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addnewpatient.html
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addnewpatient.html
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<body style="background-image: url(images/background4.jpg);">
<br>
<br>
<form method="post" action="addpatient.php" ><big><big>Patient
Info :<br>
<br>
</big></big>
<table width:="50%">
<tbody>
<tr>
<td>Patient ID : <br>
</td>
<td><input name="id" type="text"><br>
</td>
</tr>
<tr>
<td>Full Name : <br>
</td>
<td><input name="name" type="text"><br>
</td>
</tr>
<tr>
<td>Age : <br>
</td>
<td><input name="age" type="text"><br>
</td>
</tr>
<tr>
<td>Gender : <br>
</td>
<td><input name="gender" type="text"><br>
</td>
</tr>
<tr>
<td>Occupation : <br>
</td>
<td><input name="occupation" type="text"><br>
</td>
</tr>
<tr>
<td>Contact Number<br>
</td>
<td><input name="mobile" type="text"><br>
</td>
</tr>
<tr>
<td>Address<br>
</td>
<td><textarea cols="30" rows="3" name="address"></textarea> </td>
</tr>
</tbody>
</table>
<br>
<br>
<input name="submit" value="ADD" type="submit"> <input name="reset" value="RESET" type="reset"> <big><big><br>
</big></big></form>