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Current File : /var/www/vhosts/pcu.in.th/sc.pcu.in.th/case_form//case_detail.php
<?php 
	include 'function.php';
	$query_case = $conn->query("SELECT  case_data.*, amphures.name_th AS aname_th,districts.name_th AS dname_th, provinces.name_th AS pname_th, case_confirm.case_level
		FROM  case_data 
        LEFT JOIN case_confirm ON case_confirm.case_id = case_data.user_id
		LEFT JOIN districts ON districts.id = case_data.case_tumbol
		LEFT JOIN amphures ON amphures.id = case_data.case_umpher
		LEFT JOIN provinces ON provinces.id = case_data.case_province
		WHERE case_data.user_id = '".$_REQUEST['case_id']."' ");

	$fet_case = $query_case->fetch_object();
    $color_status = array('info','success','warning','danger');
    $case_status = array('ยังไม่ระบุ','ผู้ป่วยสีเขียว','ผู้ป่วยสีเหลือง','ผู้ป่วยสีแดง');

 ?>


<script src="assets/plugins/global/plugins.bundle.js"></script>



<!--begin::Content-->
<div class="content d-flex flex-column flex-column-fluid" id="kt_content">
    <!--begin::Container-->
    <div class="container-fluid" id="kt_content_container">
        <!--begin::Navbar-->
        <div class="card mb-5 mb-xl-10">
            <div class="card-body pt-9 pb-0">
                <!--begin::Details-->
                <div class="d-flex flex-wrap flex-sm-nowrap mb-3">
                    <!--begin: Pic-->
                    <div class="me-7 mb-4">
                        <div class="symbol symbol-100px symbol-lg-160px symbol-fixed position-relative">
                            <img src="images/profile/<?php if($fet_case->case_img == ""){echo "nophoto.jpg";}else{echo $fet_case->case_img;} ?>"
                                alt="image" />
                            <div
                                class="position-absolute translate-middle bottom-0 start-100 mb-6 bg-success rounded-circle border border-4 border-white h-20px w-20px">
                            </div>
                        </div>
                    </div>
                    <!--end::Pic-->
                    <!--begin::Info-->
                    <div class="flex-grow-1">
                        <!--begin::Title-->
                        <div class="d-flex justify-content-between align-items-start flex-wrap mb-2">
                            <!--begin::User-->
                            <div class="d-flex flex-column">
                                <!--begin::Name-->
                                <div class="d-flex align-items-center mb-2">
                                    <a href="#" class="text-gray-900 text-hover-primary fs-2 fw-bolder me-1">
                                        <?php echo $fet_case->case_tname." ".$fet_case->case_name; ?>

                                    </a>
                                    <a href="#">
                                        <!--begin::Svg Icon | path: icons/duotune/general/gen026.svg-->
                                        <span class="svg-icon svg-icon-1 svg-icon-primary">
                                            <svg xmlns="http://www.w3.org/2000/svg" width="24px" height="24px"
                                                viewBox="0 0 24 24">
                                                <path
                                                    d="M10.0813 3.7242C10.8849 2.16438 13.1151 2.16438 13.9187 3.7242V3.7242C14.4016 4.66147 15.4909 5.1127 16.4951 4.79139V4.79139C18.1663 4.25668 19.7433 5.83365 19.2086 7.50485V7.50485C18.8873 8.50905 19.3385 9.59842 20.2758 10.0813V10.0813C21.8356 10.8849 21.8356 13.1151 20.2758 13.9187V13.9187C19.3385 14.4016 18.8873 15.491 19.2086 16.4951V16.4951C19.7433 18.1663 18.1663 19.7433 16.4951 19.2086V19.2086C15.491 18.8873 14.4016 19.3385 13.9187 20.2758V20.2758C13.1151 21.8356 10.8849 21.8356 10.0813 20.2758V20.2758C9.59842 19.3385 8.50905 18.8873 7.50485 19.2086V19.2086C5.83365 19.7433 4.25668 18.1663 4.79139 16.4951V16.4951C5.1127 15.491 4.66147 14.4016 3.7242 13.9187V13.9187C2.16438 13.1151 2.16438 10.8849 3.7242 10.0813V10.0813C4.66147 9.59842 5.1127 8.50905 4.79139 7.50485V7.50485C4.25668 5.83365 5.83365 4.25668 7.50485 4.79139V4.79139C8.50905 5.1127 9.59842 4.66147 10.0813 3.7242V3.7242Z"
                                                    fill="#00A3FF" />
                                                <path class="permanent"
                                                    d="M14.8563 9.1903C15.0606 8.94984 15.3771 8.9385 15.6175 9.14289C15.858 9.34728 15.8229 9.66433 15.6185 9.9048L11.863 14.6558C11.6554 14.9001 11.2876 14.9258 11.048 14.7128L8.47656 12.4271C8.24068 12.2174 8.21944 11.8563 8.42911 11.6204C8.63877 11.3845 8.99996 11.3633 9.23583 11.5729L11.3706 13.4705L14.8563 9.1903Z"
                                                    fill="white" />
                                            </svg>
                                        </span>
                                        <!--end::Svg Icon-->
                                    </a>

                                </div>
                                <!--end::Name-->
                                <!--begin::Info-->
                                <div class="d-flex flex-wrap fw-bold fs-6 mb-4 pe-2">
                                    <a href="#"
                                        class="d-flex align-items-center text-gray-400 text-hover-primary me-5 mb-2">
                                        <!--begin::Svg Icon | path: assets/media/icons/duotune/medicine/med002.svg-->
                                        <span class="svg-icon svg-icon-muted svg-icon-4 me-1"><svg
                                                xmlns="http://www.w3.org/2000/svg" width="24" height="24"
                                                viewBox="0 0 24 24" fill="none">
                                                <path opacity="0.3"
                                                    d="M20.284 3.71594C19.7401 3.17193 19.0944 2.74047 18.3837 2.44604C17.673 2.15162 16.9113 2 16.142 2C15.3727 2 14.611 2.15162 13.9003 2.44604C13.1896 2.74047 12.5439 3.17193 12 3.71594L7.858 7.85803L9.272 9.27197L13.414 5.13C13.7714 4.77055 14.1965 4.4856 14.6648 4.29163C15.133 4.09766 15.6351 3.99852 16.142 4C16.4072 4 16.6616 4.10531 16.8491 4.29285C17.0366 4.48038 17.142 4.73478 17.142 5C17.142 5.26522 17.0366 5.51962 16.8491 5.70715C16.6616 5.89469 16.4072 6 16.142 6C15.8979 5.99935 15.6561 6.04713 15.4305 6.1405C15.205 6.23388 15.0002 6.37094 14.828 6.54395L10.686 10.686L16.142 16.142L20.284 12C20.828 11.4561 21.2596 10.8104 21.554 10.0997C21.8484 9.38904 22 8.6273 22 7.85803C22 7.08877 21.8484 6.32702 21.554 5.61633C21.2596 4.90564 20.828 4.25983 20.284 3.71594Z"
                                                    fill="black" />
                                                <path
                                                    d="M10.686 10.686L16.142 16.142L12 20.2841C10.8975 21.3635 9.41371 21.9643 7.87082 21.9562C6.32794 21.948 4.85056 21.3315 3.75956 20.2405C2.66856 19.1495 2.05203 17.672 2.04387 16.1292C2.03572 14.5863 2.63659 13.1025 3.716 12L7.858 7.85803L9.272 9.27197L8.972 9.57202C8.87649 9.66427 8.80031 9.7746 8.7479 9.89661C8.69549 10.0186 8.6679 10.1498 8.66675 10.2826C8.66559 10.4154 8.69089 10.547 8.74117 10.6699C8.79146 10.7928 8.86571 10.9045 8.9596 10.9984C9.0535 11.0923 9.16515 11.1665 9.28805 11.2168C9.41094 11.2671 9.54262 11.2924 9.6754 11.2913C9.80818 11.2901 9.9394 11.2625 10.0614 11.2101C10.1834 11.1577 10.2938 11.0815 10.386 10.986L10.686 10.686ZM7.326 14.046L7.895 13.478C7.99063 13.3859 8.06696 13.2756 8.11954 13.1537C8.17211 13.0318 8.19987 12.9006 8.20121 12.7678C8.20255 12.635 8.17743 12.5033 8.12733 12.3804C8.07722 12.2574 8.00312 12.1457 7.90937 12.0516C7.81561 11.9576 7.70407 11.8832 7.58125 11.8328C7.45843 11.7823 7.32679 11.7569 7.19402 11.7578C7.06124 11.7588 6.92999 11.7861 6.80791 11.8384C6.68583 11.8906 6.57538 11.9666 6.483 12.062L5.912 12.632C5.81649 12.7242 5.7403 12.8345 5.68789 12.9565C5.63549 13.0785 5.6079 13.2099 5.60675 13.3427C5.60559 13.4754 5.6309 13.6071 5.68118 13.73C5.73146 13.8529 5.80571 13.9645 5.8996 14.0583C5.9935 14.1522 6.10515 14.2266 6.22804 14.2769C6.35094 14.3271 6.48262 14.3524 6.6154 14.3512C6.74818 14.35 6.8794 14.3226 7.0014 14.2701C7.12341 14.2177 7.23375 14.1415 7.326 14.046Z"
                                                    fill="black" />
                                            </svg></span>
                                        <!--end::Svg Icon-->
                                        <?php 
                                        echo $fet_case->case_privilege;
                                         ?>
                                    </a>
                                    <a href="#"
                                        class="d-flex align-items-center text-gray-400 text-hover-primary me-5 mb-2">
                                        <!--begin::Svg Icon | path: assets/media/icons/duotune/finance/fin002.svg-->
                                        <span class="svg-icon svg-icon-muted svg-icon-4 me-1"><svg
                                                xmlns="http://www.w3.org/2000/svg" width="24" height="24"
                                                viewBox="0 0 24 24" fill="none">
                                                <path d="M22 7H2V11H22V7Z" fill="black" />
                                                <path opacity="0.3"
                                                    d="M21 19H3C2.4 19 2 18.6 2 18V6C2 5.4 2.4 5 3 5H21C21.6 5 22 5.4 22 6V18C22 18.6 21.6 19 21 19ZM14 14C14 13.4 13.6 13 13 13H5C4.4 13 4 13.4 4 14C4 14.6 4.4 15 5 15H13C13.6 15 14 14.6 14 14ZM16 15.5C16 16.3 16.7 17 17.5 17H18.5C19.3 17 20 16.3 20 15.5C20 14.7 19.3 14 18.5 14H17.5C16.7 14 16 14.7 16 15.5Z"
                                                    fill="black" />
                                            </svg></span>
                                        <!--end::Svg Icon-->
                                        <?php 
                                        echo $fet_case->idcard;
                                         ?>
                                    </a>
                                    <a href="#"
                                        class="d-flex align-items-center text-gray-400 text-hover-primary me-5 mb-2">
                                        <!--begin::Svg Icon | path: icons/duotune/communication/com006.svg-->
                                        <span class="svg-icon svg-icon-4 me-1">
                                            <svg xmlns="http://www.w3.org/2000/svg" width="24" height="24"
                                                viewBox="0 0 24 24" fill="none">
                                                <path opacity="0.3"
                                                    d="M22 12C22 17.5 17.5 22 12 22C6.5 22 2 17.5 2 12C2 6.5 6.5 2 12 2C17.5 2 22 6.5 22 12ZM12 7C10.3 7 9 8.3 9 10C9 11.7 10.3 13 12 13C13.7 13 15 11.7 15 10C15 8.3 13.7 7 12 7Z"
                                                    fill="black" />
                                                <path
                                                    d="M12 22C14.6 22 17 21 18.7 19.4C17.9 16.9 15.2 15 12 15C8.8 15 6.09999 16.9 5.29999 19.4C6.99999 21 9.4 22 12 22Z"
                                                    fill="black" />
                                            </svg>
                                        </span>
                                        <!--end::Svg Icon--><?php echo $fet_case->case_career; ?>
                                    </a>
                                    <a href="#"
                                        class="d-flex align-items-center text-gray-400 text-hover-primary me-5 mb-2">
                                        <!--begin::Svg Icon | path: assets/media/icons/duotune/general/gen031.svg-->
                                        <span class="svg-icon svg-icon-muted svg-icon-4 me-1"><svg
                                                xmlns="http://www.w3.org/2000/svg" width="24" height="24"
                                                viewBox="0 0 24 24" fill="none">
                                                <path
                                                    d="M19.0759 3H4.72777C3.95892 3 3.47768 3.83148 3.86067 4.49814L8.56967 12.6949C9.17923 13.7559 9.5 14.9582 9.5 16.1819V19.5072C9.5 20.2189 10.2223 20.7028 10.8805 20.432L13.8805 19.1977C14.2553 19.0435 14.5 18.6783 14.5 18.273V13.8372C14.5 12.8089 14.8171 11.8056 15.408 10.964L19.8943 4.57465C20.3596 3.912 19.8856 3 19.0759 3Z"
                                                    fill="black" />
                                            </svg></span>
                                        <!--end::Svg Icon--><?php echo $fet_case->case_tel; ?>
                                    </a>

                                </div>
                                <!--end::Info-->
                            </div>
                            <!--end::User-->


                        </div>
                        <!--end::Title-->

                        <!--begin::Stats-->
                        <div class="d-flex flex-wrap flex-stack">
                            <!--begin::Wrapper-->
                            <div class="d-flex flex-column flex-grow-1 pe-8">
                                <!--begin::Stats-->
                                <div class="d-flex flex-wrap">
                                    <!--begin::Stat-->
                                    <div
                                        class="border border-gray-300 badge-light-<?php echo $color_status[$fet_case->case_level]; ?> border-dashed rounded min-w-125px py-3 px-4 me-6 mb-3">
                                        <!--begin::Number-->
                                        <div class="d-flex align-items-center">
                                            <!--begin::Svg Icon | path: assets/media/icons/duotune/abstract/abs013.svg-->
                                            <span class="svg-icon svg-icon-muted svg-icon-2hx"><svg
                                                    xmlns="http://www.w3.org/2000/svg" width="24" height="24"
                                                    viewBox="0 0 24 24" fill="none">
                                                    <path opacity="0.3"
                                                        d="M13.341 22H11.341C10.741 22 10.341 21.6 10.341 21V18C10.341 17.4 10.741 17 11.341 17H13.341C13.941 17 14.341 17.4 14.341 18V21C14.341 21.6 13.941 22 13.341 22ZM18.5409 10.7L21.141 9.19997C21.641 8.89997 21.7409 8.29997 21.5409 7.79997L20.5409 6.09997C20.2409 5.59997 19.641 5.49997 19.141 5.69997L16.5409 7.19997C16.0409 7.49997 15.941 8.09997 16.141 8.59997L17.141 10.3C17.441 10.8 18.0409 11 18.5409 10.7ZM8.14096 7.29997L5.54095 5.79997C5.04095 5.49997 4.44096 5.69997 4.14096 6.19997L3.14096 7.89997C2.84096 8.39997 3.04095 8.99997 3.54095 9.29997L6.14096 10.8C6.64096 11.1 7.24095 10.9 7.54095 10.4L8.54095 8.69997C8.74095 8.19997 8.64096 7.49997 8.14096 7.29997Z"
                                                        fill="black" />
                                                    <path
                                                        d="M13.3409 7H11.3409C10.7409 7 10.3409 6.6 10.3409 6V3C10.3409 2.4 10.7409 2 11.3409 2H13.3409C13.9409 2 14.3409 2.4 14.3409 3V6C14.3409 6.6 13.9409 7 13.3409 7ZM5.54094 18.2L8.14095 16.7C8.64095 16.4 8.74094 15.8 8.54094 15.3L7.54094 13.6C7.24094 13.1 6.64095 13 6.14095 13.2L3.54094 14.7C3.04094 15 2.94095 15.6 3.14095 16.1L4.14095 17.8C4.44095 18.3 5.04094 18.5 5.54094 18.2ZM21.1409 14.8L18.5409 13.3C18.0409 13 17.4409 13.2 17.1409 13.7L16.1409 15.4C15.8409 15.9 16.0409 16.5 16.5409 16.8L19.1409 18.3C19.6409 18.6 20.2409 18.4 20.5409 17.9L21.5409 16.2C21.7409 15.7 21.6409 15 21.1409 14.8Z"
                                                        fill="black" />
                                                </svg></span>
                                            <!--end::Svg Icon-->


                                        </div>
                                        <!--end::Number-->
                                        <!--begin::Label-->
                                        <div class="fw-bold fs-6 text-gray-400">
                                            <?php echo $case_status[$fet_case->case_level]; ?></div>
                                        <!--end::Label-->
                                    </div>
                                    <!--end::Stat-->


                                </div>
                                <!--end::Stats-->
                            </div>
                            <!--end::Wrapper-->

                        </div>
                        <!--end::Stats-->
                    </div>
                    <!--end::Info-->
                </div>
                <!--end::Details-->
                <!--begin::Navs-->
                <ul class="nav nav-stretch nav-line-tabs nav-line-tabs-2x border-transparent fs-5 fw-bolder">
                    <!--begin::Nav item-->
                    <li class="nav-item mt-2">
                        <a class="nav-link text-active-primary ms-0 me-10 py-5  <?php if(!$_REQUEST['case_detail_p']){
												echo "active";
											} ?>" href="index.php?p=case_detail&case_id=<?php echo $_REQUEST['case_id']; ?>">ข้อมูลทั่วไป</a>
                    </li>
                    <!--end::Nav item-->

                    <!--begin::Nav item-->
                    <li class="nav-item mt-2">
                        <a class="nav-link text-active-primary ms-0 me-10 py-5 <?php if($_REQUEST['case_detail_p'] == "case_ass"){
                                                echo "active";
                                            } ?>"
                            href="index.php?p=case_detail&case_id=<?php echo $_REQUEST['case_id']; ?>&case_detail_p=case_ass">ข้อมูลการประเมินต่างๆ
                        </a>
                    </li>
                    <!--end::Nav item-->
                    <!--begin::Nav item-->
                    <li class="nav-item mt-2">
                        <a class="nav-link text-active-primary ms-0 me-10 py-5 <?php if($_REQUEST['case_detail_p'] == "case_form/case_help"){
                                                echo "active";
                                            } ?>"
                            href="index.php?p=case_detail&case_id=<?php echo $_REQUEST['case_id']; ?>&case_detail_p=case_form/case_help">
                            การให้ความช่วยเหลือ
                        </a>
                    </li>
                    <!--end::Nav item-->




                </ul>
                <!--begin::Navs-->
            </div>
        </div>
        <!--end::Navbar-->

        <?php 


	if($_REQUEST['case_detail_p']){

		require_once $_REQUEST['case_detail_p'].".php";

	}else{ ?>


        <!--begin::details View-->
        <div class="card mb-5 mb-xl-10" id="kt_profile_details_view">
            <!--begin::Card header-->
            <div class="card-header cursor-pointer">
                <!--begin::Card title-->
                <div class="card-title m-0">
                    <h3 class="fw-bolder m-0">ข้อมูลผู้ป่วย</h3>
                </div>
                <!--end::Card title-->
                <!--begin::Action-->
                <!-- <a href="../../demo15/dist/account/settings.html" class="btn btn-primary align-self-center">แก้ไขข้อมูล</a> -->
                <!--end::Action-->
                <!--end::Action-->
                <a href="#" class="btn btn-primary align-self-center" data-bs-toggle="modal"
                    data-bs-target="#edit_case">แก้ไขข้อมูล</a>
                <!--end::Action-->
            </div>
            <!--begin::Card header-->

            <!--begin::Modals-->
            <!--begin::Modal - Customers - Add-->
            <div class="modal fade" id="edit_case" tabindex="-1" aria-hidden="true">
                <!--begin::Modal dialog-->
                <div class="modal-dialog modal-dialog-centered mw-650px">
                    <!--begin::Modal content-->
                    <div class="modal-content">
                        <!--begin::Form-->
                        <form class="form" method="POST" name="form_editcase"
                            action="api/ac_case.php?ac=edit_case&case_id=<?php echo $fet_case->user_id; ?>"
                            id="form_editcase" enctype="multipart/form-data">
                            <!--begin::Modal header-->
                            <div class="modal-header" id="kt_modal_add_customer_header">
                                <!--begin::Modal title-->
                                <h2 class="fw-bolder">แก้ไขข้อมูล</h2>
                                <!--end::Modal title-->
                                <!--begin::Close-->
                                <div id="edit_case_close" class="btn btn-icon btn-sm btn-active-icon-primary">
                                    <!--begin::Svg Icon | path: icons/duotune/arrows/arr061.svg-->
                                    <span class="svg-icon svg-icon-1">
                                        <svg xmlns="http://www.w3.org/2000/svg" width="24" height="24"
                                            viewBox="0 0 24 24" fill="none">
                                            <rect opacity="0.5" x="6" y="17.3137" width="16" height="2" rx="1"
                                                transform="rotate(-45 6 17.3137)" fill="black" />
                                            <rect x="7.41422" y="6" width="16" height="2" rx="1"
                                                transform="rotate(45 7.41422 6)" fill="black" />
                                        </svg>
                                    </span>
                                    <!--end::Svg Icon-->
                                </div>
                                <!--end::Close-->
                            </div>
                            <!--end::Modal header-->
                            <!--begin::Modal body-->
                            <div class="modal-body py-10 px-lg-17">
                                <!--begin::Scroll-->
                                <div class="scroll-y me-n7 pe-7" id="kt_modal_add_customer_scroll" data-kt-scroll="true"
                                    data-kt-scroll-activate="{default: false, lg: true}"
                                    data-kt-scroll-max-height="auto"
                                    data-kt-scroll-dependencies="#kt_modal_add_customer_header"
                                    data-kt-scroll-wrappers="#kt_modal_add_customer_scroll"
                                    data-kt-scroll-offset="300px">
                                    <!--begin::Input group-->

                                    <div class="row mb-6">
                                        <!--begin::Label-->
                                        <label class="col-lg-4 col-form-label fw-bold fs-6">รูปโปรไฟล์</label>
                                        <!--end::Label-->
                                        <!--begin::Col-->
                                        <div class="col-lg-8">
                                            <!--begin::Image input-->
                                            <div class="image-input image-input-outline" data-kt-image-input="true"
                                                style="background-image: url(assets/media/avatars/blank.png)">
                                                <!--begin::Preview existing avatar-->
                                                <?php if($fet_case->case_img == ""){             ?>
                                                <div class="image-input-wrapper w-125px h-125px"
                                                    style="background-image: url(images/profile/nophoto.jpg)"></div>
                                                <?php }else{ ?>
                                                <div class="image-input-wrapper w-125px h-125px"
                                                    style="background-image: url(images/profile/<?php echo $fet_case->case_img; ?>)">
                                                </div>
                                                <?php } ?>
                                                <!--end::Preview existing avatar-->
                                                <!--begin::Label-->
                                                <label
                                                    class="btn btn-icon btn-circle btn-active-color-primary w-25px h-25px bg-body shadow"
                                                    data-kt-image-input-action="change" data-bs-toggle="tooltip"
                                                    title="เปลี่ยนรูปโปรโฟล์">
                                                    <i class="bi bi-pencil-fill fs-7"></i>
                                                    <!--begin::Inputs-->
                                                    <input type="file" name="case_img" accept=".png, .jpg, .jpeg" />
                                                    <input type="hidden" name="avatar_remove" />
                                                    <!--end::Inputs-->
                                                </label>
                                                <!--end::Label-->
                                                <!--begin::Cancel-->
                                                <span
                                                    class="btn btn-icon btn-circle btn-active-color-primary w-25px h-25px bg-body shadow"
                                                    data-kt-image-input-action="cancel" data-bs-toggle="tooltip"
                                                    title="ยกเลิก">
                                                    <i class="bi bi-x fs-2"></i>
                                                </span>
                                                <!--end::Cancel-->
                                                <!--begin::Remove-->
                                                <span
                                                    class="btn btn-icon btn-circle btn-active-color-primary w-25px h-25px bg-body shadow"
                                                    data-kt-image-input-action="remove" data-bs-toggle="tooltip"
                                                    title="นำออก">
                                                    <i class="bi bi-x fs-2"></i>
                                                </span>
                                                <!--end::Remove-->
                                            </div>
                                            <!--end::Image input-->
                                            <!--begin::Hint-->
                                            <div class="form-text">เฉพาะไฟล์นามสกุล: png, jpg, jpeg.</div>
                                            <!--end::Hint-->
                                        </div>
                                        <!--end::Col-->
                                    </div>
                                    <!--end::Input group-->
                                    <h5 class="">ข้อมูลทั่วไป</h5>
                                    <!--begin::Input group-->
                                    <div class="row g-9 mb-8">
                                        <!--begin::Col-->
                                        <div class="col-md-4 fv-row">
                                            <label class=" fs-6 fw-bold mb-2">รหัสสถานพยาบาล</label>
                                            <input type="text" class="form-control form-control-solid"
                                                placeholder="รหัสสถานพยาบาล" name="hospital_code"
                                                value="<?php echo $fet_case->hospital_code; ?>" />
                                        </div>
                                        <!--end::Col-->
                                        <!--begin::Col-->
                                        <div class="col-md-8 fv-row">
                                            <label class=" fs-6 fw-bold mb-2">ชื่อสถานพยาบาล</label>
                                            <input type="text" class="form-control form-control-solid"
                                                placeholder="ชื่อสถานพยาบาล" name="hospital_name"
                                                value="<?php echo $fet_case->hospital_name; ?>" />
                                        </div>
                                        <!--end::Col-->

                                    </div>
                                    <!--end::Input group-->
                                    <!--begin::Input group-->
                                    <div class="row g-9 mb-8">
                                        <!--begin::Col-->
                                        <div class="col-md-4 fv-row">
                                            <label class=" fs-6 fw-bold mb-2">คำนำหน้า</label>
                                            <input type="text" class="form-control form-control-solid" name="case_tname"
                                                value="<?php echo $fet_case->case_tname; ?>" />
                                        </div>
                                        <!--end::Col-->
                                        <!--begin::Col-->
                                        <div class="col-md-8 fv-row">
                                            <label class=" fs-6 fw-bold mb-2">ชื่อ-สกุล</label>
                                            <input type="text" class="form-control form-control-solid" name="case_name"
                                                value="<?php echo $fet_case->case_name; ?>" />
                                        </div>
                                        <!--end::Col-->

                                    </div>
                                    <!--end::Input group-->
                                    <!--begin::Input group-->
                                    <div class="row g-9 mb-8">
                                        <!--begin::Col-->
                                        <div class="col-md-6 fv-row">
                                            <label class=" fs-6 fw-bold mb-2">เลขบัตรประชาชน</label>
                                            <input type="text" class="form-control form-control-solid" name="idcard"
                                                value="<?php echo $fet_case->idcard; ?>" />
                                        </div>
                                        <!--end::Col-->

                                        <!--begin::Col-->
                                        <div class="col-md-6 fv-row">
                                            <label class=" fs-6 fw-bold mb-2">HN</label>
                                            <input type="text" class="form-control form-control-solid" name="case_hn"
                                                placeholder="" value="<?php echo $fet_case->case_hn; ?>" />
                                        </div>
                                        <!--end::Col-->

                                    </div>
                                    <!--end::Input group-->
                                    <!--begin::Input group-->
                                    <div class="row g-9 mb-8">
                                        <!--begin::Col-->
                                        <div class="col-md-12 fv-row">
                                            <label class=" fs-6 fw-bold mb-2">วันที่รับ Admit</label>
                                            <!--begin::Input-->
                                            <div class="position-relative d-flex align-items-center">
                                                <!--begin::Icon-->
                                                <!--begin::Svg Icon | path: icons/duotune/general/gen014.svg-->
                                                <span class="svg-icon svg-icon-2 position-absolute mx-4">
                                                    <svg xmlns="http://www.w3.org/2000/svg" width="24" height="24"
                                                        viewBox="0 0 24 24" fill="none">
                                                        <path opacity="0.3"
                                                            d="M21 22H3C2.4 22 2 21.6 2 21V5C2 4.4 2.4 4 3 4H21C21.6 4 22 4.4 22 5V21C22 21.6 21.6 22 21 22Z"
                                                            fill="black" />
                                                        <path
                                                            d="M6 6C5.4 6 5 5.6 5 5V3C5 2.4 5.4 2 6 2C6.6 2 7 2.4 7 3V5C7 5.6 6.6 6 6 6ZM11 5V3C11 2.4 10.6 2 10 2C9.4 2 9 2.4 9 3V5C9 5.6 9.4 6 10 6C10.6 6 11 5.6 11 5ZM15 5V3C15 2.4 14.6 2 14 2C13.4 2 13 2.4 13 3V5C13 5.6 13.4 6 14 6C14.6 6 15 5.6 15 5ZM19 5V3C19 2.4 18.6 2 18 2C17.4 2 17 2.4 17 3V5C17 5.6 17.4 6 18 6C18.6 6 19 5.6 19 5Z"
                                                            fill="black" />
                                                        <path
                                                            d="M8.8 13.1C9.2 13.1 9.5 13 9.7 12.8C9.9 12.6 10.1 12.3 10.1 11.9C10.1 11.6 10 11.3 9.8 11.1C9.6 10.9 9.3 10.8 9 10.8C8.8 10.8 8.59999 10.8 8.39999 10.9C8.19999 11 8.1 11.1 8 11.2C7.9 11.3 7.8 11.4 7.7 11.6C7.6 11.8 7.5 11.9 7.5 12.1C7.5 12.2 7.4 12.2 7.3 12.3C7.2 12.4 7.09999 12.4 6.89999 12.4C6.69999 12.4 6.6 12.3 6.5 12.2C6.4 12.1 6.3 11.9 6.3 11.7C6.3 11.5 6.4 11.3 6.5 11.1C6.6 10.9 6.8 10.7 7 10.5C7.2 10.3 7.49999 10.1 7.89999 10C8.29999 9.90003 8.60001 9.80003 9.10001 9.80003C9.50001 9.80003 9.80001 9.90003 10.1 10C10.4 10.1 10.7 10.3 10.9 10.4C11.1 10.5 11.3 10.8 11.4 11.1C11.5 11.4 11.6 11.6 11.6 11.9C11.6 12.3 11.5 12.6 11.3 12.9C11.1 13.2 10.9 13.5 10.6 13.7C10.9 13.9 11.2 14.1 11.4 14.3C11.6 14.5 11.8 14.7 11.9 15C12 15.3 12.1 15.5 12.1 15.8C12.1 16.2 12 16.5 11.9 16.8C11.8 17.1 11.5 17.4 11.3 17.7C11.1 18 10.7 18.2 10.3 18.3C9.9 18.4 9.5 18.5 9 18.5C8.5 18.5 8.1 18.4 7.7 18.2C7.3 18 7 17.8 6.8 17.6C6.6 17.4 6.4 17.1 6.3 16.8C6.2 16.5 6.10001 16.3 6.10001 16.1C6.10001 15.9 6.2 15.7 6.3 15.6C6.4 15.5 6.6 15.4 6.8 15.4C6.9 15.4 7.00001 15.4 7.10001 15.5C7.20001 15.6 7.3 15.6 7.3 15.7C7.5 16.2 7.7 16.6 8 16.9C8.3 17.2 8.6 17.3 9 17.3C9.2 17.3 9.5 17.2 9.7 17.1C9.9 17 10.1 16.8 10.3 16.6C10.5 16.4 10.5 16.1 10.5 15.8C10.5 15.3 10.4 15 10.1 14.7C9.80001 14.4 9.50001 14.3 9.10001 14.3C9.00001 14.3 8.9 14.3 8.7 14.3C8.5 14.3 8.39999 14.3 8.39999 14.3C8.19999 14.3 7.99999 14.2 7.89999 14.1C7.79999 14 7.7 13.8 7.7 13.7C7.7 13.5 7.79999 13.4 7.89999 13.2C7.99999 13 8.2 13 8.5 13H8.8V13.1ZM15.3 17.5V12.2C14.3 13 13.6 13.3 13.3 13.3C13.1 13.3 13 13.2 12.9 13.1C12.8 13 12.7 12.8 12.7 12.6C12.7 12.4 12.8 12.3 12.9 12.2C13 12.1 13.2 12 13.6 11.8C14.1 11.6 14.5 11.3 14.7 11.1C14.9 10.9 15.2 10.6 15.5 10.3C15.8 10 15.9 9.80003 15.9 9.70003C15.9 9.60003 16.1 9.60004 16.3 9.60004C16.5 9.60004 16.7 9.70003 16.8 9.80003C16.9 9.90003 17 10.2 17 10.5V17.2C17 18 16.7 18.4 16.2 18.4C16 18.4 15.8 18.3 15.6 18.2C15.4 18.1 15.3 17.8 15.3 17.5Z"
                                                            fill="black" />
                                                    </svg>
                                                </span>
                                                <!--end::Svg Icon-->
                                                <!--end::Icon-->
                                                <!--begin::Datepicker-->
                                                <input class="form-control form-control-solid ps-12 "
                                                    placeholder="Select a date" type="text" name="admit_date"
                                                    value="<?php echo thaidate($fet_case->admit_date)  ?>"
                                                    data-provide="datepicker" data-date-language="th-th" />
                                                <!--end::Datepicker-->
                                            </div>
                                            <!--end::Input-->
                                        </div>
                                        <!--end::Col-->


                                    </div>
                                    <!--end::Input group-->

                                    <!--begin::Input group-->
                                    <div class="row g-9 mb-8">
                                        <!--begin::Col-->
                                        <div class="col-md-4 fv-row">
                                            <label class="required fs-6 fw-bold mb-2">วันเกิด</label>
                                            <!--begin::Input-->
                                            <div class="position-relative d-flex align-items-center">
                                                <!--begin::Icon-->
                                                <!--begin::Svg Icon | path: icons/duotune/general/gen014.svg-->
                                                <span class="svg-icon svg-icon-2 position-absolute mx-4">
                                                    <svg xmlns="http://www.w3.org/2000/svg" width="24" height="24"
                                                        viewBox="0 0 24 24" fill="none">
                                                        <path opacity="0.3"
                                                            d="M21 22H3C2.4 22 2 21.6 2 21V5C2 4.4 2.4 4 3 4H21C21.6 4 22 4.4 22 5V21C22 21.6 21.6 22 21 22Z"
                                                            fill="black" />
                                                        <path
                                                            d="M6 6C5.4 6 5 5.6 5 5V3C5 2.4 5.4 2 6 2C6.6 2 7 2.4 7 3V5C7 5.6 6.6 6 6 6ZM11 5V3C11 2.4 10.6 2 10 2C9.4 2 9 2.4 9 3V5C9 5.6 9.4 6 10 6C10.6 6 11 5.6 11 5ZM15 5V3C15 2.4 14.6 2 14 2C13.4 2 13 2.4 13 3V5C13 5.6 13.4 6 14 6C14.6 6 15 5.6 15 5ZM19 5V3C19 2.4 18.6 2 18 2C17.4 2 17 2.4 17 3V5C17 5.6 17.4 6 18 6C18.6 6 19 5.6 19 5Z"
                                                            fill="black" />
                                                        <path
                                                            d="M8.8 13.1C9.2 13.1 9.5 13 9.7 12.8C9.9 12.6 10.1 12.3 10.1 11.9C10.1 11.6 10 11.3 9.8 11.1C9.6 10.9 9.3 10.8 9 10.8C8.8 10.8 8.59999 10.8 8.39999 10.9C8.19999 11 8.1 11.1 8 11.2C7.9 11.3 7.8 11.4 7.7 11.6C7.6 11.8 7.5 11.9 7.5 12.1C7.5 12.2 7.4 12.2 7.3 12.3C7.2 12.4 7.09999 12.4 6.89999 12.4C6.69999 12.4 6.6 12.3 6.5 12.2C6.4 12.1 6.3 11.9 6.3 11.7C6.3 11.5 6.4 11.3 6.5 11.1C6.6 10.9 6.8 10.7 7 10.5C7.2 10.3 7.49999 10.1 7.89999 10C8.29999 9.90003 8.60001 9.80003 9.10001 9.80003C9.50001 9.80003 9.80001 9.90003 10.1 10C10.4 10.1 10.7 10.3 10.9 10.4C11.1 10.5 11.3 10.8 11.4 11.1C11.5 11.4 11.6 11.6 11.6 11.9C11.6 12.3 11.5 12.6 11.3 12.9C11.1 13.2 10.9 13.5 10.6 13.7C10.9 13.9 11.2 14.1 11.4 14.3C11.6 14.5 11.8 14.7 11.9 15C12 15.3 12.1 15.5 12.1 15.8C12.1 16.2 12 16.5 11.9 16.8C11.8 17.1 11.5 17.4 11.3 17.7C11.1 18 10.7 18.2 10.3 18.3C9.9 18.4 9.5 18.5 9 18.5C8.5 18.5 8.1 18.4 7.7 18.2C7.3 18 7 17.8 6.8 17.6C6.6 17.4 6.4 17.1 6.3 16.8C6.2 16.5 6.10001 16.3 6.10001 16.1C6.10001 15.9 6.2 15.7 6.3 15.6C6.4 15.5 6.6 15.4 6.8 15.4C6.9 15.4 7.00001 15.4 7.10001 15.5C7.20001 15.6 7.3 15.6 7.3 15.7C7.5 16.2 7.7 16.6 8 16.9C8.3 17.2 8.6 17.3 9 17.3C9.2 17.3 9.5 17.2 9.7 17.1C9.9 17 10.1 16.8 10.3 16.6C10.5 16.4 10.5 16.1 10.5 15.8C10.5 15.3 10.4 15 10.1 14.7C9.80001 14.4 9.50001 14.3 9.10001 14.3C9.00001 14.3 8.9 14.3 8.7 14.3C8.5 14.3 8.39999 14.3 8.39999 14.3C8.19999 14.3 7.99999 14.2 7.89999 14.1C7.79999 14 7.7 13.8 7.7 13.7C7.7 13.5 7.79999 13.4 7.89999 13.2C7.99999 13 8.2 13 8.5 13H8.8V13.1ZM15.3 17.5V12.2C14.3 13 13.6 13.3 13.3 13.3C13.1 13.3 13 13.2 12.9 13.1C12.8 13 12.7 12.8 12.7 12.6C12.7 12.4 12.8 12.3 12.9 12.2C13 12.1 13.2 12 13.6 11.8C14.1 11.6 14.5 11.3 14.7 11.1C14.9 10.9 15.2 10.6 15.5 10.3C15.8 10 15.9 9.80003 15.9 9.70003C15.9 9.60003 16.1 9.60004 16.3 9.60004C16.5 9.60004 16.7 9.70003 16.8 9.80003C16.9 9.90003 17 10.2 17 10.5V17.2C17 18 16.7 18.4 16.2 18.4C16 18.4 15.8 18.3 15.6 18.2C15.4 18.1 15.3 17.8 15.3 17.5Z"
                                                            fill="black" />
                                                    </svg>
                                                </span>
                                                <!--end::Svg Icon-->
                                                <!--end::Icon-->
                                                <!--begin::Datepicker-->
                                                <input class="form-control form-control-solid ps-12 datepickerD"
                                                    placeholder="วันเกิด" type="text" name="case_bday"
                                                    value="<?php echo getDay($fet_case->case_bday); ?>" />
                                                <!--end::Datepicker-->
                                            </div>
                                            <!--end::Input-->

                                        </div>
                                        <!--end::Col-->
                                        <!--begin::Col-->
                                        <div class="col-md-4 fv-row">
                                            <label class="required fs-6 fw-bold mb-2">เดือนเกิด</label>
                                            <!--begin::Input-->
                                            <div class="position-relative d-flex align-items-center">
                                                <!--begin::Icon-->
                                                <!--begin::Svg Icon | path: icons/duotune/general/gen014.svg-->
                                                <span class="svg-icon svg-icon-2 position-absolute mx-4">
                                                    <svg xmlns="http://www.w3.org/2000/svg" width="24" height="24"
                                                        viewBox="0 0 24 24" fill="none">
                                                        <path opacity="0.3"
                                                            d="M21 22H3C2.4 22 2 21.6 2 21V5C2 4.4 2.4 4 3 4H21C21.6 4 22 4.4 22 5V21C22 21.6 21.6 22 21 22Z"
                                                            fill="black" />
                                                        <path
                                                            d="M6 6C5.4 6 5 5.6 5 5V3C5 2.4 5.4 2 6 2C6.6 2 7 2.4 7 3V5C7 5.6 6.6 6 6 6ZM11 5V3C11 2.4 10.6 2 10 2C9.4 2 9 2.4 9 3V5C9 5.6 9.4 6 10 6C10.6 6 11 5.6 11 5ZM15 5V3C15 2.4 14.6 2 14 2C13.4 2 13 2.4 13 3V5C13 5.6 13.4 6 14 6C14.6 6 15 5.6 15 5ZM19 5V3C19 2.4 18.6 2 18 2C17.4 2 17 2.4 17 3V5C17 5.6 17.4 6 18 6C18.6 6 19 5.6 19 5Z"
                                                            fill="black" />
                                                        <path
                                                            d="M8.8 13.1C9.2 13.1 9.5 13 9.7 12.8C9.9 12.6 10.1 12.3 10.1 11.9C10.1 11.6 10 11.3 9.8 11.1C9.6 10.9 9.3 10.8 9 10.8C8.8 10.8 8.59999 10.8 8.39999 10.9C8.19999 11 8.1 11.1 8 11.2C7.9 11.3 7.8 11.4 7.7 11.6C7.6 11.8 7.5 11.9 7.5 12.1C7.5 12.2 7.4 12.2 7.3 12.3C7.2 12.4 7.09999 12.4 6.89999 12.4C6.69999 12.4 6.6 12.3 6.5 12.2C6.4 12.1 6.3 11.9 6.3 11.7C6.3 11.5 6.4 11.3 6.5 11.1C6.6 10.9 6.8 10.7 7 10.5C7.2 10.3 7.49999 10.1 7.89999 10C8.29999 9.90003 8.60001 9.80003 9.10001 9.80003C9.50001 9.80003 9.80001 9.90003 10.1 10C10.4 10.1 10.7 10.3 10.9 10.4C11.1 10.5 11.3 10.8 11.4 11.1C11.5 11.4 11.6 11.6 11.6 11.9C11.6 12.3 11.5 12.6 11.3 12.9C11.1 13.2 10.9 13.5 10.6 13.7C10.9 13.9 11.2 14.1 11.4 14.3C11.6 14.5 11.8 14.7 11.9 15C12 15.3 12.1 15.5 12.1 15.8C12.1 16.2 12 16.5 11.9 16.8C11.8 17.1 11.5 17.4 11.3 17.7C11.1 18 10.7 18.2 10.3 18.3C9.9 18.4 9.5 18.5 9 18.5C8.5 18.5 8.1 18.4 7.7 18.2C7.3 18 7 17.8 6.8 17.6C6.6 17.4 6.4 17.1 6.3 16.8C6.2 16.5 6.10001 16.3 6.10001 16.1C6.10001 15.9 6.2 15.7 6.3 15.6C6.4 15.5 6.6 15.4 6.8 15.4C6.9 15.4 7.00001 15.4 7.10001 15.5C7.20001 15.6 7.3 15.6 7.3 15.7C7.5 16.2 7.7 16.6 8 16.9C8.3 17.2 8.6 17.3 9 17.3C9.2 17.3 9.5 17.2 9.7 17.1C9.9 17 10.1 16.8 10.3 16.6C10.5 16.4 10.5 16.1 10.5 15.8C10.5 15.3 10.4 15 10.1 14.7C9.80001 14.4 9.50001 14.3 9.10001 14.3C9.00001 14.3 8.9 14.3 8.7 14.3C8.5 14.3 8.39999 14.3 8.39999 14.3C8.19999 14.3 7.99999 14.2 7.89999 14.1C7.79999 14 7.7 13.8 7.7 13.7C7.7 13.5 7.79999 13.4 7.89999 13.2C7.99999 13 8.2 13 8.5 13H8.8V13.1ZM15.3 17.5V12.2C14.3 13 13.6 13.3 13.3 13.3C13.1 13.3 13 13.2 12.9 13.1C12.8 13 12.7 12.8 12.7 12.6C12.7 12.4 12.8 12.3 12.9 12.2C13 12.1 13.2 12 13.6 11.8C14.1 11.6 14.5 11.3 14.7 11.1C14.9 10.9 15.2 10.6 15.5 10.3C15.8 10 15.9 9.80003 15.9 9.70003C15.9 9.60003 16.1 9.60004 16.3 9.60004C16.5 9.60004 16.7 9.70003 16.8 9.80003C16.9 9.90003 17 10.2 17 10.5V17.2C17 18 16.7 18.4 16.2 18.4C16 18.4 15.8 18.3 15.6 18.2C15.4 18.1 15.3 17.8 15.3 17.5Z"
                                                            fill="black" />
                                                    </svg>
                                                </span>
                                                <!--end::Svg Icon-->
                                                <!--end::Icon-->
                                                <!--begin::Datepicker-->
                                                <input class="form-control form-control-solid ps-12 datepickerM"
                                                    placeholder="เดือนเกิด" type="text" name="case_mday"
                                                    value="<?php echo getMonth($fet_case->case_bday); ?>" />
                                                <!--end::Datepicker-->
                                            </div>
                                            <!--end::Input-->

                                        </div>
                                        <!--end::Col-->
                                        <!--begin::Col-->
                                        <div class="col-md-4 fv-row">
                                            <label class="required fs-6 fw-bold mb-2">ปีเกิด</label>
                                            <!--begin::Input-->
                                            <div class="position-relative d-flex align-items-center">
                                                <!--begin::Icon-->
                                                <!--begin::Svg Icon | path: icons/duotune/general/gen014.svg-->
                                                <span class="svg-icon svg-icon-2 position-absolute mx-4">
                                                    <svg xmlns="http://www.w3.org/2000/svg" width="24" height="24"
                                                        viewBox="0 0 24 24" fill="none">
                                                        <path opacity="0.3"
                                                            d="M21 22H3C2.4 22 2 21.6 2 21V5C2 4.4 2.4 4 3 4H21C21.6 4 22 4.4 22 5V21C22 21.6 21.6 22 21 22Z"
                                                            fill="black" />
                                                        <path
                                                            d="M6 6C5.4 6 5 5.6 5 5V3C5 2.4 5.4 2 6 2C6.6 2 7 2.4 7 3V5C7 5.6 6.6 6 6 6ZM11 5V3C11 2.4 10.6 2 10 2C9.4 2 9 2.4 9 3V5C9 5.6 9.4 6 10 6C10.6 6 11 5.6 11 5ZM15 5V3C15 2.4 14.6 2 14 2C13.4 2 13 2.4 13 3V5C13 5.6 13.4 6 14 6C14.6 6 15 5.6 15 5ZM19 5V3C19 2.4 18.6 2 18 2C17.4 2 17 2.4 17 3V5C17 5.6 17.4 6 18 6C18.6 6 19 5.6 19 5Z"
                                                            fill="black" />
                                                        <path
                                                            d="M8.8 13.1C9.2 13.1 9.5 13 9.7 12.8C9.9 12.6 10.1 12.3 10.1 11.9C10.1 11.6 10 11.3 9.8 11.1C9.6 10.9 9.3 10.8 9 10.8C8.8 10.8 8.59999 10.8 8.39999 10.9C8.19999 11 8.1 11.1 8 11.2C7.9 11.3 7.8 11.4 7.7 11.6C7.6 11.8 7.5 11.9 7.5 12.1C7.5 12.2 7.4 12.2 7.3 12.3C7.2 12.4 7.09999 12.4 6.89999 12.4C6.69999 12.4 6.6 12.3 6.5 12.2C6.4 12.1 6.3 11.9 6.3 11.7C6.3 11.5 6.4 11.3 6.5 11.1C6.6 10.9 6.8 10.7 7 10.5C7.2 10.3 7.49999 10.1 7.89999 10C8.29999 9.90003 8.60001 9.80003 9.10001 9.80003C9.50001 9.80003 9.80001 9.90003 10.1 10C10.4 10.1 10.7 10.3 10.9 10.4C11.1 10.5 11.3 10.8 11.4 11.1C11.5 11.4 11.6 11.6 11.6 11.9C11.6 12.3 11.5 12.6 11.3 12.9C11.1 13.2 10.9 13.5 10.6 13.7C10.9 13.9 11.2 14.1 11.4 14.3C11.6 14.5 11.8 14.7 11.9 15C12 15.3 12.1 15.5 12.1 15.8C12.1 16.2 12 16.5 11.9 16.8C11.8 17.1 11.5 17.4 11.3 17.7C11.1 18 10.7 18.2 10.3 18.3C9.9 18.4 9.5 18.5 9 18.5C8.5 18.5 8.1 18.4 7.7 18.2C7.3 18 7 17.8 6.8 17.6C6.6 17.4 6.4 17.1 6.3 16.8C6.2 16.5 6.10001 16.3 6.10001 16.1C6.10001 15.9 6.2 15.7 6.3 15.6C6.4 15.5 6.6 15.4 6.8 15.4C6.9 15.4 7.00001 15.4 7.10001 15.5C7.20001 15.6 7.3 15.6 7.3 15.7C7.5 16.2 7.7 16.6 8 16.9C8.3 17.2 8.6 17.3 9 17.3C9.2 17.3 9.5 17.2 9.7 17.1C9.9 17 10.1 16.8 10.3 16.6C10.5 16.4 10.5 16.1 10.5 15.8C10.5 15.3 10.4 15 10.1 14.7C9.80001 14.4 9.50001 14.3 9.10001 14.3C9.00001 14.3 8.9 14.3 8.7 14.3C8.5 14.3 8.39999 14.3 8.39999 14.3C8.19999 14.3 7.99999 14.2 7.89999 14.1C7.79999 14 7.7 13.8 7.7 13.7C7.7 13.5 7.79999 13.4 7.89999 13.2C7.99999 13 8.2 13 8.5 13H8.8V13.1ZM15.3 17.5V12.2C14.3 13 13.6 13.3 13.3 13.3C13.1 13.3 13 13.2 12.9 13.1C12.8 13 12.7 12.8 12.7 12.6C12.7 12.4 12.8 12.3 12.9 12.2C13 12.1 13.2 12 13.6 11.8C14.1 11.6 14.5 11.3 14.7 11.1C14.9 10.9 15.2 10.6 15.5 10.3C15.8 10 15.9 9.80003 15.9 9.70003C15.9 9.60003 16.1 9.60004 16.3 9.60004C16.5 9.60004 16.7 9.70003 16.8 9.80003C16.9 9.90003 17 10.2 17 10.5V17.2C17 18 16.7 18.4 16.2 18.4C16 18.4 15.8 18.3 15.6 18.2C15.4 18.1 15.3 17.8 15.3 17.5Z"
                                                            fill="black" />
                                                    </svg>
                                                </span>
                                                <!--end::Svg Icon-->
                                                <!--end::Icon-->
                                                <!--begin::Datepicker-->
                                                <input class="form-control form-control-solid ps-12 datepickerY"
                                                    placeholder="ปีเกิด" type="text" name="case_yday"
                                                    value="<?php echo getYear($fet_case->case_bday); ?>" />
                                                <!--end::Datepicker-->
                                            </div>
                                            <!--end::Input-->

                                        </div>
                                        <!--end::Col-->

                                    </div>
                                    <!--end::Input group-->

                                    <!--begin::Input group-->
                                    <div class="row g-9 mb-8">
                                        <!--begin::Col-->
                                        <div class="col-md-6 fv-row">
                                            <label class=" fs-6 fw-bold mb-2">เพศ</label>
                                            <input type="text" class="form-control form-control-solid" name="case_sex"
                                                placeholder="" value="<?php echo $fet_case->case_sex ?>" />
                                        </div>
                                        <!--end::Col-->
                                        <!--begin::Col-->
                                        <div class="col-md-6 fv-row">
                                            <label class=" fs-6 fw-bold mb-2">สัญชาติ</label>
                                            <input type="text" class="form-control form-control-solid"
                                                name="case_nation" value="<?php echo $fet_case->case_nation; ?>" />
                                        </div>
                                        <!--end::Col-->

                                    </div>
                                    <!--end::Input group-->
                                    <!--begin::Input group-->
                                    <div class="row g-9 mb-8">
                                        <!--begin::Col-->
                                        <div class="col-md-6 fv-row">
                                            <label class=" fs-6 fw-bold mb-2">เชื่อชาติ</label>
                                            <input type="text" class="form-control form-control-solid" name="case_race"
                                                value="<?php echo $fet_case->case_race; ?>" />
                                        </div>
                                        <!--end::Col-->
                                        <!--begin::Col-->
                                        <div class="col-md-6 fv-row">
                                            <label class=" fs-6 fw-bold mb-2">ศาสนา</label>
                                            <input type="text" class="form-control form-control-solid"
                                                name="case_religion" value="<?php echo $fet_case->case_religion; ?>" />
                                        </div>
                                        <!--end::Col-->

                                    </div>
                                    <!--end::Input group-->
                                    <!--begin::Input group-->
                                    <div class="row g-9 mb-8">

                                        <!--begin::Col-->
                                        <div class="col-md-6 fv-row">
                                            <label class="fs-6 fw-bold mb-2">สถานภาพสมรส</label>
                                            <input type="text" class="form-control form-control-solid"
                                                name="case_marital" value="<?php echo $fet_case->case_marital; ?>" />
                                        </div>
                                        <!--end::Col-->
                                        <!--begin::Col-->
                                        <div class="col-md-6 fv-row">
                                            <label class="fs-6 fw-bold mb-2">การศึกษา</label>
                                            <input type="text" class="form-control form-control-solid"
                                                name="case_education"
                                                value="<?php echo $fet_case->case_education; ?>" />
                                        </div>
                                        <!--end::Col-->
                                    </div>
                                    <!--end::Input group-->

                                    <!--begin::Input group-->
                                    <div class="row g-9 mb-8">
                                        <!--begin::Col-->
                                        <div class="col-md-6 fv-row">
                                            <label class="fs-6 fw-bold mb-2">หมายเลขโทรศัพท์</label>
                                            <input type="text" class="form-control form-control-solid" name="case_tel"
                                                value="<?php echo $fet_case->case_tel ?>" />
                                        </div>
                                        <!--end::Col-->

                                        <!--begin::Col-->
                                        <div class="col-md-6 fv-row">
                                            <label class="fs-6 fw-bold mb-2">อาชีพ</label>
                                            <input type="text" class="form-control form-control-solid"
                                                name="case_career" value="<?php echo $fet_case->case_career ?>" />
                                        </div>
                                        <!--end::Col-->

                                    </div>
                                    <!--end::Input group-->

                                    <!--begin::Input group-->
                                    <div class="row g-9 mb-8">



                                    </div>
                                    <!--end::Input group-->
                                    <!--begin::Input group-->
                                    <div class="row g-9 mb-2">

                                        <!--begin::Col-->
                                        <div class="col-md-12 fv-row">
                                            <label class=" fs-6 fw-bolder mb-2">
                                                สิทธิด้านการรักษา
                                            </label>
                                            <!--start::Checkboxes-->
                                            <div class="d-flex flex-wrap">

                                                <?php 
    
    $data = array(
        'สิทธิสวัสดิการข้าราชการ', ' สิทธิประกันสังคม', 'สิทธิหลักประกันสุขภาพแห่งชาติ', 'ประกันสุขภาพแรงงานต่างด้าว', ' ไม่มีสิทธิ์การรักษาพยาบาล',
        'อื่นๆ'
    );
    $status = $check = true;
    for ($i=0; $i < count($data) ; $i++) { ?>

                                                <!--begin::Checkbox-->
                                                <label class="form-check form-check-custom form-check-solid me-10 mb-3">
                                                    <!--begin::Input-->
                                                    <input class="form-check-input h-20px w-20px" type="radio"
                                                        onclick="return checkShowLastAddValue('data_privilege','#case_privilege','case_privilege');"
                                                        value="<?php echo $data[$i] ?>" name="data_privilege"
                                                        <?php if($fet_case->case_privilege==$data[$i]){echo "checked"; $check = false;}else if($i == count($data)-1 && $check){echo "checked"; $status = false;} ?> />
                                                    <!--end::Input-->
                                                    <!--begin::Label-->
                                                    <span
                                                        class="form-check-label fw-bold"><?php echo $data[$i] ?></span>
                                                    <!--end::Label-->
                                                </label>
                                                <!--end::Checkbox-->
                                                <?php
    }

 ?>


                                            </div>
                                            <!--end::Checkboxes-->
                                        </div>
                                        <!--end::Col-->

                                    </div>
                                    <!--end::Input group-->

                                    <!--begin::Input group-->
                                    <div class="row g-9 mb-8 <?php if($status){ echo "d-none";} ?> "
                                        id="case_privilege">
                                        <!--begin::Col-->
                                        <div class="col-md-12 fv-row">
                                            <label class=" fs-6 fw-bolder mb-2">อื่นๆ ระบุ</label>
                                            <input type="text" value="<?php echo $fet_case->case_privilege ?>"
                                                class="form-control form-control-solid" placeholder="อื่นๆ ระบุ"
                                                name="case_privilege" />
                                        </div>
                                        <!--end::Col-->

                                    </div>
                                    <!--end::Input group-->



                                    <!-- start input address -->


                                    <h5 class="">ที่อยู่ปัจจุบัน/ที่ติดต่อได้</h5>
                                    <!--begin::Input group-->
                                    <div class="row mb-6">
                                        <!--begin::Label-->
                                        <label class="col-lg-4 col-form-label fw-bold fs-6">บ้านเลขที่</label>
                                        <!--end::Label-->
                                        <!--begin::Col-->
                                        <div class="col-lg-8">
                                            <!--begin::Row-->
                                            <div class="row">
                                                <!--begin::Col-->
                                                <div class="col-lg-4 fv-row">
                                                    <input type="text" name="case_address"
                                                        class="form-control form-control-lg form-control-solid mb-3 mb-lg-0"
                                                        placeholder="เช่น 44/5"
                                                        value="<?php echo $fet_case->case_address; ?>" />
                                                </div>
                                                <!--end::Col-->
                                                <!--begin::Col-->
                                                <label class="col-lg-2 col-form-label fw-bold fs-6">หมู่ที่</label>
                                                <div class="col-lg-4 fv-row">
                                                    <input type="text" name="case_moo"
                                                        class="form-control form-control-lg form-control-solid"
                                                        placeholder="เช่น 16"
                                                        value="<?php echo $fet_case->case_moo; ?>" />
                                                </div>
                                                <!--end::Col-->
                                            </div>
                                            <!--end::Row-->
                                        </div>
                                        <!--end::Col-->
                                    </div>
                                    <!--end::Input group-->
                                    <!--begin::Input group-->
                                    <div class="row mb-6">
                                        <!--begin::Label-->
                                        <label class="col-lg-4 col-form-label fw-bold fs-6">ชื่อหมู่บ้าน</label>
                                        <!--end::Label-->
                                        <!--begin::Col-->
                                        <div class="col-lg-8 fv-row">
                                            <input type="text" name="case_community"
                                                class="form-control form-control-lg form-control-solid"
                                                placeholder="กรอกชื่อหมู่บ้าน"
                                                value="<?php echo $fet_case->case_community; ?>" />
                                        </div>
                                        <!--end::Col-->
                                    </div>
                                    <!--end::Input group-->

                                    <!--begin::Input group-->
                                    <div class="row mb-6">
                                        <!--begin::Label-->
                                        <label class="col-lg-4 col-form-label fw-bold fs-6">
                                            <span class="">จังหวัด</span>
                                            <i class="fas fa-exclamation-circle ms-1 fs-7" data-bs-toggle="tooltip"
                                                title="Country of origination"></i>
                                        </label>
                                        <!--end::Label-->
                                        <!--begin::Col-->
                                        <div class="col-lg-8 fv-row">
                                            <select name="case_province" id="Proviance" aria-label="เลือกจังหวัด"
                                                data-control="select2" data-placeholder="เลือกจังหวัด..."
                                                class="form-select form-select-solid form-select-lg fw-bold">
                                                <option value="">กรุณาเลือกจังหวัด...</option>
                                                <?php 
$query_province=$conn->query("SELECT * FROM provinces");
while($fet_province=$query_province->fetch_object()){
 ?>
                                                <option <?php if ($fet_case->case_province == $fet_province->id) {
                                                    echo "selected";
                                                } ?> data-kt-flag="flags/afghanistan.svg"
                                                    value="<?php echo $fet_province->id; ?>">
                                                    <?php echo $fet_province->name_th; ?></option>
                                                <?php } ?>
                                            </select>
                                        </div>
                                        <!--end::Col-->
                                    </div>
                                    <!--end::Input group-->
                                    <!--begin::Input group-->
                                    <div class="row mb-6">
                                        <!--begin::Label-->
                                        <label class="col-lg-4 col-form-label fw-bold fs-6">
                                            <span class="">อำเภอ/เขต</span>
                                            <i class="fas fa-exclamation-circle ms-1 fs-7" data-bs-toggle="tooltip"
                                                title="Country of origination"></i>
                                        </label>
                                        <!--end::Label-->
                                        <!--begin::Col-->
                                        <div class="col-lg-8 fv-row">
                                            <select name="case_umpher" id="District" aria-label="เลือกอำเภอ"
                                                data-control="select2" data-placeholder="เลือกอำเภอ..."
                                                class="form-select form-select-solid form-select-lg fw-bold">
                                                <option value="">กรุณาเลือกอำเภอ...</option>
                                                <?php 
    
   $query_umpher = $conn->query("SELECT * FROM amphures WHERE province_id  = '".$fet_case->case_province."' "); 
   while ($fet_umpher = $query_umpher->fetch_object()) { ?>

                                                <option <?php if ($fet_case->case_umpher == $fet_umpher->id) {
                                                    echo "selected";
                                                } ?> value="<?php echo $fet_umpher->id ?>">
                                                    <?php echo $fet_umpher->name_th ?></option>
                                                <?php }

 ?>


                                            </select>
                                        </div>
                                        <!--end::Col-->
                                    </div>
                                    <!--end::Input group-->
                                    <!--begin::Input group-->
                                    <div class="row mb-6">
                                        <!--begin::Label-->
                                        <label class="col-lg-4 col-form-label fw-bold fs-6">
                                            <span class="">ตำบล/แขวง</span>
                                            <i class="fas fa-exclamation-circle ms-1 fs-7" data-bs-toggle="tooltip"
                                                title="ตำบล/แขวง"></i>
                                        </label>
                                        <!--end::Label-->
                                        <!--begin::Col-->
                                        <div class="col-lg-8 fv-row">
                                            <select name="case_tumbol" id="Subdistrict" aria-label="เลือกตำบล"
                                                data-control="select2" data-placeholder="เลือกตำบล..."
                                                class="form-select form-select-solid form-select-lg fw-bold">
                                                <option value="">กรุณาเลือกตำบล...</option>
                                                <?php 
    $query_tumbol = $conn->query("SELECT * FROM districts WHERE amphure_id = '".$fet_case->case_umpher."' "); 
    while ($fet_tumbol = $query_tumbol->fetch_object()) {
    ?>

                                                <option <?php if ($fet_case->case_tumbol == $fet_tumbol->id) {
                                                    echo "selected";
                                                } ?> value="<?php echo $fet_tumbol->id; ?>">
                                                    <?php echo $fet_tumbol->name_th; ?></option>


                                                <?php
    }
?>


                                            </select>
                                        </div>
                                        <!--end::Col-->
                                    </div>
                                    <!--end::Input group-->
                                    <!--begin::Input group-->
                                    <div class="row mb-6">
                                        <!--begin::Label-->
                                        <label class="col-lg-4 col-form-label fw-bold fs-6">
                                            <span class="">รหัสไปรษณีย์</span>
                                            <i class="fas fa-exclamation-circle ms-1 fs-7" data-bs-toggle="tooltip"
                                                title="รหัสไปรษณีย์"></i>
                                        </label>
                                        <!--end::Label-->
                                        <!--begin::Col-->
                                        <div class="col-lg-8 fv-row">
                                            <input type="text" name="case_zipcode"
                                                class="form-control form-control-lg form-control-solid"
                                                value="<?php echo $fet_case->case_zipcode ?>" />
                                        </div>
                                        <!--end::Col-->
                                    </div>
                                    <!--end::Input group-->
                                    <!--begin::Input group-->
                                    <div class="row mb-6">
                                        <!--begin::Label-->
                                        <label class="col-lg-4 col-form-label fw-bold fs-6">
                                            <span class="">ประเทศ</span>
                                            <i class="fas fa-exclamation-circle ms-1 fs-7" data-bs-toggle="tooltip"
                                                title="Country of origination"></i>
                                        </label>
                                        <!--end::Label-->
                                        <!--begin::Col-->
                                        <div class="col-lg-8 fv-row">
                                            <select name="case_country" aria-label="เลือกประเทศ" data-control="select2"
                                                data-placeholder="เลือกประเทศ..."
                                                class="form-select form-select-solid form-select-lg fw-bold">
                                                <option value="">กรุณาเลือกประเทศ...</option>
                                                <?php 
$query_country=$conn->query("SELECT * FROM tbl_country");
while($fet_country=$query_country->fetch_object()){
 ?>
                                                <option <?php if ($fet_case->case_country == $fet_country->ct_nameTHA) {
                                                    echo "selected";
                                                } ?> data-kt-flag="flags/afghanistan.svg"
                                                    value="<?php echo $fet_country->ct_nameTHA; ?>">
                                                    <?php echo $fet_country->ct_nameTHA; ?></option>
                                                <?php } ?>
                                            </select>
                                        </div>
                                        <!--end::Col-->
                                    </div>
                                    <!--end::Input group-->
                                    <!--begin::Input group-->
                                    <div class="row g-9 mb-8">
                                        <!--begin::Col-->
                                        <div class="col-md-12 fv-row">
                                            <label class=" fs-6 fw-bold mb-2">ข้อมูลเพิ่มเติม หรือข้อมูลอื่นๆ</label>
                                            <!--begin::Textarea-->
                                            <textarea name="case_dataother" class="form-control form-control-solid mb-8"
                                                rows="5"
                                                placeholder="ข้อมูลเพิ่มเติม หรือข้อมูลอื่นๆ"><?php echo $fet_case->case_dataother ?></textarea>
                                            <!--end::Textarea-->
                                        </div>
                                        <!--end::Col-->

                                    </div>
                                    <!--end::Input group-->




                                </div>
                                <!--end::Scroll-->
                            </div>
                            <!--end::Modal body-->
                            <!--begin::Modal footer-->
                            <div class="modal-footer flex-center">
                                <!--begin::Button-->
                                <button type="reset" id="editcase_cancel" class="btn btn-light me-3">ยกเลิก</button>
                                <!--end::Button-->
                                <!--begin::Button-->
                                <button type="submit" id="kt_modal_add_customer_submit" class="btn btn-primary">
                                    <span class="indicator-label">บันทึก</span>
                                    <span class="indicator-progress">Please wait...
                                        <span class="spinner-border spinner-border-sm align-middle ms-2"></span></span>
                                </button>
                                <!--end::Button-->
                            </div>
                            <!--end::Modal footer-->
                        </form>
                        <!--end::Form-->
                    </div>
                </div>
            </div>
            <!--end::Modal - Customers - Add-->
            <!--end::Modals-->



            <!--begin::Card body-->
            <div class="card-body p-9 fs-5">
                <!--begin::Row-->
                <div class="row mb-7">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">รหัสสถานพยาบาล</label>
                    <!--end::Label-->
                    <!--begin::Col-->
                    <div class="col-lg-8">
                        <span class="fw-bold fs-6 text-dark"><?php echo $fet_case->hospital_code;  ?></span>
                    </div>
                    <!--end::Col-->
                </div>
                <!--end::Row-->
                <!--begin::Row-->
                <div class="row mb-7">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">ชื่อสถานพยาบาล</label>
                    <!--end::Label-->
                    <!--begin::Col-->
                    <div class="col-lg-8">
                        <span class="fw-bold fs-6 text-dark"><?php echo $fet_case->hospital_name;  ?></span>
                    </div>
                    <!--end::Col-->
                </div>
                <!--end::Row-->
                <!--begin::Row-->
                <div class="row mb-7">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">เลขบัตรประชาชน</label>
                    <!--end::Label-->
                    <!--begin::Col-->
                    <div class="col-lg-8">
                        <span class="fw-bold fs-6 text-dark"><?php echo $fet_case->idcard;  ?></span>
                    </div>
                    <!--end::Col-->
                </div>
                <!--end::Row-->
                <!--begin::Input group-->
                <div class="row mb-7 ">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">เลข HN</label>
                    <!--end::Label-->
                    <!--begin::Col-->
                    <div class="col-lg-8 fv-row">
                        <span class="fw-bold text-gray-800 fs-6"><?php echo $fet_case->case_hn; ?></span>
                    </div>
                    <!--end::Col-->
                </div>
                <!--end::Input group-->
                <!--begin::Input group-->
                <div class="row mb-7">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">วันที่ admit</label>
                    <!--end::Label-->
                    <!--begin::Col-->
                    <div class="col-lg-8 fv-row">
                        <span class="fw-bold text-gray-800 fs-6"><?php echo thaidate($fet_case->admit_date); ?></span>
                    </div>
                    <!--end::Col-->
                </div>
                <!--end::Input group-->
                <!--begin::Input group-->
                <div class="row mb-7">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">ชื่อ - นามสกุล
                    </label>
                    <!--end::Label-->
                    <!--begin::Col-->
                    <div class="col-lg-8 d-flex align-items-center">
                        <span class="fw-bold fs-6 text-gray-800 me-2">

                            <?php echo $fet_case->case_tname." ".$fet_case->case_name; ?>

                        </span>

                    </div>
                    <!--end::Col-->
                </div>
                <!--end::Input group-->

                <!--begin::Input group-->
                <div class="row mb-7">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">สิทธิด้านการรักษา
                    </label>
                    <!--end::Label-->
                    <!--begin::Col-->
                    <div class="col-lg-8 d-flex align-items-center">
                        <span class="fw-bold fs-6 text-gray-800 me-2">

                            <?php echo $fet_case->case_privilege; ?>

                        </span>

                    </div>
                    <!--end::Col-->
                </div>
                <!--end::Input group-->

                <!--begin::Input group-->
                <div class="row mb-10">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">เพศ</label>
                    <!--begin::Label-->
                    <!--begin::Label-->
                    <div class="col-lg-8">
                        <span class="fw-bold fs-6 text-gray-800"><?php echo $fet_case->case_sex; ?></span>
                    </div>
                    <!--begin::Label-->
                </div>
                <!--end::Input group-->
                <!--begin::Input group-->
                <div class="row mb-7">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">วันเกิด
                    </label>
                    <!--end::Label-->
                    <!--begin::Col-->
                    <div class="col-lg-8 d-flex align-items-center">
                        <span class="fw-bold fs-6 text-gray-800 me-2">

                            <?php echo thaidate($fet_case->case_bday); ?>

                        </span>

                    </div>
                    <!--end::Col-->
                </div>
                <!--end::Input group-->
                <!--begin::Input group-->
                <div class="row mb-7">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">อายุ
                    </label>
                    <!--end::Label-->
                    <!--begin::Col-->
                    <div class="col-lg-8 d-flex align-items-center">
                        <span class="fw-bold fs-6 text-gray-800 me-2">

                            <?php echo getAge($fet_case->case_bday)." ปี"; ?>

                        </span>

                    </div>
                    <!--end::Col-->
                </div>
                <!--end::Input group-->

                <!--begin::Input group-->
                <div class="row mb-7">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">สัญชาติ
                    </label>
                    <!--end::Label-->
                    <!--begin::Col-->
                    <div class="col-lg-8">
                        <span class="fw-bold fs-6 text-gray-800"><?php echo $fet_case->case_nation ?></span>
                    </div>
                    <!--end::Col-->
                </div>
                <!--end::Input group-->
                <!--begin::Input group-->
                <div class="row mb-7">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">เชื้อชาติ</label>
                    <!--end::Label-->
                    <!--begin::Col-->
                    <div class="col-lg-8">
                        <span class="fw-bold fs-6 text-gray-800"><?php echo $fet_case->case_race; ?></span>
                    </div>
                    <!--end::Col-->
                </div>
                <!--end::Input group-->
                <!--begin::Input group-->
                <div class="row mb-10">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">ศาสนา</label>
                    <!--begin::Label-->
                    <!--begin::Label-->
                    <div class="col-lg-8">
                        <span class="fw-bold fs-6 text-gray-800"><?php echo $fet_case->case_religion; ?></span>
                    </div>
                    <!--begin::Label-->
                </div>
                <!--end::Input group-->
                <!--begin::Input group-->
                <div class="row mb-10">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">ที่อยู่</label>
                    <!--begin::Label-->
                    <!--begin::Label-->
                    <div class="col-lg-8">
                        <span
                            class="fw-bold fs-6 text-gray-800"><?php echo $fet_case->case_address." หมู่ที่ ".$fet_case->case_moo." ".$fet_case->case_community." ต.".$fet_case->dname_th." อ.".$fet_case->aname_th." จ.".$fet_case->pname_th." ".$fet_case->case_zipcode; ?></span>
                    </div>
                    <!--begin::Label-->
                </div>
                <!--end::Input group-->
                <!--begin::Input group-->
                <div class="row mb-10">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">เบอร์โทร</label>
                    <!--begin::Label-->
                    <!--begin::Label-->
                    <div class="col-lg-8">
                        <span class="fw-bold fs-6 text-gray-800"><?php echo $fet_case->case_tel; ?></span>
                    </div>
                    <!--begin::Label-->
                </div>
                <!--end::Input group-->
                <!--begin::Input group-->
                <div class="row mb-10">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">สถานภาพสมรส</label>
                    <!--begin::Label-->
                    <!--begin::Label-->
                    <div class="col-lg-8">
                        <span class="fw-bold fs-6 text-gray-800"><?php echo $fet_case->case_marital; ?></span>
                    </div>
                    <!--begin::Label-->
                </div>
                <!--end::Input group-->
                <!--begin::Input group-->
                <div class="row mb-10">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">ระดับการศึกษา</label>
                    <!--begin::Label-->
                    <!--begin::Label-->
                    <div class="col-lg-8">
                        <span class="fw-bold fs-6 text-gray-800"><?php echo $fet_case->case_education; ?></span>
                    </div>
                    <!--begin::Label-->
                </div>
                <!--end::Input group-->
                <!--begin::Input group-->
                <div class="row mb-10">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">อาชีพ</label>
                    <!--begin::Label-->
                    <!--begin::Label-->
                    <div class="col-lg-8">
                        <span class="fw-bold fs-6 text-gray-800"><?php echo $fet_case->case_career; ?></span>
                    </div>
                    <!--begin::Label-->
                </div>
                <!--end::Input group-->
                <!--begin::Input group-->
                <div class="row mb-10">
                    <!--begin::Label-->
                    <label class="col-lg-4 fw-bolder text-gray-800">ข้อมูลเพิ่มเติม หรือข้อมูลอื่นๆ</label>
                    <!--begin::Label-->
                    <!--begin::Label-->
                    <div class="col-lg-8">
                        <span class="fw-bold fs-6 text-gray-800"><?php echo $fet_case->case_dataother; ?></span>
                    </div>
                    <!--begin::Label-->
                </div>
                <!--end::Input group-->
            </div>
            <!--end::Card body-->
        </div>
        <!--end::details View-->




        <!--begin::Row-->
        <div class="row gy-5 gx-xl-10">
            <?php 
    
    $query_re = $conn->query("SELECT case_relative.*, amphures.name_th AS aname_th,districts.name_th AS dname_th, provinces.name_th AS pname_th
        FROM case_relative 
        LEFT JOIN districts ON districts.id = case_relative.re_tumbol
        LEFT JOIN amphures ON amphures.id = case_relative.re_umpher
        LEFT JOIN provinces ON provinces.id = case_relative.re_province
        WHERE user_id = '".$_REQUEST['case_id']."'  ");
        $arr_data = array();
$st_check =true;
    while($fet_re = $query_re->fetch_object()){
        $query_re2 = $conn->query("SELECT case_relative.*, amphures.name_th AS aname_th,districts.name_th AS dname_th, provinces.name_th AS pname_th
        FROM case_relative 
        LEFT JOIN districts ON districts.id = case_relative.re_tumbol
        LEFT JOIN amphures ON amphures.id = case_relative.re_umpher
        LEFT JOIN provinces ON provinces.id = case_relative.re_province
        WHERE case_relative.relative_id = '".$fet_re->relative_id ."'  ");
        $fet_rel = $query_re2->fetch_assoc();
        // array_push($arr_data, $fet);

 ?>
            <!--begin::Col-->
            <div class="col-xl-6">
                <!--begin::List Widget 5-->
                <div class="card card-xl-stretch mb-xl-10">
                    <!--begin::Header-->
                    <!--begin::Card header-->
                    <div class="card-header cursor-pointer">
                        <!--begin::Card title-->
                        <div class="card-title m-0">
                            <h3 class="fw-bolder m-0">ข้อมูลติดต่อญาติ</h3>
                        </div>
                        <!--end::Card title-->
                        <div class="text-end mt-5">
                            <!--begin::Action-->
                            <?php 
                             if ($st_check) { $st_check = false;?>
                            <a href="#" class="btn btn-success align-self-center" data-bs-toggle="modal"
                                data-bs-target="#add_relative">เพิ่มข้อมูลญาติ</a>
                            <?php   }
                              ?>

                            <!-- <a href="../../demo15/dist/account/settings.html" class="btn btn-primary align-self-center">แก้ไขข้อมูล</a> -->
                            <a href="#" class="btn btn-primary align-self-center" data-bs-toggle="modal"
                                onclick="return setEditRel(<?php echo htmlspecialchars(json_encode($fet_rel)); ?>)"
                                data-bs-target="#edit_relative">แก้ไขข้อมูล</a>
                            <a href="#" class="btn btn-danger align-self-center"
                                onclick="return delRel(<?php echo $fet_re->relative_id ?>)">ลบข้อมูล</a>

                        </div>

                    </div>

                    <!--end::Header-->

                    <!--begin::Modals-->
                    <!--begin::Modal - Customers - Add-->
                    <div class="modal fade" id="add_relative" tabindex="-1" aria-hidden="true">
                        <!--begin::Modal dialog-->
                        <div class="modal-dialog modal-dialog-centered mw-650px">
                            <!--begin::Modal content-->
                            <div class="modal-content">
                                <!--begin::Form-->
                                <form class="form" method="POST"
                                    action="api/ac_case.php?ac=add_relative&case_id=<?php echo $fet_case->user_id; ?>"
                                    id="form_add_relative" enctype="multipart/form-data">
                                    <!--begin::Modal header-->
                                    <div class="modal-header" id="kt_modal_add_customer_header">
                                        <!--begin::Modal title-->
                                        <h2 class="fw-bolder">เพิ่มข้อมูลญาติ</h2>
                                        <!--end::Modal title-->
                                        <!--begin::Close-->
                                        <div id="add_re_close" class="btn btn-icon btn-sm btn-active-icon-primary">
                                            <!--begin::Svg Icon | path: icons/duotune/arrows/arr061.svg-->
                                            <span class="svg-icon svg-icon-1">
                                                <svg xmlns="http://www.w3.org/2000/svg" width="24" height="24"
                                                    viewBox="0 0 24 24" fill="none">
                                                    <rect opacity="0.5" x="6" y="17.3137" width="16" height="2" rx="1"
                                                        transform="rotate(-45 6 17.3137)" fill="black" />
                                                    <rect x="7.41422" y="6" width="16" height="2" rx="1"
                                                        transform="rotate(45 7.41422 6)" fill="black" />
                                                </svg>
                                            </span>
                                            <!--end::Svg Icon-->
                                        </div>
                                        <!--end::Close-->
                                    </div>
                                    <!--end::Modal header-->
                                    <!--begin::Modal body-->
                                    <div class="modal-body py-10 px-lg-17">
                                        <!--begin::Scroll-->
                                        <div class="scroll-y me-n7 pe-7" id="kt_modal_add_customer_scroll"
                                            data-kt-scroll="true" data-kt-scroll-activate="{default: false, lg: true}"
                                            data-kt-scroll-max-height="auto"
                                            data-kt-scroll-dependencies="#kt_modal_add_customer_header"
                                            data-kt-scroll-wrappers="#kt_modal_add_customer_scroll"
                                            data-kt-scroll-offset="300px">
                                            <input type="text" class="form-control form-control-solid d-none"
                                                name="relative_id" value="" />
                                            <!--begin::Input group-->
                                            <div class="row g-9 mb-8">
                                                <!--begin::Col-->
                                                <div class="col-md-6 fv-row">
                                                    <label class=" fs-6 fw-bold mb-2">คำนำหน้า</label>
                                                    <input type="text" class="form-control form-control-solid"
                                                        placeholder="คำนำหน้า" name="re_tname" value="" />
                                                </div>
                                                <!--end::Col-->
                                                <!--begin::Col-->
                                                <div class="col-md-6 fv-row">
                                                    <label class=" fs-6 fw-bold mb-2">ชื่อ-สกุล</label>
                                                    <input type="text" class="form-control form-control-solid"
                                                        placeholder="ชื่อ-สกุล" name="re_name" value="" />
                                                </div>
                                                <!--end::Col-->

                                            </div>
                                            <!--end::Input group-->

                                            <!--begin::Input group-->
                                            <div class="row g-9 mb-8">
                                                <!--begin::Col-->
                                                <div class="col-md-6 fv-row">
                                                    <label class=" fs-6 fw-bold mb-2">เกี่ยวข้องเป็น</label>
                                                    <input type="text" class="form-control form-control-solid"
                                                        placeholder="เกี่ยวข้องเป็น" name="re_relevant" value="" />
                                                </div>
                                                <!--end::Col-->
                                                <!--begin::Col-->
                                                <div class="col-md-6 fv-row">
                                                    <label class="fs-6 fw-bold mb-2">หมายเลขโทรศัพท์</label>
                                                    <input type="text" class="form-control form-control-solid"
                                                        placeholder="หมายเลขโทรศัพท์" name="re_phone" value="" />
                                                </div>
                                                <!--end::Col-->

                                            </div>
                                            <!--end::Input group-->

                                            <!-- start input address -->

                                            <div id="tell_address">
                                                <h5 class="">ที่อยู่ปัจจุบัน/ที่ติดต่อได้</h5>
                                                <!--begin::Input group-->
                                                <div class="row mb-6">
                                                    <!--begin::Label-->
                                                    <label
                                                        class="col-lg-4 col-form-label fw-bold fs-6">บ้านเลขที่</label>
                                                    <!--end::Label-->
                                                    <!--begin::Col-->
                                                    <div class="col-lg-8">
                                                        <!--begin::Row-->
                                                        <div class="row">
                                                            <!--begin::Col-->
                                                            <div class="col-lg-4 fv-row">
                                                                <input type="text" name="re_address" value=""
                                                                    class="form-control form-control-lg form-control-solid mb-3 mb-lg-0"
                                                                    placeholder="เช่น 44/5" />
                                                            </div>
                                                            <!--end::Col-->
                                                            <!--begin::Col-->
                                                            <label
                                                                class="col-lg-2 col-form-label fw-bold fs-6">หมู่ที่</label>
                                                            <div class="col-lg-4 fv-row">
                                                                <input type="text" name="re_moo" value=""
                                                                    class="form-control form-control-lg form-control-solid"
                                                                    placeholder="เช่น 16" />
                                                            </div>
                                                            <!--end::Col-->
                                                        </div>
                                                        <!--end::Row-->
                                                    </div>
                                                    <!--end::Col-->
                                                </div>
                                                <!--end::Input group-->
                                                <!--begin::Input group-->
                                                <div class="row mb-6">
                                                    <!--begin::Label-->
                                                    <label
                                                        class="col-lg-4 col-form-label fw-bold fs-6">ชื่อหมู่บ้าน</label>
                                                    <!--end::Label-->
                                                    <!--begin::Col-->
                                                    <div class="col-lg-8 fv-row">
                                                        <input type="text" name="re_community" value=""
                                                            class="form-control form-control-lg form-control-solid"
                                                            placeholder="กรอกชื่อหมู่บ้าน" />
                                                    </div>
                                                    <!--end::Col-->
                                                </div>
                                                <!--end::Input group-->
                                                <!--begin::Input group-->
                                                <div class="row mb-6">
                                                    <!--begin::Label-->
                                                    <label class="col-lg-4 col-form-label fw-bold fs-6">
                                                        <span class="">จังหวัด</span>
                                                        <i class="fas fa-exclamation-circle ms-1 fs-7"
                                                            data-bs-toggle="tooltip" title="Country of origination"></i>
                                                    </label>
                                                    <!--end::Label-->
                                                    <!--begin::Col-->
                                                    <div class="col-lg-8 fv-row">
                                                        <select name="re_province" id="ProvianceReAdd"
                                                            aria-label="เลือกจังหวัด" data-control="select2"
                                                            data-placeholder="เลือกจังหวัด..."
                                                            class="form-select form-select-solid form-select-lg fw-bold">
                                                            <option value="">กรุณาเลือกจังหวัด...</option>
                                                            <?php 
$query_province=$conn->query("SELECT * FROM provinces");
while($fet_province=$query_province->fetch_object()){
 ?>
                                                            <option data-kt-flag="flags/afghanistan.svg"
                                                                value="<?php echo $fet_province->id; ?>">
                                                                <?php echo $fet_province->name_th; ?></option>
                                                            <?php } ?>
                                                        </select>
                                                    </div>
                                                    <!--end::Col-->
                                                </div>
                                                <!--end::Input group-->
                                                <!--begin::Input group-->
                                                <div class="row mb-6">
                                                    <!--begin::Label-->
                                                    <label class="col-lg-4 col-form-label fw-bold fs-6">
                                                        <span class="">อำเภอ/เขต</span>
                                                        <i class="fas fa-exclamation-circle ms-1 fs-7"
                                                            data-bs-toggle="tooltip" title="Country of origination"></i>
                                                    </label>
                                                    <!--end::Label-->
                                                    <!--begin::Col-->
                                                    <div class="col-lg-8 fv-row">
                                                        <select name="re_umpher" id="DistrictReAdd"
                                                            aria-label="เลือกอำเภอ" data-control="select2"
                                                            data-placeholder="เลือกอำเภอ..."
                                                            class="form-select form-select-solid form-select-lg fw-bold">
                                                            <option value="">กรุณาเลือกอำเภอ...</option>

                                                        </select>
                                                    </div>
                                                    <!--end::Col-->
                                                </div>
                                                <!--end::Input group-->
                                                <!--begin::Input group-->
                                                <div class="row mb-6">
                                                    <!--begin::Label-->
                                                    <label class="col-lg-4 col-form-label fw-bold fs-6">
                                                        <span class="">ตำบล/แขวง</span>
                                                        <i class="fas fa-exclamation-circle ms-1 fs-7"
                                                            data-bs-toggle="tooltip" title="ตำบล/แขวง"></i>
                                                    </label>
                                                    <!--end::Label-->
                                                    <!--begin::Col-->
                                                    <div class="col-lg-8 fv-row">
                                                        <select name="re_tumbol" id="SubdistrictReAdd"
                                                            aria-label="เลือกตำบล" data-control="select2"
                                                            data-placeholder="เลือกตำบล..."
                                                            class="form-select form-select-solid form-select-lg fw-bold">
                                                            <option value="">กรุณาเลือกตำบล...</option>

                                                        </select>
                                                    </div>
                                                    <!--end::Col-->
                                                </div>
                                                <!--end::Input group-->
                                                <!--begin::Input group-->
                                                <div class="row mb-6">
                                                    <!--begin::Label-->
                                                    <label class="col-lg-4 col-form-label fw-bold fs-6">
                                                        <span class="">รหัสไปรษณีย์</span>
                                                        <i class="fas fa-exclamation-circle ms-1 fs-7"
                                                            data-bs-toggle="tooltip" title="รหัสไปรษณีย์"></i>
                                                    </label>
                                                    <!--end::Label-->
                                                    <!--begin::Col-->
                                                    <div class="col-lg-8 fv-row">
                                                        <input type="text" name="re_zipcode"
                                                            class="form-control form-control-lg form-control-solid"
                                                            placeholder="รหัสไปรษณีย์" value="" />
                                                    </div>
                                                    <!--end::Col-->
                                                </div>
                                                <!--end::Input group-->


                                            </div>
                                            <!-- end input address -->

                                            <!--begin::Input group-->
                                            <div class="row g-9 mb-8">
                                                <!--begin::Col-->
                                                <div class="col-md-12 fv-row">
                                                    <label class=" fs-6 fw-bold mb-2">ข้อมูลผู้ติดต่อเพิ่มเติม </label>
                                                    <!--begin::Textarea-->
                                                    <textarea name="re_contact"
                                                        class="form-control form-control-solid mb-8" rows="5"
                                                        placeholder="ข้อมูลผู้ติดต่อเพิ่มเติม"></textarea>
                                                    <!--end::Textarea-->
                                                </div>
                                                <!--end::Col-->

                                            </div>
                                            <!--end::Input group-->



                                        </div>
                                        <!--end::Scroll-->
                                    </div>
                                    <!--end::Modal body-->
                                    <!--begin::Modal footer-->
                                    <div class="modal-footer flex-center">
                                        <!--begin::Button-->
                                        <button type="reset" id="addre_cancel"
                                            class="btn btn-light me-3">ยกเลิก</button>
                                        <!--end::Button-->
                                        <!--begin::Button-->
                                        <button type="submit" id="kt_modal_add_customer_submit" class="btn btn-primary">
                                            <span class="indicator-label">บันทึก</span>
                                            <span class="indicator-progress">Please wait...
                                                <span
                                                    class="spinner-border spinner-border-sm align-middle ms-2"></span></span>
                                        </button>
                                        <!--end::Button-->
                                    </div>
                                    <!--end::Modal footer-->
                                </form>
                                <!--end::Form-->
                            </div>
                        </div>
                    </div>
                    <!--end::Modal - Customers - Add-->
                    <!--end::Modals-->

                    <!--begin::Modals-->
                    <!--begin::Modal - Customers - Add-->
                    <div class="modal fade" id="edit_relative" tabindex="-1" aria-hidden="true">
                        <!--begin::Modal dialog-->
                        <div class="modal-dialog modal-dialog-centered mw-650px">
                            <!--begin::Modal content-->
                            <div class="modal-content">
                                <!--begin::Form-->
                                <form class="form" method="POST"
                                    action="api/ac_case.php?ac=edit_relative&case_id=<?php echo $fet_case->user_id; ?>"
                                    id="form_edit_relative" enctype="multipart/form-data">
                                    <!--begin::Modal header-->
                                    <div class="modal-header" id="kt_modal_add_customer_header">
                                        <!--begin::Modal title-->
                                        <h2 class="fw-bolder">แก้ไขข้อมูล</h2>
                                        <!--end::Modal title-->
                                        <!--begin::Close-->
                                        <div id="edit_re_close" class="btn btn-icon btn-sm btn-active-icon-primary">
                                            <!--begin::Svg Icon | path: icons/duotune/arrows/arr061.svg-->
                                            <span class="svg-icon svg-icon-1">
                                                <svg xmlns="http://www.w3.org/2000/svg" width="24" height="24"
                                                    viewBox="0 0 24 24" fill="none">
                                                    <rect opacity="0.5" x="6" y="17.3137" width="16" height="2" rx="1"
                                                        transform="rotate(-45 6 17.3137)" fill="black" />
                                                    <rect x="7.41422" y="6" width="16" height="2" rx="1"
                                                        transform="rotate(45 7.41422 6)" fill="black" />
                                                </svg>
                                            </span>
                                            <!--end::Svg Icon-->
                                        </div>
                                        <!--end::Close-->
                                    </div>
                                    <!--end::Modal header-->
                                    <!--begin::Modal body-->
                                    <div class="modal-body py-10 px-lg-17">
                                        <!--begin::Scroll-->
                                        <div class="scroll-y me-n7 pe-7" id="kt_modal_add_customer_scroll"
                                            data-kt-scroll="true" data-kt-scroll-activate="{default: false, lg: true}"
                                            data-kt-scroll-max-height="auto"
                                            data-kt-scroll-dependencies="#kt_modal_add_customer_header"
                                            data-kt-scroll-wrappers="#kt_modal_add_customer_scroll"
                                            data-kt-scroll-offset="300px">
                                            <input type="text" class="form-control form-control-solid d-none"
                                                name="relative_id" value="" />
                                            <!--begin::Input group-->
                                            <div class="row g-9 mb-8">
                                                <!--begin::Col-->
                                                <div class="col-md-6 fv-row">
                                                    <label class=" fs-6 fw-bold mb-2">คำนำหน้า</label>
                                                    <input type="text" class="form-control form-control-solid"
                                                        name="re_tname" value="<?php echo $fet_re->re_tname; ?>" />
                                                </div>
                                                <!--end::Col-->
                                                <!--begin::Col-->
                                                <div class="col-md-6 fv-row">
                                                    <label class=" fs-6 fw-bold mb-2">ชื่อ-สกุล</label>
                                                    <input type="text" class="form-control form-control-solid"
                                                        name="re_name" value="<?php echo $fet_re->re_name; ?>" />
                                                </div>
                                                <!--end::Col-->

                                            </div>
                                            <!--end::Input group-->

                                            <!--begin::Input group-->
                                            <div class="row g-9 mb-8">
                                                <!--begin::Col-->
                                                <div class="col-md-6 fv-row">
                                                    <label class=" fs-6 fw-bold mb-2">เกี่ยวข้องเป็น</label>
                                                    <input type="text" class="form-control form-control-solid"
                                                        name="re_relevant" value="<?php echo $fet_re->re_relevant ?>" />
                                                </div>
                                                <!--end::Col-->
                                                <!--begin::Col-->
                                                <div class="col-md-6 fv-row">
                                                    <label class="fs-6 fw-bold mb-2">หมายเลขโทรศัพท์</label>
                                                    <input type="text" class="form-control form-control-solid"
                                                        name="re_phone" value="<?php echo $fet_re->re_phone; ?>" />
                                                </div>
                                                <!--end::Col-->

                                            </div>
                                            <!--end::Input group-->

                                            <!-- start input address -->

                                            <div id="tell_address">
                                                <h5 class="">ที่อยู่ปัจจุบัน/ที่ติดต่อได้</h5>
                                                <!--begin::Input group-->
                                                <div class="row mb-6">
                                                    <!--begin::Label-->
                                                    <label
                                                        class="col-lg-4 col-form-label fw-bold fs-6">บ้านเลขที่</label>
                                                    <!--end::Label-->
                                                    <!--begin::Col-->
                                                    <div class="col-lg-8">
                                                        <!--begin::Row-->
                                                        <div class="row">
                                                            <!--begin::Col-->
                                                            <div class="col-lg-4 fv-row">
                                                                <input type="text" name="re_address"
                                                                    value="<?php echo $fet_re->re_address ?>"
                                                                    class="form-control form-control-lg form-control-solid mb-3 mb-lg-0"
                                                                    placeholder="เช่น 44/5" />
                                                            </div>
                                                            <!--end::Col-->
                                                            <!--begin::Col-->
                                                            <label
                                                                class="col-lg-2 col-form-label fw-bold fs-6">หมู่ที่</label>
                                                            <div class="col-lg-4 fv-row">
                                                                <input type="text" name="re_moo"
                                                                    value="<?php echo $fet_re->re_moo ?>"
                                                                    class="form-control form-control-lg form-control-solid"
                                                                    placeholder="เช่น 16" />
                                                            </div>
                                                            <!--end::Col-->
                                                        </div>
                                                        <!--end::Row-->
                                                    </div>
                                                    <!--end::Col-->
                                                </div>
                                                <!--end::Input group-->
                                                <!--begin::Input group-->
                                                <div class="row mb-6">
                                                    <!--begin::Label-->
                                                    <label
                                                        class="col-lg-4 col-form-label fw-bold fs-6">ชื่อหมู่บ้าน</label>
                                                    <!--end::Label-->
                                                    <!--begin::Col-->
                                                    <div class="col-lg-8 fv-row">
                                                        <input type="text" name="re_community"
                                                            value="<?php echo $fet_re->re_community; ?>"
                                                            class="form-control form-control-lg form-control-solid"
                                                            placeholder="กรอกชื่อหมู่บ้าน" />
                                                    </div>
                                                    <!--end::Col-->
                                                </div>
                                                <!--end::Input group-->
                                                <!--begin::Input group-->
                                                <div class="row mb-6">
                                                    <!--begin::Label-->
                                                    <label class="col-lg-4 col-form-label fw-bold fs-6">
                                                        <span class="">จังหวัด</span>
                                                        <i class="fas fa-exclamation-circle ms-1 fs-7"
                                                            data-bs-toggle="tooltip" title="Country of origination"></i>
                                                    </label>
                                                    <!--end::Label-->
                                                    <!--begin::Col-->
                                                    <div class="col-lg-8 fv-row">
                                                        <select name="re_province" id="ProvianceRe"
                                                            aria-label="เลือกจังหวัด" data-control="select2"
                                                            data-placeholder="เลือกจังหวัด..."
                                                            class="form-select form-select-solid form-select-lg fw-bold">
                                                            <option value="">กรุณาเลือกจังหวัด...</option>
                                                            <?php 
$query_province=$conn->query("SELECT * FROM provinces");
while($fet_province=$query_province->fetch_object()){
 ?>
                                                            <option <?php if ($fet_re->re_province == $fet_province->id) {
                                                    echo "selected";
                                                } ?> data-kt-flag="flags/afghanistan.svg"
                                                                value="<?php echo $fet_province->id; ?>">
                                                                <?php echo $fet_province->name_th; ?></option>
                                                            <?php } ?>
                                                        </select>
                                                    </div>
                                                    <!--end::Col-->
                                                </div>
                                                <!--end::Input group-->
                                                <!--begin::Input group-->
                                                <div class="row mb-6">
                                                    <!--begin::Label-->
                                                    <label class="col-lg-4 col-form-label fw-bold fs-6">
                                                        <span class="">อำเภอ/เขต</span>
                                                        <i class="fas fa-exclamation-circle ms-1 fs-7"
                                                            data-bs-toggle="tooltip" title="Country of origination"></i>
                                                    </label>
                                                    <!--end::Label-->
                                                    <!--begin::Col-->
                                                    <div class="col-lg-8 fv-row">
                                                        <select name="re_umpher" id="DistrictRe" aria-label="เลือกอำเภอ"
                                                            data-control="select2" data-placeholder="เลือกอำเภอ..."
                                                            class="form-select form-select-solid form-select-lg fw-bold">
                                                            <option value="">กรุณาเลือกอำเภอ...</option>
                                                            <?php 
        
    $query_umpher = $conn->query("SELECT * FROM amphures WHERE province_id = '".$fet_re->re_province."' ");
    while ($fet_umpher = $query_umpher->fetch_object()) {
        ?>

                                                            <option <?php if ($fet_re->re_umpher == $fet_umpher->id) {
                                                    echo "selected";
                                                } ?> value="<?php echo $fet_umpher->id ?>">
                                                                <?php echo $fet_umpher->name_th ?></option>


                                                            <?php
    }


 ?>
                                                        </select>
                                                    </div>
                                                    <!--end::Col-->
                                                </div>
                                                <!--end::Input group-->
                                                <!--begin::Input group-->
                                                <div class="row mb-6">
                                                    <!--begin::Label-->
                                                    <label class="col-lg-4 col-form-label fw-bold fs-6">
                                                        <span class="">ตำบล/แขวง</span>
                                                        <i class="fas fa-exclamation-circle ms-1 fs-7"
                                                            data-bs-toggle="tooltip" title="ตำบล/แขวง"></i>
                                                    </label>
                                                    <!--end::Label-->
                                                    <!--begin::Col-->
                                                    <div class="col-lg-8 fv-row">
                                                        <select name="re_tumbol" id="SubdistrictRe"
                                                            aria-label="เลือกตำบล" data-control="select2"
                                                            data-placeholder="เลือกตำบล..."
                                                            class="form-select form-select-solid form-select-lg fw-bold">
                                                            <option value="">กรุณาเลือกตำบล...</option>

                                                            <?php 

    $query_tumbol = $conn->query("SELECT * FROM  districts WHERE amphure_id = '".$fet_re->re_umpher."' ");
    while ($fet_tumbol = $query_tumbol->fetch_object()) {
    ?>


                                                            <option <?php if ($fet_re->re_tumbol == $fet_tumbol->id) {
                                                    echo "selected";
                                                } ?> value="<?php echo $fet_tumbol->id ?>">
                                                                <?php echo $fet_tumbol->name_th ?></option>



                                                            <?php
    }

 ?>


                                                        </select>
                                                    </div>
                                                    <!--end::Col-->
                                                </div>
                                                <!--end::Input group-->
                                                <!--begin::Input group-->
                                                <div class="row mb-6">
                                                    <!--begin::Label-->
                                                    <label class="col-lg-4 col-form-label fw-bold fs-6">
                                                        <span class="">รหัสไปรษณีย์</span>
                                                        <i class="fas fa-exclamation-circle ms-1 fs-7"
                                                            data-bs-toggle="tooltip" title="รหัสไปรษณีย์"></i>
                                                    </label>
                                                    <!--end::Label-->
                                                    <!--begin::Col-->
                                                    <div class="col-lg-8 fv-row">
                                                        <input type="text" name="re_zipcode"
                                                            class="form-control form-control-lg form-control-solid"
                                                            value="<?php echo $fet_re->re_zipcode;   ?>" />
                                                    </div>
                                                    <!--end::Col-->
                                                </div>
                                                <!--end::Input group-->


                                            </div>
                                            <!-- end input address -->

                                            <!--begin::Input group-->
                                            <div class="row g-9 mb-8">
                                                <!--begin::Col-->
                                                <div class="col-md-12 fv-row">
                                                    <label class=" fs-6 fw-bold mb-2">ข้อมูลผู้ติดต่อเพิ่มเติม </label>
                                                    <!--begin::Textarea-->
                                                    <textarea name="re_contact"
                                                        class="form-control form-control-solid mb-8" rows="5"
                                                        placeholder="ข้อมูลผู้ติดต่อเพิ่มเติม"><?php echo $fet_re->re_contact; ?></textarea>
                                                    <!--end::Textarea-->
                                                </div>
                                                <!--end::Col-->

                                            </div>
                                            <!--end::Input group-->



                                        </div>
                                        <!--end::Scroll-->
                                    </div>
                                    <!--end::Modal body-->
                                    <!--begin::Modal footer-->
                                    <div class="modal-footer flex-center">
                                        <!--begin::Button-->
                                        <button type="reset" id="editre_cancel"
                                            class="btn btn-light me-3">ยกเลิก</button>
                                        <!--end::Button-->
                                        <!--begin::Button-->
                                        <button type="submit" id="kt_modal_add_customer_submit" class="btn btn-primary">
                                            <span class="indicator-label">บันทึก</span>
                                            <span class="indicator-progress">Please wait...
                                                <span
                                                    class="spinner-border spinner-border-sm align-middle ms-2"></span></span>
                                        </button>
                                        <!--end::Button-->
                                    </div>
                                    <!--end::Modal footer-->
                                </form>
                                <!--end::Form-->
                            </div>
                        </div>
                    </div>
                    <!--end::Modal - Customers - Add-->
                    <!--end::Modals-->







                    <!--begin::Body-->
                    <div class="card-body pt-5 fs-5">


                        <!--begin::Row-->
                        <div class="row mb-7 ">
                            <!--begin::Label-->
                            <label class="col-lg-4  fw-bolder text-gray-800">ชื่อ-สกุล</label>
                            <!--end::Label-->
                            <!--begin::Col-->
                            <div class="col-lg-8">
                                <span
                                    class="fw-bold text-dark"><?php echo $fet_re->re_tname."".$fet_re->re_name;  ?></span>
                            </div>
                            <!--end::Col-->
                        </div>
                        <!--end::Row-->

                        <!--begin::Row-->
                        <div class="row mb-7 ">
                            <!--begin::Label-->
                            <label class="col-lg-4  fw-bolder text-gray-800">เกี่ยวข้องเป็น</label>
                            <!--end::Label-->
                            <!--begin::Col-->
                            <div class="col-lg-8">
                                <span class="fw-bold text-dark"><?php echo $fet_re->re_relevant  ?></span>
                            </div>
                            <!--end::Col-->
                        </div>
                        <!--end::Row-->
                        <!--begin::Row-->
                        <div class="row mb-7 ">
                            <!--begin::Label-->
                            <label class="col-lg-4  fw-bolder text-gray-800">ที่อยู่</label>
                            <!--end::Label-->
                            <!--begin::Col-->
                            <div class="col-lg-8">
                                <span class="fw-bold text-dark">
                                    <?php echo $fet_re->re_address." หมู่ที่ ".$fet_re->re_moo." ".$fet_re->re_community." ต.".$fet_re->dname_th." อ.".$fet_re->aname_th." จ.".$fet_re->pname_th." ".$fet_re->re_zipcode; ?>

                                </span>
                            </div>
                            <!--end::Col-->
                        </div>
                        <!--end::Row-->

                        <!--begin::Row-->
                        <div class="row mb-7 ">
                            <!--begin::Label-->
                            <label class="col-lg-4  fw-bolder text-gray-800">เบอร์โทร</label>
                            <!--end::Label-->
                            <!--begin::Col-->
                            <div class="col-lg-8">
                                <span class="fw-bold text-dark"><?php echo $fet_re->re_phone;  ?></span>
                            </div>
                            <!--end::Col-->
                        </div>
                        <!--end::Row-->

                        <!--begin::Row-->
                        <div class="row mb-7 ">
                            <!--begin::Label-->
                            <label class="col-lg-4  fw-bolder text-gray-800">ข้อมูลผู้ติดต่อเพิ่มเติม</label>
                            <!--end::Label-->
                            <!--begin::Col-->
                            <div class="col-lg-8">
                                <span class="fw-bold text-dark"><?php echo $fet_re->re_contact;  ?></span>
                            </div>
                            <!--end::Col-->
                        </div>
                        <!--end::Row-->


                    </div>
                    <!--end: Card Body-->
                </div>
                <!--end: List Widget 5-->
            </div>
            <!--end::Col-->
            <?php } ?>

            <!--begin::Col-->
            <div class="col-xl-6">
                <!--begin::List Widget 5-->
                <div class="card card-xl-stretch mb-xl-10">
                    <!--begin::Header-->
                    <!--begin::Card header-->
                    <div class="card-header cursor-pointer">
                        <!--begin::Card title-->
                        <div class="card-title m-0">
                            <h3 class="fw-bolder m-0">แบบประเมินตนเอง</h3>
                        </div>
                        <!--end::Card title-->
                        <!--begin::Action-->
                        <!-- <a href="../../demo15/dist/account/settings.html" class="btn btn-primary align-self-center">แก้ไขข้อมูล</a> -->
                        <!-- <a href="#" class="btn btn-primary align-self-center" data-bs-toggle="modal" data-bs-target="#edit_relative">แก้ไขข้อมูล</a> -->
                    </div>

                    <!--begin::Body-->
                    <div class="card-body pt-5 fs-5">


                        <!--begin::Row-->
                        <div class="row mb-7 ">
                            <!--begin::Label-->
                            <label class="col-lg-8  fw-bolder text-gray-800">แบบประเมินตนเอง : ผลกระทบจากการเจ็บป่วย
                            </label>
                            <!--end::Label-->
                            <!--begin::Col-->
                            <div class="col-lg-4">
                                <a href="index.php?p=from_self_assessment&case_id=<?php echo $_REQUEST['case_id']; ?>"
                                    class="btn btn-info align-self-center">ประเมิน</a>
                                <!-- <span class="fw-bold text-dark"><?php echo $fet_re->re_tname."".$fet_re->re_name;  ?></span> -->
                            </div>
                            <!--end::Col-->
                        </div>
                        <!--end::Row-->

                        <!--begin::Row-->
                        <div class="row mb-7 ">
                            <!--begin::Label-->
                            <label class="col-lg-8  fw-bolder text-gray-800">แบบประเมินการดูแลสุขภาพจิตตนเอง</label>
                            <!--end::Label-->
                            <!--begin::Col-->
                            <div class="col-lg-4">
                                <span class="fw-bold text-dark"> <a
                                        href="index.php?p=form/from_msca&case_id=<?php echo $_REQUEST['case_id']; ?>"
                                        class="btn btn-success align-self-center">ประเมิน</a></span>
                            </div>
                            <!--end::Col-->
                        </div>
                        <!--end::Row-->


                    </div>
                    <!--end: Card Body-->
                </div>
                <!--end: List Widget 5-->
            </div>
            <!--end::Col-->



        </div>
        <!--end::Row-->





    </div>
    <!--end::Container-->
</div>
<!--end::Content-->

<?php 

        
        // require_once 'dashboard_user.php';

    } 


?>

<!-- end: case_deatil -->







<!--begin::Javascript-->
<!--begin::Global Javascript Bundle(used by all pages)-->
<!-- <script src="assets/plugins/global/plugins.bundle.js"></script> -->
<script src="assets/js/scripts.bundle.js"></script>
<!--end::Global Javascript Bundle-->
<!--begin::Page Custom Javascript(used by this page)-->
<!-- <script src="assets/js/custom/apps/customers/add.js"></script> -->
<script src="assets/js/custom/widgets.js"></script>
<script src="assets/js/custom/apps/chat/chat.js"></script>
<script src="assets/js/custom/modals/create-app.js"></script>
<script src="assets/js/custom/modals/upgrade-plan.js"></script>
<!--end::Page Custom Javascript-->
<!--end::Javascript-->




<script type="text/javascript" src="bootstrap-datepicker-thai/js/bootstrap-datepicker.js"></script>
<script type="text/javascript" src="bootstrap-datepicker-thai/js/bootstrap-datepicker-thai.js"></script>
<script type="text/javascript" src="bootstrap-datepicker-thai/js/locales/bootstrap-datepicker.th.js"></script>



<script>
function setEditRel(data) {

    var form = document.forms['form_edit_relative'];
    form['re_tname'].value = data['re_tname'];
    form['re_name'].value = data['re_name'];
    form['re_relevant'].value = data['re_relevant'];
    form['re_address'].value = data['re_address'];
    form['re_moo'].value = data['re_moo'];
    form['re_community'].value = data['re_community'];
    form['re_zipcode'].value = data['re_zipcode'];
    form['re_phone'].value = data['re_phone'];
    form['re_contact'].value = data['re_contact'];
    form['relative_id'].value = data['relative_id'];
    // console.log(data)

    $.ajax({
        url: "api/get_province.php", //ที่อยู่ของไฟล์เป้าหมาย
        global: false,
        type: "GET", //รูปแบบข้อมูลที่จะส่ง
        data: ({
            province_id: "hh",
            TYPE: "District"
        }), //ข้อมูลที่ส่ง  { ชื่อตัวแปร : ค่าตัวแปร }
        dataType: "JSON", //รูปแบบข้อมูลที่ส่งกลับ xml,script,json,jsonp,text
        async: false,
        success: function(jd) { //แสดงข้อมูลเมื่อทำงานเสร็จ โดยใช้ each ของ jQuery
            var opt = "<option value=\"0\" >เลือกจังหวัด</option>";
            $.each(jd, function(key, val) {
                if (val["id"] == data['re_province']) {
                    opt += "<option value='" + val["id"] + "' selected >" + val["name_th"] +
                        "</option>"

                } else {
                    opt += "<option value='" + val["id"] + "'>" + val["name_th"] + "</option>"
                }
            });
            $("#ProvianceRe").html(opt); //เพิ่มค่าลงใน Select ของอำเภอ
        }
    });

    $.ajax({
        url: "api/get_amphure.php", //ที่อยู่ของไฟล์เป้าหมาย
        global: false,
        type: "GET", //รูปแบบข้อมูลที่จะส่ง
        data: ({
            province_id: data['re_province'],
            TYPE: "District"
        }), //ข้อมูลที่ส่ง  { ชื่อตัวแปร : ค่าตัวแปร }
        dataType: "JSON", //รูปแบบข้อมูลที่ส่งกลับ xml,script,json,jsonp,text
        async: false,
        success: function(jd) { //แสดงข้อมูลเมื่อทำงานเสร็จ โดยใช้ each ของ jQuery
            var opt = "<option value=\"0\" >เลือกอำเภอ</option>";
            $.each(jd, function(key, val) {
                // opt += "<option value='" + val["id"] + "'>" + val["name_th"] + "</option>"
                if (val["id"] == data['re_umpher']) {
                    opt += "<option value='" + val["id"] + "' selected >" + val["name_th"] +
                        "</option>"

                } else {
                    opt += "<option value='" + val["id"] + "'>" + val["name_th"] + "</option>"
                }
            });
            $("#DistrictRe").html(opt); //เพิ่มค่าลงใน Select ของอำเภอ
        }
    });

    $.ajax({
        url: "api/get_district.php",
        global: false,
        type: "GET",
        data: ({
            amphure_id: data['re_umpher'],
            TYPE: "Subdistrict"
        }),
        dataType: "JSON",
        async: false,
        success: function(jd) {
            var opt = "<option value=\"0\" selected=\"selected\">เลือกตำบล</option>";
            $.each(jd, function(key, val) {
                // opt += "<option value='" + val["id"] + "'>" + val["name_th"] + "</option>"
                if (val["id"] == data['re_tumbol']) {
                    opt += "<option value='" + val["id"] + "' selected >" + val["name_th"] +
                        "</option>"

                } else {
                    opt += "<option value='" + val["id"] + "'>" + val["name_th"] + "</option>"
                }
            });
            $("#SubdistrictRe").html(opt);
        }
    });


}


$(function() {
    $('.datepicker').datepicker({
        language: 'th-th',
        format: 'Y-mm-d',
        autoclose: true
    });
});



var i = new bootstrap.Modal(document.querySelector("#edit_case"))
var r = document.querySelector("#form_editcase")
var o = r.querySelector("#edit_case_close")
var c = r.querySelector("#editcase_cancel")



c.addEventListener("click", function(t) {
    r.reset()

    i.hide()
})
o.addEventListener("click", function(t) {
    r.reset()

    i.hide()
})



var ii = new bootstrap.Modal(document.querySelector("#edit_relative"))
var rr = document.querySelector("#form_edit_relative")
var oo = rr.querySelector("#edit_re_close")
var cc = rr.querySelector("#editre_cancel")



cc.addEventListener("click", function(t) {
    rr.reset()

    ii.hide()
})
oo.addEventListener("click", function(t) {
    rr.reset()

    ii.hide()
})

var iii = new bootstrap.Modal(document.querySelector("#add_relative"))
var rrr = document.querySelector("#form_add_relative")
var ooo = rrr.querySelector("#add_re_close")
var ccc = rrr.querySelector("#addre_cancel")



ccc.addEventListener("click", function(t) {
    rrr.reset()

    iii.hide()
})
ooo.addEventListener("click", function(t) {
    rrr.reset()

    iii.hide()
})



// ส่วนของจังหวัดเมื่อมีการเปลี่ยนแปลง
$("#Proviance").change(function() {
    ;

    $("#Subdistrict").empty(); //ล้างข้อมูล
    $("#Postcode").empty(); //ล้างข้อมูล
    $("#DisID").val(""); //ล้างข้อมูล
    $("#SubID").val(""); //ล้างข้อมูล
    $("#PostID").val(""); //ล้างข้อมูล
    var form = document.forms['form_editcase']
    form['case_zipcode'].value = '';
    // console.log($(this).val());
    $.ajax({
        url: "api/get_amphure.php", //ที่อยู่ของไฟล์เป้าหมาย
        global: false,
        type: "GET", //รูปแบบข้อมูลที่จะส่ง
        data: ({
            province_id: $(this).val(),
            TYPE: "District"
        }), //ข้อมูลที่ส่ง  { ชื่อตัวแปร : ค่าตัวแปร }
        dataType: "JSON", //รูปแบบข้อมูลที่ส่งกลับ xml,script,json,jsonp,text
        async: false,
        success: function(jd) { //แสดงข้อมูลเมื่อทำงานเสร็จ โดยใช้ each ของ jQuery
            var opt = "<option value=\"0\" >เลือกอำเภอ</option>";
            $.each(jd, function(key, val) {
                opt += "<option value='" + val["id"] + "'>" + val["name_th"] + "</option>"
            });
            $("#District").html(opt); //เพิ่มค่าลงใน Select ของอำเภอ
        }
    });
    $("#ProID").val($(this).val()); //กำหนดค่า ID ของจังหวัดที่เลือกให้กับ Textfield ของจังหวัด
});
// ส่วนของอำเภอเมื่อมีการเปลี่ยนแปลง
$("#District").change(function() {
    $("#Subdistrict").empty();
    $("#Postcode").empty();
    $("#SubID").val("");
    $("#PostID").val("");
    var form = document.forms['form_editcase']
    form['case_zipcode'].value = '';
    $.ajax({
        url: "api/get_district.php",
        global: false,
        type: "GET",
        data: ({
            amphure_id: $(this).val(),
            TYPE: "Subdistrict"
        }),
        dataType: "JSON",
        async: false,
        success: function(jd) {
            var opt = "<option value=\"0\" selected=\"selected\">เลือกตำบล</option>";
            $.each(jd, function(key, val) {
                opt += "<option value='" + val["id"] + "'>" + val["name_th"] + "</option>"
            });
            $("#Subdistrict").html(opt);
        }
    });
    $("#DisID").val($(this).val());
});
$("#Subdistrict").change(function() {
    // $("#SubdistrictRe").empty();
    var form = document.forms['form_editcase'];

    // console.log(form[''])
    $.ajax({
        url: "api/get_zipcode.php",
        global: false,
        type: "GET",
        data: ({
            amphure_id: form['case_umpher'].value,
            TYPE: "Subdistrict"
        }),
        dataType: "JSON",
        async: false,
        success: function(jd) {
            $.each(jd, function(key, val) {
                if (val['zip_code'] != 0) {
                    // $("#Postcode").val(val["zip_code"])
                    form['case_zipcode'].value = val['zip_code'];
                }
                // console.log(val)
            });
        }
    });

});


// ส่วนของจังหวัดเมื่อมีการเปลี่ยนแปลง
$("#ProvianceRe").change(function() {
    var form = document.forms['form_edit_relative'];
    form['re_zipcode'].value = ''
    $("#SubdistrictRe").empty(); //ล้างข้อมูล

    // console.log($(this).val());
    $.ajax({
        url: "api/get_amphure.php", //ที่อยู่ของไฟล์เป้าหมาย
        global: false,
        type: "GET", //รูปแบบข้อมูลที่จะส่ง
        data: ({
            province_id: $(this).val(),
            TYPE: "District"
        }), //ข้อมูลที่ส่ง  { ชื่อตัวแปร : ค่าตัวแปร }
        dataType: "JSON", //รูปแบบข้อมูลที่ส่งกลับ xml,script,json,jsonp,text
        async: false,
        success: function(jd) { //แสดงข้อมูลเมื่อทำงานเสร็จ โดยใช้ each ของ jQuery
            var opt = "<option value=\"0\" >เลือกอำเภอ</option>";
            $.each(jd, function(key, val) {
                opt += "<option value='" + val["id"] + "'>" + val["name_th"] + "</option>"
            });
            $("#DistrictRe").html(opt); //เพิ่มค่าลงใน Select ของอำเภอ
        }
    });
    $("#ProID").val($(this).val()); //กำหนดค่า ID ของจังหวัดที่เลือกให้กับ Textfield ของจังหวัด
});
// ส่วนของอำเภอเมื่อมีการเปลี่ยนแปลง
$("#DistrictRe").change(function() {
    var form = document.forms['form_edit_relative'];
    form['re_zipcode'].value = '';
    $("#SubdistrictRe").empty();

    $.ajax({
        url: "api/get_district.php",
        global: false,
        type: "GET",
        data: ({
            amphure_id: $(this).val(),
            TYPE: "Subdistrict"
        }),
        dataType: "JSON",
        async: false,
        success: function(jd) {
            var opt = "<option value=\"0\" selected=\"selected\">เลือกตำบล</option>";
            $.each(jd, function(key, val) {
                opt += "<option value='" + val["id"] + "'>" + val["name_th"] + "</option>"
            });
            $("#SubdistrictRe").html(opt);
        }
    });
    $("#DisID").val($(this).val());
});

$("#SubdistrictRe").change(function() {
    // $("#SubdistrictRe").empty();
    var form = document.forms['form_edit_relative'];

    // console.log(form[''])
    $.ajax({
        url: "api/get_zipcode.php",
        global: false,
        type: "GET",
        data: ({
            amphure_id: form['re_umpher'].value,
            TYPE: "Subdistrict"
        }),
        dataType: "JSON",
        async: false,
        success: function(jd) {
            $.each(jd, function(key, val) {
                if (val['zip_code'] != 0) {
                    // $("#Postcode").val(val["zip_code"])
                    form['re_zipcode'].value = val['zip_code'];
                }
                // console.log(val)
            });
        }
    });

});



// ส่วนของจังหวัดเมื่อมีการเปลี่ยนแปลง
$("#ProvianceReAdd").change(function() {
    var form = document.forms['form_add_relative'];
    form['re_zipcode'].value = ''
    $("#SubdistrictRe").empty(); //ล้างข้อมูล

    // console.log($(this).val());
    $.ajax({
        url: "api/get_amphure.php", //ที่อยู่ของไฟล์เป้าหมาย
        global: false,
        type: "GET", //รูปแบบข้อมูลที่จะส่ง
        data: ({
            province_id: $(this).val(),
            TYPE: "District"
        }), //ข้อมูลที่ส่ง  { ชื่อตัวแปร : ค่าตัวแปร }
        dataType: "JSON", //รูปแบบข้อมูลที่ส่งกลับ xml,script,json,jsonp,text
        async: false,
        success: function(jd) { //แสดงข้อมูลเมื่อทำงานเสร็จ โดยใช้ each ของ jQuery
            var opt = "<option value=\"0\" >เลือกอำเภอ</option>";
            $.each(jd, function(key, val) {
                opt += "<option value='" + val["id"] + "'>" + val["name_th"] + "</option>"
            });
            $("#DistrictReAdd").html(opt); //เพิ่มค่าลงใน Select ของอำเภอ
        }
    });
    $("#ProID").val($(this).val()); //กำหนดค่า ID ของจังหวัดที่เลือกให้กับ Textfield ของจังหวัด
});
// ส่วนของอำเภอเมื่อมีการเปลี่ยนแปลง
$("#DistrictReAdd").change(function() {
    var form = document.forms['form_add_relative'];
    form['re_zipcode'].value = '';
    $("#SubdistrictRe").empty();

    $.ajax({
        url: "api/get_district.php",
        global: false,
        type: "GET",
        data: ({
            amphure_id: $(this).val(),
            TYPE: "Subdistrict"
        }),
        dataType: "JSON",
        async: false,
        success: function(jd) {
            var opt = "<option value=\"0\" selected=\"selected\">เลือกตำบล</option>";
            $.each(jd, function(key, val) {
                opt += "<option value='" + val["id"] + "'>" + val["name_th"] + "</option>"
            });
            $("#SubdistrictReAdd").html(opt);
        }
    });
    $("#DisID").val($(this).val());
});

$("#SubdistrictReAdd").change(function() {
    // $("#SubdistrictRe").empty();
    var form = document.forms['form_add_relative'];

    // console.log(form[''])
    $.ajax({
        url: "api/get_zipcode.php",
        global: false,
        type: "GET",
        data: ({
            amphure_id: form['re_umpher'].value,
            TYPE: "Subdistrict"
        }),
        dataType: "JSON",
        async: false,
        success: function(jd) {
            $.each(jd, function(key, val) {
                if (val['zip_code'] != 0) {
                    // $("#Postcode").val(val["zip_code"])
                    form['re_zipcode'].value = val['zip_code'];
                }
                // console.log(val)
            });
        }
    });

});





$(document).on("submit", "#form_editcase", function(e) {
    e.preventDefault();
    var url = $(this).attr("action");
    var data = new FormData(this);
    // console.log("result data : am in ");
    // console.log(url);
    // console.log(data);
    $.ajax({
        url: url,
        type: $(this).attr("method"),
        dataType: "html",
        data: data,
        processData: false,
        contentType: false,
        beforeSend: function() {
            $("#btn_send_form").attr('data-kt-indicator', 'on');
        },
        success: function(data, status) {
            console.log("data API");
            console.log(data);
            if (data == true) {
                $("#btn_send_form").attr('data-kt-indicator', 'off');

                Swal.fire({
                    text: "แก้ไขข้อมูลสำเร็จ",
                    icon: "success",
                    buttonsStyling: false,
                    confirmButtonText: "ตกลง",
                    customClass: {
                        confirmButton: "btn btn-primary"
                    }
                }).then(function(result) {
                    window.location.reload();


                });
            } else {
                $("#btn_send_form").attr('data-kt-indicator', 'off');
                Swal.fire({
                    text: "แก้ไขข้อมูลไม่สำเร็จ",
                    icon: "error",
                    buttonsStyling: false,
                    confirmButtonText: "ตกลง",
                    customClass: {
                        confirmButton: "btn btn-primary"
                    }
                });
            }

        }
    });

});


$(document).on("submit", "#form_add_relative", function(e) {
    e.preventDefault();
    var url = $(this).attr("action");
    var data = new FormData(this);
    // console.log("result data : am in ");
    // console.log(url);
    // console.log(data);
    $.ajax({
        url: url,
        type: $(this).attr("method"),
        dataType: "JSON",
        data: data,
        processData: false,
        contentType: false,
        beforeSend: function() {
            $("#btn_send_form").attr('data-kt-indicator', 'on');
        },
        success: function(data, status) {
            // console.log("data API");
            console.log(data['log']);
            if (data['status'] == true) {
                $("#btn_send_form").attr('data-kt-indicator', 'off');

                Swal.fire({
                    text: data['msg'],
                    icon: "success",
                    buttonsStyling: false,
                    confirmButtonText: "ตกลง",
                    customClass: {
                        confirmButton: "btn btn-primary"
                    }
                }).then(function(result) {
                    window.location.reload();

                    if (result.isConfirmed) {
                        // window.location.replace("index.php?p=users");
                        //form.submit(); // submit form

                    }
                });
            } else {
                $("#btn_send_form").attr('data-kt-indicator', 'off');
                Swal.fire({
                    text: data['msg'],
                    icon: "error",
                    buttonsStyling: false,
                    confirmButtonText: "ตกลง",
                    customClass: {
                        confirmButton: "btn btn-primary"
                    }
                });
            }

        }
    });

});

$(document).on("submit", "#form_edit_relative", function(e) {
    e.preventDefault();
    var url = $(this).attr("action");
    var data = new FormData(this);
    // console.log("result data : am in ");
    // console.log(url);
    // console.log(data);
    $.ajax({
        url: url,
        type: $(this).attr("method"),
        dataType: "JSON",
        data: data,
        processData: false,
        contentType: false,
        beforeSend: function() {
            $("#btn_send_form").attr('data-kt-indicator', 'on');
        },
        success: function(data, status) {
            // console.log("data API");
            console.log(data['log']);
            if (data['status'] == true) {
                $("#btn_send_form").attr('data-kt-indicator', 'off');

                Swal.fire({
                    text: data['msg'],
                    icon: "success",
                    buttonsStyling: false,
                    confirmButtonText: "ตกลง",
                    customClass: {
                        confirmButton: "btn btn-primary"
                    }
                }).then(function(result) {
                    window.location.reload();

                    if (result.isConfirmed) {
                        // window.location.replace("index.php?p=users");
                        //form.submit(); // submit form

                    }
                });
            } else {
                $("#btn_send_form").attr('data-kt-indicator', 'off');
                Swal.fire({
                    text: data['msg'],
                    icon: "error",
                    buttonsStyling: false,
                    confirmButtonText: "ตกลง",
                    customClass: {
                        confirmButton: "btn btn-primary"
                    }
                });
            }

        }
    });

});


function showUi(id) {
    var data = document.querySelector(id);
    data.classList.remove('d-none')
}

function unShowUi(id) {
    var data = document.querySelector(id);
    data.classList.add('d-none')
}


function checkShowLastAddValue(data, id, name) {
    var chk = document.getElementsByName(data);
    var t = document.querySelector(id)
    var form = document.forms['form_editcase'];


    for (var i = 0; i < chk.length; i++) {
        if (chk[chk.length - 1].checked == true && chk[i].checked == true) {
            showUi(id)
            form[name].value = ''

        } else if (chk[i].checked == true) {
            unShowUi(id)
            form[name].value = chk[i].value
        }
    }


}


$(function() {
    $('.datepickerY').datepicker({
        format: "yyyy",
        viewMode: "years",
        minViewMode: "years",
        autoclose: true,
        language: 'th-th'

    });
});
$(function() {
    $('.datepickerD').datepicker({
        format: "dd",
        viewMode: "days",
        minViewMode: "days",
        autoclose: true,
        language: 'th-th'

    });
})
$(function() {
    $('.datepickerM').datepicker({
        format: "mm",
        viewMode: "months",
        minViewMode: "months",
        autoclose: true,
        language: 'th-th'

    });
})
</script>

<script type="text/javascript">
function delRel(id) {
    // console.log(ssa_id)
    Swal.fire({
        title: 'คุณต้องการลบข้อมูลใช่หรือไม่?',
        text: "ลบข้อมูลทั้งหมดของญาติผู้ป่วย การลบข้อมูลจะไม่สามารถกู้คืนได้ กรุณายืนยันการลบข้อมูลอีกครั้ง",
        icon: 'warning',
        showCancelButton: true,
        confirmButtonColor: '#3085d6',
        cancelButtonColor: '#d33',
        confirmButtonText: 'ยืนยันลบข้อมูล',
        cancelButtonText: 'ยกเลิก'
    }).then((result) => {
        if (result.isConfirmed) {


            $.ajax({
                url: "api/ac_case.php",
                type: "POST",
                dataType: "html",
                data: "ac=" + 'del_relative' + "&id=" + id,
                success: function(data, status) {
                    // console.log(data)    
                    if (data == "OK") {
                        Swal.fire(
                            'สำเร็จ!',
                            'ลบข้อมูลเรียบร้อยแล้ว',
                            'success'
                        )
                        window.location.reload();

                    }
                }
            });


        }

    });
};
</script>

Anon7 - 2022
AnonSec Team