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addpatients.php
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addpatients.php
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<!DOCTYPE html>
<?php include("funs.php"); ?>
<html>
<head>
<title>Add Patients</title>
<link rel = "icon" href =
"images/logo.png"
type = "image/x-icon">
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link rel="stylesheet" href="css/sidebar.css">
<link rel="stylesheet" href="css/sections.css">
<link rel="stylesheet" href="css/adminpanelppp.css">
<link rel="stylesheet" href="css/adminpanelp.css">
<link rel="stylesheet" href="css/adminquarantine.css">
<link rel="stylesheet" href="css/adminpatients.css">
<!-- Bootstrap CSS -->
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/4.0.0-beta/css/bootstrap.min.css" integrity="sha384-/Y6pD6FV/Vv2HJnA6t+vslU6fwYXjCFtcEpHbNJ0lyAFsXTsjBbfaDjzALeQsN6M" crossorigin="anonymous">
<script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
</head>
<body>
<?php require_once "navbar.php"; ?>
<section id="addpatient" style="margin-top:60px;margin-bottom:40px;">
<div class ="container">
<h1>Add Patient</h1>
<hr/>
<div class="main" >
<div class="card-body" >
<form class="form-group" action="funs.php" method="post">
<label>Patient ID:</label><br>
<input type="text" name="id" class="form-control" required><br>
<label>Full Name:</label><br>
<input type="text" name="fname" class="form-control" required><br>
<label>Age:</label><br>
<input type="text" name="age" class="form-control" required><br>
<label>Phone:</label><br>
<input type="text" name="phone" class="form-control"><br>
<label>Email:</label><br>
<input type="text" name="email" class="form-control"><br>
<label>City:</label><br>
<input type="text" name="city" class="form-control" required><br>
<label>Province:</label><br>
<input type="text" name="province" class="form-control" required><br>
<label>Patient Status :</label>
<select class="form-control" name="status">
<option value="Isolate">Isolate</option>
<option value="Qurantine">Qurantine</option>
<option value="Recovered">Recovered</option>
<option value="Death">Death</option>
</select><br>
<label>Isolation ID:</label><br>
<input type="text" name="isolation_id" class="form-control"><br>
<label>Quarantine ID:</label><br>
<input type="text" name="quarantine_id" class="form-control"><br>
<input type="submit" class="btn btn-primary" name="pat_submit" value="Add Patient">
</form>
</div>
</div>
</div>
<div/>
</section>