63 lines
4.6 KiB
Plaintext
63 lines
4.6 KiB
Plaintext
<%@ Page Title="New Patient" Language="C#" MasterPageFile="main.master" CodeBehind="patNew.aspx.cs" Inherits="FWA_MAIN.patNew" %>
|
|
|
|
<asp:Content runat="server" ContentPlaceHolderID="cph1">
|
|
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.5.1/jquery.min.js"></script>
|
|
<script type="text/javascript">
|
|
$(document).ready(function() {
|
|
$(document).keypress(function(e) {
|
|
if (e.which === 13) { // Enter key = keycode 13
|
|
e.preventDefault(); // Prevent the default Enter action
|
|
$("#<%= btnSavePat.ClientID %>").click(); // Trigger the search button click
|
|
}
|
|
});
|
|
});
|
|
</script>
|
|
<link type="text/css" href="main.css"/>
|
|
|
|
<h1 style="text-align: center; font-size: 44px">New Patient</h1>
|
|
<div class="patDiv">
|
|
<div class="patDiv">
|
|
<div class="patDiv" style="padding-left: 150px; padding-right: 5px;width: 100px">
|
|
<div class="indivPatDiv" style="text-align: right"><label class="buttonLabel">Patient ID: </label></div>
|
|
<div class="indivPatDiv" style="text-align: right"><label class="buttonLabel">First Name: </label></div>
|
|
<div class="indivPatDiv" style="text-align: right"><label class="buttonLabel">Last Name: </label></div>
|
|
<div class="indivPatDiv" style="text-align: right"><label class="buttonLabel">Middle Initial: </label></div>
|
|
<div class="indivPatDiv" style="text-align: right"><label class="buttonLabel">Weight (lbs): </label></div>
|
|
<div class="indivPatDiv" style="text-align: right"><label class="buttonLabel">Height (Ft): </label></div>
|
|
<div class="indivPatDiv" style="text-align: right"><label class="buttonLabel">Height (In): </label></div>
|
|
<div class="indivPatDiv" style="text-align: right"><label class="buttonLabel">Date of Birth: </label></div>
|
|
<div class="indivPatDiv" style="text-align: right"><label class="buttonLabel">Gender (M/F): </label></div>
|
|
</div>
|
|
<div class="patDiv">
|
|
<div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtPatID"></asp:TextBox></div>
|
|
<div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtFNAME"></asp:TextBox></div>
|
|
<div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtLNAME"></asp:TextBox></div>
|
|
<div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtMidInit"></asp:TextBox></div>
|
|
<div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtWeight"></asp:TextBox></div>
|
|
<div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtHeightFt"></asp:TextBox></div>
|
|
<div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtHeightIn"></asp:TextBox></div>
|
|
<div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtDOB"></asp:TextBox></div>
|
|
<div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtGender"></asp:TextBox></div>
|
|
</div>
|
|
</div>
|
|
<div class="patDiv">
|
|
<div class="patDiv" style="padding-left: 150px; padding-right: 5px;width: 120px">
|
|
<div class="indivPatDiv" style="text-align: right"><label class="buttonLabel">City: </label></div>
|
|
<div class="indivPatDiv" style="text-align: right"><label class="buttonLabel">Zip Code: </label></div>
|
|
<div class="indivPatDiv" style="text-align: right"><label class="buttonLabel">State: </label></div>
|
|
<div class="indivPatDiv" style="text-align: right"><label class="buttonLabel">Phone Number: </label></div>
|
|
</div>
|
|
<div class="patDiv">
|
|
<div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtCity"></asp:TextBox></div>
|
|
<div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtZip"></asp:TextBox></div>
|
|
<div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtState"></asp:TextBox></div>
|
|
<div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtPhoneNum"></asp:TextBox></div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<br/>
|
|
<div class="patDiv" style="margin-left: 500px">
|
|
<div style="margin-right: 10px; display: inline-block"><asp:Button runat="server" CssClass="standardbtn" ID="btnSavePat" Text="Create" OnClick="btnSavePat_OnClick"/></div>
|
|
<div style="display: inline-block"><asp:Button runat="server" CssClass="standardbtn" ID="btnCancelPat" Text="Cancel" OnClick="btnCancelPat_OnClick"/></div>
|
|
</div>
|
|
</asp:Content> |