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Clinic_Signup.php
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Clinic_Signup.php
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<?php
session_start();
include("includes/config.php");
if(isset($_POST['Submit']))
{
$Category_ID = $_POST['Category_ID'];
$Name = $_POST['Name'];
$Phone_Number = $_POST['Phone_Number'];
$Address = $_POST['Address'];
$Username = $_POST['Username'];
$Password = md5($_POST['Password']);
$sql = mysqli_query($Conn,"select * from clinics where Username='$Username'");
if (mysqli_num_rows($sql)>0){
echo "<script language='JavaScript'>
alert ('This Clinic Username Already Exist !');
</script>";
}else{
$sql1 = mysqli_query($Conn,"insert into clinics (Category_ID,Name,Phone_Number,Address,Status,Username,Password) values ('$Category_ID','$Name','$Phone_Number','$Address','Not Active','$Username','$Password')");
echo "<script language='JavaScript'>
alert ('Your Account Has Been Signup Successfully ! You Can Login Now !');
</script>";
echo "<script language='JavaScript'>
document.location='Signin.php';
</script>";
}
}
?>
<!DOCTYPE html>
<html class="hide-sidebar ls-bottom-footer" lang="en">
<head>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<meta name="description" content="">
<meta name="author" content="">
<title>:: Clinics Signup ::</title>
<link href="css/vendor/all.css" rel="stylesheet">
<link href="css/app/app.css" rel="stylesheet">
<link href="css/app/layout.css" rel="stylesheet">
<link href="css/app/main.css" rel="stylesheet">
<link href="css/app/colors-text.css" rel="stylesheet">
<link href="css/app/color-background.css" rel="stylesheet">
<link href="css/app/navbar.css" rel="stylesheet">
<link href="css/app/media.css" rel="stylesheet">
<link rel="shortcut icon" href="images/logo1.png" />
<link rel="stylesheet" href="themes/default/default.css" type="text/css" media="screen" />
<link rel="stylesheet" href="nivo-slider.css" type="text/css" media="screen" />
<link rel="stylesheet" href="style.css" type="text/css" media="screen" />
<link href="https://fonts.googleapis.com/css?family=Fira+Sans" rel="stylesheet" />
<script src="https://kit.fontawesome.com/88f3ff7b70.js" crossorigin="anonymous"></script>
</head>
<style>
html , body {
height: 100vh;
padding-left: 20px;
padding-right: 20px;
margin: 20px;
font-family: "Fira Sans", Helvetica, Arial, sans-serif;
-webkit-font-smoothing: antialiased;
-moz-osx-font-smoothing: grayscale;
justify-content: center;
}
#navbar {
background-color: #fff;
box-shadow: 0px 1px 2px rgba(0, 0, 0, 0.2);
border-radius: 35px;
margin-top: 20px;
padding: 6px;
font-size: 2rem;
}
</style>
<body class="login" >
<div id="content" >
<div class="container-fluid" >
<div class="lock-container" style="margin-top:15px">
<div class="panel panel-default text-center paper-shadow" data-z="0.5" style="border-radius: 30px; " data-z="0.5" >
<a href="index.php"><img src="images/logo1.png" width="100px" height="100px"/></a>
<h1 class="text-display-1 text-center">Clinic Signup</h1>
<div class="panel-body">
<!-- Signup -->
<form role="form" method="post" action="Clinic_Signup.php">
<div class="form-group">
<label for="password">Category Name *</label>
<div class="form-control-material">
<?php
$query1 = mysqli_query($Conn,"select * from categories");
echo '<select name="Category_ID" class="selectpicker" data-style="btn-white" required>';
echo '<option value=""></option>';
while ($row1 = mysqli_fetch_array($query1)) {
echo '<option value="'.$row1['ID'].'">'.$row1['Category_Name'].'</option>';
}
echo '</select>';
?>
</div>
</div>
<br>
<div class="form-group">
<label for="Company Name">Name *</label>
<div class="form-control-material">
<input id="firstName" type="text" class="form-control" name="Name" placeholder="Name" required>
</div>
</div>
<div class="form-group">
<label for="email">Phone Number *</label>
<div class="form-control-material">
<input id="text" type="text" name="Phone_Number" pattern="[+ 0-9]{10}" title="Must Contain Exactly 10 Numbers" class="form-control" placeholder="Phone Number" required>
</div>
</div>
<div class="form-group">
<label for="email">Address *</label>
<div class="form-control-material">
<input id="text" type="text" name="Address" class="form-control" placeholder="Address" required>
</div>
</div>
<div class="form-group">
<label for="email">Username *</label>
<div class="form-control-material">
<input id="text" type="text" name="Username" class="form-control" placeholder="Username" required>
</div>
</div>
<div class="form-group">
<label for="password">Password *</label>
<div class="form-control-material">
<input id="password" type="password" class="form-control" name="Password" placeholder="Password" required>
</div>
</div>
<br>
<br><br>
<div class="text-center">
<input type="submit" name="Submit" value="Signup" class="btn btn-primary"/>
<input type="reset" value="Reset" class="btn btn-danger"/>
</div>
<br><br>
</form>
<!-- //Signup -->
</div>
</div>
</div>
</div>
</div>
<!-- Footer -->
<footer class="footer">
<strong><font color="#000">Clinics Center © 2022. All Rights Reserved.</font></strong>
</footer>
<!-- // Footer -->
<!-- Inline Script for colors and config objects; used by various external scripts; -->
<script>
var colors = {
"danger-color": "#e74c3c",
"success-color": "#81b53e",
"warning-color": "#f0ad4e",
"inverse-color": "#2c3e50",
"info-color": "#2d7cb5",
"default-color": "#6e7882",
"default-light-color": "#cfd9db",
"purple-color": "#9D8AC7",
"mustard-color": "#d4d171",
"lightred-color": "#e15258",
"body-bg": "#f6f6f6"
};
</script>
<script src="js/vendor/all.js"></script>
<script src="js/app/app.js"></script>
</body>
</html>