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report.php
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<?php
include 'include\connection.php';
session_start();
$nam = $_SESSION['name'];
?>
<html>
<head>
<title>Report | AI_IN_MEDICAL</title>
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css" >
<!--jQuery library-->
<script src="https://ajax.googleapis.com/ajax/libs/jquery/1.12.4/jquery.min.js"></script>
<!--Latest compiled and minified JavaScript-->
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/js/bootstrap.min.js"></script>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link rel="stylesheet" type="text/css" href="external.css">
</head>
<body>
<?php include 'include/navbar.php'; ?>
<div class="container-fluid decor_bg">
<div class="row" style="padding-top: 30px;">
<div class="container">
<div class="col-lg-4 col-lg-offset-4 col-md-6 col-md-offset-3">
<?php
echo "<h2 style='font-family: lato; color: #00003f'>Welcome $nam<br>submit your report here</h2>"?>
<form role="form" action="report_subscript.php" method="POST">
<div class="form-group">
<label>Pregnancies</label>
<input type="float" class="form-control" name="pregnancies" placeholder="Number of pregnancies" required>
</div>
<div class="form-group">
<label>Glucose</label>
<input type="float" class="form-control" placeholder="Plasma glucose concentration" name="Glucose" required>
</div>
<div class="form-group">
<label>Blood Pressure</label>
<input type="float" class="form-control" placeholder="in mm Hg" name="Blood_pressure" required>
</div>
<div class="form-group">
<label>Skin Thickness</label>
<input type="float" class="form-control" placeholder="in mm" name="Skin_Thickness" required>
</div>
<div class="form-group">
<label>Insulin</label>
<input type="float" class="form-control" placeholder="in mu U/ml" name="Insulin">
</div>
<div class="form-group">
<label>BMI</label>
<input type="float" class="form-control" placeholder="in kg/m²" name="BMI" required>
</div>
<div class="form-group">
<label>diabetes pedigree function</label>
<input type="float" class="form-control" placeholder="diabetes pedigree function" name="diabetes_pedigree_function" required>
</div>
<div class="form-group">
<label>Age</label>
<input type="float" class="form-control" placeholder="in years" name="Age" required>
</div>
<button type="float" class="btn btn-primary btn-block" style="background-color:#00003f"><span class="glyphicon glyphicon-inbox"></span> Submit</button>
</form>
</div>
</div>
</div>
</div>
</div>
<?php include "include/footer.php"?>
</body>
</html>