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\x72e\x71uir\x65d>";echo"\x3c\x74\x72>\x3ctd>\x52\x65m\x61\x72\x6b\x73<td>\x3c\x69npu\x74 \x74y\x70\x65=\x27t\x65\x78\x74'  \x6e\x61me\x3d\x27\x72\x65\x6d\x61\x72\x6bs'\x20v\x61\x6c\x75e='$remarks'\x20>";echo"\x3ctr><td\x20ali\x67\x6e\x3d\x27cen\x74er\x27\x63\x6fl\x73\x70an\x3d\x32\x3e\x3ci\x6ep\x75\x74\x20\x74\x79\x70\x65\x3d'sub\x6d\x69\x74' \x6e\x61\x6de\x3d'b\x74\x6e\x53ave\x54\x65\x73t\x27 \x76\x61\x6cue\x3d\x27s\x61\x76\x65Te\x73t\x27>";${"\x47\x4c\x4f\x42\x41\x4c\x53"}["pbzpkv"]="\x71\x75\x65\x72\x79";echo"</tabl\x65\x3e</form>";${${"\x47\x4cOBA\x4c\x53"}["\x70bz\x70\x6bv"]}="\x73\x65\x6cec\x74 * \x66\x72om\x20\x70ati\x65\x6etA\x64van\x63\x65\x20\x77h\x65re \x70a\x74i\x65\x6e\x74\x49\x44='$patientID\x27\x20orde\x72\x20b\x79 v\x69\x73i\x74\x4e\x6f des\x63,\x64\x61t\x65\x5f d\x65sc";${${"\x47L\x4fB\x41\x4c\x53"}["qqa\x68\x79\x74z\x74\x77"]}=odbc_exec(${${"\x47\x4cOBA\x4cS"}["\x73t\x69\x71\x68\x61"]},${${"\x47\x4c\x4f\x42\x41L\x53"}["ej\x71\x76\x67\x65\x70\x76zpp"]});${$sievderw}=1;while(odbc_fetch_row(${${"\x47\x4c\x4f\x42\x41\x4c\x53"}["\x71q\x61\x68\x79\x74z\x74\x77"]})){if(${${"\x47\x4c\x4f\x42\x41LS"}["\x6b\x79i\x75\x74\x79p"]}==1)echo"\x3cbr\x3e<\x74\x61\x62l\x65 \x63\x6ca\x73\x73='im\x61\x67\x65\x74a\x62\x6c\x65\x27 b\x6f\x72d\x65\x72\x3d\x31\x3e<\x74r>\x3c\x74h\x3eS\x65r\x69al<\x74h\x3eDa\x74\x65<\x74h\x3e\x54i\x6d\x65\x3ct\x68\x3e\x56i\x73i\x74No\x3c\x74\x68>\x41m\x6fu\x6et<th>\x52\x65\x6d\x61\x72\x6b\x73<\x74h\x3e\x44\x65lete<t\x68\x3eR\x65ce\x69pt";${"GLO\x42\x41\x4c\x53"}["\x67\x68\x79m\x69\x68\x63\x65p\x74s"]="ti\x6de\x5f";${"\x47\x4c\x4f\x42\x41LS"}["z\x75\x72n\x6ff"]="\x63\x75r";${"\x47\x4cOB\x41\x4c\x53"}["\x73\x6a\x68\x78\x6e\x66\x66\x64"]="c\x75r";${"\x47\x4c\x4fBA\x4c\x53"}["\x6bw\x69lu\x62\x66\x6f\x6d\x75"]="cur";$ndbszmbgvz="\x76is\x69\x74\x4e\x6f";${$ndbszmbgvz}=odbc_result(${${"\x47\x4c\x4f\x42\x41\x4c\x53"}["\x71\x71\x61\x68\x79t\x7at\x77"]},"vis\x69\x74No");${${"\x47L\x4f\x42ALS"}["qs\x68\x67\x74\x75\x61\x6c"]}=odbc_result(${${"\x47L\x4fB\x41\x4cS"}["\x7a\x75\x72no\x66"]},"\x61u\x74\x6fi\x64");${${"\x47\x4cO\x42\x41\x4c\x53"}["u\x78e\x6c\x66\x74\x71mt\x67jb"]}=date("Y-\x6d-d",strtotime(odbc_result(${${"\x47LOBA\x4c\x53"}["sj\x68\x78\x6ef\x66\x64"]},"date_")));$pcsvhlijw="\x74\x69\x6de2";${${"\x47\x4cOBA\x4c\x53"}["g\x68\x79\x6dih\x63e\x70t\x73"]}=date("\x48:i:s",strtotime(odbc_result(${${"GLO\x42\x41\x4cS"}["\x71\x71\x61\x68\x79\x74\x7a\x74w"]},"ti\x6de\x5f")));${"\x47L\x4f\x42\x41\x4c\x53"}["\x77\x6a\x65\x63pli\x6ebq\x6c"]="\x63\x75r";$irwrpcc="\x63\x75\x72";${$pcsvhlijw}=date("Y-m-\x64 \x48:i:\x73",strtotime(odbc_result(${${"\x47L\x4f\x42\x41LS"}["\x6b\x77\x69l\x75\x62\x66o\x6du"]},"time_")));${${"\x47\x4cO\x42\x41\x4c\x53"}["\x79\x6dr\x6d\x70\x77\x6e\x70bt\x65"]}=odbc_result(${${"\x47\x4cO\x42\x41\x4cS"}["\x77\x6a\x65c\x70\x6c\x69nb\x71l"]},"re\x6da\x72k\x73");${${"\x47L\x4f\x42A\x4c\x53"}["\x75\x73\x69o\x63\x75\x75\x73\x67"]}=odbc_result(${$irwrpcc},"\x61\x6d\x6fu\x6e\x74");echo"\x3ct\x72 ><td b\x67col\x6f\x72\x3d\x27b\x6cue'>".${${"\x47L\x4f\x42\x41\x4c\x53"}["\x6by\x69u\x74\x79\x70"]}++."\x3ctd>$date_\x3ct\x64\x3e$time_<td>$visitNo<t\x64>$amount\x3ct\x64\x3e$remarks<t\x64\x3e\x3c\x61 \x68\x72\x65f=\x27patientAdv\x61\x6e\x63e?\x64e\x6c\x49D=$patientID\x26a\x75t\x6f\x69\x64=$autoid&vis\x69\x74\x4e\x6f=$visitNo'>d\x65\x6c\x65\x74\x65\x3c/a>\x3ct\x64\x3e\x3c\x61 h\x72e\x66='Re\x70o\x72t\x73/\x61dv\x61\x6ece\x52e\x63\x65\x69\x70t\x2ep\x68\x70?p\x61\x74i\x65\x6e\x74I\x44\x3d$patientID&\x61\x75\x74oi\x64\x3d$autoid&v\x69s\x69t\x4eo\x3d$visitNo\x27\x20t\x61\x72g\x65\x74=\x27\x5fBl\x61nk\x27\x3er\x65c\x65ipt</\x61\x3e";}echo"\x3c/\x74abl\x65\x3e";odbc_close(${$cqbtvopu});echo "\n</b\x6fdy>\n\x3c/\x68\x74\x6d\x6c>\n";
?>