IMS "; echo ""; echo ""; echo ""; echo ""; echo ""; echo ""; echo ""; echo "
"; echo ""; echo ""; echo ""; echo ""; setlocale(LC_MONETARY, 'en_US.UTF-8'); $_SESSION[sign_total] = 0; $_SESSION[piece_total] = 0; if ($_SESSION['sign1'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign1total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign1total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } if ($_SESSION['sign2'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign2total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign2total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } if ($_SESSION['sign3'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign3total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign3total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } if ($_SESSION['sign4'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign4total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign4total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } if ($_SESSION['sign5'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign5total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign5total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } if ($_SESSION['sign6'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign6total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign6total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } if ($_SESSION['sign7'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign7total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign7total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } if ($_SESSION['sign8'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign8total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign8total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } if ($_SESSION['sign9'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign9total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign9total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } if ($_SESSION['sign10'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign10total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign10total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } if ($_SESSION['sign11'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign11total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign11total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } if ($_SESSION['sign12'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign12total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign12total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } if ($_SESSION['sign13'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign13total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign13total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } if ($_SESSION['sign14'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign14total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign14total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } if ($_SESSION['sign15'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign15total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign15total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } if ($_SESSION['sign16'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign16total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign16total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } if ($_SESSION['sign17'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign17total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign17total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } if ($_SESSION['sign18'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign18total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign18total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } if ($_SESSION['sign19'] != 0) { $temp_str = money_format('%.2n', $_SESSION[sign19total]); echo ""; $_SESSION[sign_total] = $_SESSION[sign_total] + $_SESSION[sign19total]; $_SESSION[piece_total] = $_SESSION[piece_total] + 1; } $temp_str = money_format('%.2n', $_SESSION[sign_total]); echo ""; echo ""; echo ""; echo ""; echo "
Summary Sign Order

MMG-1 Cell Phone Use$_SESSION[sign1]$temp_str
MMG-2 Pregnant$_SESSION[sign2]$temp_str
MMG-3 Co-Payment$_SESSION[sign3]$temp_str
MMG-4 For Emeregncy$_SESSION[sign4]$temp_str
MMG-5 RACE/PACE$_SESSION[sign5]$temp_str
MMG-6 Service Charge$_SESSION[sign6]$temp_str
MMG-7 No Show$_SESSION[sign7]$temp_str
MMG-8 Accepting New Patients$_SESSION[sign8]$temp_str
MMG-9 Clinic is An Outptaient$_SESSION[sign9]$temp_str
MMG-10 Staff Only$_SESSION[sign10]$temp_str
MMG-11 Specimen Only$_SESSION[sign11]$temp_str
MMG-12 Medication Only$_SESSION[sign12]$temp_str
MMG-13 Tobacco Free$_SESSION[sign13]$temp_str
MMG-14 Bio Hazard$_SESSION[sign14]$temp_str
MMG-15 Eye Wash$_SESSION[sign15]$temp_str
MMG-16 Clean$_SESSION[sign16]$temp_str
MMG-17 Soiled$_SESSION[sign17]$temp_str
MMG-19 WASH IN - WASH OUT$_SESSION[sign18]$temp_str
MMG-20 MAPS$_SESSION[sign19]$temp_str
Sign Quantity: $_SESSION[piece_total]
Order Total: $temp_str
   "; echo "
"; echo ""; echo "
"; echo ""; echo ""; echo ""; echo ""; echo "

"; echo "


"; ?>