BIS/generate-form.php at main · wmm-x/BIS · GitHub

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<?php
session_start();
if (!isset($_SESSION['HospitalID'])) {
  header('Location: index.php');
  exit();
}
if (isset($_GET['logout'])) {
  session_unset();
  session_destroy();
  header('Location: index.php');
  exit();
}
?>

<!DOCTYPE html>
<html lang="en">

<head>
  <meta charset="UTF-8" />
  <meta name="viewport" content="width=device-width, initial-scale=1.0" />
  <title>BIS Dashboard - Asiri Hospital Colombo</title>
  <link rel="stylesheet" href="./src/css/generate-form.css" />

  <style>
    .breadcrumb {
      padding: 15px 30px;
      padding-bottom: 0%;
      background: #eee;
      font-size: 14px;
      text-decoration: none;
    }

    .breadcrumb a {

      text-decoration: none;
    }
  </style>
</head>

<body>

  <header>
    <div class="logo">BIS Dashboard - Asiri Hospital Colombo</div>
    <a href="?logout=true" class="logout">Logout</a>
  </header>
  <nav class="breadcrumb">
    <a href='index.php'><b> Dashboard </b> </a> / Approved Registration Forms
  </nav>

  <div class="container">
    <h1>Generate Birth Form</h1>
    <p>Please fill all required information</p>

    <div id="section1">
      <input type="text" id="nic" placeholder="Parent NIC Number *" required pattern="^([0-9]{9}[vVxX]|[0-9]{12})$" title="Enter a valid NIC: 9 digits + V/X or 12 digits" />
      <input type="text" id="name" placeholder="Parent Full Name *" required />
      <input type="email" id="email" placeholder="Parent Email Address *" required />
    </div>

    <button onclick="generateLink()">Generate & Send Link</button>

    <div id="success" class="success-message" style="display:none;">
      ✔ Success! The form link has been generated and sent to the provided email address.
    </div>
    <div id="error" class="error-message" style="display:none;">
      ❌ Something went wrong! The email could not be sent.
    </div>

  </div>

  <footer>
    Register General's Department - Sri Lanka
  </footer>

  <script>
    function validateSection(sectionNum) {
      const section = document.getElementById(`section${sectionNum}`);
      const inputs = section.querySelectorAll('input[required], select[required], textarea[required]');
      let firstInvalid = null;

      for (const input of inputs) {
        if (input.offsetParent === null) continue; // skip hidden
        if (!input.checkValidity()) {
          firstInvalid = input;
          break;
        }
      }

      if (firstInvalid) {
        firstInvalid.reportValidity();
        firstInvalid.scrollIntoView({
          behavior: 'smooth',
          block: 'center'
        });
        return false;
      }

      return true;
    }

    function generateLink() {
      const nic = document.getElementById("nic").value.trim();
      const name = document.getElementById("name").value.trim();
      const email = document.getElementById("email").value.trim();
      const successBox = document.getElementById("success");
      const errorBox = document.getElementById("error");


      successBox.style.display = "none";
      errorBox.style.display = "none";


      const isValid = validateSection(1);
      if (!isValid) return;


      fetch("inc/insert-form.php", {
          method: "POST",
          headers: {
            "Content-Type": "application/json"
          },
          body: JSON.stringify({
            ParentsName: name,
            Email: email,
            NIC: nic
          })
        })
        .then(async res => {
          const data = await res.text();
          try {
            const json = JSON.parse(data);
            if (!res.ok) throw new Error(json.error || json.warning || "Unknown error");

            successBox.style.display = "block";
            console.log("Success:", json.message || json.warning);
          } catch (e) {
            errorBox.style.display = "block";
            console.error("Parse error:", e.message);
          }
        })
        .catch(err => {
          errorBox.style.display = "block";
          console.error("Request error:", err.message);
        });
    }
  </script>

</body>

</html>