// JavaScript Document

function checksr(validrefer)
{
	if(document.validrefer.namep.value=="")
		{
			alert("Please insert proper  name");
			document.validrefer.namep.focus();
			return false;
		}
	
	
	if(document.validrefer.email.value=="")
		{
			alert("Please enter Email ID");
			document.validrefer.email.focus();
			return false;
		}
		
	/* telephone detail start */
	
		
	if(document.validrefer.phoneno.value=="")
	{
	alert("Please enter telephone no");
	document.validrefer.phoneno.focus();
	return false;
	}
	
	if(document.validrefer.phoneno.value!="")
	{
	var inputstr=document.validrefer.phoneno.value.toString();
	for(i=0; i < inputstr.length; i++)
		{
			var ch=inputstr.charAt(i);
			if(ch < "0" || ch > "9") {
			alert("numbers only telephone no");
			document.validrefer.phoneno.value="";
			document.validrefer.phoneno.focus();
			return false;
			}
		}
	}
	
	
	
	if(document.validrefer.mobile.value=="")
	{
	alert("Please enter Proper Mobile number");
	document.validrefer.mobile.focus();
	return false;
	}
	
	if(document.validrefer.mobile.value!="")
	{
	var inputstr=document.validrefer.mobile.value.toString();
	for(i=0; i < inputstr.length; i++)
		{
			var ch=inputstr.charAt(i);
			if(ch < "0" || ch > "9") {
			alert("numbers only Proper Mobile number");
			document.validrefer.mobile.value="";
			document.validrefer.mobile.focus();
			return false;
			}
		}
	}
	/* telephone detail end */	
	
	if(document.validrefer.city.value=="")
		{
			alert("Please insert proper City");
			document.validrefer.city.focus();
			return false;
		}
		
	if(document.validrefer.city.value!="")
	{
	 var cityinput=document.validrefer.city.value.toString();
	 for(i=0; i < cityinput.length; i++)
	 	{
	 		var ch=cityinput.charAt(i);
			if(ch < "A" || ch >"z")
			{
				alert("charcater only in city");
				document.validrefer.city.value="";
				document.validrefer.city.focus();
				return false;
			}
		}	
	}
	
	if(document.validrefer.states.value=="")
	{
	alert("Please Enter your state");
	document.validrefer.states.focus();
	return false;
	}
	
 if(document.validrefer.states.value!="")
	{
	 var cityinput=document.validrefer.states.value.toString();
	 for(i=0; i < cityinput.length; i++)
	 	{
	 		var ch=cityinput.charAt(i);
			if(ch < "A" || ch >"z")
			{
				alert("charcater only in state");
				document.validrefer.states.value="";
				document.validrefer.states.focus();
				return false;
			}
		}	
	}
	
	if(document.validrefer.country.value=="")
	{
		alert("Please enter proper country");
		document.validrefer.country.focus();
		return false;
	}
	
	
	if(document.validrefer.address.value=="")
	{
		alert("Please Enter your contact address");
		document.validrefer.address.focus();
		return false;
	}	
	
	
	if(document.validrefer.comments.value=="")
	{
		alert("Please Enter your Message");
		document.validrefer.comments.focus();
		return false;
	}		
	
	

	 if(document.validrefer.patientname.value=="")
		{
			alert("Please insert proper Patient First name");
			document.validrefer.patientname.focus();
			return false;
		}
		
		 if(document.validrefer.patientcountry.value=="")
		{
			alert("Please select proper patient's country");
			document.validrefer.patientcountry.focus();
			return false;
		}
		
			
		if(document.validrefer.status.value=="")
		{
			alert("Please insert proper patient Clinical status");
			document.validrefer.status.focus();
			return false;
		}
		
		
		if(document.validrefer.lookfor.value=="")
		{
			alert("Please insert proper Treatment looking for");
			document.validrefer.lookfor.focus();
			return false;
		}

	
}	


function EmailValidation(Element)
	{
		
		var stremail=Element.value;
		//alert(stremail);
      var emailchar=/^([\w-]+(?:\.[\w-]+)*)@((?:[\w-]+\.)*\w[\w-]{0,66})\.([a-z]{2,6}(?:\.[a-z]{2})?)$/;
	 // alert(emailchar.test(stremail));
      if(emailchar.test(stremail))
      	{
		  return true;
        }
	      else 
    	{
   			 alert("Please enter the valid email address");
    		 Element.focus();
    		 return false;
   	    }	
  }