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New Text Document.txt
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<!DOCTYPE html>
<html>
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel='stylesheet' href='stylesheet.css'>
<title>Hospital Checkin</title>
</head>
<body>
<form>
<nav>
</nav>
<div id="wrapper">
<div id="Container">
<div class=info>
<p><b>Patient ID</b></p>
<input type="text" placeholder="Patient ID">
</div>
<div class=info>
<p><b>Patient Name</b></p>
<input type="text" placeholder="Patient Name">
</div>
<div class=info>
<p><b>Patient Initials</b></p>
<input type="text" placeholder="Patient Initials">
</div>
<div class=info>
<select id="DropOp">
<option>Patient Gender</option>
<option>Male</option>
<option>Female</option>
<option>Other</option>
</select>
</div>
<div class=info>
<p><b>Patient Address</b></p>
<input type="text" placeholder="Patien Address">
</div>
<input id="btn" type="button" value="SUBMIT">
</div>
<div id="Container">
<div class=info>
<p><b>Patient Post Code</b></p>
<input type="text" placeholder="Patient Postal Code">
</div>
<div class=info>
<p><b>Admission Date</b></p>
<input type="date" id="date">
</div>
<div class=info>
<p><b>Date of Birth</b></p>
<input type="date" id="date">
</div>
<div class=info>
<select id="DropOp">
<option>Assign Ward</option>
<option>W1(St johns)</option>
<option>W2(Moody)</option>
<option>W3(Agness)</option>
<option>W4(Memory)</option>
<option>W5(Matilda)</option>
<option>W6(Mary)</option>
<option>W7(Abigirl)</option>
<option>W8(Loreta)</option>
<option>W9(Loranda)</option>
</select>
</div>
<div class=info>
<p><b>Patient Next Of Kin</b></p>
<input type="text" placeholder="Patient Next OF kin">
</div>
<input id="btn" type="button" value="Clear Form">
</div>
<br>
</div>
</form>
</body>
</html>