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Hexid M1n1 5h3ll MobiLe

proc/1726/root/home/homepage/ebmpoll/_[ Not.Writable ]

File://proc/1726/root/home/homepage/ebmpoll/member.php

<? include $_SERVER["DOCUMENT_ROOT"]."/lib/dbconn.php";?>
<? include $_SERVER["DOCUMENT_ROOT"]."/lib/comfunction.php";?>
<HTML>
<HEAD>
<TITLE>▒ 체질진단을 위한 기초문진표 - 한국섭생의학연구원 ▒</TITLE>
<META HTTP-EQUIV= "Content-Type" CONTENT="text/html; charset=utf-8">
<LINK REL="STYLESHEET" TYPE="text/css" HREF="/css/PhysicalTestCSS.css">

</HEAD>
<BODY BGCOLOR=#FFFFFF LEFTMARGIN=0 TOPMARGIN=0 MARGINWIDTH=0 MARGINHEIGHT=0 >
<script type="text/javascript">
<!--
	var submit_ok="no";
	function id_chk(){
		if(document.mymember.poll_id.value==""){
			alert("아이디를 넣어 주십시요!");
			document.mymember.poll_id.focus();
			return;
		}else{
			document.getElementById("myiframe").src="member_ok.php?mode=id_check&poll_id="+document.mymember.poll_id.value;
		}
	}

	function submit_chk(){
		if(document.mymember.client_name.value==""){
			alert("성명을 넣어 주십시요!");
			document.mymember.client_name.focus();
			return false;
		}else if(document.mymember.poll_id.value==""){
			alert("아이디를 넣어 주십시요!");
			document.mymember.poll_id.focus();
			return false;
		}else if(document.mymember.jungbok.value!="yes"){
			alert("중복확인을 해주십시요!");
			document.mymember.poll_id.focus();
			return false;
		}else if(document.mymember.poll_pwd.value==""){
			alert("비밀번호를 넣어 주십시요!");
			document.mymember.poll_pwd.focus();
			return false;
		}else if(document.mymember.confirm.value==""){
			alert("비밀번호 확인을 넣어 주십시요!");
			document.mymember.confirm.focus();
			return false;
		}else if(document.mymember.confirm.value!=document.mymember.poll_pwd.value){
			alert("비밀번호가 일치 하지 않습니다!");
			document.mymember.poll_pwd.focus();
			return false;
		}else if(document.mymember.hp1.value==""){
			alert("핸드폰 번호를 넣어 주십시요!");
			document.mymember.hp1.focus();
			return false;
		}else if(document.mymember.hp2.value==""){
			alert("핸드폰 번호를 넣어 주십시요!");
			document.mymember.hp2.focus();
			return false;
		}else if(document.mymember.hp3.value==""){
			alert("핸드폰 번호를 넣어 주십시요!");
			document.mymember.hp3.focus();
			return false;
		}else{
			//if(submit_ok=="no"){
				document.mymember.mode.value="member_write";
				document.mymember.submit();
//				submit_ok="yes";
//			}else{
//				alert("저장중입니다. 잠시만 기다려 주십시요!");
//				return false;
//			}
		}
	}
//-->
</script>
<table width="100%" height="768" border="0" cellspacing="0" cellpadding="0">

<form name="mymember" method="post" action="member_ok.php" enctype="multipart/form-data">
	<input type="hidden" name="language" value="<?=strtoupper(nowhost($inHost))?>"/>
	<input type="hidden" name="mode" value=""/>
	<input type="hidden" name="company" value="<?=nowcompany($inHost)?>"/>
  <tr>
    <td align="center" valign="middle">


<TABLE WIDTH=904 BORDER=0 align="center" CELLPADDING=0 CELLSPACING=0>
	<TR>
		<TD>
			<IMG SRC="/images/login/id_bg_01.jpg" WIDTH=2 HEIGHT=2 ALT=""></TD>
		<TD align="left" valign="top">
			<IMG SRC="/images/login/id_bg_02.jpg" WIDTH=900 HEIGHT=2 ALT=""></TD>
		<TD>
			<IMG SRC="/images/login/id_bg_03.jpg" WIDTH=2 HEIGHT=2 ALT=""></TD>
	</TR>
	<TR>
		<TD>
			<IMG SRC="/images/login/id_bg_04.jpg" WIDTH=2 HEIGHT=545 ALT=""></TD>
		<TD align="left" valign="top">
<TABLE WIDTH=900 BORDER=0 CELLPADDING=0 CELLSPACING=0>
	<TR>
		<TD width=900 height=88 align="right"><img src="/images/logo_<?=nowhost($inHost)?>.gif" width="131" height="88"></TD>
	</TR>
	<TR>
		<TD WIDTH=900 HEIGHT=422 align="center" valign="top">
			<table colspan="3" width="860" cellpadding="0" cellspacing="0">
			<tr>
				<td style="font-size:15px;font-weight:bold">
				<img src="/images/icon_tit01.gif"> 회원가입
				</td>
			</tr>

			<tr>
				<td colspan="3" height="2" bgcolor="#7EA8D3"></td>
			</tr>
			<tr>
				<td valign="top">
				<table width="425" cellpadding="0" cellspacing="0">
				<tr>
					<td width="145" height="25" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					<span style="color:#DE7800">*</span> 성명&nbsp;</td>
					<td width="10"></td>
					<td width="280"><input type="text" name="client_name" size="10" maxlength="10"/></td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>
				<tr>
					<td width="145" height="25" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					<span style="color:#DE7800">*</span> 아이디&nbsp;</td>
					<td width="10"></td>
					<td width="280">
						<input type="hidden" name="jungbok" id="jungbok" value=""/>
						<input type="text" name="poll_id" maxlength="20"/>
						<input type="button" value="중복확인" onclick="id_chk()"/>
					</td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>
				<tr>
					<td width="145" height="25" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					<span style="color:#DE7800">*</span> 비밀번호&nbsp;</td>
					<td width="10"></td>
					<td width="280"><input type="password" name="poll_pwd" maxlength="20"/></td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>
				<tr>
					<td width="145" height="25" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					<span style="color:#DE7800">*</span> 비밀번호확인&nbsp;</td>
					<td width="10"></td>
					<td width="280"><input type="password" name="confirm" maxlength="20"/></td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>

				<tr>
					<td width="145" height="25" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					<span style="color:#DE7800">*</span> 생년월일&nbsp;</td>
					<td width="10"></td>
					<td width="280">
						<select name="birthYear1">
							<option value="">년도선택</option>
							<?for($i=1920;$i<=2014;$i++){?>
							<option value="<?=$i?>"><?=$i?></option>
							<?}?>
						</select>
						<select name="birthYear1">
							<option value="">월선택</option>
							<?for($i=1;$i<=12;$i++){?>
							<option value="<?=$i?>"><?=$i?></option>
							<?}?>
						</select>
						<select name="birthYear1">
							<option value="">일선택</option>
							<?for($i=1;$i<=31;$i++){?>
							<option value="<?=$i?>"><?=$i?></option>
							<?}?>
						</select>
					</td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>
				<tr>
					<td width="145" height="25" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					 전화번호&nbsp;</td>
					<td width="10"></td>
					<td width="280">
						<input type="text" name="tel1" size="4" maxlength="4"/> -
						<input type="text" name="tel2" size="4" maxlength="4"/> -
						<input type="text" name="tel3" size="4" maxlength="4"/>
					</td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>
				<tr>
					<td width="145" height="25" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					<span style="color:#DE7800">*</span> 핸드폰&nbsp;</td>
					<td width="10"></td>
					<td width="280">
						<input type="text" name="hp1" size="4" maxlength="4"/> -
						<input type="text" name="hp2" size="4" maxlength="4"/> -
						<input type="text" name="hp3" size="4" maxlength="4"/>
					</td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>
				<tr>
					<td width="145" height="25" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					이메일&nbsp;</td>
					<td width="10"></td>
					<td width="280"><input type="text" name="email"/></td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>
				<tr>
					<td width="145" height="76" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					<span style="color:#DE7800"></span> 사진&nbsp;</td>
					<td width="10"></td>
					<td width="280" style="line-height:25px;" align="right">
					<span>얼굴</span>
					<input type="file" name="picture1" size="10">
					
					<br/>
					<span>전신(앞모습)</span>
					<input type="file" name="picture2" size="10">
					
					<br/>
					<span>전신(뒷모습)</span>
					<input type="file" name="picture3" size="10">
					<br/>
					<span>혈액검사</span>
					<input type="file" name="picture4" size="10">
					
					</td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>
				</table>
			</td>
<?

$SQLgnr_master_sickness_type = "SELECT * FROM gnr_master_sickness_type order by SICKNESS_TYPE_NAME_K ASC";
$querygnr_master_sickness_type= mysql_query($SQLgnr_master_sickness_type,$conn);
$endgnr_master_sickness_type = mysql_num_rows($querygnr_master_sickness_type);

If($endgnr_master_sickness_type == 0){
}else{
	for($i=0;$i<$endgnr_master_sickness_type;$i++) {
		mysql_data_seek($querygnr_master_sickness_type,$i);
		$rowgnr_master_sickness_type = mysql_fetch_array($querygnr_master_sickness_type);
		$SICKNESS_TYPE	=	$rowgnr_master_sickness_type["SICKNESS_TYPE"];
		$SICKNESS_TYPE_NAME_K	=	$rowgnr_master_sickness_type["SICKNESS_TYPE_NAME_K"];
		$SICKNESS_TYPE_NAME_E	=	$rowgnr_master_sickness_type["SICKNESS_TYPE_NAME_E"];
		
		$arrSickType[$i]=$SICKNESS_TYPE;
		$arrSickTypeName[$i]=$SICKNESS_TYPE_NAME_K;
	}
}
?>
<!--Line Start-->

<!--Line End-->
<script type="text/javascript">
<!--
	function f_sick(inId,inSiknessType,inFormName){
		
		document.getElementById("myiframe").src="/member_sickness.php?inType="+inSiknessType+"&inId="+inId+"&inFormName="+inFormName;
	}
//-->
</script>
			<td width="10"></td>
			<td valign="top">
				<table width="425" cellpadding="0" cellspacing="0">
				<tr>
					<td width="145" height="25" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					<span style="color:#DE7800">*</span> 주증상1&nbsp;</td>
					<td width="10"></td>
					<td width="280">
						<select name="sicktype1" onchange="f_sick('idSickName1',this.value,'sick_name1')">
							<option value="">타입선택</option>
<?
for($i=0;$i<count($arrSickType);$i++){
	?>
							<option value="<?=$arrSickType[$i]?>"><?=$arrSickTypeName[$i]?></option>
	<?
}
?>
						</select>
<input type="hidden" name="sick_name1_r" id="sick_name1_r" value=""/>
<input type="hidden" name="sick_name2_r" id="sick_name2_r" value=""/>
<input type="hidden" name="sick_name3_r" id="sick_name3_r" value=""/>
						<span id="idSickName1">

							<select name="sick_name1">
								<option value="">질병선택</option>
							</select>
						</span>
					</td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>
				<tr>
					<td width="145" height="25" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					 주증상2&nbsp;</td>
					<td width="10"></td>
					<td width="280">

		<select name="sicktype2" onchange="f_sick('idSickName2',this.value,'sick_name2')">
							<option value="">타입선택</option>
<?
for($i=0;$i<count($arrSickType);$i++){
	?>
							<option value="<?=$arrSickType[$i]?>"><?=$arrSickTypeName[$i]?></option>
	<?
}
?>
						</select>
						<span id="idSickName2">
							<select name="sick_name2">
								<option value="">질병선택</option>
							</select>
						</span>
						
					</td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>
				<tr>
					<td width="145" height="25" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					 주증상3&nbsp;</td>
					<td width="10"></td>
					<td width="280">
<select name="sicktype3" onchange="f_sick('idSickName3',this.value,'sick_name3')">
							<option value="">타입선택</option>
<?
for($i=0;$i<count($arrSickType);$i++){
	?>
							<option value="<?=$arrSickType[$i]?>"><?=$arrSickTypeName[$i]?></option>
	<?
}
?>
						</select>
						<span id="idSickName3">
							<select name="sick_name3">
								<option value="">질병선택</option>
							</select>
						</span>
					</td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>
				<tr>
					<td width="145" height="77" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					<span style="color:#DE7800">*</span> 건강상태기록&nbsp;</td>
					<td width="10"></td>
					<td width="280" style="line-height:18px">
						<textarea name="pt_memo" cols="35" rows="3"></textarea>
						<span style="font-size:11px">* 현재 불편한 증상을 상세히 기록해 주십시요.</span>
					</td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>
				<tr>
					<td width="145" height="25" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					<span style="color:#DE7800">*</span> 키&nbsp;</td>
					<td width="10"></td>
					<td width="280">
						<input type="text" name="bt_height" size="10" maxlength="3"/> cm
					</td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>
				<tr>
					<td width="145" height="25" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					<span style="color:#DE7800">*</span> 체중&nbsp;</td>
					<td width="10"></td>
					<td width="280"><input type="text" name="bt_weight" size="3" maxlength="5"/> kg</td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>
				<tr>
					<td width="145" height="25" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					 <span style="color:#DE7800">*</span> 소화상태&nbsp;</td>
					<td width="10"></td>
					<td width="280">
						<SELECT name='st_digest' style="width:105px;">
						<OPTION value=''>::소화상태::</OPTION>
						<OPTION value='00001'>양호</OPTION>
						<OPTION value='00002'>보통</OPTION>
						<OPTION value='00003'>비정상</OPTION>
						<OPTION value='00004'>간헐적비정상</OPTION>
						</SELECT>
					</td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>
				<tr>
					<td width="145" height="25" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					<span style="color:#DE7800">*</span> 배변상태&nbsp;</td>
					<td width="10"></td>
					<td width="280">
						<SELECT name='st_bowel' style="width:105px;">
						<OPTION value=''>::배변상태::</OPTION>
						<OPTION value='00001'>양호</OPTION>
						<OPTION value='00002' selected>보통</OPTION>
						<OPTION value='00003'>비정상</OPTION>
						<OPTION value='00004'>간헐적비정상</OPTION></SELECT> 
					</td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>
				<tr>
					<td width="145" height="25" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					<span style="color:#DE7800">*</span> 현거주지&nbsp;</td>
					<td width="10"></td>
					<td width="280">
						<select name="addr1">
							<OPTION title=서울특별시 value="서울특별시">서울특별시</OPTION> 
							<OPTION title=부산광역시 value="부산광역시">부산광역시</OPTION> 
							<OPTION title=대구광역시 value="대구광역시">대구광역시</OPTION> 
							<OPTION title=인천광역시 value="인천광역시">인천광역시</OPTION> 
							<OPTION title=광주광역시 value="광주광역시">광주광역시</OPTION> 
							<OPTION title=대전광역시 value="대전광역시">대전광역시</OPTION> 
							<OPTION title=울산광역시 value="울산광역시">울산광역시</OPTION> 
							<OPTION title=세종특별자치시 value="세종특별자치시">세종특별자치시</OPTION> 
							<OPTION title=경기도 value="경기도">경기도</OPTION> 
							<OPTION title=강원도 value="강원도">강원도</OPTION> 
							<OPTION title=충청북도 value="충청북도">충청북도</OPTION> 
							<OPTION title=충청남도 value="충청남도">충청남도</OPTION> 
							<OPTION title=전라북도 value="전라북도">전라북도</OPTION> 
							<OPTION title=전라남도 value="전라남도">전라남도</OPTION> 
							<OPTION title=경상북도 value="경상북도">경상북도</OPTION> 
							<OPTION title=경상남도 value="경상남도">경상남도</OPTION> 
							<OPTION title=제주특별자치도 value="제주특별자치도">제주특별자치도</OPTION>
						</select>
					</td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>
				<tr>
					<td width="145" align="right" bgcolor="#F5F7FB" style="font-weight:bold">
					<span style="color:#DE7800">*</span> 결과물확인&nbsp;</td>
					<td width="10"></td>
					<td width="280" style="line-height:25px;">
						<input type="radio" name="poll_result" value="이메일 발송" checked>이메일 발송
						<input type="radio" name="poll_result" value="EBM본원 방문">EBM본원 방문
					</td>
				</tr>
				<tr>
					<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
				</tr>
				</table>
				</td>
			</tr>
			<tr>
				<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
			</tr>
			<tr>
				<td colspan="3" height="1" bgcolor="#E2E2E2"></td>
			</tr>

			<tr>
				<td colspan="3" height="35" align="center">
					<input type="button" value="확 인" onclick="submit_chk()"/>&nbsp;
					<input type="button" value="취 소" onclick="document.location.href='/'"/>
				</td>
			</tr>
			<tr>
				<td colspan="3" height="35" align="left" >
				<div style="padding:5px;border:2px solid #DDDDDD;color:#AA0000;line-height:16px">
1. <span style="color:red">*</span> 표시가 있는 항목은 필수 항목입니다.<br/>
2. 생년월일은 실제 생년월일을 입력시켜 주세요.<br/>
3. 가급적 정확하고 상세하게 기입하여 주시기 바랍니다.<br/>

				</div>
				</td>
			</tr>
			
			</table>	


		</TD>
	</TR>
	<TR>
		<TD WIDTH=900 HEIGHT=35></TD>
	</TR>
	</TABLE>
		
		</TD>
		<TD>
			<IMG SRC="/images/login/id_bg_06.jpg" WIDTH=2 HEIGHT=545 ALT=""></TD>
	</TR>
	<TR>
		<TD>
			<IMG SRC="/images/login/id_bg_07.jpg" WIDTH=2 HEIGHT=1 ALT=""></TD>
		<TD align="left" valign="top">
			<IMG SRC="/images/login/id_bg_08.jpg" WIDTH=900 HEIGHT=1 ALT=""></TD>
		<TD>
			<IMG SRC="/images/login/id_bg_09.jpg" WIDTH=2 HEIGHT=1 ALT=""></TD>
	</TR>


</TABLE>
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