-
Notifications
You must be signed in to change notification settings - Fork 0
/
medicijnmaken.php
54 lines (48 loc) · 1.89 KB
/
medicijnmaken.php
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
<!DOCTYPE html>
<html lang="en">
<head style="">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" type="text/css" href="style.css">
<link href="datetimepicker/sample in bootstrap v2/bootstrap/css/bootstrap.min.css" rel="stylesheet" media="screen">
</head>
<body>
<?php include 'navbar_apotheker.php'; ?>
<div>
<h1 style="text-align: center;">Maak hier een medicijn aan</h1>
</div>
<div class="form" style="margin-left:43.5%; text-align: center">
<form id="medicijnmaken" class="table" method="post" action="medicijnmaken_parse.php" ;>
<table>
<tr>
<br>
<td>Medicatie naam<br></td></tr>
<tr><td><input type="naam" name="naam"></td></tr>
<tr>
<td>Medicatie Omschrijving<br></td></tr>
<tr><td><input type="omschrijving" name="omschrijving"></td>
</tr>
<tr>
<td>Medicatie aantal<br></td></tr>
<tr><td><input type="aantal" name="aantal"></td>
</tr>
<tr>
<td>Medicatie Maximale aantal<br></td></tr>
<tr><td><input type="maximaleaantal" name="maximaleaantal"></td>
</tr>
<td>ophalen <div>
<input style="width: 100%" type="hidden" class="form-control" name="ophalen" id="ophalen" placeholder="ophalen" value="nee" />
<input style="width: 100%" type="checkbox" class="form-control" name="ophalen" id="ophalen" placeholder="ophalen" value="ja" />
</td>
<tr>
<td>
<div style="margin-top:30px;"><input type="submit" name="medicijnmaken" value="Medicijn Aanmaken" class="button button1"></div></td>
</tr>
</table>
</form>
<button onclick="location.href='./medicatie.php'" type="button" style="width: 250px; float: right;" class="button button1" > Terug </button>
</div>
</body>
<br><br><br>
<footer>
</footer>
</html>