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89 lines
4.0 KiB
89 lines
4.0 KiB
<br>
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<?php
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if($_POST['go']){
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$q=mysqli_query($dbConn, "INSERT INTO farmacie VALUES(null,'".converti($_POST['nome'])."','".converti($_POST['descrizione'])."','".converti($_POST['indirizzo'])."',
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'".$_POST['comune']."','".$_POST['cap']."','".$_POST['asl']."','".$_POST['ambito']."','".converti($_POST['telefono'])."',
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'".converti($_POST['email'])."','".converti($_POST['r_indirizzo'])."','".converti($_POST['r_telefono'])."',
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'".$_POST['r_comune']."','".converti($_POST['r_messaggio'])."')");
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if($q){
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@include 'res_ok.php';
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}else{
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@include 'res_ko.php';
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}
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}else{
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?>
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<form method="post">
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<table border="0" cellspacing="2" cellpadding="2" width="750">
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<tr><td align="left" valign="middle" class="title" colspan="4"> <b>Nuova farmacia</b></td></tr>
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<tr><td width="150" valign="top" align="right" class="txt_lit_grey">Farmacia: </td><td width="275"><input type="text" name="nome" style="width: 275px"></td>
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<td width="150" valign="top" align="right" class="txt_lit_grey" rowspan="2">Descrizione: </td><td width="275" rowspan="2"><textarea name="descrizione" cols="40" rows="2" style="width: 275px"></textarea></td>
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</tr>
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<tr><td width="150" valign="top" align="right" class="txt_lit_grey">Indirizzo: </td><td width="275"><input type="text" name="indirizzo" style="width: 275px"></td></tr>
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<tr><td width="150" valign="top" align="right" class="txt_lit_grey">Comune: </td><td width="275"><select name="comune" style="width: 275px">
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<?php
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$q=mysqli_query($dbConn, "SELECT * FROM comuni ORDER BY comune");
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while($r=mysqli_fetch_array($q)){
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echo "<option value=\"".$r['id']."\"> ".$r['comune']."</option>\n";
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}
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?>
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</select>
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</td><td width="150" valign="top" align="right" class="txt_lit_grey">CAP: </td><td width="275" align="left"><input type="text" name="cap" style="width: 80px"></td>
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</tr>
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<tr><td width="150" valign="top" align="right" class="txt_lit_grey">ASL: </td><td width="275"><select name="asl" style="width: 275px">
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<option value="A.S.L. Salerno 1">A.S.L. Salerno 1</option>
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<option value="A.S.L. Salerno 2">A.S.L. Salerno 2</option>
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<option value="A.S.L. Salerno 3">A.S.L. Salerno 3</option>
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</select>
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</td><td width="150" valign="top" align="right" class="txt_lit_grey">Ambito: </td><td width="275"><select name="ambito" style="width: 275px">
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<?php
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$q=mysqli_query($dbConn, "SELECT * FROM ambiti ORDER BY descrizione");
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while($r=mysqli_fetch_array($q)){
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echo "<option value=\"".$r['id']."\"> ".$r['descrizione']."</option>\n";
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}
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?>
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</select></td>
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</tr>
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<tr><td width="150" valign="top" align="right" class="txt_lit_grey">Telefono: </td><td width="275"><input type="text" name="telefono" style="width: 275px"></td>
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<td width="150" valign="top" align="right" class="txt_lit_grey">E-Mail: </td><td width="275"><input type="text" name="email" style="width: 275px"></td>
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</tr>
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<tr><td align="center" valign="top" colspan="4"> </td></tr>
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<tr><td align="left" valign="middle" class="title" colspan="4"> <b>Reperibilità</b></td></tr>
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<tr><td width="150" valign="top" align="right" class="txt_lit_grey">Indirizzo: </td><td width="275"><input type="text" name="r_indirizzo" style="width: 275px"></td>
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<td width="150" valign="top" align="right" class="txt_lit_grey">Telefono: </td><td width="275"><input type="text" name="r_telefono" style="width: 275px"></td>
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</tr>
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<tr><td width="150" valign="top" align="right" class="txt_lit_grey">Comune: </td><td width="275"><select name="r_comune" style="width: 275px">
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<?php
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$q=mysqli_query($dbConn, "SELECT * FROM comuni ORDER BY comune");
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while($r=mysqli_fetch_array($q)){
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echo "<option value=\"".$r['id']."\"> ".$r['comune']."</option>\n";
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}
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?>
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</select></td>
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<td width="150" valign="top" align="right" class="txt_lit_grey">Messaggio: </td><td width="275"><input type="text" name="r_messaggio" style="width: 275px"></td>
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</tr>
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<tr><td align="center" valign="top" colspan="4"> </td></tr>
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<tr><td width="750" align="right" colspan="4"><input type="submit" name="go" value=" Salva farmacia " class="button"></td></tr>
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<tr><td align="center" valign="top" colspan="4"> </td></tr>
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</table>
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</form>
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<?php
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}
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?>
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