<div class="modal fade hide" id="my-modal">
<form method="post" action="home.php">
<div class="modal-header">
<button class="close" data-dismiss="modal">×</button>
<h3>Sign Up</h3>
</div>
<div class="modal-body">
<div class="row">
<div class="span2">Doctors Name</div>
<div class="span2"><input type="text" name="dname" required/></div>
</div>
<div class="row">
<div class="span2">Doctors Location</div>
<div class="span2"><input type="text" name="dlocation" required/></div>
</div>
<div class="row" id="spec" >
<script src="multiselect/chosen/chosen.jquery.js" type="text/javascript"></script>
<script src="multiselect/chosen/chosen.jquery.js"></script>
<div class="span2">Select Specialities: </div>
<div class="span2"><select data-placeholder="" class="chzn-select" multiple tabindex="4" name="spec[]" id="view">
<option value=""></option>
<?php
include('dbconnect.php');
$result=mysql_query("Select type from specialist");
while($row=mysql_fetch_array($result))
{
?>
<option value="<?php echo $row[0];?>"><?php echo $row[0]; ?></option>
<br />
<?php
}
?>
</select></div>
</div>
<div class="row" id="oth">
<script src="multiselect/chosen/chosen.jquery.js" type="text/javascript"></script>
<script src="multiselect/chosen/chosen.jquery.js"></script>
<div class="span2">Select Symptom: </div>
<div class="span2">
<select data-placeholder="" class="chzn-select" multiple tabindex="4" name="symp[]" id="t">
<option value=""></option>
<?php
include('dbconnect.php');
$result=mysql_query("Select type from symptoms");
while($row=mysql_fetch_array($result))
{
?>
<option value="<?php echo $row[0];?>"><?php echo $row[0]; ?></option>
<?php
}
?>
</select></div>
<script type="text/javascript"> $(".chzn-select").chosen(); $(".chzn-select-deselect").chosen({allow_single_deselect:true}); </script>
</div>
<input type="submit" value="+ Add" class="btn btn-primary" name="addBtn"/>
</div>
</div>
<?php
if(isset($_POST['addBtn'])){
$name = $_POST['dname'];
$location = $_POST['dlocation'];
$spec = $_POST['spec'];
$symp = $_POST['symp'];
$uid=1;
$res = mysql_query("insert into doctordetails values('','$uid','$name','$location','1')");
$lst = mysql_insert_id();
foreach($spec as $specdb)
{
mysql_query("Insert into doctspecialist values ('','$lst','$specdb')");
}
foreach($symp as $sympdb)
{
mysql_query("Insert into doctsymptom values ('','$lst','$sympdb')");
}
$last = mysql_insert_id();
$count = mysql_num_rows($res);
if($count>1){
echo "<script>alert('Doctor has been added');</script>";
}
}
?>
</div>
<!-- JavaScript -->
<script src="js/bootstrap.js"></script>
<script type="text/javascript">
$("#my-button").click(function(){
$("#my-modal").modal();
});
</script>
</body>
</html>