Hospital-Management-System/Appoint.html at master · krishna-vamsi-jayam/Hospital-Management-System · GitHub

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<html>
<head>
<link rel="stylesheet" type="text/css" href="css/app.css">
<title>Appointment </title>
<style>
h1{color:darkslateblue;
text-align:center;}
body{background-image:url("app.jpg");
 background-attachment: fixed;
background-size:cover;}
</style>
</head>
<body>
<h1><font face="Comic Sans MS" size=10>APPOINTMENT </font><h1>
<center><form>
<table>

<tr>
<th>Name of the Patient</th>
<td><input type="text" name="t1" placeholder="Enter Patient's Name"></td>
</tr>

<tr>
<th>Age</th>
<td><input type="number" name="t2" placeholder="Enter Age"></td>
</tr>
<tr>
<th>Contact Number</th>
<td><input type="text" name="t3" placeholder="Enter Contact Number"></td>
</tr>
<tr>
<th>Sex</th>
<td>
<input type="radio" name="sex" value="male">Male
<input type="radio" name="sex" value="female">Female
<input type="radio" name="sex" value="other">others<br>
</td>
</tr>
<tr>
<th>Blood Group</th>
<td><select>
<option value="Group">Group</option>
<option value="A+">A+</option>
<option value="B+">B+</option>
<option value="A-">A-</option>
<option value="B-">B-</option>
<option value="AB+">AB+</option>
<option value="AB-">AB-</option>
<option value="O+">O+</option>
<option value="O-">O-</option>
</select>
</td>
</tr>
<tr>
<th>symptoms</th>
<td><textarea rows="5" cols="25">
</textarea> </td>
</tr>

<tr>
<th>Doctor Name</th>
<td><select>
<option value="None">None</option>
<option value="Dr.Harish">Dr.Harish-Heart surgeon</option>
<option value="Dr.Rakesh varma">Dr.Rakesh varma-pediatrician</option>
<option value="Dr.Amrutha">Dr.Amrutha-Gynecologist</option>
<option value="Dr.Rajashekar">Dr.Rajashekar-ENT</option>
</select>
</td>
</tr>

<tr>
<th>Date</th>
<td><input type="date">
</td>
</tr>


<tr>
<th>Doctor Availability</th>
<td><select name="timings">
<optgroup label="Morning">
<option value="9:30 to 1:00">9:30 to 1:00</option>
</optgroup>
<optgroup label="Evening">
<option value="5:00 to 9:30">5:00 to 9:30</option>
</optgroup>
</select>
</td>
</tr>
<br>
</table>
<input type="submit" name="appoint" value="submit">
</form>
</center>
</body>
</html>