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ambulance.php
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ambulance.php
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta http-equiv="X-UA-Compatible" content="ie=edge">
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/twitter-bootstrap/4.3.1/css/bootstrap.min.css">
<link rel="stylesheet" href="css/all.css">
<link rel="stylesheet" href="css/owl.carousel.min.css">
<link rel="stylesheet" href="css/owl.theme.default.min.css">
<link rel="stylesheet" href="css/flickity.min.css">
<link rel="stylesheet" href="css/aos.css">
<link rel="stylesheet" href="style.css">
<title>Doctorola.com</title>
</head>
<body>
<!---------------------------------Above Navigations--------------------->
<div class="container mt-3 d-flex justify-content-between">
<!------------------------------------------- --------->
<div class="dropdown drop1">
<a href="#" class="dropdown-toggle text-dark" data-toggle="dropdown">
<span><img class="dropdown-item-icon" src="img/1280px-Flag_of_the_United_States.svg.png" alt="SVG" width="20px" height="17px" class="img-fluid"></span>
<span class="ml-1">United States</span>
</a>
<div class="dropdown-menu border-0 shadow-lg">
<a href="#" class="dropdown-item">English </a>
<a href="#" class="dropdown-item">Destuch</a>
<a href="#" class="dropdown-item">Spanish</a>
</div>
</div>
<ul class="list-unstyled list-inline text-capitalize">
<li class="list-inline-item"><a href="#" class="text-decoration-none text-muted"><i class="fas fa-user text-danger" style="font-size: 19px"></i> Log in/Sign up</a></li>
</ul>
</div>
<!---------------------------------End Above Navigations--------------------->
<!-----------------------------------Start Navigations------------------------->
<nav class="navbar navbar-expand-lg navbar-dark sticky-top shadow-lg"
data-aos-delay="1000"
data-aos-duration="1000"
data-aos-easing="ease-in-out"
data-aos-mirror="false"
data-aos-once="true"
>
<div class="container">
<a class="navbar-brand" href="index.php">
<img src="img/doctorola_logo.png" alt="logo-img" class="img-fluid" width="120px" height="100px;">
</a>
<button class="navbar-toggler" type="button" data-toggle="collapse" data-target="#navbarSupportedContent" aria-controls="navbarSupportedContent" aria-expanded="false" aria-label="Toggle navigation">
<span class="navbar-toggler-icon"></span>
</button>
<div class="collapse navbar-collapse" id="navbarSupportedContent">
<ul class="navbar-nav ml-auto mix">
<li class="nav-item">
<a class="nav-link" href="index.php" role="button" aria-haspopup="true" aria-expanded="false">
Home
</a>
</li>
<li class="nav-item">
<a class="nav-link" href="doctors.php">Doctors</a>
</li>
<li class="nav-item ">
<a class="nav-link" href="blood donor.php" id="navbarDropdown" role="button" aria-haspopup="true" aria-expanded="false">
Blood Donors
</a>
</li>
<li class="nav-item active">
<a class="nav-link" href="ambulance.php" id="navbarDropdown" role="button" aria-haspopup="true" aria-expanded="false">
Call Ambulance
</a>
</li>
<li class="nav-item ">
<a class="nav-link" href="news.php" id="navbarDropdown" role="button" aria-haspopup="true" aria-expanded="false">
News
</a>
</li>
<li class="nav-item ">
<a class="nav-link " href="contact.php" id="navbarDropdown" role="button" aria-haspopup="true" aria-expanded="false">
Contact Us
</a>
</li>
</ul>
</div>
</div>
</nav>
<!-----------------------------------End Navigations------------------------->
<!---------------------- plug in-------------------------------------------------------------------------->
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.4.1/jquery.min.js"></script>
<script src="js/aos.js"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.15.0/umd/popper.min.js"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/twitter-bootstrap/4.3.1/js/bootstrap.min.js"></script>
<script src="js/owl.carousel.min.js"></script>
<script src="https://unpkg.com/[email protected]/dist/scrollreveal.min.js"></script>
<script src="js/isotope.pkgd.min.js"></script>
<script src="https://cdn.jsdelivr.net/npm/[email protected]"></script>
<!---------------------- plug in-------------------------------------------------------------------------->
<script>
$(document).ready(function(){
$('li').on('click',function(){
$(this).addClass('active').siblings().removeClass('active')
})
})
</script>
<!--------------------------------------------------------banner starts----------------------------------------------------->
<div class="ambulance-img shadow">
<div class="container"
data-aos="zoom-out"
data-aos-offset=""
data-aos-delay="0"
data-aos-duration="1000"
data-aos-easing="ease-in-out"
data-aos-mirror="true"
data-aos-once="true"
data-aos-anchor-placement="center-bottom"
>
<div class="ambu-des text-white text-left"
>
<h2 style="font-size:54px" >Need ambulance </h2>
<p class="lead"> For the first time in Bangladesh now you can book ambulance at your finger tip.</p>
<a href="#ambulance-form" class="btn btn-lg btn-danger"> Book now</a>
</div>
</div>
</div>
<!--------------------------------------------------------Banner Ends----------------------------------------------------->
<!--------------------------------------------------------Three column starts---------------------------------------------------------->
<div class="container" style="margin-top: 100px;">
<div class="row">
<div class="col-12 col-md-4">
<div class="col-left"
data-aos="fade-up"
data-aos-offset="300"
data-aos-delay="0"
data-aos-duration="1000"
data-aos-easing="ease-in-out"
data-aos-mirror="true"
data-aos-once="true"
data-aos-anchor-placement="center-bottom"
>
<span><i class="fas fa-ambulance text-danger mb-4" style="font-size:42px;"></i></span>
<h6 class="mb-3">Emergency Assistance</h6>
<p class="text-muted lead" style="font-size: 14px;">24/7 Prompt and efficient emergency and Ambulance Service. Whatever the distance UASL is always there to offer its services.</p>
</div>
</div>
<div class="col-12 col-md-4">
<div class="col-middle"
data-aos="fade-up"
data-aos-offset="300"
data-aos-delay="0"
data-aos-duration="1000"
data-aos-easing="ease-in-out"
data-aos-mirror="true"
data-aos-once="true"
data-aos-anchor-placement="center-bottom"
>
<span> <i class="fas fa-briefcase-medical text-danger mb-4" style="font-size:42px;"></i></span>
<h6 class="mb-3">First Aid Training</h6>
<p class="text-muted lead" style="font-size: 14px;">We offer First Aid Training courses that will equip you with the skills that could one day help save someone’s life.</p>
</div>
</div>
<div class="col-12 col-md-4">
<div class="col-right"
data-aos="fade-up"
data-aos-offset="300"
data-aos-delay="0"
data-aos-duration="1000"
data-aos-easing="ease-in-out"
data-aos-mirror="true"
data-aos-once="true"
data-aos-anchor-placement="center-bottom"
>
<span><i class="fas fa-certificate text-danger mb-4" style="font-size:42px;"></i> </span>
<h6 class="mb-3" >Certified Profressionals</h6>
<p class="text-muted lead" style="font-size: 14px;">The International EMS Registry,leader in EMR, EMT and Paramedic Certification.</p>
</div>
</div>
<div class="col-12 float-left">
<h3 class="my-5 font-weight-bold text-danger">Book ambulance now</h3>
</div>
</div>
</div>
<!--------------------------------------------------------Three column Ends---------------------------------------------------------->
<!---------------------------------------------------PHP code start--------------------------------------------------------------------------->
<?php
function my_form($data){
$data = trim($data);
$data = stripcslashes($data);
$data = htmlspecialchars($data);
return $data;
}
//-------------------- define variable with empty values------------------------ ----------------------------
$name = $mobile = $location = $destination = $type = $age = $gender = "";
//------------define variable for error message--------------------------------------------------------------------
$name_err = $mobile_err = $location_err = $destination_err = $type_err = $age_err = $gender_err = $have_err = "";
if($_SERVER['REQUEST_METHOD'] == 'POST'){
if(empty($_POST['name'])){
$name_err="Require Name";
$have_err ="One or more fields have an error. Please check and try again.";
}
elseif(!preg_match("/^[a-zA-Z ]*$/", $_POST['name'])){
$name_err="Invalid Name";
$have_err ="One or more fields have an error. Please check and try again.";
}
else{
$name = my_form($_POST['name']);
}
if(empty($_POST['mobile'])){
$mobile_err ="Require Mobile Number";
$have_err ="One or more fields have an error. Please check and try again.";
}
elseif(!preg_match('/^[0-9]{11}+$/', $_POST['mobile'])){
$mobile_err ="Mobile Number Invalid";
$have_err ="One or more fields have an error. Please check and try again.";
}
else{
$mobile = my_form($_POST['mobile']);
}
if(empty($_POST['location'])){
$location_err = "Please Check Location";
$have_err ="One or more fields have an error. Please check and try again.";
}
else{
$location = my_form($_POST['location']);
}
if(empty($_POST['destination'])){
$destination_err ="Please Check Destination";
$have_err ="One or more fields have an error. Please check and try again.";
}
else {
$destination = my_form($_POST['destination']);
}
if(empty($_POST['type'])){
$type_err="Please Check Vehicle Type";
$have_err ="One or more fields have an error. Please check and try again.";
}
else{
$type = my_form($_POST['type']);
}
if(empty($_POST['age'])){
$age_err ="Please Check Age";
$have_err ="One or more fields have an error. Please check and try again.";
}
else{
$age = my_form($_POST['age']);
}
if(empty($_POST['gender'])){
$gender_err="Please Fill this Field";
$have_err ="One or more fields have an error. Please check and try again.";
}
else{
$gender = my_form($_POST['gender']);
}
//----------------------------------------data base connection--------------------
$conn = new mysqli('localhost','root','','ambulance');
//-------check connection
if(!$conn){
die("Connection Fails".$conn->error);
}
else{
$name = mysqli_real_escape_string($conn,$name);
$mobile = mysqli_real_escape_string($conn,$mobile);
$location = mysqli_real_escape_string($conn,$location);
$destination = mysqli_real_escape_string($conn,$destination);
$type = mysqli_real_escape_string($conn,$type);
$age = mysqli_real_escape_string($conn,$age);
$gender = mysqli_real_escape_string($conn,$gender);
$sql = "INSERT INTO `reservation` (`Name`,`Location`,`Destination`,`Mobile`,`Age`,`Gender`,`Ambulance Type`) VALUES ('$name','$location','$destination','$mobile','$age','$gender','$type')";
if($conn->query($sql)){
echo "<script>alert('Congratulations! You have Booked an Ambulance.We will contact with you via mail or phone within 5 minutes.');</script>";
}
else{
echo"Invalid";
}
$conn ->close();
}
}
?>
<!--------------------------------------------------------Ambulace form starts---------------------------------------------------------->
<div class="container padding">
<div class="row">
<div class="col-12 col-sm-8">
<div class="form-ambulance bg-white shadow-lg p-5">
<p style="font-size: 16px;" class="text-muted" >Please provide the following information to book an ambulance.
Ensure that your mobile number is correct. Doctoroala will send SMS to your mobile to authenticate.
Our support will reach you the soon as possible.</p>
<form action="" method="POST">
<div class="form-group">
<label for="patientnName" class="font-weight-bold mb-2">Patient's name </label>
<span class="star"> * <?php echo $name_err;?> </span>
<input type="name" class="form-control mb-2" id="patientnName" aria-describedby="emailHelp" placeholder="Enter Patient's name" name="name" required value="<?php echo $name?>">
</div>
<div class="form-group">
<label for="mobile" class="font-weight-bold mb-2" >Mobile</label>
<span class="star"> * <?php echo $mobile_err;?> </span>
<input type="tel" class="form-control mb-2" id="mobile" placeholder="Enter mobile number" name="mobile" required value="<?php echo $mobile?>">
</div>
<div class="form-group">
<label for="location" class="font-weight-bold mb-2">Patient's locations</label>
<span class="star"> * <?php echo $location_err;?> </span>
<input type="text" id="location" name="location" placeholder="Enter a location" class="form-control mb-2" required value="<?php echo $location?>">
</div>
<div class="form-group">
<label for="destination" class="font-weight-bold mb-2">Destination</label>
<span class="star"> * <?php echo $destination_err;?> </span>
<input type="text" id="destination" name="destination" placeholder="Enter a location" class="form-control mb-2" required value="<?php echo $destination?>">
</div>
<div class="form-group">
<label for="ambulance" class="font-weight-bold mb-2">Ambulance Type</label>
<span class="star"> * <?php echo $type_err;?> </span>
<select name="type" id="ambulance" class="custom-select" required value="<?php echo $type?>">
<option value="AC" name="type">AC</option>
<option value="NON-AC" name="type">NON-AC</option>
<option value="FREZZER" name="type">FREZZER</option>
<option value="ICU" name="type">ICU</option>
</select>
</div>
<div class="form-group">
<label for="age" class="font-weight-bold mb-1">Patient's Age</label>
<span class="star"> * <?php echo $age_err;?> </span>
<input type="number" id="age" name="age" class="form-control w-25 mb-2" required placeholder="0" value="<?php echo $age?>">
</div>
<div class="form-group mb-2">
<label for="gender" class="font-weight-bold" >Gender</label>
<span class="star"> * <?php echo $gender_err;?> </span>
<input type="radio" name="gender" id="gender" value="Male" class="ml-2" required value="<?php echo $gender?>"> Male
<input type="radio" name="gender" id="gender" value="Female" required value="<?php echo $gender?>"> Female
</div>
<div class="custom-control custom-checkbox">
<input type="checkbox" class="custom-control-input" id="customCheck" name="agree">
<label class="custom-control-label" for="customCheck">I Agree</label>
</div>
<p class="text-muted" style="font-size: 15px;">
By checking the agreement box I hereby, attest that my ambulance
request is genuinely required to service my patient's emergency.
I accept URAL's </p>
<button class="btn btn-danger mb-4" type="submit" name="submit">Book Ambulance</button>
</form>
<span class="text-danger font-weight-bold"> <?php echo $have_err;?></span>
</div>
</div>
<div class="col-12 col-sm-4">
<div class="ambulance-right bg-white p-4 shadow mb-4"
>
<h4 class="mb-4">Recent Info </h4>
<ul class="list-unstyled">
<li class="mb-2"><a href="doctors.html" class="text-danger">Bangladesh Specialized doctors</a></li>
<li class="mb-2"><a href="blood donor.html" class="text-danger">Find Blood donors</a></li>
<li class="mb-2"><a href="index.html" class="text-danger">Doctorola.com </a></li>
</ul>
</div>
<div class="bg-white shadow p-4" style="height: 200px"
>
<a href="#ambulance-form" class="btn btn-lg btn-danger d-block my-4 w-75">Book Ambulance</a>
<a href="doctors.html" class="btn btn-md btn-danger d-inline-block">Call Doctor</a>
</div>
</div>
</div>
</div>
<!--------------------------------------------------------Ambulace form Ends---------------------------------------------------------->
<!----------------------------------------------footer options satrt---------------------------------->
<footer class="shadow-lg foot">
<div class="container">
<ul class="list-unstyle list-inline text-center">
<li class="list-inline-item m-3"><i class="fab fa-facebook fa-2x" style="color:#fff;"></i></li>
<li class="list-inline-item m-3"><i class="fab fa-twitter fa-2x" style="color:#fff;"></i></li>
<li class="list-inline-item m-3"><i class="fab fa-instagram fa-2x" style="color:#fff;"></i></li>
</ul>
<hr style="border-top: 2px solid #fff">
<ul class="list-unstyle list-inline text-center" style="font-size: 21px;" >
<li class="list-inline-item m-3"> <a href="#" style="color:#fff;">About Us</a></li>
<li class="list-inline-item m-3"> <a href="#" style="color:#fff;">Blog</a></li>
<li class="list-inline-item m-3"> <a href="#" style="color:#fff;">Contact Us</a></li>
<li class="list-inline-item m-3"> <a href="#" style="color:#fff;">Faq</a></li>
</ul>
<h5 class="text-center text-light mb-4">© 2019 Doctorola Ltd. All rights reserved.</h5>
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