209 lines
8.4 KiB
PHP
209 lines
8.4 KiB
PHP
<?php
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$pageTitle = "Donor Registration";
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$pageDescription = "Register as an organ donor.";
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$successMessage = "";
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$errorMessage = "";
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// Handle form submission
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if ($_SERVER["REQUEST_METHOD"] == "POST") {
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require_once 'db/config.php';
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try {
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$pdo = db();
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// Idempotent table creation
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$pdo->exec("
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CREATE TABLE IF NOT EXISTS donors (
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id INT AUTO_INCREMENT PRIMARY KEY,
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name VARCHAR(255) NOT NULL,
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age INT NOT NULL,
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blood_type VARCHAR(3) NOT NULL,
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weight_kg FLOAT NOT NULL,
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phone VARCHAR(20) NOT NULL,
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email VARCHAR(255) NOT NULL UNIQUE,
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emergency_contact_name VARCHAR(255) NOT NULL,
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emergency_contact_phone VARCHAR(20) NOT NULL,
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status VARCHAR(20) DEFAULT 'Pending Verification',
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created_at TIMESTAMP DEFAULT CURRENT_TIMESTAMP
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)
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");
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// Validation
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$required_fields = ['name', 'age', 'blood_type', 'weight_kg', 'phone', 'email', 'emergency_contact_name', 'emergency_contact_phone'];
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foreach ($required_fields as $field) {
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if (empty($_POST[$field])) {
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throw new Exception("All fields are required.");
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}
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}
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if (!filter_var($_POST['email'], FILTER_VALIDATE_EMAIL)) {
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throw new Exception("Invalid email format.");
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}
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if ($_POST['age'] < 18 || $_POST['age'] > 75) {
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throw new Exception("Age must be between 18 and 75.");
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}
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// Insert data
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$stmt = $pdo->prepare(
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"INSERT INTO donors (name, age, blood_type, weight_kg, phone, email, emergency_contact_name, emergency_contact_phone) VALUES (?, ?, ?, ?, ?, ?, ?, ?)"
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);
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$stmt->execute([
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$_POST['name'],
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$_POST['age'],
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$_POST['blood_type'],
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$_POST['weight_kg'],
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$_POST['phone'],
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$_POST['email'],
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$_POST['emergency_contact_name'],
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$_POST['emergency_contact_phone']
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]);
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$successMessage = "Thank you for registering! Your application is pending verification.";
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} catch (PDOException $e) {
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if ($e->errorInfo[1] == 1062) { // Duplicate entry for email
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$errorMessage = "This email address is already registered.";
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} else {
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$errorMessage = "Database error: " . $e->getMessage();
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}
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} catch (Exception $e) {
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$errorMessage = $e->getMessage();
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}
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}
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?>
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<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta charset="UTF-8">
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<meta name="viewport" content="width=device-width, initial-scale=1.0">
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<title><?= htmlspecialchars($pageTitle) ?> - Organ Donation System</title>
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<meta name="description" content="<?= htmlspecialchars($pageDescription) ?>">
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<!-- Bootstrap 5 CSS -->
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<link href="https://cdn.jsdelivr.net/npm/bootstrap@5.3.3/dist/css/bootstrap.min.css" rel="stylesheet">
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<link href="https://cdn.jsdelivr.net/npm/bootstrap-icons@1.11.3/font/bootstrap-icons.min.css" rel="stylesheet">
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<style>
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body {
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background-color: #f8f9fa;
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}
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.form-container {
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max-width: 800px;
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margin: 50px auto;
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background: #fff;
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padding: 30px;
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border-radius: 10px;
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box-shadow: 0 4px 12px rgba(0,0,0,0.1);
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}
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</style>
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</head>
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<body>
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<nav class="navbar navbar-expand-lg navbar-light bg-light">
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<div class="container">
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<a class="navbar-brand" href="index.php">
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<i class="bi bi-heart-pulse-fill text-primary"></i>
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Organ Donation
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</a>
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<div class="collapse navbar-collapse">
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<ul class="navbar-nav ms-auto">
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<li class="nav-item">
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<a class="nav-link" href="index.php">Home</a>
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</li>
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</ul>
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</div>
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</div>
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</nav>
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<div class="container">
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<div class="form-container">
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<h2 class="text-center mb-4">Donor Registration</h2>
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<p class="text-center text-muted mb-4">Complete the form below to become a registered organ donor.</p>
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<?php if ($successMessage): ?>
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<div class="alert alert-success">
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<i class="bi bi-check-circle-fill"></i>
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<?= htmlspecialchars($successMessage) ?>
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</div>
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<?php endif; ?>
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<?php if ($errorMessage): ?>
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<div class="alert alert-danger">
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<i class="bi bi-exclamation-triangle-fill"></i>
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<?= htmlspecialchars($errorMessage) ?>
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</div>
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<?php endif; ?>
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<?php if (!$successMessage): ?>
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<form action="donor_registration.php" method="POST" novalidate>
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<div class="row">
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<div class="col-md-6 mb-3">
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<label for="name" class="form-label">Full Name</label>
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<input type="text" class="form-control" id="name" name="name" required>
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</div>
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<div class="col-md-6 mb-3">
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<label for="email" class="form-label">Email Address</label>
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<input type="email" class="form-control" id="email" name="email" required>
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</div>
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</div>
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<div class="row">
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<div class="col-md-4 mb-3">
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<label for="age" class="form-label">Age (18-75)</label>
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<input type="number" class="form-control" id="age" name="age" min="18" max="75" required>
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</div>
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<div class="col-md-4 mb-3">
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<label for="blood_type" class="form-label">Blood Type</label>
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<select class="form-select" id="blood_type" name="blood_type" required>
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<option value="">Select...</option>
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<option value="A+">A+</option>
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<option value="A-">A-</option>
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<option value="B+">B+</option>
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<option value="B-">B-</option>
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<option value="AB+">AB+</option>
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<option value="AB-">AB-</option>
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<option value="O+">O+</option>
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<option value="O-">O-</option>
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</select>
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</div>
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<div class="col-md-4 mb-3">
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<label for="weight_kg" class="form-label">Weight (kg)</label>
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<input type="number" step="0.1" class="form-control" id="weight_kg" name="weight_kg" required>
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</div>
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</div>
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<div class="mb-3">
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<label for="phone" class="form-label">Phone Number</label>
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<input type="tel" class="form-control" id="phone" name="phone" required>
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</div>
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<hr class="my-4">
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<h5 class="mb-3">Emergency Contact</h5>
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<div class="row">
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<div class="col-md-6 mb-3">
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<label for="emergency_contact_name" class="form-label">Contact Name</label>
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<input type="text" class="form-control" id="emergency_contact_name" name="emergency_contact_name" required>
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</div>
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<div class="col-md-6 mb-3">
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<label for="emergency_contact_phone" class="form-label">Contact Phone</label>
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<input type="tel" class="form-control" id="emergency_contact_phone" name="emergency_contact_phone" required>
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</div>
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</div>
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<div class="d-grid mt-4">
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<button type="submit" class="btn btn-primary btn-lg">Submit Registration</button>
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</div>
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</form>
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<?php endif; ?>
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</div>
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</div>
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<footer class="text-center py-4 text-muted">
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<p>© <?= date("Y") ?> Organ Donation System. All rights reserved.</p>
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</footer>
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<!-- Bootstrap 5 JS -->
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<script src="https://cdn.jsdelivr.net/npm/bootstrap@5.3.3/dist/js/bootstrap.bundle.min.js"></script>
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</body>
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</html>
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