";
include ("/srv/include/machine.php");
$port = 4452;
$socket = socket_create(AF_INET, SOCK_STREAM, 0) or die("Could not create socket\n");
$result = socket_connect($socket, $host, $port) or die("Could not connect to server\n");
socket_write($socket, $message.$Clientno.$quantity) or die("Could not send data to server\n");
do{
$result = socket_read ($socket, 1024) or die("Could not read server response\n");
$pos = strpos($result, $message);
}
while ($pos === false);
$Chunks = explode("|", $result);
socket_close($socket);
if ( $Chunks[2] == "EMAIL" ){
?>
PATIENT INQUIRY FORM
PATIENT INQUIRY RETRIEVAL
| Inquiry Number |
|
| Account Number |
|
| Client |
|
| Inquirer's Name |
|
| Email |
|
| Account |
|
| Phone |
|
| Message |
|
PATIENT INQUIRY FORM
PATIENT INSURANCE UPDATE RETRIEVAL
| Inquiry Number |
|
| Account Number |
|
| Client |
|
| Subscriber's Name |
|
| Email |
|
| Account |
|
| Contact Phone |
|
| Insurance Company |
|
| Ins Co. Address |
|
| Effective Date |
|
| Patient's DOB |
|