interface/patient_file/printed_fee_sheet.php

   1 <?php
   2
   3 /**
   4  * 2012 - Refactored extensively to allow for creating multiple feesheets on demand
   5  * uses a session array of PIDS by Medical Information Integration, LLC - mi-squared.com
   6  *
   7  * @package   OpenEMR
   8  * @link      http://www.open-emr.org
   9  * @author    Rod Roark <rod@sunsetsystems.com>
  10  * @author    Brady Miller <brady.g.miller@gmail.com>
  11  * @author    Ron Pulcer <rspulcer_2k@yahoo.com>
  12  * @author    Stephen Waite <stephen.waite@cmsvt.com>
  13  * @copyright Copyright (c) 2007-2016 Rod Roark <rod@sunsetsystems.com>
  14  * @copyright Copyright (c) 2018 Brady Miller <brady.g.miller@gmail.com>
  15  * @copyright Copyright (c) 2019 Ron Pulcer <rspulcer_2k@yahoo.com>
  16  * @copyright Copyright (c) 2019 Stephen Waite <stephen.waite@cmsvt.com>
  17  * @license   https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3
  18  */
  19
  20 require_once("../globals.php");
  21 require_once("$srcdir/appointments.inc.php");
  22 require_once("$srcdir/patient.inc.php");
  23 require_once("$srcdir/user.inc.php");
  24
  25 use OpenEMR\Core\Header;
  26 use OpenEMR\Services\FacilityService;
  27
  28 $facilityService = new FacilityService();
  29
  30 function genColumn($ix)
  31 {
  32     global $html;
  33     global $SBCODES;
  34     for ($imax = count($SBCODES); $ix < $imax; ++$ix) {
  35         $a = explode('|', $SBCODES[$ix], 2);
  36         $cmd = trim($a[0]);
  37         if ($cmd == '*C') { // column break
  38             return++$ix;
  39         }
  40
  41         if ($cmd == '*B') { // Borderless and empty
  42             $html .= " <tr><td colspan='5' class='fscode' style='border-width:0 1px 0 0;padding-top:1px;' nowrap>&nbsp;</td></tr>\n";
  43         } elseif ($cmd == '*G') {
  44             $title = text($a[1]);
  45             if (!$title) {
  46                 $title = '&nbsp;';
  47             }
  48
  49             $html .= " <tr><td colspan='5' align='center' class='fsgroup' style='vertical-align:middle' nowrap>$title</td></tr>\n";
  50         } elseif ($cmd == '*H') {
  51             $title = text($a[1]);
  52             if (!$title) {
  53                 $title = '&nbsp;';
  54             }
  55
  56             $html .= " <tr><td colspan='5' class='fshead' style='vertical-align:middle' nowrap>$title</td></tr>\n";
  57         } else {
  58             $title = text($a[1]);
  59             if (!$title) {
  60                 $title = '&nbsp;';
  61             }
  62
  63             $b = explode(':', $cmd);
  64             $html .= " <tr>\n";
  65             $html .= " <td class='fscode' style='vertical-align:middle;width:14pt' nowrap>&nbsp;</td>\n";
  66             if (count($b) <= 1) {
  67                 $code = text($b[0]);
  68                 if (!$code) {
  69                     $code = '&nbsp;';
  70                 }
  71
  72                 $html .= " <td class='fscode' style='vertical-align:middle' nowrap>$code</td>\n";
  73                 $html .= " <td colspan='3' class='fscode' style='vertical-align:middle' nowrap>$title</td>\n";
  74             } else {
  75                 $html .= " <td colspan='2' class='fscode' style='vertical-align:middle' nowrap>" . text($b[0]) . '/' . text($b[1]) . "</td>\n";
  76                 $html .= " <td colspan='2' class='fscode' style='vertical-align:middle' nowrap>$title</td>\n";
  77             }
  78
  79             $html .= " </tr>\n";
  80         }
  81     }
  82
  83     return $ix;
  84 }
  85
  86 // MAIN Body
  87 //
  88 // Build output to handle multiple pids and and superbill for each patient.
  89 // This value is initially a maximum, and will be recomputed to
  90 // distribute lines evenly among the pages.  (was 55)
  91 $lines_per_page = 55;
  92
  93 $lines_in_stats = 8;
  94
  95 $header_height = 44; // height of page headers in points
  96 // This tells us if patient/encounter data is to be filled in.
  97 // 1 = single PID from popup, 2=array of PIDs for session
  98
  99 if (empty($_GET['fill'])) {
 100     $form_fill = 0;
 101 } else {
 102     $form_fill = $_GET['fill'];
 103 }
 104
 105 // Show based on session array or single pid?
 106 $pid_list = array();
 107 $apptdate_list = array();
 108
 109
 110 if (!empty($_SESSION['pidList']) and $form_fill == 2) {
 111     $pid_list = $_SESSION['pidList'];
 112     // If PID list is in Session, then Appt. Date list is expected to be a parallel array
 113     $apptdate_list = $_SESSION['apptdateList'];
 114 } elseif ($form_fill == 1) {
 115     array_push($pid_list, $pid); //get from active PID
 116 } else {
 117     array_push($pid_list, ''); // empty element for blank form
 118 }
 119
 120 // This file is optional. You can create it to customize how the printed
 121 // fee sheet looks, otherwise you'll get a mirror of your actual fee sheet.
 122 //
 123 if (file_exists("../../custom/fee_sheet_codes.php")) {
 124     include_once("../../custom/fee_sheet_codes.php");
 125 }
 126
 127 // TBD: Move these to globals.php, or make them user-specific.
 128 $fontsize = 7;
 129 $page_height = 700;
 130
 131 $padding = 0;
 132
 133 // The $SBCODES table is a simple indexed array whose values are
 134 // strings of the form "code|text" where code may be either a billing
 135 // code or one of the following:
 136 //
 137 // *H - A main heading, where "text" is its title (to be centered).
 138 // *G - Specifies a new category, where "text" is its name.
 139 // *B - A borderless blank row.
 140 // *C - Ends the current column and starts a new one.
 141 // If $SBCODES is not provided, then manufacture it from the Fee Sheet.
 142 //
 143 if (empty($SBCODES)) {
 144     $SBCODES = array();
 145     $last_category = '';
 146
 147     // Create entries based on the fee_sheet_options table.
 148     $res = sqlStatement("SELECT * FROM fee_sheet_options " .
 149             "ORDER BY fs_category, fs_option");
 150     while ($row = sqlFetchArray($res)) {
 151         $fs_category = $row['fs_category'];
 152         $fs_option = $row['fs_option'];
 153         $fs_codes = $row['fs_codes'];
 154         if ($fs_category !== $last_category) {
 155             $last_category = $fs_category;
 156             $SBCODES[] = '*G|' . substr($fs_category, 1);
 157         }
 158
 159         $SBCODES[] = " |" . substr($fs_option, 1);
 160     }
 161
 162     // Create entries based on categories defined within the codes.
 163     $pres = sqlStatement("SELECT option_id, title FROM list_options " .
 164             "WHERE list_id = 'superbill' AND activity = 1 ORDER BY seq");
 165     while ($prow = sqlFetchArray($pres)) {
 166         $SBCODES[] = '*G|' . xl_list_label($prow['title']);
 167         $res = sqlStatement("SELECT code_type, code, code_text FROM codes " .
 168                 "WHERE superbill = ? AND active = 1 " .
 169                 "ORDER BY code_text", array($prow['option_id']));
 170         while ($row = sqlFetchArray($res)) {
 171             $SBCODES[] = $row['code'] . '|' . $row['code_text'];
 172         }
 173     }
 174
 175     // Create one more group, for Products.
 176     if ($GLOBALS['sell_non_drug_products']) {
 177         $SBCODES[] = '*G|' . xl('Products');
 178         $tres = sqlStatement("SELECT " .
 179                 "dt.drug_id, dt.selector, d.name, d.ndc_number " .
 180                 "FROM drug_templates AS dt, drugs AS d WHERE " .
 181                 "d.drug_id = dt.drug_id AND d.active = 1 " .
 182                 "ORDER BY d.name, dt.selector, dt.drug_id");
 183         while ($trow = sqlFetchArray($tres)) {
 184             $tmp = $trow['selector'];
 185             if ($trow['name'] !== $trow['selector']) {
 186                 $tmp .= ' ' . $trow['name'];
 187             }
 188
 189             $prodcode = empty($trow['ndc_number']) ? ('(' . $trow['drug_id'] . ')') :
 190                     $trow['ndc_number'];
 191             $SBCODES[] = "$prodcode|$tmp";
 192         }
 193     }
 194
 195     // Extra stuff for the labs section.
 196     $SBCODES[] = '*G|' . xl('Notes');
 197     $percol = intval((count($SBCODES) + 2) / 3);
 198     while (count($SBCODES) < $percol * 3) {
 199         $SBCODES[] = '*B|';
 200     }
 201
 202     // Adjust lines per page to distribute lines evenly among the pages.
 203     $pages = intval(($percol + $lines_in_stats + $lines_per_page - 1) / $lines_per_page);
 204     $lines_per_page = intval(($percol + $lines_in_stats + $pages - 1) / $pages);
 205
 206     // Figure out page and column breaks.
 207     $pages = 1;
 208     $lines = $percol;
 209     $page_start_index = 0;
 210     while ($lines + $lines_in_stats > $lines_per_page) {
 211         ++$pages;
 212         $lines_this_page = $lines > $lines_per_page ? $lines_per_page : $lines;
 213         $lines -= $lines_this_page;
 214         array_splice($SBCODES, $lines_this_page * 3 + $page_start_index, 0, '*C|');
 215         array_splice($SBCODES, $lines_this_page * 2 + $page_start_index, 0, '*C|');
 216         array_splice($SBCODES, $lines_this_page * 1 + $page_start_index, 0, '*C|');
 217         $page_start_index += $lines_this_page * 3 + 3;
 218     }
 219
 220     array_splice($SBCODES, $lines * 2 + $page_start_index, 0, '*C|');
 221     array_splice($SBCODES, $lines * 1 + $page_start_index, 0, '*C|');
 222 }
 223
 224 $lheight = sprintf('%d', ($page_height - $header_height) / $lines_per_page);
 225
 226 // Common HTML Header information
 227
 228 $html = "<html>
 229 <head>";
 230
 231 $html .= "
 232 <style>
 233 body {
 234 font-family: sans-serif;
 235 font-weight: normal;
 236 }
 237 .bordertbl {
 238 width: 100%;
 239 border-style: solid;
 240 border-width: 0 0 1px 1px;
 241 border-spacing: 0;
 242 border-collapse: collapse;
 243 border-color: #999999;
 244 }
 245 td.toprow {
 246 height: 1px;
 247 padding: 0;
 248 border-style: solid;
 249 border-width: 0 0 0 0;
 250 border-color: #999999;
 251 }
 252 td.fsgroup {
 253 height: " . attr($lheight) . "pt;
 254 font-family: sans-serif;
 255 font-weight: bold;
 256 font-size: " . attr($fontsize) . " pt;
 257 background-color: #cccccc;
 258 padding: " . attr($padding) . "pt 2pt 0pt 2pt;
 259 border-style: solid;
 260 border-width: 1px 1px 0 0;
 261 border-color: #999999;
 262 }
 263 td.fshead {
 264 height: " . attr($lheight) . "pt;
 265 font-family: sans-serif;
 266 font-weight: bold;
 267 font-size: " . attr($fontsize) . "pt;
 268 padding: " . attr($padding) . "pt 2pt 0pt 2pt;
 269 border-style: solid;
 270 border-width: 1px 1px 0 0;
 271 border-color: #999999;
 272 }
 273 td.fscode {
 274 height: " . attr($lheight) . "pt;
 275 font-family: sans-serif;
 276 font-weight: normal;
 277 font-size: " . attr($fontsize) . "pt;
 278 padding: " . attr($padding) . "pt 2pt 0pt 2pt;
 279 border-style: solid;
 280 border-width: 1px 1px 0 0;
 281 border-color: #999999;
 282 }
 283
 284 .ftitletable {
 285 width: 100%;
 286 height: " . attr($header_height) . "pt;
 287 margin: 0 0 8pt 0;
 288 }
 289 .ftitlecell1 {
 290  width: 33%;
 291  vertical-align: top;
 292  text-align: left;
 293  font-size: 14pt;
 294  font-weight: bold;
 295 }
 296 .ftitlecell2 {
 297  width: 33%;
 298  vertical-align: top;
 299  text-align: right;
 300  font-size: 9pt;
 301 }
 302 .ftitlecellm {
 303  width: 34%;
 304  vertical-align: top;
 305  text-align: center;
 306  font-size: 14pt;
 307  font-weight: bold;
 308 }
 309
 310 div.pagebreak {
 311 page-break-after: always;
 312 height: " . attr($page_height) . "pt;
 313 }
 314 </style>";
 315
 316 $html .= "<title>" . text($frow['name'] ?? '') . "</title>" .
 317     Header::setupHeader(['opener', 'topdialog'], false) .
 318     "<script>";
 319
 320 $html .= "
 321 $(function () {
 322  var win = top.printLogSetup ? top : opener.top;
 323  win.printLogSetup(document.getElementById('printbutton'));
 324 });
 325
 326 // Process click on Print button.
 327 function printlog_before_print() {
 328  var divstyle = document.getElementById('hideonprint').style;
 329  divstyle.display = 'none';
 330 }
 331
 332 </script>
 333 </head>
 334 <body bgcolor='#ffffff'>
 335 <form name='theform' method='post' action='printed_fee_sheet.php?fill=" . attr_url($form_fill) . "'
 336 onsubmit='return opener.top.restoreSession()'>
 337 <div style='text-align: center;'>";
 338
 339 $today = date('Y-m-d');
 340
 341 $alertmsg = ''; // anything here pops up in an alert box
 342
 343 // Get details for the primary facility.
 344 $frow = $facilityService->getPrimaryBusinessEntity();
 345
 346 // If primary is not set try to old method of guessing...for backward compatibility
 347 if (empty($frow)) {
 348     $frow = $facilityService->getPrimaryBusinessEntity(array("useLegacyImplementation" => true));
 349 }
 350
 351 // Still missing...
 352 if (empty($frow)) {
 353     $alertmsg = xl("No Primary Business Entity selected in facility list");
 354 }
 355
 356 $logo = '';
 357 $ma_logo_path = "sites/" . $_SESSION['site_id'] . "/images/ma_logo.png";
 358 if (is_file("$webserver_root/$ma_logo_path")) {
 359     $logo = "$web_root/$ma_logo_path";
 360 } else {
 361     $logo = "";
 362 }
 363
 364 // Loop on array of PIDS
 365 $saved_pages = $pages; //Save calculated page count of a single fee sheet
 366 $loop_idx = 0; // counter for appt list
 367
 368 foreach ($pid_list as $pid) {
 369     $apptdate = $apptdate_list[$loop_idx] ?? null; // parallel array to pid_list
 370     $appointment = fetchAppointments($apptdate, $apptdate, $pid);  // Only expecting one row for pid
 371     // Set Pagebreak for multi forms
 372     if ($form_fill == 2) {
 373         $html .= "<div class=pagebreak>\n";
 374     } else {
 375         $html .= "<div>\n";
 376     }
 377
 378     if ($form_fill) {
 379         // Get the patient's name and chart number.
 380         $patdata = getPatientData($pid);
 381         // Get the referring providers info
 382         $referDoc = getUserIDInfo($patdata['ref_providerID']);
 383     }
 384
 385 // This tracks our position in the $SBCODES array.
 386     $cindex = 0;
 387
 388     while (--$pages >= 0) {
 389         $html .= genFacilityTitle(xl('Superbill/Fee Sheet'), -1, $logo);
 390         $html .= '<table style="width: 100%"><tr>' .
 391             '<td>' . xlt('Patient') . ': <span style="font-weight: bold;">' . text($patdata['fname'] ?? '') . ' ' . text($patdata['mname'] ?? '') . ' ' . text($patdata['lname'] ?? '') . '</span></td>' .
 392             '<td>' . xlt('DOB') . ': <span style="font-weight: bold;">' . text(oeFormatShortDate($patdata['DOB'] ?? '')) . '</span></td>' .
 393             '<td>' . xlt('Date of Service') . ': <span style="font-weight: bold;">' . text(oeFormatShortDate($appointment[0]['pc_eventDate'] ?? '')) . ' ' . text(oeFormatTime($appointment[0]['pc_startTime'] ?? '')) . '</span></td>' .
 394             '<td>' . xlt('Ref Prov') . ': <span style="font-weight: bold;">' . text($referDoc['fname'] ?? '') . ' ' . text($referDoc['lname'] ?? '') . '</span></td>' .
 395             '</tr></table>';
 396         $html .= "
 397 <table class='bordertbl' cellspacing='0' cellpadding='0' width='100%'>
 398 <tr>
 399 <td valign='top'>
 400 <table border='0' cellspacing='0' cellpadding='0' width='100%'>
 401 <tr>
 402 <td class='toprow' style='width:10%'></td>
 403 <td class='toprow' style='width:10%'></td>
 404 <td class='toprow' style='width:25%'></td>
 405 <td class='toprow' style='width:55%'></td>
 406 </tr>";
 407
 408         $cindex = genColumn($cindex); // Column 1
 409
 410         if ($pages == 0) { // if this is the last page
 411             $html .= "<tr>
 412 <td colspan='3' valign='top' class='fshead' style='height:" . $lheight * 2 . "pt'>";
 413             $html .= xlt('Patient') . ": ";
 414
 415             if ($form_fill) {
 416                 $html .= text($patdata['fname'] . ' ' . $patdata['mname'] . ' ' . $patdata['lname']) . "<br />\n";
 417                 $html .= text($patdata['street']) . "<br />\n";
 418                 $html .= text($patdata['city'] . ', ' . $patdata['state'] . ' ' . $patdata['postal_code']) . "\n";
 419             }
 420
 421             $html .= "</td>
 422 <td valign='top' class='fshead'>";
 423             $html .= xlt('DOB');
 424             $html .= ": ";
 425
 426             if ($form_fill) {
 427                 $html .= text($patdata['DOB']);
 428                 $html .= "<br />";
 429             }
 430
 431             $html .= xlt('ID');
 432             $html .= ": ";
 433
 434             if ($form_fill) {
 435                 $html .= text($patdata['pubpid']);
 436             }
 437
 438             $html .= "</td>
 439 </tr>
 440 <tr>
 441 <td colspan='3' valign='top' class='fshead' style='height:{$lheight}pt'>";
 442             $html .= xlt('Provider');
 443             $html .= ": ";
 444
 445             $encdata = false;
 446             if ($form_fill && $encounter) {
 447                 $query = "SELECT fe.reason, fe.date, u.fname, u.mname, u.lname, u.username " .
 448                         "FROM forms AS f " .
 449                         "JOIN form_encounter AS fe ON fe.id = f.form_id " .
 450                         "LEFT JOIN users AS u ON u.username = f.user " .
 451                         "WHERE f.pid = ? AND f.encounter = ? AND f.formdir = 'newpatient' AND f.deleted = 0 " .
 452                         "ORDER BY f.id LIMIT 1";
 453                 $encdata = sqlQuery($query, array($pid, $encounter));
 454                 if (!empty($encdata['username'])) {
 455                     $html .= $encdata['fname'] . ' ' . $encdata['mname'] . ' ' . $encdata['lname'];
 456                 }
 457             }
 458
 459             $html .= "</td>
 460 <td valign='top' class='fshead'>";
 461             $html .= xlt('Reason');
 462             $html .= ":<br />";
 463
 464             if (!empty($encdata)) {
 465                 $html .= text($encdata['reason']);
 466             }
 467
 468             // Note: You would think that pc_comments would have the Appt. comments,
 469             // but it is actually stored in pc_hometext in DB table (openemr_postcalendar_events).
 470             $html .= $appointment['pc_hometext'] ?? '';
 471
 472             $html .= "</td>
 473 </tr>
 474 <tr>
 475 <td colspan='4' valign='top' class='fshead' style='height:{$lheight}pt'>";
 476
 477             if (empty($GLOBALS['ippf_specific'])) {
 478                 $html .= xlt('Insurance') . ":";
 479                 if ($form_fill) {
 480                     foreach (array('primary', 'secondary', 'tertiary') as $instype) {
 481                         $query = "SELECT * FROM insurance_data WHERE " .
 482                                 "pid = ? AND type = ? " .
 483                                 "ORDER BY date DESC LIMIT 1";
 484                         $row = sqlQuery($query, array($pid, $instype));
 485                         if (!empty($row['provider'])) {
 486                             $icobj = new InsuranceCompany($row['provider']);
 487                             $adobj = $icobj->get_address();
 488                             $insco_name = trim($icobj->get_name());
 489                             if ($instype != 'primary') {
 490                                 $html .= ",";
 491                             }
 492
 493                             if ($insco_name) {
 494                                 $html .= "&nbsp;" . text($insco_name);
 495                             } else {
 496                                 $html .= "&nbsp;<font color='red'><b>Missing Name</b></font>";
 497                             }
 498                         }
 499                     }
 500                 }
 501             } else {
 502                 // IPPF wants a visit date box with the current date in it.
 503                 $html .= xlt('Visit date');
 504                 $html .= ":<br />\n";
 505                 if (!empty($encdata)) {
 506                     $html .= text(substr($encdata['date'], 0, 10));
 507                 } else {
 508                     $html .= text(oeFormatShortDate(date('Y-m-d'))) . "\n";
 509                 }
 510             }
 511
 512             $html .= "</td>
 513 </tr>
 514 <tr>
 515 <td colspan='4' valign='top' class='fshead' style='height:{$lheight}pt'>";
 516             $html .= xlt('Prior Visit');
 517             $html .= ":<br />
 518 </td>
 519 </tr>
 520 <tr>
 521 <td colspan='4' valign='top' class='fshead' style='height:{$lheight}pt'>";
 522             $html .= xlt('Today\'s Charges');
 523             $html .= ":<br />
 524 </td>
 525 </tr>
 526 <tr>
 527 <td colspan='4' valign='top' class='fshead' style='height:{$lheight}pt'>";
 528             $html .= xlt('Today\'s Balance');
 529             $html .= ":<br />
 530 </td>
 531 </tr>
 532 <tr>
 533 <td colspan='4' valign='top' class='fshead' style='height:{$lheight}pt'>";
 534             $html .= xlt('Notes');
 535             $html .= ":<br />
 536 </td>
 537 </tr>";
 538         } // end if last page
 539
 540         $html .= "</table>
 541 </td>
 542 <td valign='top'>
 543 <table border='0' cellspacing='0' cellpadding='0' width='100%'>
 544 <tr>
 545 <td class='toprow' style='width:10%'></td>
 546 <td class='toprow' style='width:10%'></td>
 547 <td class='toprow' style='width:25%'></td>
 548 <td class='toprow' style='width:55%'></td>
 549 </tr>";
 550
 551         $cindex = genColumn($cindex); // Column 2
 552
 553         if ($pages == 0) { // if this is the last page
 554             $html .= "<tr>
 555 <td colspan='4' valign='top' class='fshead' style='height:" . $lheight * 8 . "pt'>";
 556             $html .= xlt('Notes');
 557             $html .= ":<br />
 558 </td>
 559 </tr>";
 560         } // end if last page
 561
 562         $html .= "</table>
 563 </td>
 564 <td valign='top'>
 565 <table border='0' cellspacing='0' cellpadding='0' width='100%'>
 566 <tr>
 567 <td class='toprow' style='width:10%'></td>
 568 <td class='toprow' style='width:10%'></td>
 569 <td class='toprow' style='width:25%'></td>
 570 <td class='toprow' style='width:55%'></td>
 571 </tr>";
 572
 573         $cindex = genColumn($cindex); // Column 3
 574
 575         if ($pages == 0) { // if this is the last page
 576             $html .= "<tr>
 577 <td valign='top' colspan='4' class='fshead' style='height:" . $lheight * 6 . "pt;border-width:0 1px 0 0'>
 578 &nbsp;
 579 </td>
 580 </tr>
 581 <tr>
 582 <td valign='top' colspan='4' class='fshead' style='height:" . $lheight * 2 . "pt'>";
 583             $html .= xlt('Signature');
 584             $html .= ":<br />
 585 </td>
 586 </tr>";
 587         } // end if last page
 588
 589         $html .= "</table>
 590 </td>
 591 </tr>
 592
 593 </table>";
 594
 595         $html .= "</div>";  // end of div.pageLetter
 596     } // end while
 597     $pages = $saved_pages; // reset
 598     $loop_idx++; // appt list counter
 599 } // end foreach
 600
 601 // Common End Code
 602 if ($form_fill != 2) {   //use native browser 'print' for multipage
 603     $html .= "<div id='hideonprint'>
 604 <p>
 605 <input type='button' class='btn btn-secondary btn-print mt-3' value='";
 606
 607     $html .= xla('Print');
 608     $html .= "' id='printbutton' />
 609 </div>";
 610 }
 611
 612 $html .= "
 613 </div>
 614 </form>
 615 </body>
 616 </html>";
 617
 618 // Send final result to display
 619 echo $html;