Untitled

<head>
        <script>
        $(document).ready(function(){
        $("#add").click(function(){
        $.ajax({url: "InsertarPaciente.php", success: function(res)}){
                $("#div1").html(res);

               }
          });
          });
         </script>
         </head>
         <body>

          <!--Banner Superior-->
          <?php
        session_start();
        $varsession = $_SESSION['usuario'];

         <!--Modal Formulario-->
         <div class="col-xs-12 col-sm-12 col-md-9 col-lg-10 test" style="overflow-y:scroll">
         <br>
         <center><h2>Pacientes</h2></center>
         <br>

        <button type="button" class="btn btn-primary btn-mod1" data-toggle="modal" data-target="#modal1" data-whatever="@getbootstrap">Registrar    Paciente</button>


          <div class="modal fade" id="modal1" tabindex="-1" role="dialog" aria-            labelledby="exampleModalLabel">
          <div class="modal-dialog" role="document">
          <div class="modal-content">
          <div class="modal-header">
            <button type="button" class="close" data-dismiss="modal" aria-  label="Close"><span aria-hidden="true">&times;</span></button>
            <center><h4 class="modal-title" id="exampleModalLabel">Registrar    Nuevo Paciente</h4></center>
          </div>
          <div class="modal-body">
       <form  method="post" class="form-mod" id="agregarpaciente">
       <br>
        <div class="area">
       <div class="form-group">
        <label for="exampleInputEmail1">Nombre(s)</label>
        <input type="text" name="nombre" class="form-control inputs">
        </div>

        <div class="form-group">
        <label for="exampleInputEmail1">Apellido Paterno</label>
        <input type="text" name="ap_paterno" class="form-control inputs">
        </div>

        <div class="form-group">
        <label for="exampleInputEmail1">Apellido Materno</label>
        <input type="text" name="ap_materno" class="form-control inputs">
        </div>

        <div class="form-group">
        <label for="exampleInputEmail1">Edad</label>
        <input type="text" name="edad" class="form-control inputs">
        </div>

         <div class="form-group">
         <label for="exampleInputEmail1">Staff</label>
         <input type="text" name="staff" class="form-control inputs">
         </div>

         <div class="form-group">
         <label for="exampleInputEmail1">Procedencia</label>
         <br><select id="ini4" name="proced">
         <option value="Externo">Externo</option>
         <option value="Interno">Interno</option>
         </select>
         </div>

        <div class="form-group">
        <label for="exampleInputEmail1">Alergias</label>
        <br><textarea rows="4" cols="30" class="txt1" name="alergias">
        </textarea>
        </div>

          <input type="submit" class="btn btn-primary" id="add">
           </div></form>
           </div>
           <div class="modal-footer">
            <button type="button" class="btn btn-default" data-  dismiss="modal">Cerrar</button>

          </div>
        </div>
        </div>
        </div>

        <!--Buscador-->
        <form class="form4">
        <div class="form-group">
        <label for="exampleInputEmail1">Busqueda</label>
        <input type="email" class="form-control in1" id="exampleInputEmail1"      placeholder="Ingrese nombre o numero de staff">
        </div>
        <button type="submit" class="btn btn-success btnpac">Buscar</button>
        <button type="submit" class="btn btn-danger btnpac2">Borrar</button>
        </form>

        </div>


            </div>

           <div id="div1">   </div>

         </div>


        </body>
        </html>

<!DOCTYPE html>

<html>
<head>

    <meta charset="utf-8">
    <title>Registro Agregado</title>
    <link href="med.css" rel="stylesheet" type="text/css">
    </head>

<body id="body">

<?php


include 'ConexionBD.php';


$nm = utf8_decode($_POST['nombre']);
$ap = utf8_decode($_POST['ap_paterno']);
$am = utf8_decode($_POST['ap_materno']);
$ed = utf8_decode($_POST['edad']);
$st = utf8_decode($_POST['staff']);
$pr = utf8_decode($_POST['proced']);
$al = utf8_decode($_POST['alergias']);


$sql = "INSERT INTO pacientes (nombre,ap_paterno,ap_materno,edad,staff,procedencia,alergias)values('$nm','$ap','$am','$ed','$st',
'$pr','$al')";

$op = mysqli_query($link,$sql);

if($op){

    echo "Agregado Correctamente";

}else{

    echo "error al agregar";
}


$link->close();

?>


</body>
</html>

<input type="submit" class="btn btn-primary" id="add">