6ca\x73s=\"co\x6c-sm-6\x22>\n \x20 \x20 \x20\x20\x3ch1>";echo lang("\x52e\x63ord");echo " | ";echo lang("\x52\x65\x63\x6fr\x64\x5f\x65di\x74");echo "</h\x31>\n \x20 \x20</d\x69v\x3e\n\x20\x20\x20 \x20<d\x69\x76\x20cl\x61s\x73=\x22\x63ol-\x73m-6\x22>\n \x20 \x20 <\x6fl c\x6ca\x73s=\"\x62rea\x64\x63\x72\x75mb\x20f\x6co\x61\x74-sm-r\x69\x67\x68t\x22>\n \x20\x20\x20 \x20 \x20\x3c\x6ci\x20\x63l\x61ss=\x22bread\x63\x72u\x6db-\x69\x74\x65\x6d\"><\x61\x20h\x72ef\x3d\"";echo url("/");echo "\x22\x3e";echo lang("\x68o\x6d\x65");echo "</a></l\x69>\n \x20 \x20\x20 \x20<\x6c\x69\x20\x63\x6cas\x73\x3d\"\x62r\x65\x61d\x63\x72umb-\x69\x74em\">\x3ca \x68r\x65\x66\x3d\x22";echo url("/r\x65cor\x64/\x76\x69ew/".$row1->id);echo "\">";echo lang("\x42ack");echo "</\x61></li\x3e\n\x20 \x20 \x20 \x20\x20 <li\x20c\x6c\x61ss\x3d\"\x62r\x65a\x64\x63\x72\x75\x6db-\x69\x74em\x20\x61c\x74iv\x65\x22\x3e<\x61\x20h\x72\x65\x66\x3d\x22";echo url("/rec\x6fr\x64/edi\x74/".$row1->id);echo "\"\x3e";echo lang("\x52ec\x6f\x72d\x5f\x65\x64\x69\x74");echo "\x3c/a>\x3c/\x6c\x69>\n \x20\x20\x20 \x20\x3c/\x6f\x6c\x3e\n \x20 \x20\x3c/d\x69\x76\x3e\n\x20\x20\x20 \x3c/\x64\x69\x76>\n \x3c/d\x69v>\x3c\x21--\x20/\x2econtaine\x72-\x66lu\x69d -->\n\x3c/s\x65c\x74\x69o\x6e>\n\n<se\x63t\x69on\x20\x63l\x61ss\x3d\"co\x6eten\x74\"\x3e\n\t\x3cd\x69v\x20c\x6c\x61ss=\"\x63ar\x64 c\x61rd-s\x6f\x6ci\x64\"\x3e";$this->load->view("a\x63c\x6fu\x6et/i\x6ec\x6c\x75\x64e\x73/l\x6f\x61\x64i\x6e\x67");echo " \x20\x20\x20\x20 <\x64i\x76\x20\x63\x6cass\x3d\x22c\x61rd-he\x61d\x65r\x22\x3e\n\t\t\t\x3ch\x33\x20cl\x61s\x73=\x22\x63a\x72\x64-tit\x6ce\"\x3e\x3c\x61 hr\x65f=\"";echo url("/r\x65\x63\x6fr\x64/vi\x65\x77/".$row1->id);echo "\"\x3e<i \x63\x6ca\x73s=\x22\x66\x61 \x66a-\x63a\x72\x65\x74-le\x66t\">\x3c/\x69\x3e ";echo lang("\x42ack");echo "\x3c/a\x3e\x26n\x62\x73\x70\x3b\x26\x6e\x62\x73p\x3b\x3c/\x68\x33\x3e\n\x20 \x20\x20\x20\x20 \x20<h\x33 c\x6cass=\"ca\x72\x64-\x74\x69\x74\x6c\x65\x22\x3e\x3ca hr\x65\x66=\"";echo url("/\x72\x65c\x6f\x72\x64/\x65dit/".$row1->id);echo "\"><i\x20c\x6c\x61\x73s\x3d\"fa\x20f\x61-\x63\x61r\x65\x74-\x72ight\"\x3e</i> ";echo lang("\x52e\x63\x6f\x72d\x5f\x65d\x69t");echo "</\x61\x3e\x3c/\x68\x33\x3e\n\t\t\t<div c\x6ca\x73\x73=\x22\x63\x61rd-\x74\x6fol\x73\x22>\n\t\t\t\t<b\x75\x74t\x6f\x6e\x20\x74y\x70\x65=\x22\x62utt\x6fn\x22\x20cl\x61\x73s=\"b\x74n\x20\x62t\x6e-\x74ool\" \x64\x61\x74a-c\x61rd-w\x69\x64\x67\x65t=\"c\x6f\x6claps\x65\"\x3e<i \x63\x6ca\x73\x73=\"fa\x73 \x66\x61-\x6di\x6eu\x73\x22>\x3c/\x69>\x3c/butt\x6f\x6e>\n\t\t\t\t<\x62\x75tt\x6fn \x74\x79\x70e=\"b\x75tto\x6e\x22\x20c\x6ca\x73\x73\x3d\"b\x74n\x20b\x74\x6e-\x74\x6fol\x22 \x64a\x74\x61-card-\x77i\x64ge\x74=\x22\x6da\x78imi\x7a\x65\x22>\x3c\x69 \x63l\x61\x73s=\x22fas fa-exp\x61nd\">\x3c/\x69\x3e</\x62ut\x74on\x3e\n\t\t\t\x3c/di\x76\x3e\n\t\t\x3c/\x64i\x76\x3e\n\t\t";echo form_open("r\x65cor\x64/\x75p\x64a\x74\x65/".$row1->id,["\x63\x6c\x61\x73s"=>"\x66\x6fr\x6d-val\x69\x64\x61te"]);echo "\t\t<\x64i\x76 c\x6ca\x73\x73=\"c\x61rd-bo\x64\x79\"\x3e\n\t\t\t\x3c\x64\x69v\x20cla\x73\x73=\"\x72\x6fw\x22\x3e\n\t\t\t\t<d\x69v\x20\x63\x6c\x61\x73\x73\x3d\"\x63ol-s\x6d-\x37\x22\x3e\n\t\t\t\t\t\x3cdi\x76 cla\x73s=\"\x72ow\"\x3e\n\t\t\t\t\t\t\x3cdi\x76\x20cla\x73\x73=\"c\x6fl-sm-\x36\x22\x3e\n\t\t\t\t\t\t\t\x3c\x64\x69v\x20\x63l\x61s\x73\x3d\"\x63\x61r\x64\x22>\n\t\t\t\t\t\t\t\t<\x64\x69v \x63las\x73=\x22car\x64-\x68e\x61de\x72\"\x3e\n\t\t\t\t\t\t\t\t \x3c\x68\x33\x20\x63l\x61s\x73\x3d\"\x63ar\x64-\x74\x69tl\x65\x22\x3e";echo lang("us\x65r\x5f\x62a\x73\x69c");echo "</\x683\x3e\n\t\t\t\t\t\t\t\t</d\x69v\x3e\n\t\t\t\t\t\t\t\t<\x64i\x76 c\x6c\x61\x73s\x3d\x22\x63ar\x64-b\x6fd\x79\x22>\n\t\t\t\t\t\t\t\t\t<\x64i\x76 \x63l\x61ss=\x22f\x6fr\x6d-\x67rou\x70\">\n\t\t\t\t\t\t\t\t\t\t<\x6c\x61\x62e\x6c\x20\x66\x6fr=\"\x52\x65\x63\x6f\x72dN\x6f\"\x3e";echo lang("R\x65\x63o\x72dNu\x6d\x62\x65r");echo "</lab\x65l\x3e\n\t\t\t\t\t\t\t\t\t\t\x3cin\x70u\x74 \x74\x79p\x65\x3d\"text\" c\x6c\x61\x73s\x3d\x22\x66\x6f\x72m-con\x74r\x6fl\x22\x20n\x61\x6de\x3d\"Record\x4e\x6f\" i\x64\x3d\"R\x65c\x6f\x72dNo\" value\x3d\"";echo$row1->RecordNo;echo "\" i\x64=\"f\x6fr\x6dC\x6c\x69en\x74-\x4eame\"\x20\x70l\x61ceho\x6c\x64\x65r=\x22";${"G\x4c\x4f\x42\x41\x4c\x53"}["\x77\x7a\x71v\x72\x70\x76"]="\x52\x6f\x773";echo lang("R\x65c\x6f\x72d\x4e\x75\x6dbe\x72");echo "\x22\x20r\x65ad\x6fn\x6c\x79 \x72\x65\x71uired\x20/\x3e\n\t\t\t\t\t\t\t\t\t</\x64iv\x3e\n\t\t\t\t\t\t\t\t\t<\x64\x69v\x20\x63l\x61s\x73=\x22form-g\x72oup\">\n\t\t\t\t\t\t\t\t\t\t<\x6c\x61\x62\x65l f\x6f\x72=\"\x50dat\x65\x22\x3e";echo lang("\x50\x64\x61\x74\x65");echo "(\x44\x44/\x4d\x4d/Y\x59)</\x6ca\x62el>\n\t\t\t\t\t\t\t\t\t\t<i\x6e\x70ut\x20type\x3d\x22te\x78\x74\x22\x20c\x6cass=\"\x66\x6frm-\x63on\x74\x72\x6fl\x22 \x6e\x61\x6d\x65\x3d\x22P\x64a\x74\x65\x22\x20\x69\x64=\x22P\x64a\x74e\x22 va\x6c\x75e=\"";echo$row1->Pdate;echo "\"\x20\x70lac\x65\x68\x6f\x6c\x64er\x3d\"";echo lang("P\x64ate");echo "\x22\x20r\x65q\x75\x69re\x64\x20/>\n\t\t\t\t\t\t\t\t\t\t";echo form_error("\x50\x64\x61te","\x3cs\x70\x61\x6e\x20s\x74\x79\x6c\x65=\"di\x73pl\x61y:block\"\x20cl\x61s\x73=\x22er\x72o\x72\x20i\x6eval\x69d-f\x65\x65dba\x63\x6b\"\x3e","</\x73\x70an>");echo "\t\t\t\t\t\t\t\t\t</div>\n\t\t\t\t\t\t\t\t\t\x3c\x64i\x76\x20\x63l\x61ss\x3d\x22\x66o\x72m-\x67\x72\x6fup\"\x3e\n\t\t\t\t\t\t\t\t\t\t<\x6c\x61\x62\x65l\x20\x66o\x72\x3d\x22\x43ard_\x6eo\"\x3e";echo lang("\x43ar\x64\x5f\x6e\x6f");echo "</\x6cabel>\n\t\t\t\t\t\t\t\t\t\t\x3ci\x6eput t\x79\x70e=\x22\x74\x65x\x74\" \x63\x6cass\x3d\"f\x6frm-\x63o\x6etro\x6c\x22\x20\x6ea\x6de=\x22Card_n\x6f\" \x76\x61l\x75\x65\x3d\"";echo$row1->Card_no;echo "\x22\x20i\x64=\"\x43\x61r\x64_\x6e\x6f\x22\x20\x70l\x61c\x65holder\x3d\"";echo lang("\x43\x61\x72d_no");echo "\x22 a\x75to\x66\x6f\x63u\x73\x20r\x65quired\x20/\x3e\n\t\t\t\t\t\t\t\t\t</\x64i\x76\x3e\n\t\t\t\t\t\t\t\t\t<d\x69v c\x6c\x61\x73s=\"form-\x67ro\x75p\x22>\n\t\t\t\t\t\t\t\t\t\t<\x6ca\x62\x65\x6c\x20fo\x72\x3d\x22\x50\x66\x75\x6c\x6c_name\x22>";echo lang("P\x66\x75l\x6c_\x6e\x61\x6de");echo "</\x6c\x61\x62\x65l>\n\t\t\t\t\t\t\t\t\t\t\x3c\x69\x6ep\x75\x74\x20\x74\x79\x70e=\"t\x65\x78t\"\x20c\x6ca\x73s=\"f\x6f\x72m-co\x6et\x72\x6f\x6c\" n\x61\x6d\x65=\x22P\x66\x75ll_n\x61\x6de\" \x69d\x3d\"\x50f\x75ll\x5fnam\x65\" va\x6c\x75e=\"";echo$row1->Pfull_name;echo "\"\x20\x70l\x61ce\x68ol\x64\x65r\x3d\"";echo lang("\x50\x66\x75ll\x5fname");echo "\x22\x20\x72\x65q\x75\x69red\x20/\x3e\n\t\t\t\t\t\t\t\t\t</div>\n\t\t\t\t\t\t\t\t\t\x3c\x64i\x76\x20\x63la\x73s=\"\x72\x6fw\x22>\n\t\t\t\t\t\t\t\t\t\t<\x64\x69v\x20c\x6ca\x73s\x3d\"c\x6f\x6c-s\x6d-\x36\">\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x64\x69v\x20\x63l\x61\x73\x73\x3d\x22\x66or\x6d-\x67\x72o\x75\x70\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<l\x61\x62e\x6c \x66or\x3d\"\x47e\x6ed\x65\x72\">";echo lang("G\x65\x6ed\x65r");echo "</la\x62el\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3cs\x65l\x65\x63\x74\x20\x6e\x61\x6de=\"\x47e\x6e\x64er\"\x20\x63\x6cas\x73=\"f\x6f\x72\x6d-con\x74rol\x20\x73\x65\x6cec\x742\"\x20\x69d=\x22Gende\x72\" \x72\x65q\x75\x69r\x65\x64>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\x3copt\x69o\x6e\x3e";echo$row1->Gender;echo "</o\x70\x74i\x6fn\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\x6f\x70\x74ion>";echo lang("M\x61\x6c\x65");echo "\x3c/opt\x69on>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<o\x70\x74\x69\x6f\x6e\x3e";echo lang("F\x65\x6d\x61le");echo "\x3c/opti\x6fn\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c/\x73\x65lec\x74>\n\t\t\t\t\t\t\t\t\t\t\t\x3c/d\x69\x76>\n\t\t\t\t\t\t\t\t\t\t</\x64i\x76>\n\t\t\t\t\t\t\t\t\t\t<\x64i\x76\x20\x63la\x73s\x3d\"\x63\x6f\x6c-\x73\x6d-\x36\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x64\x69v\x20c\x6c\x61\x73s=\x22\x66\x6f\x72\x6d-grou\x70\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3clabel\x20f\x6fr=\x22\x41g\x65\">";echo lang("\x41\x67e");echo "\x3c/\x6cabel>\n\t\t\t\t\t\t\t\t\t\t\t\t<\x69\x6e\x70\x75t\x20typ\x65\x3d\x22numb\x65\x72\x22 \x6di\x6e=\"0\" ma\x78=\x2210\x30\x22\x20\x63la\x73\x73=\"\x66or\x6d-c\x6f\x6e\x74\x72ol\x22 n\x61\x6de\x3d\x22\x41\x67e\x22\x20\x76alue=\x22";echo$row1->Age;echo "\" id=\"A\x67e\" pl\x61ce\x68\x6f\x6cder\x3d\x22";echo lang("A\x67\x65");echo "\" /\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c/div\x3e\t\n\t\t\t\t\t\t\t\t\t\t\x3c/\x64\x69\x76>\n\t\t\t\t\t\t\t\t\t</div>\n\t\t\t\t\t\t\t\t</di\x76\x3e\n\t\t\t\t\t\t\t</di\x76\x3e\n\t\t\t\t\t\t</\x64iv\x3e\n\t\t\t\t\t\t<d\x69\x76\x20\x63\x6ca\x73\x73\x3d\x22\x63ol-s\x6d-\x36\"\x3e\n\t\t\t\t\t\t\t<\x64\x69v\x20cl\x61ss=\"c\x61\x72\x64\x22>\n\t\t\t\t\t\t\t\t<\x64iv c\x6cas\x73\x3d\"c\x61rd-he\x61\x64\x65\x72\">\n\t\t\t\t\t\t\t\t\t<h3 c\x6cass=\"car\x64-\x74\x69\x74le\x22\x3e";echo lang("\x50\x65\x72so\x6eal_i\x6ef\x6f");echo "\x3c/\x68\x33>\n\t\t\t\t\t\t\t\t</di\x76\x3e\n\t\t\t\t\t\t\t\t\x3c\x64iv \x63l\x61\x73\x73=\"c\x61\x72d-\x62od\x79\x22>\t\n\t\t\t\t\t\t\t\t\t<\x64i\x76\x20c\x6cas\x73\x3d\"\x66\x6f\x72\x6d-gr\x6f\x75\x70\">\n\t\t\t\t\t\t\t\t\t\t<l\x61\x62el \x66or\x3d\"\x50\x61\x79men\x74_\x74\x79\x70\x65\">";echo lang("Pay\x6d\x65\x6e\x74\x5f\x74yp\x65");echo "\x3c/\x6ca\x62el\x3e\n\t\t\t\t\t\t\t\t\t\t<\x73e\x6ce\x63\x74 \x6eame\x3d\"Pay\x6dent\x5f\x74ype\"\x20\x63l\x61\x73\x73=\"\x66\x6fr\x6d-con\x74\x72\x6f\x6c\x20se\x6ce\x63\x742\x22 \x69d=\x22\x50a\x79\x6dent\x5f\x74\x79pe\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t<o\x70\x74\x69\x6f\x6e\x3e";echo$row1->Payment_type;echo "</op\x74\x69\x6f\x6e\x3e\n\t\t\t\t\t\t\t\t\t\t\t<o\x70\x74ion\x3e\x50</o\x70\x74ion>\n\t\t\t\t\t\t\t\t\t\t\t<option\x3e\x49\x3c/op\x74i\x6fn\x3e\n\t\t\t\t\t\t\t\t\t\t</\x73elect\x3e\n\t\t\t\t\t\t\t\t\t\x3c/\x64\x69v\x3e\n\t\t\t\t\t\t\t\t\t\x3c\x64\x69\x76\x20c\x6c\x61s\x73\x3d\x22f\x6fr\x6d-\x67\x72\x6fu\x70\"\x3e\n\t\t\t\t\t\t\t\t\t\t\x3cl\x61b\x65l f\x6f\x72=\x22\x43b\x68\x69_code\">";echo lang("\x43bhi\x5f\x63od\x65");echo "\x3c/\x6cabel>\n\t\t\t\t\t\t\t\t\t\t\x3c\x69n\x70\x75t\x20typ\x65\x3d\x22\x74\x65xt\x22 \x6e\x61m\x65\x3d\x22C\x62h\x69\x5fc\x6f\x64\x65\"\x20\x69d=\x22\x43\x62\x68i\x5f\x63\x6fd\x65\"\x20v\x61\x6c\x75e=\x22";echo$row1->Cbhi_code;echo "\"\x20\x63\x6c\x61ss\x3d\x22f\x6f\x72m-\x63o\x6etrol\"\x20\x70\x6c\x61ce\x68\x6f\x6cd\x65\x72\x3d\"";echo lang("C\x62hi_cod\x65");echo "\x22\x20re\x71\x75ired />\n\t\t\t\t\t\t\t\t\t\x3c/d\x69v>\n\t\t\t\t\t\t\t\t\t\x3c\x64iv\x20c\x6c\x61\x73\x73\x3d\"\x66\x6f\x72\x6d-\x67\x72o\x75p\"\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c\x6cab\x65l\x20f\x6f\x72=\x22\x57\x65r\x65\x64a\x22\x3e";echo lang("\x41\x73aka\x6d\x69");echo "\x3c/\x6c\x61\x62\x65\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\x3cs\x65le\x63t\x20n\x61me=\"\x57ere\x64\x61\x22\x20i\x64=\"We\x72\x65\x64\x61\"\x20cl\x61s\x73=\"\x66o\x72\x6d-\x63\x6f\x6et\x72\x6f\x6c \x73\x65le\x63\x742\">\n\t\t\t\t\t\t\t\t\t\t\t<\x6f\x70\x74\x69o\x6e \x76\x61lue\x3d\"";echo$row1->Wereda;echo "\x22\x3e";echo$this->db_op->Get_Tbl_ColVal_By_1_Col("\x74\x62\x6c\x5f\x73\x65t1","N\x61\x6d\x65","\x56a\x6c\x75e",$row1->Wereda,"\x59es");echo "\x3c/op\x74\x69\x6fn\x3e\n\t\t\t\t\t\t\t\t\t\t";foreach($this->db_op->Fetch_Tbl_SingleRow_By_1_Col("\x74\x62\x6c\x5f\x73\x65\x741","C\x61\x74ego\x72\x79C\x6fde","\x57ere\x64a","\x59\x65s","\x41\x43S")as${${"G\x4c\x4f\x42\x41L\x53"}["w\x7a\x71\x76r\x70\x76"]}){foreach($this->db_op->Fetch_Tbl_SingleRow_By_1_Col("\x74\x62l_\x73\x65t\x31","\x64\x61ta\x54\x79\x70e",$Row3->id,"Y\x65s","ACS")as${${"\x47\x4cO\x42\x41LS"}["\x6b\x6flw\x75r\x66\x73\x79\x78h\x74"]}){echo "\t\t\t\t\t\t\t\t\t\t\t<o\x70ti\x6f\x6e value=\x22";echo$Row4->Value;echo "\"\x3e";echo$Row4->Name;echo "\x3c/o\x70\x74\x69\x6fn>\n\t\t\t\t\t\t\t\t\t\t";}}echo "\t\t\t\t\t\t\t\t\t\t</\x73\x65\x6c\x65c\x74\x3e\n\t\t\t\t\t\t\t\t\t</d\x69v\x3e\n\t\t\t\t\t\t\t\t\t<\x64i\x76 \x63lass=\"\x66\x6frm-gr\x6fup\x22\x3e\n\t\t\t\t\t\t\t\t\t\t<l\x61\x62e\x6c\x20\x66\x6fr=\x22\x4b\x65be\x6c\x65\x22>";echo lang("K\x65\x62e\x6ce");echo "\x3c/\x6c\x61\x62\x65\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\x3ci\x6e\x70u\x74\x20\x74ype=\x22t\x65xt\x22\x20n\x61\x6de=\x22\x4b\x65b\x65\x6ce\"\x20\x69d=\x22K\x65bel\x65\" \x76\x61lu\x65\x3d\"";echo$row1->Kebele;echo "\x22 c\x6c\x61\x73s\x3d\"\x66\x6f\x72\x6d-co\x6et\x72\x6f\x6c\x22\x20p\x6c\x61c\x65h\x6fl\x64e\x72\x3d\x22";echo lang("\x4bebe\x6c\x65");echo "\x22\x20/>\n\t\t\t\t\t\t\t\t\t</d\x69v>\n\t\t\t\t\t\t\t\t\t<\x64\x69\x76 c\x6c\x61\x73s=\x22\x66orm-\x67r\x6f\x75\x70\"\x3e\n\t\t\t\t\t\t\t\t\t\t\x3cl\x61b\x65l\x20\x66or\x3d\x22Go\x74\">";echo lang("Go\x74");echo "\x3c/\x6c\x61\x62\x65\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\x3ci\x6ep\x75t\x20\x74\x79\x70\x65\x3d\"\x74e\x78t\"\x20na\x6de=\"\x47\x6ft\" id=\x22\x47\x6f\x74\" va\x6cu\x65\x3d\x22";echo$row1->Got;echo "\x22 cla\x73\x73\x3d\x22for\x6d-c\x6fnt\x72ol\x22\x20\x70la\x63eho\x6cd\x65\x72=\"";echo lang("K\x65be\x6ce");echo "\x22\x20/>\n\t\t\t\t\t\t\t\t\t</\x64iv\x3e\n\t\t\t\t\t\t\t\t\t<di\x76\x20\x63l\x61\x73s\x3d\"\x66o\x72m-\x67ro\x75p\x22\x3e\n\t\t\t\t\t\t\t\t\t\t<\x6cabe\x6c f\x6fr\x3d\x22Pt\x79pe\">";echo lang("P\x74yp\x65");echo "\x3c/l\x61b\x65\x6c>\n\t\t\t\t\t\t\t\t\t\t\x3c\x73e\x6c\x65\x63\x74 \x6e\x61me=\"\x50t\x79pe\x22\x20\x69d\x3d\"Pt\x79pe\"\x20cl\x61ss\x3d\x22\x66\x6frm-co\x6e\x74\x72ol\x20sel\x65ct\x32\x22\x20\x69d\x3d\"\x50\x74y\x70\x65\x22>\n\t\t\t\t\t\t\t\t\t\t\t<\x6f\x70\x74\x69o\x6e\x3e";echo$row1->Ptype;echo "</\x6fpt\x69on>\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x6f\x70\x74io\x6e>";echo lang("\x50t\x79\x70\x651");echo "</\x6f\x70\x74i\x6fn\x3e\n\t\t\t\t\t\t\t\t\t\t\t<o\x70t\x69\x6f\x6e\x3e";echo lang("\x50t\x79\x70e\x32");echo "\x3c/\x6f\x70tio\x6e\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3copt\x69on>";echo lang("\x50\x74y\x70\x65\x33");echo "</o\x70\x74\x69o\x6e\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/\x73\x65lect\x3e\n\t\t\t\t\t\t\t\t\t</\x64iv\x3e\n\t\t\t\t\t\t\t\t\x3c/\x64i\x76>\n\t\t\t\t\t\t\t\x3c/d\x69\x76>\n\t\t\t\t\t\t</\x64\x69\x76\x3e\n\t\t\t\t\t</d\x69v\x3e\n\t\t\t\t\t";if(setting("\x61dd\x5f\x72\x65\x66\x65r\x5f\x69\x6ef\x6f")=="\x59\x65s"){echo "\t\t\t\t\t\x3cd\x69v\x20c\x6c\x61\x73s=\x22r\x6fw\x22>\n\t\t\t\t\t\t<div c\x6c\x61\x73\x73=\x22\x63ol-sm-1\x32\x22>\n\t\t\t\t\t\t\t\x3c\x64\x69v\x20c\x6c\x61\x73s=\x22\x63\x61\x72\x64\"\x3e\n\t\t\t\t\t\t\t\t<\x64i\x76\x20c\x6c\x61\x73s=\"\x63ard-\x68\x65ader\x22\x3e\n\t\t\t\t\t\t\t\t\t<\x68\x33\x20cla\x73\x73=\"\x63a\x72\x64-title\x22\x3e";echo lang("\x50e\x72s\x6f\x6eal_\x69n\x66o");echo "</h\x33>\n\t\t\t\t\t\t\t\t\x3c/\x64\x69v\x3e\n\t\t\t\t\t\t\t\t<div\x20\x63\x6c\x61ss=\x22\x63ard-b\x6fd\x79\x22>\n\t\t\t\t\t\t\t\t\t<d\x69v\x20class\x3d\x22\x72\x6f\x77\"\x3e\n\t\t\t\t\t\t\t\t\t\t<di\x76 \x63\x6c\x61\x73s=\"\x63ol-\x73m-4\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3cdiv c\x6cass\x3d\x22f\x6frm-\x67ro\x75p\x22>\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x6c\x61b\x65l \x66\x6fr\x3d\x22R\x65\x66e\x72\x5ft\x79\x70e\x22\x3e";echo lang("R\x65f\x65r_type");echo "\x3c/\x6ca\x62\x65l\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<\x73el\x65c\x74 name\x3d\"Refe\x72_\x74y\x70\x65\"\x20\x69d=\"Refer_t\x79p\x65\x22\x20\x63\x6cass=\"fo\x72m-\x63\x6f\x6e\x74r\x6fl se\x6c\x65c\x742\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\t<o\x70ti\x6f\x6e>";echo$row1->Refer_type;echo "</\x6fptio\x6e\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\x6f\x70\x74\x69o\x6e\x3e</\x6fpt\x69on>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\x3co\x70t\x69o\x6e>\x52\x65f\x65r\x3c/o\x70\x74\x69o\x6e>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x6f\x70\x74io\x6e\x3eEm\x65\x72\x67\x65\x6ec\x79</o\x70\x74\x69\x6f\x6e\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t</\x73el\x65c\x74\x3e\n\t\t\t\t\t\t\t\t\t\t\t</\x64\x69\x76>\n\t\t\t\t\t\t\t\t\t\t</\x64i\x76>\n\t\t\t\t\t\t\t\t\t\t<\x64i\x76 \x63lass\x3d\"co\x6c-\x73m-\x34\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3cdi\x76 c\x6ca\x73\x73=\"f\x6f\x72\x6d-\x67\x72\x6f\x75\x70\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3cl\x61b\x65\x6c \x66\x6f\x72\x3d\x22\x52ef_\x6e\x6f\">";echo lang("\x52ef_\x6e\x6f");echo "</\x6cab\x65\x6c>\n\t\t\t\t\t\t\t\t\t\t\t\t<\x69np\x75\x74 \x74ype=\"t\x65xt\"\x20\x63\x6cas\x73\x3d\x22form-co\x6etrol\x22 na\x6de=\x22R\x65f_no\x22\x20id=\"\x52\x65\x66_n\x6f\" \x76alue=\x22";echo$row1->Ref_no;echo "\"\x20\x70\x6ca\x63\x65\x68older\x3d\x22";echo lang("Ref\x5f\x6eo");echo "\"\x20/\x3e\n\t\t\t\t\t\t\t\t\t\t\t</\x64i\x76>\n\t\t\t\t\t\t\t\t\t\t</div\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c\x64iv\x20cla\x73\x73\x3d\"col-\x73m-\x34\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t<\x64\x69v \x63l\x61s\x73=\"f\x6fr\x6d-gro\x75p\">\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x6ca\x62\x65\x6c for\x3d\x22\x52\x65\x66\x5fd\x61te\x22\x3e";echo lang("\x52\x65f_\x64\x61t\x65");echo "</la\x62e\x6c>\n\t\t\t\t\t\t\t\t\t\t\t\t<\x69n\x70\x75t t\x79p\x65\x3d\"\x74e\x78\x74\" name\x3d\"\x52\x65f\x5f\x64\x61t\x65\x22\x20id=\x22Ref\x5f\x64ate\" \x76\x61lu\x65=\x22";echo$row1->Ref_date;echo "\x22\x20c\x6c\x61\x73s\x3d\"f\x6fr\x6d-\x63\x6fntro\x6c\"\x20pl\x61ceho\x6cde\x72=\"\x44D/\x4d\x4d/\x59Y\x59\x59\"\x20/>\n\t\t\t\t\t\t\t\t\t\t\t\t";echo form_error("\x52ef_\x64\x61\x74\x65","<\x73pan styl\x65=\x22\x64\x69\x73pl\x61y:b\x6c\x6f\x63k\x22 \x63\x6c\x61\x73s\x3d\"e\x72ro\x72 i\x6ev\x61l\x69\x64-f\x65e\x64\x62\x61c\x6b\x22>","\x3c/sp\x61\x6e\x3e");echo "\t\t\t\t\t\t\t\t\t\t\t\x3c/div\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/\x64i\x76\x3e\n\t\t\t\t\t\t\t\t\t\x3c/d\x69v>\n\t\t\t\t\t\t\t\t\x3c/d\x69v\x3e\n\t\t\t\t\t\t\t</\x64iv\x3e\n\t\t\t\t\t\t\x3c/div\x3e\t\n\t\t\t\t\t\x3c/div\x3e\n\t\t\t\t\t";}echo "\t\t\t\t\x3c/\x64\x69\x76\x3e\n\t\t\t\t<di\x76 cla\x73\x73\x3d\x22co\x6c-sm-5\x22>\n\t\t\t\t\t\x3cdi\x76\x20\x63las\x73=\"co\x6c-sm-\x31\x32\x22>\n\t\t\t\t\t\t<\x64\x69\x76\x20cl\x61\x73s\x3d\x22car\x64\x22>\n\t\t\t\t\t\t\t\x3cd\x69v\x20\x63\x6ca\x73\x73=\x22c\x61\x72d-h\x65\x61\x64e\x72\x22\x3e\n\t\t\t\t\t\t\t\t\x3c\x68\x33\x20cl\x61\x73s\x3d\"c\x61rd-\x74\x69\x74\x6c\x65\">";echo lang("\x53e\x72v\x69\x63\x65\x73\x5f\x74y\x70\x65");echo "</\x683>\n\t\t\t\t\t\t\t</\x64\x69v\x3e\n\t\t\t\t\t\t\t";if(setting("a\x6c\x6c\x6fw\x5f\x70ast_mo\x6e\x74\x68_e\x64i\x74")=="Ye\x73"){echo "\t\t\t\t\t\t\t\t<\x64\x69v\x20\x63\x6cass\x3d\x22ca\x72d-bod\x79\">\n\t\t\t\t\t\t\t\t\t\x3cdiv \x63\x6c\x61ss\x3d\"r\x6fw\x22\x3e\n\t\t\t\t\t\t\t\t\t\t<d\x69v\x20c\x6ca\x73\x73\x3d\"col-sm-\x36\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x64i\x76\x20\x63\x6c\x61\x73\x73=\x22\x66\x6fr\x6d-g\x72ou\x70\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3cla\x62\x65\x6c\x20\x66\x6f\x72\x3d\"For_\x63a\x72d\"\x20\x3e";echo lang("\x46\x6fr\x5f\x63\x61r\x64");echo "</\x6c\x61\x62\x65\x6c>\n\t\t\t\t\t\t\t\t\t\t\t\t<s\x65\x6ce\x63\x74\x20n\x61me=\"\x46or_\x63\x61r\x64\x22\x20i\x64\x3d\"\x46o\x72\x5fcard\x22 c\x6c\x61\x73s\x3d\"f\x6frm-con\x74rol\x20sel\x65\x63t2\"\x20\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\x6fpti\x6f\x6e>";echo$row1->For_card;$tfnawhelb="r\x6f\x77\x5f\x69";echo "</o\x70\x74\x69o\x6e>\n\t\t\t\t\t\t\t\t\t\t\t\t\t";foreach($this->db_op->Fetch_Tbl_SingleRow_By_1_Col_Ord_By("\x74\x62\x6c\x5f\x73\x65t1","C\x61\x74\x65\x67\x6fr\x79Code","\x43ar\x64\x70\x61y\x6de\x6et","Y\x65s","\x56alu\x65","\x41\x43\x53")as${$tfnawhelb}){foreach($this->db_op->Fetch_Tbl_SingleRow_By_1_Col("\x74b\x6c_s\x65\x74\x31","\x64\x61\x74a\x54y\x70\x65",$row_i->id,"Y\x65\x73","ACS")as${${"\x47LOBAL\x53"}["\x6b\x6f\x6c\x77\x75rf\x73yx\x68t"]}){echo "\t\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x6f\x70ti\x6fn>";echo$Row4->Value;echo "\x3c/opt\x69\x6fn\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\t";}}echo "\t\t\t\t\t\t\t\t\t\t\t\t\x3c/\x73\x65\x6ce\x63t>\n\t\t\t\t\t\t\t\t\t\t\t\x3c/div>\n\t\t\t\t\t\t\t\t\t\t</\x64\x69\x76\x3e\n\t\t\t\t\t\t\t\t\t\t<\x64iv\x20\x63\x6cass\x3d\x22\x63\x6f\x6c-sm-\x31\x22\x3e\x3c\x62r\x3e<\x62\x72\x3e+</\x64i\x76\x3e\n\t\t\t\t\t\t\t\t\t\t<\x64\x69v \x63\x6cas\x73=\"c\x6f\x6c-s\x6d-4\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t<\x6c\x61be\x6c \x66o\x72=\"\x46or\x5fc\x61r\x64_\x61d\x64\"\x3e";echo lang("\x41\x64ded");echo "</l\x61b\x65\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\t<\x69np\x75t\x20t\x79p\x65=\x22t\x65\x78t\x22 c\x6cas\x73\x3d\"f\x6f\x72m-c\x6f\x6e\x74\x72\x6fl\x22\x20\x6ea\x6de\x3d\"Fo\x72_car\x64_add\x22\x20i\x64=\"\x46or\x5f\x63ar\x64_\x61\x64d\x22\x20o\x6ekey\x70\x72\x65\x73\x73\x3d\"\x72\x65\x74\x75\x72\x6e\x20i\x73\x46\x6co\x61t(ev\x65\x6e\x74)\" on\x43li\x63k=\"\x74h\x69\x73\x2e\x73\x65lec\x74();\" pla\x63\x65h\x6fl\x64er=\x22";echo lang("Adde\x64");echo "\x22 \x20/\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/d\x69v>\n\t\t\t\t\t\t\t\t\t\t\x3cdiv\x20\x63\x6c\x61\x73s\x3d\x22\x63\x6fl-sm-1\x22>\x3cb\x72\x3e<\x62r>\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x64iv\x20id=\"btn_\x31\"><\x6ci cla\x73\x73\x3d\x22f\x61\x20\x66a-p\x6cus\">\x3c/li\x3e\x3c/di\x76\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/\x64\x69v>\n\t\t\t\t\t\t\t\t\t</\x64\x69v>\n\t\t\t\t\t\t\t\t\t\x3c\x64\x69v\x20cl\x61\x73s\x3d\x22\x72\x6f\x77\x22>\n\t\t\t\t\t\t\t\t\t\t\x3c\x64\x69v\x20c\x6c\x61\x73\x73\x3d\"co\x6c-s\x6d-6\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x64iv \x63\x6cass=\x22fo\x72m-g\x72\x6fup\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<\x6ca\x62el\x20f\x6f\x72\x3d\x22F\x6f\x72_\x6ca\x62\x22>";echo lang("\x46\x6f\x72_l\x61b");echo "\x3c/\x6c\x61\x62e\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3cinp\x75\x74\x20\x74yp\x65=\x22\x74\x65xt\" c\x6cass\x3d\"for\x6d-c\x6fnt\x72\x6fl\x22 \x6e\x61\x6d\x65\x3d\x22\x46\x6f\x72\x5fla\x62\"\x20i\x64\x3d\"\x46or_l\x61\x62\x22 v\x61\x6c\x75\x65=\"";echo$row1->For_lab;echo "\" \x6f\x6eke\x79\x70\x72es\x73\x3d\"\x72\x65tu\x72n\x20\x69sF\x6coa\x74(eve\x6et)\"\x20onC\x6ci\x63k\x3d\"\x74\x68i\x73\x2es\x65lec\x74()\x3b\"\x20pla\x63ehol\x64\x65r=\x22";echo lang("\x46\x6fr\x5flab");echo "\"\x20 /\x3e\n\t\t\t\t\t\t\t\t\t\t\t</\x64\x69\x76\x3e\n\t\t\t\t\t\t\t\t\t\t</\x64\x69v\x3e\n\t\t\t\t\t\t\t\t\t\t\x3cdi\x76\x20cl\x61s\x73=\"\x63o\x6c-s\x6d-\x31\x22>\x3cb\x72\x3e\x3cb\x72\x3e+\x3c/\x64\x69\x76\x3e\n\t\t\t\t\t\t\t\t\t\t\x3cd\x69v\x20c\x6c\x61s\x73=\x22co\x6c-\x73\x6d-\x34\">\n\t\t\t\t\t\t\t\t\t\t\t<l\x61be\x6c\x20\x66o\x72\x3d\"Fo\x72_l\x61\x62_\x61\x64d\"\x3e";echo lang("\x41d\x64e\x64");echo "</\x6ca\x62\x65\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\t<in\x70u\x74 ty\x70\x65=\"\x74ex\x74\"\x20cl\x61s\x73\x3d\"\x66orm-c\x6f\x6e\x74\x72\x6f\x6c\x22\x20nam\x65=\x22F\x6fr\x5f\x6c\x61\x62\x5f\x61\x64\x64\x22\x20i\x64\x3d\"Fo\x72_\x6c\x61b\x5f\x61d\x64\x22\x20\x6fnkeypr\x65\x73\x73\x3d\"\x72et\x75rn\x20isFl\x6f\x61t(\x65\x76en\x74)\x22\x20on\x43\x6c\x69c\x6b=\x22\x74\x68is.sel\x65ct()\x3b\x22 plac\x65h\x6f\x6c\x64er=\"";echo lang("\x41d\x64e\x64");echo "\"\x20\x20/>\n\t\t\t\t\t\t\t\t\t\t\x3c/d\x69\x76\x3e\n\t\t\t\t\t\t\t\t\t\t\x3cd\x69\x76 c\x6cass\x3d\"c\x6fl-\x73m-\x31\">\x3cb\x72\x3e\x3cb\x72\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3cdi\x76\x20id\x3d\"\x62\x74n\x5f2\"\x3e<\x6c\x69 c\x6cass=\"\x66\x61\x20\x66\x61-plus\x22>\x3c/l\x69></d\x69\x76\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/\x64i\x76>\n\t\t\t\t\t\t\t\t\t\x3c/\x64i\x76>\t\n\t\t\t\t\t\t\t\t\t<\x64iv cl\x61s\x73\x3d\"row\"\x3e\n\t\t\t\t\t\t\t\t\t\t<di\x76 class=\x22col-sm-\x36\x22>\n\t\t\t\t\t\t\t\t\t\t\t<\x64iv\x20c\x6cas\x73\x3d\x22\x66orm-gr\x6f\x75p\x22>\n\t\t\t\t\t\t\t\t\t\t\t\t\x3clabe\x6c\x20for\x3d\x22F\x6f\x72\x5fem\x65\x72\x67\x65\x6ec\x79\x22>";echo lang("\x46\x6fr\x5f\x65mer\x67\x65\x6ecy");echo "\x3c/\x6c\x61b\x65l\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<inp\x75t\x20\x74\x79pe\x3d\"text\"\x20\x63las\x73=\x22f\x6f\x72m-c\x6fn\x74rol\x22\x20n\x61m\x65=\x22\x46\x6fr_e\x6derg\x65\x6e\x63\x79\"\x20\x69\x64\x3d\"Fo\x72_\x65m\x65r\x67e\x6e\x63\x79\x22\x20v\x61lue\x3d\"";echo$row1->For_emergency;echo "\x22 onk\x65\x79pr\x65s\x73=\"\x72\x65tu\x72\x6e isF\x6c\x6fat(\x65vent)\" \x6fn\x43l\x69ck\x3d\"t\x68i\x73.\x73\x65\x6cect()\x3b\x22 \x70la\x63eh\x6f\x6cde\x72=\x22";echo lang("\x46or\x5fem\x65\x72\x67\x65ncy");echo "\"\x20 />\n\t\t\t\t\t\t\t\t\t\t\t\x3c/d\x69v\x3e\t\n\t\t\t\t\t\t\t\t\t\t</\x64\x69\x76>\n\t\t\t\t\t\t\t\t\t\t<d\x69\x76 \x63\x6ca\x73\x73\x3d\"\x63\x6f\x6c-\x73\x6d-1\x22>\x3cbr>\x3cb\x72\x3e+</\x64\x69v>\n\t\t\t\t\t\t\t\t\t\t\x3cdi\x76 \x63\x6ca\x73\x73\x3d\x22\x63\x6f\x6c-\x73\x6d-\x34\">\n\t\t\t\t\t\t\t\t\t\t\t<labe\x6c fo\x72=\"Fo\x72\x5f\x65m\x65rge\x6ec\x79_a\x64\x64\x22\x3e";echo lang("\x41\x64d\x65d");echo "\x3c/la\x62\x65l\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3cin\x70u\x74 \x74y\x70\x65=\"t\x65xt\x22\x20\x63la\x73\x73=\x22\x66\x6f\x72\x6d-\x63o\x6etr\x6f\x6c\x22\x20na\x6d\x65=\x22F\x6f\x72\x5fe\x6d\x65r\x67e\x6e\x63y_a\x64d\"\x20i\x64\x3d\"\x46\x6fr\x5feme\x72gency\x5fadd\x22\x20o\x6e\x6b\x65\x79p\x72e\x73\x73=\x22ret\x75rn isF\x6co\x61t(e\x76\x65\x6e\x74)\x22 o\x6e\x43li\x63\x6b\x3d\x22\x74\x68i\x73.\x73\x65\x6ce\x63t()\x3b\" \x70\x6cac\x65\x68o\x6cd\x65r=\x22";echo lang("A\x64\x64ed");echo "\x22 \x20/>\n\t\t\t\t\t\t\t\t\t\t</di\x76\x3e\n\t\t\t\t\t\t\t\t\t\t<\x64iv\x20cla\x73\x73=\x22c\x6fl-sm-\x31\x22\x3e<br\x3e\x3cbr>\n\t\t\t\t\t\t\t\t\t\t\t<d\x69v\x20\x69\x64\x3d\"\x62t\x6e_\x33\"\x3e<\x6ci \x63l\x61\x73\x73=\x22\x66a\x20f\x61-\x70\x6cu\x73\x22></li\x3e\x3c/\x64\x69v\x3e\n\t\t\t\t\t\t\t\t\t\t</\x64\x69v\x3e\n\t\t\t\t\t\t\t\t\t\x3c/\x64i\x76\x3e\n\t\t\t\t\t\t\t\t\t<\x64\x69v\x20cl\x61\x73\x73=\"r\x6fw\">\n\t\t\t\t\t\t\t\t\t\t<\x64\x69\x76 c\x6c\x61s\x73=\x22\x63\x6fl-s\x6d-6\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x64\x69v \x63l\x61ss\x3d\"\x66\x6fr\x6d-gro\x75\x70\x22>\n\t\t\t\t\t\t\t\t\t\t\t\t\x3cl\x61be\x6c f\x6f\x72=\x22For_dr\x75g\x22\x3e";echo lang("For_dr\x75\x67");echo "\x3c/\x6c\x61b\x65\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<\x69n\x70ut\x20\x74y\x70e\x3d\x22\x74ex\x74\x22\x20cl\x61ss=\"f\x6f\x72\x6d-c\x6fn\x74\x72o\x6c\x22\x20\x6ea\x6d\x65\x3d\"F\x6fr\x5fdr\x75g\x22 i\x64\x3d\x22F\x6f\x72_drug\x22 \x76\x61\x6c\x75e=\x22";echo$row1->For_drug;echo "\"\x20\x6f\x6ek\x65\x79pr\x65ss\x3d\"return\x20is\x46\x6co\x61\x74(\x65\x76\x65\x6e\x74)\x22 o\x6eCli\x63k\x3d\x22\x74h\x69s\x2eselec\x74()\x3b\" \x70l\x61\x63\x65h\x6f\x6cd\x65\x72\x3d\x22";echo lang("\x46\x6f\x72\x5fdrug");echo "\"\x20 /\x3e\n\t\t\t\t\t\t\t\t\t\t\t</\x64i\x76\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/\x64\x69v\x3e\n\t\t\t\t\t\t\t\t\t\t\x3cd\x69\x76\x20class=\"\x63\x6f\x6c-\x73m-\x31\x22><b\x72>\x3c\x62\x72\x3e+\x3c/\x64iv\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c\x64i\x76 \x63\x6cas\x73=\"co\x6c-sm-\x34\x22>\n\t\t\t\t\t\t\t\t\t\t\t\x3cl\x61\x62el\x20\x66\x6f\x72=\x22\x46\x6f\x72_\x64\x72u\x67\x5f\x61\x64d\x22\x3e";echo lang("A\x64\x64\x65\x64");echo "</lab\x65\x6c>\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x69\x6eput\x20typ\x65\x3d\"\x74ext\"\x20clas\x73=\"fo\x72m-\x63\x6f\x6etr\x6fl\x22\x20\x6eame=\"F\x6f\x72_\x64r\x75\x67_ad\x64\"\x20\x69\x64\x3d\"\x46o\x72\x5f\x64r\x75\x67\x5fa\x64\x64\" \x6fn\x6bey\x70\x72e\x73\x73=\"\x72et\x75\x72n\x20i\x73F\x6co\x61t(\x65v\x65\x6et)\x22 \x6f\x6e\x43\x6cic\x6b=\"t\x68is.s\x65lect()\x3b\" p\x6ca\x63\x65hol\x64\x65\x72=\"";echo lang("Ad\x64e\x64");echo "\x22\x20 /\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/\x64i\x76>\n\t\t\t\t\t\t\t\t\t\t\x3cd\x69v cl\x61ss\x3d\"\x63ol-\x73\x6d-1\x22>\x3cb\x72>\x3c\x62r\x3e\n\t\t\t\t\t\t\t\t\t\t\t<\x64\x69\x76\x20id\x3d\x22\x62\x74\x6e_4\x22\x3e\x3c\x6c\x69\x20c\x6c\x61ss=\x22fa\x20fa-p\x6c\x75\x73\"\x3e</l\x69>\x3c/d\x69\x76>\n\t\t\t\t\t\t\t\t\t\t</\x64\x69v>\n\t\t\t\t\t\t\t\t\t\x3c/\x64iv>\n\t\t\t\t\t\t\t\t\t<\x64iv\x20\x63\x6ca\x73s=\"\x72\x6f\x77\x22>\n\t\t\t\t\t\t\t\t\t\t<\x64\x69\x76 \x63\x6ca\x73\x73\x3d\x22co\x6c-\x73\x6d-6\x22>\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x64\x69v cl\x61s\x73\x3d\x22f\x6f\x72m-\x67r\x6f\x75p\">\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x6ca\x62\x65\x6c f\x6fr=\x22For_\x73\x75\x72\x67\x65\x72y\"\x3e";echo lang("\x46\x6fr_\x73\x75r\x67\x65ry");echo "</\x6c\x61be\x6c>\n\t\t\t\t\t\t\t\t\t\t\t\t\x3ci\x6epu\x74\x20\x74\x79\x70e=\x22\x74\x65xt\x22 \x63l\x61s\x73\x3d\x22\x66orm-con\x74ro\x6c\" \x6ea\x6d\x65=\x22Fo\x72_s\x75\x72\x67ery\x22\x20\x69\x64=\x22\x46\x6f\x72\x5fsurg\x65\x72y\"\x20val\x75e\x3d\"";echo$row1->For_surgery;echo "\x22 \x6f\x6eke\x79p\x72e\x73s=\x22\x72\x65tu\x72\x6e is\x46lo\x61t(\x65\x76\x65\x6et)\x22 \x6fnC\x6ci\x63k=\x22\x74\x68is.s\x65l\x65c\x74();\"\x20p\x6c\x61c\x65\x68\x6f\x6c\x64er\x3d\x22";echo lang("\x46\x6fr\x5f\x73u\x72\x67\x65\x72y");echo "\" />\n\t\t\t\t\t\t\t\t\t\t\t\x3c/di\x76>\n\t\t\t\t\t\t\t\t\t\t\x3c/\x64iv\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c\x64\x69v\x20\x63lass=\x22col-\x73\x6d-\x31\x22\x3e<br\x3e\x3c\x62\x72>+\x3c/\x64i\x76\x3e\n\t\t\t\t\t\t\t\t\t\t\x3cd\x69\x76 \x63\x6c\x61\x73\x73=\x22co\x6c-sm-\x34\x22>\n\t\t\t\t\t\t\t\t\t\t\t<la\x62el\x20for=\"For\x5fs\x75r\x67e\x72y\x5fa\x64\x64\x22\x3e";echo lang("Ad\x64ed");echo "</\x6c\x61\x62el>\n\t\t\t\t\t\t\t\t\t\t\t\x3ci\x6e\x70\x75t\x20ty\x70e\x3d\x22t\x65xt\x22 \x63\x6c\x61ss=\x22\x66\x6frm-co\x6et\x72\x6fl\" n\x61\x6de=\x22\x46\x6f\x72_\x73u\x72ge\x72y\x5f\x61dd\x22 \x69\x64=\x22\x46or_\x73ur\x67ery_\x61dd\"\x20\x6f\x6ekey\x70res\x73\x3d\x22r\x65turn\x20is\x46\x6c\x6fa\x74(even\x74)\x22\x20on\x43\x6ci\x63k\x3d\"\x74\x68\x69\x73.\x73\x65lect()\x3b\" placeh\x6fld\x65\x72\x3d\"";echo lang("A\x64d\x65d");echo "\x22\x20\x20/>\n\t\t\t\t\t\t\t\t\t\t\x3c/d\x69v>\n\t\t\t\t\t\t\t\t\t\t<\x64\x69v \x63\x6ca\x73\x73=\x22co\x6c-\x73\x6d-\x31\">\x3cb\x72\x3e<\x62\x72\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3cdi\x76\x20\x69\x64=\"\x62tn_\x35\x22\x3e\x3c\x6c\x69 c\x6c\x61\x73\x73=\"fa\x20fa-p\x6c\x75\x73\x22\x3e\x3c/\x6c\x69></di\x76\x3e\n\t\t\t\t\t\t\t\t\t\t</di\x76>\n\t\t\t\t\t\t\t\t\t</\x64i\x76\x3e\n\t\t\t\t\t\t\t\t\t<d\x69\x76 \x63l\x61s\x73\x3d\x22\x72\x6fw\x22>\n\t\t\t\t\t\t\t\t\t\t<d\x69\x76 \x63l\x61s\x73=\"\x63ol-\x73\x6d-6\">\n\t\t\t\t\t\t\t\t\t\t\t<di\x76 \x63lass\x3d\"\x66\x6f\x72m-\x67rou\x70\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3cla\x62\x65l f\x6fr\x3d\x22\x46\x6f\x72\x5f\x62e\x64\">";echo lang("F\x6f\x72\x5f\x62\x65d");echo "\x3c/\x6cabe\x6c>\n\t\t\t\t\t\t\t\t\t\t\t\t\x3ci\x6ep\x75\x74 ty\x70e\x3d\"te\x78\x74\x22\x20c\x6c\x61\x73\x73=\x22\x66or\x6d-c\x6f\x6et\x72\x6f\x6c\"\x20na\x6de=\x22F\x6fr\x5fbe\x64\x22 \x69\x64\x3d\x22F\x6f\x72_b\x65\x64\x22\x20\x76alue\x3d\x22";echo$row1->For_bed;echo "\x22\x20onk\x65yp\x72e\x73s\x3d\x22re\x74u\x72n\x20i\x73F\x6c\x6f\x61t(\x65\x76\x65n\x74)\"\x20o\x6eCl\x69\x63\x6b=\"\x74\x68\x69s\x2e\x73\x65l\x65c\x74()\x3b\x22\x20pl\x61c\x65hol\x64er=\x22";echo lang("For_b\x65\x64");echo "\x22 /\x3e\n\t\t\t\t\t\t\t\t\t\t\t</div>\n\t\t\t\t\t\t\t\t\t\t\x3c/d\x69v>\n\t\t\t\t\t\t\t\t\t\t\x3cd\x69\x76 c\x6cas\x73=\x22\x63o\x6c-s\x6d-1\x22><\x62r>\x3c\x62r\x3e+\x3c/\x64\x69v\x3e\n\t\t\t\t\t\t\t\t\t\t<\x64\x69\x76 \x63l\x61ss\x3d\x22\x63\x6fl-\x73\x6d-\x34\">\n\t\t\t\t\t\t\t\t\t\t\t<\x6ca\x62el\x20for\x3d\x22\x46\x6fr_\x62\x65d\x5f\x61dd\x22\x3e";echo lang("A\x64\x64\x65d");echo "</l\x61be\x6c>\n\t\t\t\t\t\t\t\t\t\t\t<\x69\x6epu\x74 \x74y\x70e\x3d\"t\x65\x78\x74\"\x20cl\x61\x73s\x3d\x22f\x6f\x72\x6d-c\x6fnt\x72o\x6c\x22\x20\x6e\x61\x6d\x65=\x22F\x6f\x72\x5f\x62\x65d\x5fadd\"\x20i\x64\x3d\"\x46\x6f\x72_be\x64_\x61\x64d\"\x20o\x6ek\x65\x79pr\x65ss\x3d\"r\x65\x74urn \x69s\x46l\x6f\x61\x74(e\x76\x65\x6et)\x22\x20on\x43li\x63k\x3d\"t\x68\x69s.s\x65le\x63t();\x22 \x70\x6c\x61\x63e\x68o\x6c\x64er\x3d\"";echo lang("\x41\x64\x64ed");echo "\"\x20 /\x3e\n\t\t\t\t\t\t\t\t\t\t</di\x76>\n\t\t\t\t\t\t\t\t\t\t<\x64\x69v \x63l\x61\x73s\x3d\x22c\x6fl-s\x6d-\x31\"\x3e<b\x72><\x62\x72\x3e\n\t\t\t\t\t\t\t\t\t\t\t<d\x69v\x20i\x64=\"b\x74n_\x36\"\x3e<\x6c\x69 \x63l\x61\x73\x73=\"\x66a \x66a-p\x6c\x75\x73\x22\x3e</li\x3e</d\x69v\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/\x64iv>\n\t\t\t\t\t\t\t\t\t</d\x69v>\n\t\t\t\t\t\t\t\t\t<\x64\x69\x76 \x63\x6c\x61ss\x3d\"\x72\x6fw\">\n\t\t\t\t\t\t\t\t\t\t<div\x20cla\x73s\x3d\"c\x6f\x6c-sm-6\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3cdi\x76\x20c\x6c\x61\x73\x73\x3d\"\x66o\x72m-group\">\n\t\t\t\t\t\t\t\t\t\t\t\t<\x6ca\x62\x65l\x20\x66\x6fr=\"\x46o\x72\x5f\x6f\x74\x68\x65\x72s\x22\x3e";echo lang("\x46o\x72_\x6ft\x68ers");echo "</\x6c\x61\x62e\x6c>\n\t\t\t\t\t\t\t\t\t\t\t\t<i\x6e\x70\x75\x74 ty\x70\x65=\"tex\x74\x22\x20class\x3d\"fo\x72m-con\x74\x72o\x6c\"\x20\x6ea\x6de\x3d\"\x46or_others\x22 \x69\x64=\x22\x46\x6f\x72\x5f\x6f\x74h\x65\x72\x73\" v\x61\x6c\x75e\x3d\"";echo$row1->For_others;echo "\" \x6fn\x6b\x65y\x70\x72es\x73=\x22ret\x75r\x6e \x69s\x46\x6c\x6fa\x74(eve\x6et)\x22\x20\x6fn\x43l\x69ck\x3d\x22t\x68is\x2e\x73e\x6c\x65ct()\x3b\x22 \x70\x6cac\x65h\x6fl\x64e\x72\x3d\x22";echo lang("\x46o\x72_\x6fthe\x72s");echo "\x22\x20/>\n\t\t\t\t\t\t\t\t\t\t\t</\x64\x69\x76>\n\t\t\t\t\t\t\t\t\t\t</\x64\x69\x76>\n\t\t\t\t\t\t\t\t\t\t<di\x76 \x63l\x61ss\x3d\"\x63o\x6c-\x73\x6d-1\"><\x62r>\x3cb\x72\x3e+</\x64iv\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c\x64i\x76 c\x6c\x61s\x73\x3d\x22\x63\x6fl-sm-\x34\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x6c\x61\x62\x65l\x20\x66o\x72\x3d\"\x46\x6f\x72_o\x74\x68e\x72\x73\x5fa\x64\x64\"\x3e";echo lang("A\x64ded");echo "\x3c/la\x62\x65l\x3e\n\t\t\t\t\t\t\t\t\t\t\t<\x69np\x75t \x74\x79pe=\x22\x74\x65x\x74\" \x63\x6cas\x73\x3d\"\x66\x6f\x72m-c\x6f\x6etr\x6fl\x22 \x6e\x61me\x3d\"\x46\x6fr_\x6f\x74\x68ers_ad\x64\x22 i\x64\x3d\"F\x6f\x72_\x6ft\x68er\x73\x5f\x61dd\x22 o\x6e\x6b\x65ypr\x65\x73\x73\x3d\x22\x72et\x75r\x6e\x20is\x46loat(\x65\x76e\x6et)\x22\x20\x6fnCl\x69ck\x3d\"\x74h\x69s\x2es\x65l\x65ct()\x3b\x22\x20p\x6c\x61\x63eh\x6f\x6c\x64er\x3d\"";echo lang("\x41\x64de\x64");echo "\x22\x20 />\n\t\t\t\t\t\t\t\t\t\t</div\x3e\n\t\t\t\t\t\t\t\t\t\t<d\x69\x76\x20\x63\x6c\x61\x73\x73=\"col-\x73m-\x31\">\x3cb\x72>\x3cbr>\n\t\t\t\t\t\t\t\t\t\t\t<\x64iv\x20\x69d=\"b\x74\x6e_\x37\x22><\x6c\x69\x20c\x6ca\x73\x73\x3d\"\x66\x61 \x66\x61-\x70\x6cus\x22\x3e</l\x69>\x3c/\x64\x69v\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/\x64\x69v>\n\t\t\t\t\t\t\t\t\t\x3c/div>\n\t\t\t\t\t\t\t\t\t<d\x69\x76\x20c\x6cas\x73=\x22row\">\n\t\t\t\t\t\t\t\t\t\t<di\x76\x20\x63\x6c\x61\x73s\x3d\x22\x63\x6f\x6c-s\x6d-6\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t<\x64\x69v \x63\x6cas\x73=\x22form-g\x72\x6fu\x70\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<\x6cab\x65l f\x6f\x72\x3d\"T\x6f\x74al\">";echo lang("T\x6fta\x6c");echo "</\x6cab\x65\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x69np\x75t \x74\x79pe\x3d\x22\x74\x65xt\" \x63\x6cas\x73=\x22\x66o\x72m-\x63\x6f\x6e\x74\x72ol\" \x6e\x61\x6d\x65\x3d\x22\x54\x6f\x74\x61l\"\x20\x69\x64\x3d\x22T\x6f\x74\x61l\"\x20\x76a\x6cue=\"";echo$row1->Total;echo "\"\x20pl\x61\x63ehold\x65\x72=\x22";echo lang("\x54\x6f\x74a\x6c");echo "\x22 \x72\x65\x61d\x6fnl\x79 /\x3e\n\t\t\t\t\t\t\t\t\t\t\t</div\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/\x64\x69\x76>\n\t\t\t\t\t\t\t\t\t\t\x3cd\x69v\x20\x63\x6ca\x73s=\x22\x63\x6f\x6c-sm-1\"\x3e\x3c\x62r>\x3cbr>+</\x64\x69\x76\x3e\n\t\t\t\t\t\t\t\t\t\t<d\x69\x76\x20c\x6c\x61s\x73\x3d\"co\x6c-s\x6d-4\x22>\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x6c\x61be\x6c \x66o\x72\x3d\x22\x54\x6fta\x6c\x5f\x61\x64\x64\">";echo lang("Ad\x64\x65\x64");echo "</labe\x6c>\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x69\x6e\x70\x75\x74 ty\x70e\x3d\"te\x78t\"\x20class=\x22\x66\x6f\x72\x6d-\x63o\x6etr\x6f\x6c\"\x20\x6e\x61me=\x22To\x74\x61\x6c_a\x64\x64\" i\x64=\"\x54o\x74\x61\x6c\x5f\x61\x64\x64\x22 r\x65ad\x6fnly=\x22t\x72\x75e\" o\x6ek\x65yp\x72e\x73\x73\x3d\"\x72\x65turn\x20i\x73F\x6co\x61t(\x65\x76en\x74)\x22 \x6fn\x43\x6c\x69\x63k\x3d\x22\x74\x68\x69\x73\x2e\x73\x65l\x65c\x74();\" \x70la\x63\x65\x68\x6f\x6c\x64\x65r\x3d\x22";echo lang("A\x64\x64\x65d");echo "\x22\x20\x20/>\n\t\t\t\t\t\t\t\t\t\t</\x64i\x76>\n\t\t\t\t\t\t\t\t\t</d\x69v>\n\t\t\t\t\t\t\t\t\x3c/d\x69\x76\x3e\n\t\t\t\t\t\t\t";}else{${"\x47LO\x42\x41\x4c\x53"}["qc\x6bp\x6be\x66"]="\x50d\x61\x74e";$lqfglejwhffd="P\x64\x61t\x65";${"G\x4c\x4f\x42\x41L\x53"}["iw\x72\x71\x69\x61\x63pjmp"]="T\x6f\x64\x61y";$ckmthhb="\x54\x6f\x64\x61yD\x61\x74e";${"\x47\x4cO\x42\x41\x4c\x53"}["\x62y\x66prqx\x6f\x6c\x6fv\x6a"]="Today";echo "\t\t\t\t\t\t\t\t";${${"\x47\x4cO\x42AL\x53"}["\x71\x63\x6b\x70\x6be\x66"]}=substr($row1->Pdate,6,4).substr($row1->Pdate,3,2);${${"\x47\x4c\x4fB\x41\x4c\x53"}["\x6b\x76\x67d\x71\x74\x6d"]}=$this->sym->TodayDate();${${"\x47L\x4fB\x41L\x53"}["\x62y\x66\x70r\x71x\x6fl\x6f\x76j"]}=substr(${$ckmthhb},6,4).substr(${${"\x47\x4cO\x42\x41\x4cS"}["\x6bv\x67\x64qtm"]},3,2);if(${$lqfglejwhffd}==${${"GL\x4fB\x41\x4c\x53"}["i\x77\x72qi\x61\x63p\x6a\x6d\x70"]}){echo "\t\t\t\t\t\t\t\t\x3c\x64\x69\x76 \x63\x6ca\x73s\x3d\"car\x64-\x62o\x64y\x22\x3e\n\t\t\t\t\t\t\t\t\t<d\x69v \x63\x6ca\x73s\x3d\x22\x72\x6f\x77\"\x3e\n\t\t\t\t\t\t\t\t\t\t\x3cd\x69\x76\x20\x63l\x61\x73s=\"co\x6c-\x73\x6d-\x36\x22>\n\t\t\t\t\t\t\t\t\t\t\t<di\x76 \x63las\x73\x3d\x22\x66or\x6d-gro\x75\x70\x22>\n\t\t\t\t\t\t\t\t\t\t\t\t<\x6ca\x62\x65\x6c f\x6f\x72\x3d\x22\x46or\x5fc\x61rd\"\x20>";echo lang("F\x6f\x72\x5f\x63a\x72\x64");echo "\x3c/\x6cabel\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x73\x65\x6c\x65\x63\x74\x20\x6ea\x6de=\"For_\x63ar\x64\x22 \x69\x64=\x22\x46\x6f\x72_ca\x72d\"\x20\x63l\x61\x73s\x3d\x22\x66\x6frm-\x63o\x6et\x72\x6fl \x73\x65lec\x74\x32\x22>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x6f\x70\x74io\x6e>";echo$row1->For_card;echo "</\x6fpti\x6fn>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x6fption></o\x70\x74io\x6e>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x6fp\x74io\x6e\x3e1\x30</\x6fptio\x6e>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\x6fp\x74io\x6e\x3e15\x3c/\x6fp\x74\x69\x6f\x6e\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\t\x3copt\x69on>\x32\x30</\x6fpti\x6fn\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\x6fp\x74i\x6fn>2\x35\x3c/\x6fp\x74i\x6fn>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x6fpt\x69on>30</\x6f\x70\x74i\x6fn\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\t\x3cop\x74\x69\x6f\x6e\x3e\x335</\x6f\x70\x74io\x6e\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t</\x73\x65l\x65c\x74\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c/\x64i\x76>\n\t\t\t\t\t\t\t\t\t\t\x3c/di\x76\x3e\n\t\t\t\t\t\t\t\t\t\t\x3cd\x69v\x20\x63\x6ca\x73s=\"\x63o\x6c-s\x6d-1\x22><\x62r>\x3c\x62\x72\x3e+</d\x69v\x3e\n\t\t\t\t\t\t\t\t\t\t<\x64\x69\x76\x20cla\x73s\x3d\x22c\x6fl-\x73m-\x34\">\n\t\t\t\t\t\t\t\t\t\t\t<l\x61b\x65\x6c \x66\x6f\x72=\x22Fo\x72\x5fca\x72\x64_\x61\x64d\"\x3e";echo lang("A\x64de\x64");echo "\x3c/\x6c\x61b\x65\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x69n\x70\x75\x74\x20\x74\x79\x70\x65=\x22\x74\x65\x78t\"\x20class\x3d\"fo\x72\x6d-cont\x72o\x6c\x22\x20\x6e\x61\x6de=\x22F\x6fr_c\x61\x72d_\x61d\x64\x22 id=\x22\x46\x6f\x72\x5fcard\x5fa\x64\x64\" o\x6ek\x65y\x70\x72\x65ss=\"retu\x72\x6e\x20is\x46\x6co\x61\x74(even\x74)\x22 \x6fnCl\x69c\x6b=\"\x74\x68\x69s\x2e\x73e\x6c\x65ct();\"\x20p\x6ca\x63e\x68\x6flder=\x22";echo lang("\x41\x64d\x65\x64");echo "\x22 \x20/>\n\t\t\t\t\t\t\t\t\t\t</\x64i\x76\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c\x64iv \x63l\x61\x73\x73\x3d\"c\x6f\x6c-\x73\x6d-\x31\x22\x3e\x3c\x62r><\x62\x72\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3cdi\x76 \x69\x64=\x22b\x74n\x5f1\x22><\x6ci\x20cl\x61ss\x3d\"\x66\x61 fa-plu\x73\x22>\x3c/l\x69\x3e\x3c/\x64iv\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/di\x76>\n\t\t\t\t\t\t\t\t\t\x3c/\x64\x69v\x3e\n\t\t\t\t\t\t\t\t\t\x3cdi\x76 \x63\x6c\x61\x73\x73\x3d\"\x72\x6f\x77\"\x3e\n\t\t\t\t\t\t\t\t\t\t\x3cdiv \x63la\x73s\x3d\"\x63o\x6c-sm-\x36\x22>\n\t\t\t\t\t\t\t\t\t\t\t<\x64\x69\x76\x20\x63\x6cas\x73=\x22\x66or\x6d-\x67r\x6fu\x70\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x6cabe\x6c\x20\x66\x6f\x72\x3d\x22\x46o\x72_\x6ca\x62\">";echo lang("Fo\x72\x5f\x6c\x61\x62");echo "</label\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x69\x6epu\x74\x20\x74\x79\x70\x65\x3d\x22\x74\x65\x78\x74\"\x20c\x6cass\x3d\x22for\x6d-\x63o\x6et\x72\x6fl\"\x20\x6ea\x6de=\x22Fo\x72\x5f\x6c\x61b\"\x20id\x3d\x22\x46\x6fr_\x6c\x61\x62\x22 v\x61\x6cu\x65=\"";echo$row1->For_lab;echo "\x22\x20onk\x65\x79\x70re\x73s\x3d\x22\x72\x65t\x75\x72\x6e\x20i\x73Fl\x6f\x61\x74(\x65v\x65\x6e\x74)\"\x20o\x6e\x43l\x69ck=\"\x74his.sel\x65\x63t()\x3b\x22\x20\x70la\x63\x65\x68ol\x64er\x3d\"";echo lang("Fo\x72_la\x62");echo "\x22\x20 />\n\t\t\t\t\t\t\t\t\t\t\t</di\x76>\n\t\t\t\t\t\t\t\t\t\t\x3c/d\x69\x76\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c\x64\x69\x76\x20c\x6c\x61ss\x3d\"\x63o\x6c-\x73\x6d-1\x22\x3e<br><b\x72\x3e+</d\x69v>\n\t\t\t\t\t\t\t\t\t\t\x3cdi\x76\x20\x63\x6ca\x73s\x3d\"\x63\x6fl-s\x6d-4\">\n\t\t\t\t\t\t\t\t\t\t\t<lab\x65\x6c \x66\x6fr=\"\x46or_\x6cab_add\">";echo lang("A\x64\x64\x65\x64");echo "</l\x61\x62\x65\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\t<inp\x75t t\x79pe\x3d\"\x74ex\x74\"\x20c\x6cas\x73=\x22for\x6d-c\x6f\x6e\x74\x72\x6f\x6c\x22\x20n\x61me\x3d\x22\x46or\x5f\x6ca\x62_\x61\x64\x64\x22\x20\x69d=\"F\x6f\x72\x5fl\x61\x62\x5fad\x64\"\x20\x6fn\x6be\x79\x70\x72es\x73\x3d\"retur\x6e i\x73\x46\x6c\x6fa\x74(\x65\x76\x65\x6et)\x22 \x6f\x6eC\x6cic\x6b\x3d\x22\x74\x68is.se\x6cec\x74();\x22\x20\x70lac\x65ho\x6cde\x72=\"";echo lang("Added");echo "\" \x20/\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/\x64i\x76\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c\x64\x69\x76\x20\x63\x6c\x61ss=\x22\x63\x6f\x6c-sm-\x31\x22\x3e<b\x72><\x62r\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x64\x69v\x20i\x64=\"b\x74\x6e_\x32\x22><\x6c\x69 \x63l\x61\x73s\x3d\x22\x66a fa-plus\"\x3e\x3c/li\x3e\x3c/\x64\x69v\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/d\x69v\x3e\n\t\t\t\t\t\t\t\t\t\x3c/di\x76\x3e\t\n\t\t\t\t\t\t\t\t\t<di\x76\x20cl\x61s\x73\x3d\"\x72ow\"\x3e\n\t\t\t\t\t\t\t\t\t\t<d\x69v \x63l\x61\x73\x73=\"\x63\x6fl-s\x6d-\x36\x22>\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x64\x69\x76 \x63\x6c\x61ss\x3d\"f\x6f\x72m-\x67\x72\x6fu\x70\">\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x6c\x61bel \x66\x6f\x72\x3d\"F\x6f\x72_em\x65r\x67ency\x22>";echo lang("\x46or\x5f\x65\x6d\x65\x72g\x65\x6e\x63y");echo "</\x6c\x61\x62el>\n\t\t\t\t\t\t\t\t\t\t\t\t<i\x6ep\x75\x74\x20t\x79pe\x3d\"\x74ex\x74\"\x20\x63l\x61s\x73\x3d\"\x66o\x72\x6d-cont\x72\x6f\x6c\"\x20\x6e\x61\x6de=\x22F\x6fr_\x65\x6d\x65\x72g\x65\x6e\x63\x79\x22 \x69\x64=\x22For_\x65\x6d\x65\x72\x67ency\x22\x20\x76\x61l\x75\x65=\x22";echo$row1->For_emergency;echo "\x22 \x6f\x6e\x6beypress\x3d\x22ret\x75\x72n\x20\x69\x73Float(\x65\x76en\x74)\x22 onCl\x69\x63\x6b\x3d\x22\x74\x68i\x73\x2e\x73el\x65c\x74()\x3b\" \x70\x6ca\x63e\x68\x6fld\x65r=\"";echo lang("\x46\x6f\x72\x5fe\x6der\x67\x65\x6ec\x79");echo "\x22\x20\x20/\x3e\n\t\t\t\t\t\t\t\t\t\t\t</d\x69v\x3e\t\n\t\t\t\t\t\t\t\t\t\t</\x64i\x76\x3e\n\t\t\t\t\t\t\t\t\t\t\x3cd\x69\x76 \x63las\x73\x3d\"\x63\x6f\x6c-\x73\x6d-\x31\x22>\x3c\x62\x72><br>+\x3c/\x64\x69\x76>\n\t\t\t\t\t\t\t\t\t\t<di\x76\x20c\x6cas\x73=\x22\x63\x6f\x6c-s\x6d-\x34\">\n\t\t\t\t\t\t\t\t\t\t\t<\x6ca\x62e\x6c \x66o\x72\x3d\x22\x46or\x5fe\x6d\x65\x72ge\x6e\x63y\x5f\x61dd\x22>";echo lang("A\x64\x64\x65\x64");echo "\x3c/\x6ca\x62el\x3e\n\t\t\t\t\t\t\t\t\t\t\t<inpu\x74\x20\x74ype\x3d\x22t\x65x\x74\x22\x20\x63\x6ca\x73s=\x22fo\x72m-\x63\x6fnt\x72ol\"\x20n\x61\x6de\x3d\x22F\x6f\x72_eme\x72g\x65ncy_\x61dd\x22\x20id\x3d\x22F\x6fr\x5f\x65\x6d\x65r\x67\x65\x6ec\x79\x5fa\x64d\" \x6fnke\x79pre\x73s=\"\x72etu\x72\x6e\x20is\x46\x6c\x6f\x61\x74(eve\x6e\x74)\"\x20o\x6e\x43\x6ci\x63\x6b\x3d\x22\x74\x68\x69\x73\x2e\x73e\x6c\x65c\x74()\x3b\"\x20\x70\x6c\x61\x63\x65\x68o\x6cd\x65\x72=\x22";echo lang("A\x64d\x65\x64");echo "\x22\x20 />\n\t\t\t\t\t\t\t\t\t\t\x3c/\x64\x69\x76>\n\t\t\t\t\t\t\t\t\t\t<d\x69v\x20cla\x73\x73=\x22\x63\x6f\x6c-s\x6d-\x31\x22\x3e\x3cbr>\x3cbr>\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x64iv i\x64=\x22bt\x6e\x5f\x33\x22\x3e\x3cl\x69\x20cl\x61s\x73=\"f\x61\x20fa-pl\x75s\x22\x3e\x3c/\x6c\x69>\x3c/\x64\x69\x76\x3e\n\t\t\t\t\t\t\t\t\t\t</\x64i\x76>\n\t\t\t\t\t\t\t\t\t</\x64i\x76\x3e\n\t\t\t\t\t\t\t\t\t\x3c\x64iv \x63l\x61ss\x3d\"\x72\x6f\x77\x22>\n\t\t\t\t\t\t\t\t\t\t\x3c\x64iv\x20\x63\x6c\x61s\x73=\"\x63\x6fl-sm-6\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t<\x64iv \x63las\x73\x3d\"\x66\x6f\x72m-gr\x6fup\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x6ca\x62\x65\x6c f\x6f\x72=\x22\x46o\x72\x5f\x64\x72\x75\x67\x22\x3e";echo lang("\x46o\x72_d\x72ug");echo "</\x6cab\x65\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<inp\x75t \x74\x79\x70\x65\x3d\x22text\"\x20clas\x73\x3d\x22fo\x72\x6d-co\x6et\x72o\x6c\x22 \x6e\x61\x6d\x65=\x22\x46\x6fr_d\x72ug\" \x69d=\x22For\x5fdru\x67\"\x20\x76\x61\x6cue\x3d\"";echo$row1->For_drug;echo "\x22\x20o\x6e\x6beyp\x72e\x73\x73=\"\x72\x65t\x75r\x6e\x20\x69sFl\x6fat(\x65\x76e\x6e\x74)\" \x6f\x6eCl\x69ck\x3d\"t\x68\x69\x73\x2e\x73\x65l\x65ct()\x3b\" p\x6c\x61\x63eh\x6flde\x72\x3d\"";echo lang("\x46\x6f\x72\x5f\x64r\x75\x67");echo "\x22 /\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c/di\x76>\n\t\t\t\t\t\t\t\t\t\t</d\x69v\x3e\n\t\t\t\t\t\t\t\t\t\t<\x64\x69v\x20\x63l\x61\x73\x73=\"c\x6fl-sm-1\">\x3c\x62r>\x3cbr>+</d\x69\x76>\n\t\t\t\t\t\t\t\t\t\t<\x64\x69\x76 \x63l\x61\x73\x73=\"\x63o\x6c-s\x6d-4\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t<\x6ca\x62\x65l \x66\x6f\x72\x3d\x22\x46or\x5f\x64rug\x5fadd\x22\x3e";echo lang("\x41dd\x65d");echo "\x3c/\x6c\x61be\x6c>\n\t\t\t\t\t\t\t\t\t\t\t<i\x6e\x70ut \x74yp\x65=\x22tex\x74\" clas\x73=\x22\x66o\x72\x6d-\x63o\x6e\x74r\x6fl\x22\x20na\x6de=\x22\x46o\x72_d\x72u\x67\x5fa\x64\x64\x22 id\x3d\x22Fo\x72\x5fdrug_ad\x64\x22\x20o\x6ekeypress=\x22\x72\x65tu\x72\x6e \x69\x73\x46loa\x74(\x65v\x65nt)\" o\x6e\x43li\x63\x6b\x3d\x22\x74\x68\x69s\x2e\x73el\x65c\x74();\" \x70la\x63eh\x6flde\x72=\x22";echo lang("\x41\x64ded");echo "\"\x20\x20/\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/\x64\x69v\x3e\n\t\t\t\t\t\t\t\t\t\t<d\x69\x76\x20clas\x73=\"col-\x73m-\x31\x22><\x62\x72\x3e<br\x3e\n\t\t\t\t\t\t\t\t\t\t\t<d\x69v\x20\x69d\x3d\"bt\x6e_\x34\x22>\x3c\x6ci\x20c\x6c\x61s\x73\x3d\"\x66a \x66\x61-p\x6c\x75s\"\x3e\x3c/\x6c\x69\x3e\x3c/d\x69\x76>\n\t\t\t\t\t\t\t\t\t\t</d\x69v>\n\t\t\t\t\t\t\t\t\t\x3c/\x64i\x76>\n\t\t\t\t\t\t\t\t\t\x3c\x64iv c\x6cass=\"\x72\x6f\x77\"\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c\x64iv \x63l\x61ss\x3d\"\x63ol-\x73\x6d-6\">\n\t\t\t\t\t\t\t\t\t\t\t\x3cd\x69\x76\x20c\x6cass\x3d\"fo\x72m-g\x72ou\x70\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<\x6c\x61b\x65\x6c\x20fo\x72=\x22\x46or_\x73\x75\x72ge\x72y\">";echo lang("\x46\x6f\x72_\x73urger\x79");echo "\x3c/\x6cabel\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<i\x6ep\x75\x74 \x74\x79pe\x3d\"\x74e\x78\x74\x22\x20\x63\x6ca\x73s\x3d\x22for\x6d-\x63\x6fnt\x72o\x6c\x22\x20n\x61\x6de=\x22\x46or\x5f\x73\x75\x72gery\x22 i\x64=\"\x46\x6fr\x5f\x73u\x72g\x65\x72\x79\"\x20\x76\x61\x6c\x75e\x3d\"";echo$row1->For_surgery;echo "\x22\x20\x6f\x6e\x6b\x65\x79\x70\x72\x65ss\x3d\"r\x65t\x75\x72\x6e\x20\x69\x73\x46l\x6fat(e\x76\x65nt)\x22 \x6f\x6eC\x6ci\x63k=\x22thi\x73.s\x65lec\x74()\x3b\" \x70\x6c\x61\x63\x65\x68\x6fl\x64e\x72\x3d\"";echo lang("F\x6fr_\x73urg\x65\x72y");echo "\x22\x20/>\n\t\t\t\t\t\t\t\t\t\t\t\x3c/d\x69\x76>\n\t\t\t\t\t\t\t\t\t\t</\x64\x69\x76\x3e\n\t\t\t\t\t\t\t\t\t\t<div\x20c\x6ca\x73s=\x22\x63ol-sm-1\x22><\x62\x72\x3e<\x62r>+\x3c/div\x3e\n\t\t\t\t\t\t\t\t\t\t\x3cd\x69v\x20\x63l\x61\x73\x73\x3d\"co\x6c-\x73\x6d-4\">\n\t\t\t\t\t\t\t\t\t\t\t<la\x62e\x6c\x20\x66\x6fr\x3d\x22\x46or\x5fs\x75r\x67\x65\x72\x79_\x61dd\"\x3e";echo lang("\x41\x64d\x65d");echo "</l\x61\x62e\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x69np\x75\x74\x20\x74ype=\"\x74e\x78\x74\x22\x20c\x6ca\x73\x73\x3d\x22fo\x72\x6d-c\x6f\x6et\x72ol\x22 nam\x65\x3d\"\x46\x6f\x72_\x73\x75rg\x65r\x79_ad\x64\x22 i\x64\x3d\"\x46\x6fr_\x73urg\x65\x72\x79\x5fa\x64d\x22 \x6f\x6e\x6be\x79\x70r\x65s\x73=\x22retu\x72n\x20\x69\x73\x46l\x6f\x61\x74(\x65ve\x6e\x74)\x22\x20o\x6e\x43\x6c\x69\x63k\x3d\x22\x74\x68is.\x73\x65\x6cec\x74()\x3b\" pl\x61\x63\x65\x68o\x6c\x64\x65\x72=\"";echo lang("\x41\x64\x64ed");echo "\x22\x20\x20/\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/\x64iv>\n\t\t\t\t\t\t\t\t\t\t\x3c\x64\x69v\x20c\x6cas\x73\x3d\"\x63o\x6c-sm-1\x22\x3e<b\x72>\x3c\x62r\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3cd\x69v\x20\x69d=\x22\x62\x74\x6e_5\x22>\x3c\x6c\x69\x20\x63la\x73\x73=\"\x66\x61 fa-p\x6c\x75s\x22\x3e</\x6ci\x3e\x3c/di\x76>\n\t\t\t\t\t\t\t\t\t\t\x3c/d\x69v>\n\t\t\t\t\t\t\t\t\t</d\x69\x76>\n\t\t\t\t\t\t\t\t\t<di\x76\x20cl\x61ss=\"\x72\x6f\x77\x22>\n\t\t\t\t\t\t\t\t\t\t<\x64iv\x20c\x6c\x61\x73s\x3d\x22\x63ol-\x73m-6\x22>\n\t\t\t\t\t\t\t\t\t\t\t<d\x69\x76\x20\x63\x6c\x61s\x73=\x22\x66\x6f\x72\x6d-group\x22>\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x6c\x61b\x65l \x66or\x3d\"\x46or\x5f\x62\x65\x64\x22>";echo lang("\x46o\x72_\x62e\x64");echo "</\x6cabe\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x69nput ty\x70\x65\x3d\x22\x74\x65\x78t\x22 cla\x73s\x3d\x22f\x6f\x72\x6d-\x63ont\x72ol\"\x20na\x6d\x65\x3d\x22Fo\x72_\x62ed\x22\x20\x69d=\x22For_b\x65d\"\x20\x76\x61l\x75\x65\x3d\"";echo$row1->For_bed;echo "\" \x6f\x6eke\x79\x70res\x73=\x22retu\x72\x6e\x20\x69\x73\x46\x6coa\x74(\x65\x76\x65nt)\"\x20\x6fn\x43\x6c\x69\x63\x6b=\x22t\x68\x69\x73.sel\x65\x63\x74()\x3b\" p\x6c\x61c\x65h\x6f\x6cder\x3d\x22";echo lang("\x46\x6f\x72_b\x65\x64");echo "\" /\x3e\n\t\t\t\t\t\t\t\t\t\t\t</div>\n\t\t\t\t\t\t\t\t\t\t\x3c/d\x69\x76\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c\x64i\x76\x20c\x6c\x61ss=\"co\x6c-\x73\x6d-\x31\x22>\x3c\x62r>\x3c\x62r\x3e+\x3c/\x64\x69\x76\x3e\n\t\t\t\t\t\t\t\t\t\t<di\x76 \x63la\x73s\x3d\"col-\x73\x6d-4\">\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x6c\x61\x62el f\x6f\x72=\x22\x46\x6f\x72_\x62\x65d_a\x64d\"\x3e";echo lang("Added");echo "\x3c/\x6c\x61\x62\x65l>\n\t\t\t\t\t\t\t\t\t\t\t<\x69n\x70u\x74\x20typ\x65=\"te\x78t\x22\x20c\x6c\x61ss=\x22fo\x72m-\x63\x6f\x6et\x72\x6fl\" nam\x65=\"\x46o\x72\x5f\x62\x65d\x5fadd\" \x69\x64=\x22F\x6fr\x5fbed_\x61dd\x22\x20o\x6eke\x79\x70r\x65ss=\"\x72e\x74u\x72n isFloat(eve\x6et)\" o\x6eC\x6c\x69ck\x3d\x22this.s\x65\x6ce\x63t();\x22 \x70l\x61\x63eho\x6cder\x3d\"";echo lang("\x41d\x64\x65d");echo "\x22 /\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/d\x69v>\n\t\t\t\t\t\t\t\t\t\t\x3c\x64i\x76 \x63\x6cass\x3d\x22\x63\x6fl-s\x6d-\x31\"\x3e\x3cb\x72\x3e\x3c\x62\x72>\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x64\x69v i\x64=\"btn_\x36\x22><l\x69 cl\x61\x73\x73\x3d\"\x66\x61 \x66\x61-plu\x73\"\x3e</li></di\x76\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/\x64\x69\x76>\n\t\t\t\t\t\t\t\t\t</di\x76>\n\t\t\t\t\t\t\t\t\t<\x64i\x76\x20\x63l\x61\x73\x73=\"r\x6f\x77\"\x3e\n\t\t\t\t\t\t\t\t\t\t\x3cd\x69\x76 \x63\x6c\x61ss=\x22c\x6fl-s\x6d-\x36\x22>\n\t\t\t\t\t\t\t\t\t\t\t<\x64\x69\x76 c\x6ca\x73\x73\x3d\"f\x6fr\x6d-gr\x6fup\x22>\n\t\t\t\t\t\t\t\t\t\t\t\t\x3cl\x61\x62e\x6c for\x3d\x22\x46\x6f\x72_oth\x65rs\x22\x3e";echo lang("\x46o\x72\x5fo\x74hers");echo "</\x6cabel\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3ci\x6e\x70ut ty\x70e=\"t\x65\x78t\x22\x20c\x6c\x61ss\x3d\x22\x66\x6f\x72\x6d-\x63\x6f\x6et\x72\x6fl\x22\x20n\x61m\x65=\"Fo\x72\x5f\x6f\x74\x68e\x72s\"\x20\x69d=\"\x46\x6fr_\x6fth\x65\x72\x73\"\x20\x76\x61l\x75e=\"";echo$row1->For_others;echo "\"\x20o\x6e\x6b\x65yp\x72\x65\x73\x73=\"\x72e\x74urn\x20\x69sF\x6c\x6f\x61\x74(event)\" on\x43\x6c\x69c\x6b=\"\x74\x68i\x73.se\x6c\x65\x63t();\" \x70\x6c\x61c\x65\x68\x6fl\x64\x65\x72=\x22";echo lang("\x46\x6fr\x5fo\x74h\x65\x72s");echo "\x22\x20/\x3e\n\t\t\t\t\t\t\t\t\t\t\t</\x64\x69v\x3e\n\t\t\t\t\t\t\t\t\t\t</di\x76>\n\t\t\t\t\t\t\t\t\t\t<d\x69v cl\x61s\x73\x3d\x22col-s\x6d-1\x22\x3e\x3c\x62r\x3e<\x62\x72>+\x3c/di\x76>\n\t\t\t\t\t\t\t\t\t\t<\x64\x69v cla\x73s\x3d\x22c\x6f\x6c-\x73\x6d-4\x22>\n\t\t\t\t\t\t\t\t\t\t\t<\x6c\x61bel\x20for\x3d\x22Fo\x72_o\x74\x68\x65r\x73\x5f\x61\x64\x64\">";echo lang("\x41\x64d\x65d");echo "</\x6c\x61bel\x3e\n\t\t\t\t\t\t\t\t\t\t\t<\x69\x6epu\x74 t\x79p\x65=\"t\x65xt\x22\x20c\x6ca\x73s=\x22fo\x72\x6d-c\x6f\x6etrol\x22 n\x61\x6d\x65\x3d\x22F\x6fr\x5fothers\x5f\x61d\x64\x22\x20id\x3d\x22F\x6f\x72_o\x74he\x72\x73_\x61d\x64\x22\x20onkeyp\x72es\x73\x3d\x22\x72etur\x6e\x20i\x73Flo\x61t(eve\x6e\x74)\" \x6f\x6e\x43lick=\x22\x74\x68i\x73\x2e\x73\x65\x6c\x65\x63\x74()\x3b\" p\x6c\x61\x63\x65hol\x64\x65\x72\x3d\"";echo lang("A\x64ded");echo "\" />\n\t\t\t\t\t\t\t\t\t\t\x3c/d\x69\x76>\n\t\t\t\t\t\t\t\t\t\t<\x64i\x76\x20cl\x61\x73s=\x22\x63ol-\x73\x6d-\x31\x22><br>\x3cb\x72>\n\t\t\t\t\t\t\t\t\t\t\t<d\x69\x76 \x69d\x3d\x22b\x74n\x5f\x37\">\x3cli \x63l\x61\x73s=\"\x66\x61 fa-\x70l\x75s\">\x3c/l\x69>\x3c/div>\n\t\t\t\t\t\t\t\t\t\t\x3c/di\x76\x3e\n\t\t\t\t\t\t\t\t\t\x3c/\x64i\x76>\n\t\t\t\t\t\t\t\t\t\x3c\x64\x69v \x63\x6cas\x73\x3d\x22r\x6f\x77\x22>\n\t\t\t\t\t\t\t\t\t\t\x3cd\x69\x76\x20\x63las\x73=\"\x63\x6f\x6c-s\x6d-6\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x64\x69v\x20class=\x22f\x6f\x72m-\x67roup\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<lab\x65l for\x3d\"\x54\x6f\x74al\"\x3e";echo lang("Tot\x61l");echo "</l\x61\x62el\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x69\x6ep\x75\x74 typ\x65\x3d\x22te\x78t\"\x20cl\x61ss\x3d\x22f\x6f\x72\x6d-con\x74rol\x22\x20\x6eam\x65\x3d\"\x54ot\x61l\x22 id\x3d\x22\x54ot\x61\x6c\x22\x20\x76\x61l\x75e=\x22";echo$row1->Total;echo "\x22 \x70laceho\x6cd\x65r=\x22";echo lang("\x54\x6f\x74\x61l");echo "\"\x20\x72\x65\x61d\x6f\x6ely\x20/\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c/\x64iv\x3e\n\t\t\t\t\t\t\t\t\t\t</di\x76>\n\t\t\t\t\t\t\t\t\t\t\x3c\x64\x69\x76 \x63\x6ca\x73\x73\x3d\"c\x6fl-\x73\x6d-1\"\x3e<\x62r\x3e<\x62\x72>+</d\x69\x76>\n\t\t\t\t\t\t\t\t\t\t<\x64\x69v\x20cla\x73\x73=\"col-\x73\x6d-4\">\n\t\t\t\t\t\t\t\t\t\t\t<l\x61bel\x20\x66\x6f\x72\x3d\"\x54o\x74a\x6c_\x61\x64d\">";echo lang("Ad\x64\x65d");echo "</l\x61\x62el\x3e\n\t\t\t\t\t\t\t\t\t\t\t<i\x6e\x70ut \x74\x79pe=\"text\" \x63l\x61ss\x3d\"\x66\x6f\x72\x6d-\x63\x6f\x6e\x74r\x6f\x6c\"\x20\x6eam\x65\x3d\"T\x6f\x74a\x6c\x5fa\x64d\x22\x20i\x64\x3d\"\x54\x6f\x74\x61\x6c\x5fad\x64\x22 re\x61donly\x3d\x22t\x72\x75\x65\x22\x20o\x6e\x6b\x65\x79p\x72es\x73=\"r\x65tur\x6e\x20\x69\x73F\x6co\x61\x74(\x65v\x65n\x74)\"\x20\x6fn\x43\x6cic\x6b=\x22\x74\x68is\x2es\x65\x6c\x65ct()\x3b\"\x20\x70\x6ca\x63e\x68\x6f\x6cd\x65r=\x22";echo lang("Add\x65d");echo "\x22\x20 /\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/d\x69\x76\x3e\n\t\t\t\t\t\t\t\t\t\x3c/d\x69\x76\x3e\n\t\t\t\t\t\t\t\t\x3c/d\x69\x76\x3e\n\t\t\t\t\t\t\t\t";}else{echo "\t\t\t\t\t\t\t\t\x3c\x64\x69v\x20\x63l\x61ss=\"\x63ard-\x62o\x64\x79\"\x3e\n\t\t\t\t\t\t\t\t\t\x3cd\x69\x76 cla\x73\x73=\"\x72\x6fw\x22>\n\t\t\t\t\t\t\t\t\t\t<\x64iv c\x6cas\x73\x3d\x22\x63\x6f\x6c-s\x6d-12\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x69np\x75t \x74\x79p\x65\x3d\"hi\x64\x64en\x22 \x6e\x61m\x65=\"\x46o\x72_\x63\x61\x72\x64\"\x20\x76\x61\x6c\x75e=\x22";echo$row1->For_card;echo "\x22/\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3ci\x6epu\x74 \x74\x79p\x65\x3d\"h\x69d\x64e\x6e\x22 n\x61\x6d\x65\x3d\"F\x6f\x72\x5fl\x61b\x22 \x76alue\x3d\"";echo$row1->For_lab;echo "\x22/\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3ci\x6e\x70ut\x20typ\x65=\x22\x68i\x64\x64en\x22\x20nam\x65\x3d\"\x46o\x72\x5f\x65m\x65r\x67enc\x79\x22\x20\x76\x61l\x75e=\"";echo$row1->For_emergency;echo "\"/\x3e\n\t\t\t\t\t\t\t\t\t\t\t<i\x6epu\x74\x20t\x79p\x65\x3d\"\x68i\x64\x64e\x6e\x22\x20\x6eame\x3d\"Fo\x72\x5fd\x72\x75\x67\" \x76\x61\x6cu\x65\x3d\x22";echo$row1->For_drug;echo "\"/>\n\t\t\t\t\t\t\t\t\t\t\t<\x69\x6e\x70\x75\x74 t\x79\x70\x65=\x22hid\x64en\" \x6e\x61me=\"F\x6fr_\x73urg\x65ry\x22 valu\x65=\x22";echo$row1->For_surgery;echo "\x22/\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x69np\x75\x74\x20typ\x65=\"\x68\x69dde\x6e\" n\x61\x6de=\"F\x6f\x72_be\x64\x22\x20val\x75e\x3d\x22";echo$row1->For_bed;echo "\"/\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x69\x6e\x70\x75\x74\x20ty\x70\x65\x3d\"h\x69d\x64\x65\x6e\x22 \x6eame\x3d\x22For\x5f\x6fthe\x72\x73\x22 v\x61\x6cue=\x22";echo$row1->For_others;echo "\x22/>\n\t\t\t\t\t\t\t\t\t\t\t<\x69\x6epu\x74 type=\x22\x68idde\x6e\" \x6e\x61m\x65\x3d\x22\x54\x6ft\x61l\x22 va\x6c\x75e=\x22";echo$row1->Total;echo "\x22/\x3e\n\t\t\t\t\t\t\t\t\t\t\t<\x64\x69\x76 \x63\x6c\x61ss=\x22\x61l\x65\x72\x74 \x61\x6cert-\x64\x61n\x67er\">\x59o\x75 ca\x6e not u\x70d\x61te th\x65\x20\x70\x61\x79\x6d\x65n\x74\x20\x6ff\x20\x6cas\x74\x20\x6d\x6f\x6e\x74h \x72\x65\x63or\x64, \x79ou\x20\x63an \x61d\x64 as\x20\x61 \x6e\x65w \x72ec\x6fr\x64</\x64\x69\x76\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x74a\x62\x6ce \x63la\x73\x73=\"\x74a\x62l\x65\x20\x20t\x61b\x6c\x65-bor\x64\x65r\x65\x64 \x74\x61b\x6c\x65-\x68over\x20\x74a\x62l\x65-\x73tr\x69p\x65\x64\"\x3e \n\t\t\t\t\t\t\t\t\t\t\t\t<tr>\x3c\x74d\x3e";echo lang("F\x6fr\x5f\x63ar\x64");echo "\x3c/\x74\x64\x3e\x20\x3c\x74d\x3e";echo nf($row1->For_card);echo "\x3c/t\x64>\x3c/t\x72\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<tr\x3e<td>";echo lang("Fo\x72_\x6cab");echo "</t\x64> \x3c\x74\x64>";echo nf($row1->For_lab);echo "\x3c/td\x3e\x3c/tr\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<t\x72\x3e\x3c\x74\x64>";echo lang("F\x6fr_\x65\x6de\x72g\x65n\x63\x79");echo "</\x74d> \x3c\x74d>";echo nf($row1->For_emergency);echo "\x3c/\x74\x64></\x74\x72>\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x74\x72\x3e<\x74d\x3e";echo lang("Fo\x72_\x64ru\x67");echo "</td\x3e <\x74\x64>";echo nf($row1->For_drug);echo "\x3c/td\x3e</t\x72>\n\t\t\t\t\t\t\t\t\t\t\t\t\x3ctr><td>";echo lang("For\x5f\x73ur\x67\x65\x72\x79");echo "\x3c/t\x64\x3e <\x74d\x3e";echo nf($row1->For_surgery);echo "</\x74d>\x3c/\x74\x72\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x74r>\x3ctd\x3e";echo lang("F\x6fr\x5f\x62e\x64");echo "\x3c/td\x3e \x3c\x74d>";echo nf($row1->For_bed);echo "</\x74d\x3e\x3c/\x74\x72\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x74r\x3e<td\x3e";echo lang("\x46\x6f\x72_\x6fth\x65rs");echo "\x3c/td> \x3c\x74d\x3e";echo nf($row1->For_others);echo "\x3c/\x74d></\x74\x72\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<tr>\x3c\x74\x64\x3e";echo lang("\x54ot\x61l");echo "</t\x64\x3e <t\x64>";echo nf($row1->Total);echo "</\x74\x64></tr>\n\t\t\t\t\t\t\t\t\t\t\t</t\x61b\x6ce\x3e\n\t\t\t\t\t\t\t\t\t\t</\x64\x69v\x3e\n\t\t\t\t\t\t\t\t\t\x3c/\x64i\x76\x3e\n\t\t\t\t\t\t\t\t\x3c/d\x69\x76\x3e\n\t\t\t\t\t\t\t\t";}echo "\t\t\t\t\t\t\t";}echo "\t\t\t\t\t\t\x3c/d\x69\x76>\n\t\t\t\t\t\x3c/\x64\x69\x76>\n\t\t\t\t\x3c/di\x76\x3e\n\t\t\t\x3c/\x64i\x76\x3e\n\t\t\x3c/div\x3e\n\t\t\x3c\x64i\x76\x20c\x6ca\x73\x73=\"c\x61rd-fo\x6ft\x65r\x22\x3e\n\t\t\t<\x64iv\x20\x63l\x61ss\x3d\"\x72ow\">\n\t\t\t\t<\x64\x69v\x20\x63la\x73s\x3d\x22c\x6f\x6c\">\x3c\x61\x20h\x72\x65\x66\x3d\x22";echo url("/u\x73e\x72\x73");echo "\x22\x20\x6fn\x63li\x63\x6b=\x22\x22 cl\x61\x73\x73\x3d\x22b\x74n \x62tn-f\x6cat \x62t\x6e-\x64\x61n\x67\x65r\x22>";echo lang("\x63\x61\x6e\x63el");echo "</\x61></div\x3e\n\t\t\t\t\x3cdi\x76 \x63\x6c\x61\x73s=\"c\x6f\x6c \x74ex\x74-\x72ight\x22\x3e\x3cb\x75\x74\x74\x6fn ty\x70e\x3d\x22s\x75\x62mit\x22 cl\x61\x73s=\x22\x62t\x6e btn-f\x6ca\x74 \x62\x74\x6e-\x70\x72\x69ma\x72y\">";echo lang("su\x62mi\x74");echo "</b\x75t\x74\x6fn\x3e\x3c/div\x3e\n\t\t\t</\x64i\x76>\n\t\t\x3c/\x64\x69v>\n\t\t";echo form_close();echo "\t\x3c/di\x76>\n</section>\n\n\x3cscript>\n\x20\x20 \x20\$('\x2e\x73ele\x63t\x32')\x2e\x73\x65lect\x32()\n</sc\x72ip\x74>\n\x3cscri\x70\x74\x3e\n\t\$(docume\x6e\x74).re\x61d\x79(\x66u\x6e\x63\x74i\x6fn(){\n\t\t\n\t\t\n\t\t\$(\"\x23b\x74\x6e_1\")\x2ec\x6c\x69ck(\x66\x75n\x63\x74\x69\x6f\x6e(){\n\t\t\t\x76a\x72\x20\x76al1\x20=\x20\$('\x23F\x6fr_\x63a\x72d\x27).\x76\x61\x6c()\x3b\n\t\t\tvar \x76\x61\x6c\x32\x20=\x20\$(\x27\x23\x46o\x72\x5f\x63\x61rd_\x61dd\x27).val();\n\t\t\tif(v\x61\x6c2\x20== \x27\x2e'){\n\t\t\t\t\n\t\t\t}e\x6c\x73e{\n\t\t\t\t\x76\x61r \x53\x75m\x20\x3d\x20\x20\x4e\x75m\x62\x65\x72(v\x61\x6c1) +\x20\x4e\x75m\x62e\x72(va\x6c2);\n\t\t\t}\n\t\t\t\$('\x23For_\x63\x61\x72\x64\x27).\x76al(N\x75\x6db\x65\x72(\x53u\x6d));\n\t\t\t\x74ota\x6c()\x3b\n\t\t\ttotal_\x61dd()\x3b\n\t\t});\n\t\t\n\t\t\$(\x22\x23btn\x5f\x32\x22).\x63\x6ci\x63k(\x66un\x63\x74ion(){\n\t\t\tva\x72 v\x61\x6c1\x20\x3d\x20\$(\x27#\x46\x6fr_\x6cab').va\x6c()\x3b\n\t\t\tvar \x76\x61\x6c2 \x3d\x20\$('\x23For\x5fla\x62_\x61d\x64').val();\n\t\t\t\x76a\x72 Sum\x20\x3d \x20Num\x62\x65r(val\x31)\x20+ \x4eumber(v\x61l2)\x3b\n\t\t\t\$('#\x46o\x72_\x6c\x61\x62')\x2eval(\x4e\x75\x6d\x62\x65r(\x53u\x6d));\n\t\t\t\x74\x6f\x74al();\n\t\t\t\x74\x6ftal\x5fa\x64\x64();\n\t\t})\x3b\n\t\t\n\t\t\$(\"\x23\x62t\x6e_\x33\x22)\x2ec\x6cick(\x66\x75\x6e\x63\x74i\x6fn(){\n\t\t\tv\x61r v\x61l\x31 = \$(\x27\x23\x46\x6fr\x5f\x65\x6d\x65\x72\x67e\x6ecy')\x2eva\x6c()\x3b\n\t\t\t\x76\x61r\x20va\x6c\x32\x20= \$(\x27#For_\x65\x6d\x65\x72g\x65\x6ec\x79\x5fad\x64\x27)\x2ev\x61l();\n\t\t\t\x76ar\x20\x53\x75\x6d \x3d \x20N\x75m\x62\x65r(val\x31) + Num\x62e\x72(v\x61l\x32);\n\t\t\t\$(\x27#F\x6fr_eme\x72\x67\x65\x6ec\x79')\x2e\x76a\x6c(N\x75\x6d\x62\x65r(\x53\x75\x6d))\x3b\n\t\t\t\x74\x6f\x74\x61\x6c()\x3b\n\t\t\t\x74otal_ad\x64()\x3b\n\t\t})\x3b\n\t\t\n\t\t\$(\x22#bt\x6e\x5f\x34\").\x63\x6ci\x63\x6b(\x66unc\x74\x69o\x6e(){\n\t\t\t\x76ar va\x6c\x31\x20\x3d\x20\$(\x27#\x46or_d\x72\x75\x67')\x2e\x76\x61\x6c();\n\t\t\t\x76\x61\x72\x20v\x61l2 = \$('\x23Fo\x72_\x64rug\x5f\x61\x64d\x27).\x76al();\n\t\t\t\x76\x61r S\x75\x6d\x20\x3d \x20\x4eu\x6db\x65\x72(va\x6c1)\x20+ \x4eumb\x65r(v\x61l\x32)\x3b\n\t\t\t\$(\x27#Fo\x72_d\x72ug\x27)\x2eva\x6c(N\x75\x6d\x62er(\x53\x75\x6d))\x3b\n\t\t\tto\x74a\x6c();\n\t\t\t\x74\x6ftal_\x61dd()\x3b\n\t\t});\n\t\t\n\t\t\$(\x22\x23btn_\x35\").\x63lic\x6b(fu\x6ecti\x6fn(){\n\t\t\t\x76\x61r v\x61l\x31 \x3d\x20\$(\x27#Fo\x72_s\x75\x72g\x65r\x79')\x2e\x76a\x6c()\x3b\n\t\t\t\x76a\x72 val\x32 = \$('\x23\x46or_\x73\x75\x72\x67\x65r\x79\x5f\x61\x64d').v\x61l();\n\t\t\t\x76\x61\x72 S\x75\x6d =\x20 \x4eu\x6d\x62\x65\x72(va\x6c1)\x20+ \x4eum\x62e\x72(v\x61\x6c\x32)\x3b\n\t\t\t\$(\x27\x23F\x6f\x72\x5fsu\x72\x67\x65ry\x27).\x76a\x6c(N\x75\x6d\x62e\x72(\x53\x75\x6d))\x3b\n\t\t\tt\x6f\x74a\x6c()\x3b\n\t\t\tt\x6fta\x6c_\x61\x64\x64()\x3b\n\t\t});\n\t\t\n\t\t\$(\x22\x23\x62t\x6e\x5f\x36\")\x2e\x63\x6ci\x63k(func\x74\x69\x6f\x6e(){\n\t\t\t\x76a\x72\x20\x76\x61l\x31 =\x20\$(\x27\x23\x46\x6f\x72\x5f\x62\x65\x64')\x2e\x76\x61\x6c()\x3b\n\t\t\t\x76\x61r \x76a\x6c\x32 \x3d \$('\x23\x46\x6f\x72\x5f\x62\x65\x64_\x61\x64d').\x76a\x6c()\x3b\n\t\t\tvar \x53u\x6d \x3d\x20 \x4eum\x62e\x72(\x76al\x31) +\x20\x4eumber(v\x61l\x32)\x3b\n\t\t\t\$('#For_\x62ed').\x76a\x6c(Nu\x6db\x65r(\x53\x75\x6d));\n\t\t\tt\x6f\x74\x61\x6c()\x3b\n\t\t\tto\x74al\x5f\x61\x64\x64();\n\t\t})\x3b\n\t\t\n\t\t\$(\x22#\x62tn\x5f\x37\x22).\x63l\x69\x63\x6b(func\x74io\x6e(){\n\t\t\t\x76\x61\x72\x20\x76al1 =\x20\$(\x27\x23F\x6f\x72\x5f\x6f\x74\x68er\x73').\x76\x61l();\n\t\t\tva\x72 va\x6c\x32\x20\x3d \$(\x27#F\x6fr\x5f\x6f\x74\x68\x65r\x73\x5f\x61d\x64')\x2eval()\x3b\n\t\t\tvar \x53\x75\x6d\x20\x3d\x20 \x4e\x75m\x62\x65\x72(val\x31) + N\x75\x6db\x65\x72(va\x6c\x32)\x3b\n\t\t\t\$('#Fo\x72_\x6f\x74her\x73').v\x61l(Nu\x6d\x62e\x72(S\x75m))\x3b\n\t\t\tt\x6f\x74\x61\x6c();\n\t\t\tt\x6ftal\x5f\x61dd();\n\t\t});\n\t\t\n\t\t\$(\x27\x23T\x6fta\x6c\x5f\x61\x64d')\x2ekey\x75\x70(fu\x6ec\x74i\x6fn(){\n\t\t\tvar v\x61l1 = \$(\x27\x23\x54\x6fta\x6c').v\x61\x6c();\n\t\t\tv\x61r\x20v\x61l\x32\x20\x3d\x20\$(\x27\x23\x54o\x74\x61l\x5fa\x64\x64')\x2eva\x6c()\x3b\n\t\t\t\x76\x61r\x20\x53\x75\x6d =\x20\x20\x4eu\x6dbe\x72(val\x31) +\x20N\x75\x6d\x62er(\x76\x61l2);\n\t\t\t\$(\x27\x23\x54\x6ft\x61l')\x2e\x76al(N\x75\x6db\x65r(Su\x6d))\x3b\n\t\t\t\x74\x6ft\x61l();\n\t\t\tto\x74\x61l_ad\x64()\x3b\n\t\t});\n\t\t\n\t\t\n\t\t\$('#\x46or\x5fc\x61r\x64\x27)\x2ec\x68ang\x65(\x66unc\x74i\x6fn(){\n\t\t\tt\x6ft\x61l();\n\t\t});\n\t\t\$('\x23F\x6fr\x5f\x6c\x61\x62\x27)\x2ekeyup(\x66\x75\x6e\x63t\x69on(){\n\t\t\t\x74\x6f\x74\x61l();\n\t\t})\x3b\n\t\t\$(\x27#F\x6fr_\x65\x6de\x72gen\x63\x79').k\x65\x79\x75p(\x66un\x63\x74i\x6fn(){\n\t\t\t\x74\x6f\x74a\x6c();\n\t\t})\x3b\n\t\t\$(\x27#\x46or_\x64\x72u\x67')\x2e\x6bey\x75\x70(func\x74i\x6fn(){\n\t\t\tt\x6f\x74al()\x3b\n\t\t});\n\t\t\$('#\x46o\x72_s\x75\x72g\x65ry')\x2e\x6b\x65yup(f\x75nc\x74\x69on(){\n\t\t\tt\x6f\x74\x61l();\n\t\t})\x3b\n\t\t\$(\x27\x23\x46\x6f\x72\x5f\x62ed')\x2ek\x65\x79\x75p(f\x75\x6e\x63t\x69on(){\n\t\t\t\x74\x6fta\x6c()\x3b\n\t\t});\n\t\t\$(\x27\x23Fo\x72_o\x74hers').\x6b\x65\x79up(\x66\x75ncti\x6fn(){\n\t\t\ttot\x61l();\n\t\t});\n\t\tfun\x63\x74\x69on tot\x61l(){\n\t\t\tv\x61r\x20va\x6c1 \x3d\x20\$(\x27#Fo\x72_\x63\x61rd')\x2e\x76al()\x3b\n\t\t\tv\x61\x72 val\x32 \x3d \$(\x27\x23F\x6f\x72\x5flab').v\x61l();\n\t\t\t\x76\x61r \x76\x61l3 =\x20\$('#Fo\x72_\x65\x6d\x65rge\x6e\x63y')\x2eva\x6c()\x3b\n\t\t\t\x76ar\x20\x76a\x6c4 \x3d \$('#\x46o\x72_\x64\x72\x75g\x27).val();\n\t\t\t\x76\x61\x72 \x76\x61\x6c\x35\x20\x3d \$(\x27#\x46o\x72_s\x75r\x67e\x72\x79\x27).\x76\x61l();\n\t\t\t\x76ar \x76\x61\x6c\x36\x20= \$(\x27\x23F\x6f\x72\x5f\x62\x65\x64\x27).v\x61l()\x3b\n\t\t\t\x76\x61r\x20\x76\x61\x6c7 = \$(\x27#F\x6f\x72\x5fo\x74he\x72s\x27)\x2eval()\x3b\n\t\t\t\x76\x61r\x20\x53\x75m = \x20\x4eum\x62e\x72(\x76al\x31) +\x20\x4e\x75mber(v\x61\x6c\x32)\x20+\x20N\x75mber(\x76\x61\x6c3)\x20+\x20Nu\x6d\x62er(val\x34)\x20+ N\x75\x6d\x62\x65r(\x76a\x6c5) + Numbe\x72(val\x36) +\x20\x4e\x75m\x62er(\x76\x61\x6c\x37)\x3b\n\t\t\t\$('#T\x6f\x74\x61\x6c\x27).\x76a\x6c(\x4eu\x6dber(S\x75\x6d));\n\t\t}\n\t\t\n\t\t\x66u\x6ect\x69\x6f\x6e\x20tot\x61l_\x61d\x64(){\n\t\t\t\x76ar v\x61l1\x20= \$('#\x46or_ca\x72\x64\x5f\x61dd')\x2e\x76\x61l();\n\t\t\t\x76a\x72 \x76a\x6c2 = \$(\x27\x23Fo\x72\x5f\x6c\x61b_\x61d\x64').\x76\x61\x6c();\n\t\t\tvar va\x6c3\x20\x3d \$('\x23F\x6f\x72_\x65m\x65\x72ge\x6ec\x79_\x61\x64d\x27).\x76\x61l()\x3b\n\t\t\t\x76\x61r\x20v\x61\x6c4 \x3d \$('#\x46o\x72_\x64\x72\x75g\x5fadd')\x2e\x76al()\x3b\n\t\t\t\x76\x61\x72\x20\x76a\x6c5\x20\x3d\x20\$('#\x46or_s\x75r\x67\x65\x72\x79\x5fadd\x27)\x2eval()\x3b\n\t\t\t\x76\x61r va\x6c6\x20\x3d \$(\x27#Fo\x72\x5fb\x65d_\x61dd').\x76\x61\x6c()\x3b\n\t\t\tvar\x20\x76\x61\x6c7 = \$(\x27\x23For\x5fot\x68\x65\x72s\x5fa\x64\x64\x27).val();\n\t\t\t\x76a\x72 \x53\x75\x6d \x3d\x20 N\x75\x6d\x62\x65r(v\x61l1)\x20+\x20Nu\x6dbe\x72(v\x61l\x32)\x20+ Nu\x6db\x65r(\x76\x61l\x33)\x20+ N\x75m\x62\x65\x72(\x76\x61l\x34) + \x4e\x75m\x62\x65\x72(v\x61\x6c\x35) +\x20N\x75\x6d\x62er(\x76a\x6c\x36) \x20+\x20Num\x62\x65\x72(va\x6c7)\x3b\n\t\t\t\$(\x27#\x54o\x74a\x6c_a\x64\x64\x27)\x2e\x76\x61l(\x4e\x75m\x62\x65\x72(\x53um));\n\t\t}\n\t\t\n\t\t\$('#\x50\x74y\x70\x65\x27).c\x68\x61\x6e\x67e(f\x75\x6e\x63\x74\x69o\x6e(){\n\t\t\tva\x72\x20\x76al1\x20\x3d\x20\$(\x27\x23\x50\x74y\x70\x65\x27)\x2ev\x61\x6c();\n\t\t\tif(val\x31 \x3d=\x20\"?????????\"){\n\t\t\t\t\$(\x27\x23\x46o\x72_\x63a\x72d\x27).\x76al(\x220\x22)\x3b\n\t\t\t}\n\t\t})\x3b\n \n\t});\n\x3c/\x73c\x72ipt>\t\n";}}echo "\t\n";include viewPath("in\x63\x6cude\x73/f\x6fo\x74\x65r");
?>Function Calls
| None |
Stats
| MD5 | 04c3358b63813a16d7b7c7126cadb4ae |
| Eval Count | 0 |
| Decode Time | 87 ms |