<?php
		$host = 'localhost';
		$user = 'user_name';
		$pass = '';
		$bd = 'bd_name';
		$conexao = mysql_connect($host, $user, $pass) or die(mysql_error());
		mysql_select_db($bd) or die(mysql_error());

		$cod = '001-12-16';
		$nome = $_POST['name'];
		$apelido = $_POST['apelido'];
		$rg = $_POST['rg'];
		$rg1 = $_POST['rg1'];
		$cpf = $_POST['cpf'];
		$cpf1 = $_POST['cpf1'];
		$uf = $_POST['uf'];
		$cro = $_POST['cro'];
		$email = $_POST['email'];
		$senha = $_POST['senha'];
		$indica = $_POST['indica'];

		$rg = $rg."-".$rg1;
		$cpf = $cpf."-".$cpf1;
		$sql = mysql_query("INSERT INTO dentista(dent_cod, dent_name, dent_ap, dent_rg, dent_cpf, cro_uf, cro, dent_email, dent_senha, indique) VALUES("$cod", "$nome", "$apelido", "$rg", "$cpf", "$uf", "$cro", "$email", "$senha", "$indica")");
?>