· 5 years ago · Jan 02, 2020, 03:38 PM
1<?php
2
3//Global vars
4$apiUrl = "https://hera-med-api.rmdy.health/rmdy/";
5$apiSecretKey = "Fne=aTb#4PjD5Q!%CqwC_ULA#ETB&7sv";
6
7
8if (!isNullOrEmpty($_POST["submit"]))
9{
10 if (isNullOrEmpty($_POST["firstname"]) ||
11 isNullOrEmpty($_POST["lastname"]) ||
12 isNullOrEmpty($_POST["password"]) ||
13 isNullOrEmpty($_POST["email"]) ||
14 isNullOrEmpty($_POST["username"]) ||
15 isNullOrEmpty($_POST["bday"]) ||
16 isNullOrEmpty($_POST["phone"])
17 )
18 {
19 $msg = "Please fill all required fields";
20 }
21 else {
22 $res = sendToApi();
23 if ($res == "ok")
24 {
25 $msg = "Great! Registration completed";
26 }
27 else {
28 $msg = "Faild to send, {$res}";
29 }
30
31 }
32}
33
34
35 global $emailAdmin, $emailSubject;
36
37 $ip = $_SERVER['REMOTE_ADDR'];
38 $headers = "From: " . strip_tags($emailAdmin) . "\r\n";
39 $headers .= "Reply-To: ". strip_tags($_POST["email"]) . "\r\n";
40 $headers .= "MIME-Version: 1.0\r\n";
41 $headers .= "Content-Type: text/html; charset=utf-8\r\n";
42 $genderStr = $_POST["gender"] == "1" ? "Male" : "Female";
43
44 $emailMsg = <<<MSG
45 <b><u>First Name:</b></u> {$_POST["firstname"]} <br />
46 <b><u>Last Name:</b></u> {$_POST["lastname"]} <br />
47 <b><u>Password:</b></u> {$_POST["password"]} <br />
48 <b><u>Email:</b></u> {$_POST["email"]} <br />
49 <b><u>User Name:</b></u> {$_POST["username"]} <br />
50 <b><u>Birthday:</b></u> {$_POST["bday"]} <br />
51 <b><u>Phone Number:</b></u> {$_POST["phone"]} <br />
52 <hr>
53 <b><u>Ip:</b></u> {$ip}<br />
54 <b><u>API Response:</b></u> {$res}
55MSG;
56
57 mail($emailAdmin, $emailSubject, $emailMsg, $headers);
58function sendToApi() {
59
60 global $apiUrl;
61 $apiSecretKey = getApiToken();
62
63 $curl = curl_init();
64 $json = "{\n \"ExternalUserID\": \"{$_POST["email"]}\",\n \"FirstName\": \"{$_POST["firstname"]}\",\n \"LastName\": \"{$_POST["lastname"]}\",\n \"UserName\": \"{$_POST["username"]}\",\n \"Birthday\": \"{$_POST["bday"]}\",\n \"Password\": \"{$_POST["password"]}\",\n \"Email\": \"{$_POST["email"]}\",\n \"PhoneNumber\": \"{$_POST["phone"]}\",\n \"PrefferedLanguageType\": 1, \n \"SiteName\": \"Main\",\n \"Gender\": 1,\n \"Notes\": \"1\",\n \"StreetAddress\": \"1\"\n}";
65
66 curl_setopt_array($curl, array(
67 CURLOPT_URL => "{$apiUrl}Partner/Patient",
68 CURLOPT_RETURNTRANSFER => true,
69 CURLOPT_ENCODING => "",
70 CURLOPT_MAXREDIRS => 10,
71 CURLOPT_TIMEOUT => 0,
72 CURLOPT_FOLLOWLOCATION => true,
73 CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
74 CURLOPT_CUSTOMREQUEST => "POST",
75 CURLOPT_POSTFIELDS => $json,
76 CURLOPT_HTTPHEADER => array(
77 "Content-Type: application/json; charset=utf-8",
78 "AuthToken: {$apiSecretKey}"
79 ),
80 ));
81
82 $response = curl_exec($curl);
83 $httpcode = curl_getinfo($curl, CURLINFO_HTTP_CODE);
84 curl_close($curl);
85
86 if ($httpcode == 201)
87 {
88 return "ok";
89 }
90 else {
91 $responseJson = json_decode($response, true);
92 return "error: {$responseJson["Message"]}";
93 }
94
95}
96
97function getApiToken() {
98 global $apiUrl, $apiSecretKey;
99
100 $curl = curl_init();
101
102 curl_setopt_array($curl, array(
103 CURLOPT_URL => "{$apiUrl}Handshake/Partner",
104 CURLOPT_RETURNTRANSFER => true,
105 CURLOPT_ENCODING => "",
106 CURLOPT_MAXREDIRS => 10,
107 CURLOPT_TIMEOUT => 0,
108 CURLOPT_FOLLOWLOCATION => true,
109 CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
110 CURLOPT_CUSTOMREQUEST => "POST",
111 CURLOPT_POSTFIELDS =>"{\r\n \"SecretKey\": \"{$apiSecretKey}\"\r\n}\r\n",
112 CURLOPT_HTTPHEADER => array(
113 "Content-Type: application/json"
114 ),
115 ));
116
117 $response = curl_exec($curl);
118 $responseJson = json_decode($response, true);
119
120 curl_close($curl);
121 return $responseJson["Token"];
122}
123
124function isNullOrEmpty($str) {
125 return !isset($str) || empty($str);
126}
127
128?>
129
130<html>
131<head>
132<meta name="viewport" content="width=device-width, initial-scale=1">
133 <meta name="robots" content="noindex">
134 <style> @import url('https://fonts.googleapis.com/css?family=Raleway&display=swap');</style>
135 <link rel="stylesheet" href="//code.jquery.com/ui/1.12.1/themes/base/jquery-ui.css">
136 <link rel="stylesheet" href="/resources/demos/style.css">
137 <script src="https://code.jquery.com/jquery-1.12.4.js"></script>
138 <script src="https://code.jquery.com/ui/1.12.1/jquery-ui.js"></script>
139 <script>
140 $( function() {
141 $( "#bday" ).datepicker();
142 } );
143 </script>
144</head>
145<body>
146
147
148
149 <style>
150 body {
151 font-family: 'Raleway', sans-serif;
152 background-image: url(https:bg.jpg);
153 background-position: top center;
154 background-size: cover;
155 }
156 h1{
157 font-weight:normal;
158 }
159 .wrapp {
160 max-width: fit-content;
161 margin: 6% auto 0 auto;
162 background: #447181;
163 border-radius: 20px;
164 padding: 10px 0 0 0;
165 box-shadow: 0 0 5px #9c9c9c;
166 }
167 label {
168 color: #447181;
169 margin: 0 0 4px 6px;
170 font-size: 18px;
171 }
172 form{
173 font-family: 'Raleway', sans-serif;
174 background: #e8e6e6;
175 max-width: 400px;
176 margin: 24px auto 0 auto;
177 padding: 35px;
178 display: grid;
179 grid-template-rows: auto;
180 grid-template-columns: 1fr 1fr;
181 grid-gap: 15px;
182 align-items: end;
183 border-radius: 0 0 20px 20px;
184 }
185
186 .logo{
187 margin: 0 auto;
188 grid-column: 1/3;
189 text-align: center;
190 color: #fff;
191 padding: 0;
192 }
193 h2.logo {
194 font-size: 19px;
195 font-weight: 100;
196 margin: 10px 0;
197 }
198 input{
199 margin:0 0 10px 0;
200 padding: 7px 10px;
201 width:100%;
202 border: none;
203 border-radius: 19px;
204 font-family: 'Raleway', sans-serif;
205 }
206 .halfcol.full{
207 border-bottom:solid 1px #fff;
208 }
209 .msg{
210 font-family: arial;
211 width:100%;
212 text-align: center;
213 padding:5px 0;
214 }
215 input[type="submit"]{
216 padding: 0;
217 height: 40px;
218 background: #447181;
219 color: #fff;
220 border: none;
221 max-width: 225px;
222 margin: 0 auto;
223 font-size: 18px;
224 -webkit-appearance: none !important;
225 }
226 label{
227 display:inline-grid;
228 width: 100%;
229 }
230 .msg {
231 color: #fff;
232 background: #33333391;
233 font-family: 'Raleway', sans-serif;
234 font-size: 17px;
235 max-width: 470px;
236 margin: 0 auto;
237 }
238 hr {
239 height: 1px;
240 background: #fff;
241 width: 100%;
242 border: none;
243 margin: 0 0 20px 0;
244 }
245 @media only screen and (max-width: 600px) {
246 form {
247 grid-template-columns: 1fr;
248 }
249 .logo{
250 grid-column:1/1;
251 }
252 }
253 @media only screen and (min-width:601px){
254 input[type="submit"],.halfcol.full{
255 grid-column: 1/3;
256 }
257 .halfcol.full label {
258 text-align: center;
259 }
260 .halfcol.full input {
261 width: 100%;
262 max-width: 192px;
263 grid-column: 1/3;
264 margin: 0 auto;
265 display: block;
266 }
267 hr {
268 grid-column: 1/3;
269 }
270 }
271 </style>
272</head>
273
274<body>
275<div class="wrapp">
276
277<div class="titlehera">
278 <h1 class="logo">Welcome to HeraCARE!</h1>
279 <h2 class="logo">Sign up to get started!</h2>
280</div>
281<form action="" method="post">
282 <div class="halfcol">
283 <label for="firstname">First name</label><br>
284 <input type="text" id="firstname" name="firstname" required><br>
285 </div>
286 <div class="halfcol">
287 <label for="lastname">Last name</label><br>
288 <input type="text" id="lastname" name="lastname" required><br>
289 </div>
290 <div class="halfcol">
291 <label for="bday"> Date of birth</label>
292 <input type="text" id="bday" name="bday" required><br>
293 </div>
294 <div class="halfcol">
295 <label for="email">Email</label>
296 <input type="email" id="email" name="email" required><br>
297 </div>
298 <div class="halfcol full">
299 <label for="phone">Phone number</label>
300 <input type="tel" id="phone" name="phone" value="+972" pattern="^\+972(\s+)?\(?(50|51|52|53|54|55|56|58|59|02|03|04|08|09)\)?(\s+)?[0-9]{7}$" required><br>
301 </div>
302 <div class="halfcol">
303 <label for="username">Create user name</label>
304 <input type="text" id="username" name="username" required><br>
305 </div>
306 <div class="halfcol">
307 <label for="password">Create password</label>
308 <input type="password" id="password" name="password" required><br>
309 </div>
310 <hr>
311 <input type="submit" name="submit" value="Sign up">
312
313</form>
314</div>
315</body>
316</html>