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📄 docreg.java

📁 For doctors rounds!!!enjoY !!!
💻 JAVA
📖 第 1 页 / 共 4 页
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1234 
out.println("document.doct.h1dwbcountry.select();");
out.println("return false;");
 out.println("}}");
out.println("else");
out.println("if(l55>0)");
out.println("{");
out.println("if(!isNaN(str55)){");
out.println("alert(\"Enter only character values in hosp2 name field\");");
out.println("document.doct.h2dwbname.focus();");
out.println("document.doct.h2dwbname.select();");
out.println("return false;");
 out.println("}}");
 out.println("else");
 out.println("if(l56>0)");
out.println("{");
out.println("if(!isNaN(str56)){");
out.println("alert(\"Enter only character values in hosp2 city field\");");
out.println("document.doct.h2dwbcity.focus();");
out.println("document.doct.h2dwbcity.select();");
out.println("return false;");
 out.println("}}");
 out.println("else");
 out.println("if(l57>0)");
out.println("{");
out.println("if(!isNaN(str57)){");
out.println("alert(\"Enter only character values in hosp2 state field\");");
out.println("document.doct.h2dwbstate.focus();");
out.println("document.doct.h2dwbstate.select();");
out.println("return false;");
 out.println("}}");
 out.println("else");
 out.println("if(l58>0)");
out.println("{");
out.println("if(!isNaN(str58)){");
out.println("alert(\"Enter only character values in hosp2 country field\");");
out.println("document.doct.h2dwbcountry.focus();");
out.println("document.doct.h2dwbcountry.select();");
out.println("return false;");
 out.println("}}");
 out.println("}");
out.println("</script>");
out.println("</HEAD>");
out.println("<BODY background='c:/javawebserver2.0/servlets/wedflo_15.gif'>");
out.println("<CENTER>");		
out.println("<form  name=\"doct\" method=post action=\"doctins\"> ");
out.println("<input type=hidden name=username value="+uid+">");
out.println("<font size=7 face=\"arial black\" color=\"red\">+</font>&nbsp;&nbsp;&nbsp;<b><font size=6 color=\"green\"><u>Doctor's Registration Form</u></font></b>&nbsp;&nbsp;&nbsp;<font size=7 face=\"arial black\" color=\"red\">+</font>");
out.println("<TABLE >");
out.println("<tr>");
out.println("<td><input type=hidden name=dcode value="+s+" size=20> </td>");
out.println("</tr>");
out.println("<TR><TD><B>Doctor Name :</B></TD>");
out.println("    <td><INPUT TYPE=\"text\" NAME=\"dname\" size =20></td>");
out.println("</tr>");
out.println("<tr>");
out.println("    <TD><B>Age:</B></TD>");
out.println("    <TD><INPUT TYPE=\"text\" NAME=\"dage\" size=20></TD>");
out.println("</TR>");
out.println("<TR>");
out.println("   	<TD><B>Qualification(s)</TD>");
out.println("</tr>");
out.println("<tr>");
out.println("	<td><b>(use , as seperator):</b></td>");
out.println("   	<TD><INPUT TYPE=\"text\" NAME=\"dqual\" size=20></TD>");
out.println("</tr>");
out.println("<tr>");
out.println("     	<TD><B>Specialization: </TD>");
out.println("   	<TD><INPUT TYPE=\"text\" NAME=\"dspec\" size=20></TD></B>");
out.println("</TR>");
out.println("<tr>");
out.println("	<td><b>Experience:</b></td>");
out.println("	<td><select name=\"dexp\">");
out.println("	<option value=01>01");
out.println("		<option value=02>02");
out.println("		<option value=03>03");
out.println("		<option value=04>04");
out.println("		<option value=05>05");
out.println("		<option value=06>06");
out.println("		<option value=07>07");
out.println("		<option value=08>08");
out.println("		<option value=09>09");
out.println("		<option value=10>10");
out.println("		<option value=11>11");
out.println("		<option value=12>12");
out.println("		<option value=13>13");
out.println("		<option value=14>14");
out.println("		<option value=15>15");
out.println("		<option value=16>16");
out.println("		<option value=17>17");
out.println("		<option value=18>18");
out.println("		<option value=19>19");
out.println("		<option value=20>20");
out.println("	</select>");
out.println("       </td>");
out.println("</tr>");
out.println("<tr>");
out.println("<td><b>Achievements</b></td>");
out.println("<td><textarea name=\"dachieve\" rows=3 cols=14></textarea></td>");
out.println("</tr>");
out.println("<TR>");
out.println("        <TD><B>House No.:</TD>");
out.println("   	<TD><input type=\"text\" name=dhno size=20></TD>");
out.println("</TR>");

out.println("<tr>");
out.println("	<td><b>Street:</td>");
out.println("	<td><input type=\"text\" name=dstr size=20></td>");
out.println("</tr>");
out.println("<TR>");
out.println("   	<TD><B>City:</TD>");
out.println("   	<TD><INPUT TYPE=\"text\" NAME=\"dcity\" size=20></TD>");
out.println("        <TD><B>State</TD>");
out.println("   	<TD><INPUT TYPE=\"text\" NAME=\"dstate\" size=20></TD>");
out.println("</TR>");
out.println("<tr>");
out.println("	<td><b>Country:</td>");
out.println("	<td><input type=\"text\" name=\"dcountry\" size=20></td>");
out.println("	<TD><b>Zip Code:</td>");
out.println("	<td><input type=\"text\" name=\"dzcode\" size=20></td>");
out.println("</tr>");
out.println("<TR>");
out.println("   	<TD><B>Phone(Workplace):</TD>");
out.println("   	<TD><INPUT TYPE=\"text\" NAME=\"dwphone\" size=20></TD>");
out.println("	<td><b>Phone(Residence):</td>");
out.println("	<td><input type=\"text\" name=\"drphone\" size=20></td>");
out.println("</TR>");
out.println("<TR>");
out.println("   	<TD><B>Mobile</TD>");
out.println("   	<TD><INPUT TYPE=\"text\" NAME=\"dmobile\" size=20></TD>");
out.println("   	<TD><B>Fax</TD>");
out.println("   	<TD><INPUT TYPE=\"text\" NAME=\"dfax\" size=20></TD>");
out.println("</tr>");
out.println("<tr>");
out.println("   	<TD><B>E-mail Id</TD>");
out.println("   	<TD><INPUT TYPE=\"text\" NAME=\"demail\" size=20></TD>");
out.println("</TR>");
out.println("<tr>");
out.println("        <td><b>Available Timings:</b></td>");
out.println("	<td><input type=\"text\" name=\"datime\" size=20></td>");
out.println("</tr>");
out.println("<TR>");
out.println("   	<TD><B>Hospital(s)/Clinic(s) Working for:</TD>");
out.println("</TR><BR>");
out.println("<TR>");
out.println("	 <TD><B>1.Hospital Name :</B></TD>");
out.println("	 <td><INPUT TYPE=\"text\" NAME=\"dh1name\" size =20></td>");
out.println("</tr>");
out.println("<TR>");
out.println("        <TD><B>House No.:</TD>");
out.println("   	<TD><input type=\"text\" name=dh1hno size=20></TD>");
out.println("</TR>");

out.println("<tr>");
out.println("	<td><b>Street:</td>");
out.println("	<td><input type=\"text\" name=dh1str size=20></td>");
out.println("</tr>");

out.println("<TR>");
out.println("   	<TD><B>City:</TD>");
out.println("   	<TD><INPUT TYPE=\"text\" NAME=\"dh1city\" size=20></TD>");
out.println("	 <TD><B>State</TD>");
out.println("   	<TD><INPUT TYPE=\"text\" NAME=\"dh1state\" size=20></TD>");
out.println("</TR>");

out.println("<tr>");
out.println("	<td><b>Country:</td>");
out.println("	<td><input type=\"text\" name=\"dh1country\" size=20></td>");
out.println("</tr>");


out.println("<TR>");
out.println("   	<TD><B>Phone1:</TD>");
out.println("   	<TD><INPUT TYPE=\"text\" NAME=\"dh1w1phone\" size=20></TD>");
out.println("	<td><b>Phone2:</td>");
out.println("	<td><input type=\"text\" name=\"dh1w2phone\" size=20></td>");
out.println("</tr>");

out.println("<tr>");
out.println("        <td><B>Fax :</td>");
out.println("	<td><INPUT TYPE=\"text\" NAME=\"dh1fax\" size=20></td>");
out.println("	<td><B>URL :</td>");
out.println("        <td><INPUT TYPE=\"text\" NAME=\"dh1url\" size=20></TD>");
out.println("</TR>");
out.println("<TR>");
out.println("	 <TD><B>2.Hospital Name :</B></TD>");
out.println("	 <td><INPUT TYPE=\"text\" NAME=\"dh2name\" size =20></td>");
out.println("</tr>");
out.println("<TR>");
out.println("        <TD><B>House No.:</TD>");
out.println("   	<TD><input type=\"text\" name=dh2hno size=20></TD>");
out.println("</TR>");

out.println("<tr>");
out.println("	<td><b>Street:</td>");
out.println("	<td><input type=\"text\" name=dh2str size=20></td>");
out.println("</tr>");

out.println("<TR>");
out.println("   	<TD><B>City:</TD>");
out.println("   	<TD><INPUT TYPE=\"text\" NAME=\"dh2city\" size=20></TD>");
out.println("	 <TD><B>State</TD>");
out.println("   	<TD><INPUT TYPE=\"text\" NAME=\"dh2state\" size=20></TD>");
out.println("</TR>");

out.println("<tr>");
out.println("	<td><b>Country:</td>");
out.println("	<td><input type=\"text\" name=\"dh2country\" size=20></td>");
out.println("</tr>");


out.println("<TR>");
out.println("   	<TD><B>Phone1:</TD>");
out.println("   	<TD><INPUT TYPE=\"text\" NAME=\"dh2dw1phone\" size=20></TD>");
out.println("	<td><b>Phone2:</td>");
out.println("	<td><input type=\"text\" name=\"h2dw2phone\" size=20></td>");
out.println("</tr>");

out.println("<tr>");
out.println("        <td><B>Fax :</td>");
out.println("	<td><INPUT TYPE=\"text\" NAME=\"dh2fax\" size=20></td>");
out.println("	<td><B>URL :</td>");
out.println("        <td><INPUT TYPE=\"text\" NAME=\"dh2url\" size=20></TD>");
out.println("</TR>");

out.println("<TR>");
out.println("	 <TD><B>3.Hospital Name :</B></TD>");
out.println("	 <td><INPUT TYPE=\"text\" NAME=\"dh3name\" size =20></td>");
out.println("</tr>");
out.println("<TR>");
out.println("        <TD><B>House No.:</TD>");
out.println("   	<TD><input type=\"text\" name=dh3hno size=20></TD>");
out.println("</TR>");

out.println("<tr>");
out.println("	<td><b>Street:</td>");
out.println("	<td><input type=\"text\" name=dh3str size=20></td>");
out.println("</tr>");

out.println("<TR>");
out.println("   	<TD><B>City:</TD>");
out.println("   	<TD><INPUT TYPE=\"text\" NAME=\"dh3city\" size=20></TD>");
out.println("	 <TD><B>State</TD>");
out.println("   	<TD><INPUT TYPE=\"text\" NAME=\"dh3state\" size=20></TD>");
out.println("</TR>");

out.println("<tr>");
out.println("	<td><b>Country:</td>");
out.println("	<td><input type=\"text\" name=\"dh3country\" size=20></td>");
out.println("</tr>");


out.println("<TR>");
out.println("   	<TD><B>Phone1:</TD>");
out.println("   	<TD><INPUT TYPE=\"text\" NAME=\"dh3dw1phone\" size=20></TD>");
out.println("	<td><b>Phone2:</td>");
out.println("	<td><input type=\"text\" name=\"dh3dw2phone\" size=20></td>");
out.println("</tr>");

out.println("<tr>");
out.println("        <td><B>Fax :</td>");
out.println("	<td><INPUT TYPE=\"text\" NAME=\"dh3fax\" size=20></td>");
out.println("	<td><B>URL :</td>");
out.println("        <td><INPUT TYPE=\"text\" NAME=\"dh3url\" size=20></TD>");
out.println("</TR>");
out.println("<TR>");
out.println("   	<TD><B>Hospital/Clinic Worked Before:</TD>");
out.println("</TR><BR>");
out.println("<TR>");
out.println("	     <TD><B>1.Hospital Name :</B></TD>");
out.println("	     <td><INPUT TYPE=\"text\" NAME=\"h1dwbname\" size =20></td>");
out.println("</tr>");
out.println("<tr>");
out.println("            <td><B>City:</b></td>");
out.println("	<td><input type=\"text\" name=\"h1dwbcity\" size=20></td>");
out.println("	<td><B>State:</b></td>");
out.println("	<td><input type=\"text\" name=\"h1dwbstate\" size=20></td>");
out.println("</tr>");

out.println("<tr>");
out.println("	<td><b>Country:</td>");
out.println("	<td><input type=\"text\" name=\"h1dwbcountry\" size=20></td>");
out.println("            <td><B>Phone:</td>");
out.println("            <td><INPUT TYPE=\"text\" NAME=\"h1dwbphone\" size=20></td>");
out.println("</tr>");

out.println("<TR>");
out.println("	     <TD><B>2.Hospital Name :</B></TD>");
out.println("	     <td><INPUT TYPE=\"text\" NAME=\"h2dwbname\" size =20></td>");
out.println("</tr>");
out.println("<tr>");
out.println("            <td><B>City:</b></td>");
out.println("	<td><input type=\"text\" name=\"h2dwbcity\" size=20></td>");
out.println("	<td><B>State:</b></td>");
out.println("	<td><input type=\"text\" name=\"h2dwbstate\" size=20></td>");
out.println("</tr>");

out.println("<tr>");
out.println("	<td><b>Country:</td>");
out.println("	<td><input type=\"text\" name=\"h2dwbcountry\" size=20></td>");
out.println("            <td><B>Phone:</td>");
out.println("            <td><INPUT TYPE=\"text\" NAME=\"h2dwbphone\" size=20></td>");
out.println("</tr>");
out.println("</table></center>");
out.println("<br><br><br>");
out.println("<center>");
out.println("	<td><input type=\"submit\" value=\"Submit\" onClick=\" return doccheck()\"></td>");
out.println("<td><input type=\"button\" value=\"Back\" onClick=window.history.go(-1)></td>");
out.println("</center>");
out.println("</form>");
out.println("</BODY>");
out.println("</HTML>");
}
}
catch(Exception e)
{
e.printStackTrace();
}
}
}
1234

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