<%@ page import="org.dom4j.io.SAXReader"%>
<%@ page import="org.dom4j.Document"%>
<%@ page import="org.dom4j.Element"%>
<%@ page import="java.io.*"%>
<%@ page import="java.sql.Connection"%>
<%@ page import="java.sql.DriverManager"%>
<%@ page import="java.sql.ResultSet"%>
<%@ page import="java.sql.SQLException"%>
<%@ page import="java.sql.Statement"%>
<%@ page import="java.util.List"%>
<%@ page import="org.dom4j.Node"%>
trial
<fname />
<mname />
<lname />
</name>
<visits>
<date xsi:nil=""/>
<clinic />
<doctor />
<issue />
<diagnosis />
<notes />
<prescriptions>
<drugs />
<startDate xsi:nil=""/>
<endDate xsi:nil=""/>
<quantity />
<notes />
</prescriptions>
</visits>
</patient>
</patientRecords>
</xforms:instance>
<xforms:instance id="title-instance">
<titles xmlns="">
<title>
<name>Mr</name>
<value>Mr</value>
<name>Ms</name>
<value>Ms</value>
<name>Dr</name>
<value>Dr</value>
An error occurred while saving!
Save
Logout
Personal Information:
Title
Choose One...
First Name
Middle Name
Last Name
Visits:
Add One
Date
Enter date in YYYY-DD-MM format
Clinic
Doctor
Issue
Diagnosis
Notes
Prescription:
Add One
Drug
Start Date
Enter date in YYYY-DD-MM format
End Date
Enter date in YYYY-DD-MM format
End Date can not be less that the Start Date of the prescription
Quantity
Notes