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workstation_entry.html
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workstation_entry.html
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<!DOCTYPE html>
<html lang="en">
<head>
<title>Bootstrap Example</title>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="http://maxcdn.bootstrapcdn.com/bootstrap/3.3.6/css/bootstrap.min.css">
<script src="https://ajax.googleapis.com/ajax/libs/jquery/1.12.0/jquery.min.js"></script>
<script src="http://maxcdn.bootstrapcdn.com/bootstrap/3.3.6/js/bootstrap.min.js"></script>
<link rel="stylesheet" type="text/css" href="fonts/font-awesome/css/font-awesome.css">
<style>
ul {
list-style-type: none;
margin: 0;
padding: 0;
overflow: hidden;
background-color: #00111a;
}
li {
float: left;
}
li a {
display: block;
color: white;
text-align: center;
padding: 14px 16px;
text-decoration: none;
}
li a:hover:not(.active) {
background-color: #111;
color:#ffffff;
}
.highlight{
color:#000000;
}
.highlight:hover{
color:#ffffff;
}
.mainmenu{
color:#ffffff;
background-color: #4CAF50;
border:2px solid #000000;
margin-top:8px;
}
.jumbotron{
margin-top:30px;
background-color:rgba(0,0,0,0.6);
border: 3px solid #ffffff;
border-left:1;
border-right: 1;
border-top: 1;
}
body{
background:url("img/patientform.jpg") no-repeat center center fixed;
background-size: cover;
}
label{
color:#ffffff;}
</style>
</head>
<body>
<div id="navbar">
<ul>
<ul style="float:right;list-style-type:none;">
<li style="margin-right:400px;"><a href="index.html" style="color:#00ffff;font-size:25px;"><b><i style="font-size:25px;padding-top:0px;color:#00ffff;" class="fa fa-heart fa-flip-horizontal"></i>Healthcare</b></a></li>
<li style="background-color:#ffffff;width:200px;border:2px solid #000000;margin-top:5px;margin-right:10px;"><a class="highlight" href="login.html">Logout</a></li>
</ul>
</ul>
</div>
<div class="container">
<div class="jumbotron">
<h2 style="text-align:center;color:#00ffff;"><strong>Patient Form</strong></h2>
<p style="text-align:center;color:#ffffff;">(For Doctors Only)</p>
<hr>
<form role="form" id="patient-form" action="workstation_main.html" method="post">
<div class="form-group">
<label for="patient_name">Patient Name</label>
<input class="form-control" id="patient_name" type="text">
</div>
<div class="form-group">
<label for="patient_age">Age</label>
<input class="form-control" id="patient_age" type="text">
</div>
<div class="form-group">
<label for="patient_problem">Problems</label>
<textarea class="form-control" rows="5" id="patient_problem"></textarea>
</div>
<div class="form-group">
<label for="head1">Want To Do Temperature Analysis?</label>
<label class="radio-inline"><input type="radio" name="analysis">yes</label>
<label class="radio-inline"><input type="radio" name="analysis">No</label>
</div>
<div class="form-group">
<label for="head2">Want To Do Video Interaction?</label>
<label class="radio-inline"><input type="radio" name="video">yes</label>
<label class="radio-inline"><input type="radio" name="video">No</label>
</div>
<div class="form-group">
<label for="sel3">Want To Do Audio Interaction?</label>
<label class="radio-inline"><input type="radio" name="audio">yes</label>
<label class="radio-inline"><input type="radio" name="audio">No</label>
</div>
<div class="form-group">
<div class="row">
<div class="col-sm-6 col-sm-offset-3">
<input type="submit" name="patient-submit" id="patient-submit" tabindex="4" class="form-control btn btn-success" value="Submit">
</div>
</div>
</div>
</form>
</div>
</div>
</body>
</html>