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form-validation.php
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form-validation.php
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<?php
include ("connectDB.php");
?>
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width,initial-scale=1">
<title>ลงทะเบียนเข้าใช้งาน</title>
<!-- Favicon icon -->
<link rel="icon" type="image/png" sizes="16x16" href="images/favicon.png">
<!-- Custom Stylesheet -->
<link href="css/style.css" rel="stylesheet">
</head>
<body>
<!--*******************
Preloader start
********************-->
<div id="preloader">
<div class="loader">
<svg class="circular" viewBox="25 25 50 50">
<circle class="path" cx="50" cy="50" r="20" fill="none" stroke-width="3" stroke-miterlimit="10" />
</svg>
</div>
</div>
<!--*******************
Preloader end
********************-->
<!--**********************************
Main wrapper start
***********************************-->
<div id="main-wrapper">
<!--**********************************
Nav header start
***********************************-->
<div class="nav-header">
<div class="brand-logo">
<a href="index.html">
<b class="logo-abbr"><img src="images/logo.png" alt=""> </b>
<span class="logo-compact"><img src="./images/logo-compact.png" alt=""></span>
<span class="brand-title">
<img src="images/logo-text.png" alt="">
</span>
</a>
</div>
</div>
<!--**********************************
Nav header end
***********************************-->
<!--**********************************
Header start
***********************************-->
<div class="header">
<div class="header-content clearfix">
<div class="nav-control">
<div class="hamburger">
<span class="toggle-icon"><i class="icon-menu"></i></span>
</div>
</div>
<div class="header-left">
<div class="input-group icons">
<div class="input-group-prepend">
<span class="input-group-text bg-transparent border-0 pr-2 pr-sm-3" id="basic-addon1"><i class="mdi mdi-magnify"></i></span>
</div>
<input type="search" class="form-control" placeholder="Search Dashboard" aria-label="Search Dashboard">
<div class="drop-down d-md-none">
<form action="#">
<input type="text" class="form-control" placeholder="Search">
</form>
</div>
</div>
</div>
<div class="header-right">
<ul class="clearfix">
<li class="icons dropdown"><a href="javascript:void(0)" data-toggle="dropdown">
<i class="mdi mdi-email-outline"></i>
<span class="badge gradient-1 badge-pill badge-primary">3</span>
</a>
<div class="drop-down animated fadeIn dropdown-menu">
<div class="dropdown-content-heading d-flex justify-content-between">
<span class="">3 New Messages</span>
</div>
<div class="dropdown-content-body">
<ul>
<li class="notification-unread">
<a href="javascript:void()">
<img class="float-left mr-3 avatar-img" src="images/avatar/1.jpg" alt="">
<div class="notification-content">
<div class="notification-heading">Saiful Islam</div>
<div class="notification-timestamp">08 Hours ago</div>
<div class="notification-text">Hi Teddy, Just wanted to let you ...</div>
</div>
</a>
</li>
<li class="notification-unread">
<a href="javascript:void()">
<img class="float-left mr-3 avatar-img" src="images/avatar/2.jpg" alt="">
<div class="notification-content">
<div class="notification-heading">Adam Smith</div>
<div class="notification-timestamp">08 Hours ago</div>
<div class="notification-text">Can you do me a favour?</div>
</div>
</a>
</li>
<li>
<a href="javascript:void()">
<img class="float-left mr-3 avatar-img" src="images/avatar/3.jpg" alt="">
<div class="notification-content">
<div class="notification-heading">Barak Obama</div>
<div class="notification-timestamp">08 Hours ago</div>
<div class="notification-text">Hi Teddy, Just wanted to let you ...</div>
</div>
</a>
</li>
<li>
<a href="javascript:void()">
<img class="float-left mr-3 avatar-img" src="images/avatar/4.jpg" alt="">
<div class="notification-content">
<div class="notification-heading">Hilari Clinton</div>
<div class="notification-timestamp">08 Hours ago</div>
<div class="notification-text">Hello</div>
</div>
</a>
</li>
</ul>
</div>
</div>
</li>
<li class="icons dropdown"><a href="javascript:void(0)" data-toggle="dropdown">
<i class="mdi mdi-bell-outline"></i>
<span class="badge badge-pill gradient-2 badge-primary">3</span>
</a>
<div class="drop-down animated fadeIn dropdown-menu dropdown-notfication">
<div class="dropdown-content-heading d-flex justify-content-between">
<span class="">2 New Notifications</span>
</div>
<div class="dropdown-content-body">
<ul>
<li>
<a href="javascript:void()">
<span class="mr-3 avatar-icon bg-success-lighten-2"><i class="icon-present"></i></span>
<div class="notification-content">
<h6 class="notification-heading">Events near you</h6>
<span class="notification-text">Within next 5 days</span>
</div>
</a>
</li>
<li>
<a href="javascript:void()">
<span class="mr-3 avatar-icon bg-danger-lighten-2"><i class="icon-present"></i></span>
<div class="notification-content">
<h6 class="notification-heading">Event Started</h6>
<span class="notification-text">One hour ago</span>
</div>
</a>
</li>
<li>
<a href="javascript:void()">
<span class="mr-3 avatar-icon bg-success-lighten-2"><i class="icon-present"></i></span>
<div class="notification-content">
<h6 class="notification-heading">Event Ended Successfully</h6>
<span class="notification-text">One hour ago</span>
</div>
</a>
</li>
<li>
<a href="javascript:void()">
<span class="mr-3 avatar-icon bg-danger-lighten-2"><i class="icon-present"></i></span>
<div class="notification-content">
<h6 class="notification-heading">Events to Join</h6>
<span class="notification-text">After two days</span>
</div>
</a>
</li>
</ul>
</div>
</div>
</li>
<li class="icons dropdown d-none d-md-flex">
<a href="javascript:void(0)" class="log-user" data-toggle="dropdown">
<span>English</span> <i class="fa fa-angle-down f-s-14" aria-hidden="true"></i>
</a>
<div class="drop-down dropdown-language animated fadeIn dropdown-menu">
<div class="dropdown-content-body">
<ul>
<li><a href="javascript:void()">English</a></li>
<li><a href="javascript:void()">Dutch</a></li>
</ul>
</div>
</div>
</li>
<li class="icons dropdown">
<div class="user-img c-pointer position-relative" data-toggle="dropdown">
<span class="activity active"></span>
<img src="images/user/1.png" height="40" width="40" alt="">
</div>
<div class="drop-down dropdown-profile dropdown-menu">
<div class="dropdown-content-body">
<ul>
<li>
<a href="app-profile.html"><i class="icon-user"></i> <span>Profile</span></a>
</li>
<li>
<a href="email-inbox.html"><i class="icon-envelope-open"></i> <span>Inbox</span> <div class="badge gradient-3 badge-pill badge-primary">3</div></a>
</li>
<hr class="my-2">
<li>
<a href="page-lock.html"><i class="icon-lock"></i> <span>Lock Screen</span></a>
</li>
<li><a href="page-login.html"><i class="icon-key"></i> <span>Logout</span></a></li>
</ul>
</div>
</div>
</li>
</ul>
</div>
</div>
</div>
<!--**********************************
Header end ti-comment-alt
***********************************-->
<!--**********************************
Sidebar start
***********************************-->
<div class="nk-sidebar">
<div class="nk-nav-scroll">
<ul class="metismenu" id="menu">
<li class="nav-label">Dashboard</li>
<li>
<a class="has-arrow" href="javascript:void()" aria-expanded="false">
<i class="icon-speedometer menu-icon"></i><span class="nav-text">Dashboard</span>
</a>
<ul aria-expanded="false">
<li><a href="./index.html">Home 1</a></li>
<!-- <li><a href="./index-2.html">Home 2</a></li> -->
</ul>
</li>
<li class="mega-menu mega-menu-sm">
<a class="has-arrow" href="javascript:void()" aria-expanded="false">
<i class="icon-globe-alt menu-icon"></i><span class="nav-text">Layouts</span>
</a>
<ul aria-expanded="false">
<li><a href="./layout-blank.html">Blank</a></li>
<li><a href="./layout-one-column.html">One Column</a></li>
<li><a href="./layout-two-column.html">Two column</a></li>
<li><a href="./layout-compact-nav.html">Compact Nav</a></li>
<li><a href="./layout-vertical.html">Vertical</a></li>
<li><a href="./layout-horizontal.html">Horizontal</a></li>
<li><a href="./layout-boxed.html">Boxed</a></li>
<li><a href="./layout-wide.html">Wide</a></li>
<li><a href="./layout-fixed-header.html">Fixed Header</a></li>
<li><a href="layout-fixed-sidebar.html">Fixed Sidebar</a></li>
</ul>
</li>
<li class="nav-label">Apps</li>
<li>
<a class="has-arrow" href="javascript:void()" aria-expanded="false">
<i class="icon-envelope menu-icon"></i> <span class="nav-text">Email</span>
</a>
<ul aria-expanded="false">
<li><a href="./email-inbox.html">Inbox</a></li>
<li><a href="./email-read.html">Read</a></li>
<li><a href="./email-compose.html">Compose</a></li>
</ul>
</li>
<li>
<a class="has-arrow" href="javascript:void()" aria-expanded="false">
<i class="icon-screen-tablet menu-icon"></i><span class="nav-text">Apps</span>
</a>
<ul aria-expanded="false">
<li><a href="./app-profile.html">Profile</a></li>
<li><a href="./app-calender.html">Calender</a></li>
</ul>
</li>
<li>
<a class="has-arrow" href="javascript:void()" aria-expanded="false">
<i class="icon-graph menu-icon"></i> <span class="nav-text">Charts</span>
</a>
<ul aria-expanded="false">
<li><a href="./chart-flot.html">Flot</a></li>
<li><a href="./chart-morris.html">Morris</a></li>
<li><a href="./chart-chartjs.html">Chartjs</a></li>
<li><a href="./chart-chartist.html">Chartist</a></li>
<li><a href="./chart-sparkline.html">Sparkline</a></li>
<li><a href="./chart-peity.html">Peity</a></li>
</ul>
</li>
<li class="nav-label">UI Components</li>
<li>
<a class="has-arrow" href="javascript:void()" aria-expanded="false">
<i class="icon-grid menu-icon"></i><span class="nav-text">UI Components</span>
</a>
<ul aria-expanded="false">
<li><a href="./ui-accordion.html">Accordion</a></li>
<li><a href="./ui-alert.html">Alert</a></li>
<li><a href="./ui-badge.html">Badge</a></li>
<li><a href="./ui-button.html">Button</a></li>
<li><a href="./ui-button-group.html">Button Group</a></li>
<li><a href="./ui-cards.html">Cards</a></li>
<li><a href="./ui-carousel.html">Carousel</a></li>
<li><a href="./ui-dropdown.html">Dropdown</a></li>
<li><a href="./ui-list-group.html">List Group</a></li>
<li><a href="./ui-media-object.html">Media Object</a></li>
<li><a href="./ui-modal.html">Modal</a></li>
<li><a href="./ui-pagination.html">Pagination</a></li>
<li><a href="./ui-popover.html">Popover</a></li>
<li><a href="./ui-progressbar.html">Progressbar</a></li>
<li><a href="./ui-tab.html">Tab</a></li>
<li><a href="./ui-typography.html">Typography</a></li>
<!-- </ul>
</li>
<li>
<a class="has-arrow" href="javascript:void()" aria-expanded="false">
<i class="icon-layers menu-icon"></i><span class="nav-text">Components</span>
</a>
<ul aria-expanded="false"> -->
<li><a href="./uc-nestedable.html">Nestedable</a></li>
<li><a href="./uc-noui-slider.html">Noui Slider</a></li>
<li><a href="./uc-sweetalert.html">Sweet Alert</a></li>
<li><a href="./uc-toastr.html">Toastr</a></li>
</ul>
</li>
<li>
<a href="widgets.html" aria-expanded="false">
<i class="icon-badge menu-icon"></i><span class="nav-text">Widget</span>
</a>
</li>
<li class="nav-label">Forms</li>
<li>
<a class="has-arrow" href="javascript:void()" aria-expanded="false">
<i class="icon-note menu-icon"></i><span class="nav-text">Forms</span>
</a>
<ul aria-expanded="false">
<li><a href="./form-basic.html">Basic Form</a></li>
<li><a href="./form-validation.html">Form Validation</a></li>
<li><a href="./form-step.html">Step Form</a></li>
<li><a href="./form-editor.html">Editor</a></li>
<li><a href="./form-picker.html">Picker</a></li>
</ul>
</li>
<li class="nav-label">Table</li>
<li>
<a class="has-arrow" href="javascript:void()" aria-expanded="false">
<i class="icon-menu menu-icon"></i><span class="nav-text">Table</span>
</a>
<ul aria-expanded="false">
<li><a href="./table-basic.html" aria-expanded="false">Basic Table</a></li>
<li><a href="./table-datatable.html" aria-expanded="false">Data Table</a></li>
</ul>
</li>
<li class="nav-label">Pages</li>
<li>
<a class="has-arrow" href="javascript:void()" aria-expanded="false">
<i class="icon-notebook menu-icon"></i><span class="nav-text">Pages</span>
</a>
<ul aria-expanded="false">
<li><a href="./page-login.html">Login</a></li>
<li><a href="./page-register.html">Register</a></li>
<li><a href="./page-lock.html">Lock Screen</a></li>
<li><a class="has-arrow" href="javascript:void()" aria-expanded="false">Error</a>
<ul aria-expanded="false">
<li><a href="./page-error-404.html">Error 404</a></li>
<li><a href="./page-error-403.html">Error 403</a></li>
<li><a href="./page-error-400.html">Error 400</a></li>
<li><a href="./page-error-500.html">Error 500</a></li>
<li><a href="./page-error-503.html">Error 503</a></li>
</ul>
</li>
</ul>
</li>
</ul>
</div>
</div>
<!--**********************************
Sidebar end
***********************************-->
<!--**********************************
Content body start
***********************************-->
<div class="content-body">
<div class="row page-titles mx-0">
<div class="col p-md-0">
<ol class="breadcrumb">
<li class="breadcrumb-item"><a href="javascript:void(0)">Dashboard</a></li>
<li class="breadcrumb-item active"><a href="javascript:void(0)">Home</a></li>
</ol>
</div>
</div>
<!-- row -->
<div class="container-fluid">
<div class="row justify-content-center">
<div class="col-lg-12">
<div class="card">
<div class="card-body">
<div class="form-validation">
<form class="form-valide" action="register_db.php" method="post">
<?php include('errors.php'); ?>
<?php if (isset($_SESSION['error'])) : ?>
<div class="error">
<h3>
<?php
echo $_SESSION['error'];
unset($_SESSION['error']);
?>
</h3>
</div>
<?php endif ?>
<div class="form-group row">
<label class="col-lg-4 col-form-label" for="name">ชื่อ <span class="text-danger">*</span>
</label>
<div class="col-lg-6">
<input type="text" class="form-control" id="name" name="name" placeholder="">
</div>
</div>
<div class="form-group row">
<label class="col-lg-4 col-form-label" for="lastname">สกุล <span class="text-danger">*</span>
</label>
<div class="col-lg-6">
<input type="text" class="form-control" id="lastname" name="lastname" placeholder="">
</div>
</div>
<div class="form-group row">
<label class="col-lg-4 col-form-label" for="cid">หมายเลขบัตรประจำตัวประชาชน <span class="text-danger">*</span>
</label>
<div class="col-lg-6">
<input type="text" class="form-control" id="cid" name="cid" placeholder="">
</div>
</div>
<div class="form-group row">
<label class="col-lg-4 col-form-label" for="email">อีเมลล์ <span class="text-danger">*</span>
</label>
<div class="col-lg-6">
<input type="email" class="form-control" id="email" name="email" placeholder="">
</div>
</div>
<div class="form-group row">
<label class="col-lg-4 col-form-label" for="hospcode">หน่วยงาน <span class="text-danger">*</span>
</label>
<div class="col-lg-6">
<select class="custom-select" id="inputGroupSelect01" name="hospcode" required>
<option value=""></option>
<?php
$i=1;
$q="SELECT * FROM office ORDER BY distid,Off_type";
$result = $mysqli->query($q); // ทำการ query คำสั่ง sql
while($rs=$result->fetch_object()){ // วนลูปแสดงข้อมูล
$off_name=$rs->off_name;
$off_id=$rs->off_id;
?>
<option value="<?=$off_id?>"><?=$off_name?></option>
<?php }?>
</select>
</div>
</div>
<div class="form-group row">
<label class="col-lg-4 col-form-label" for="password_1">Password <span class="text-danger">*</span>
</label>
<div class="col-lg-6">
<input type="password" class="form-control" id="password_1" name="password_1" placeholder="">
</div>
</div>
<div class="form-group row">
<label class="col-lg-4 col-form-label" for="password_2">Confirm Password <span class="text-danger">*</span>
</label>
<div class="col-lg-6">
<input type="password" class="form-control" id="password_2" name="password_2" placeholder="">
</div>
</div>
<!-- <div class="form-group row">
<label class="col-lg-4 col-form-label"><a href="#">Terms & Conditions</a> <span class="text-danger">*</span>
</label>
<div class="col-lg-8">
<label class="css-control css-control-primary css-checkbox" for="val-terms">
<input type="checkbox" class="css-control-input" id="val-terms" name="val-terms" value="1"> <span class="css-control-indicator"></span> I agree to the terms</label>
</div>
</div> -->
<div class="form-group row">
<div class="col-lg-8 ml-auto">
<button type="submit" class="btn btn-primary" name="reg_user">ลงทะเบียน</button>
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<p>เป็นสมาชิกอยู่แล้ว <a href="login.php">Click ที่นี่</a></p>
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