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index.html
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index.html
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<!DOCTYPE html>
<html>
<head>
<meta charset="UTF-8" />
<!-- https://developer.mozilla.org/en-US/docs/Web/HTTP/CSP -->
<meta http-equiv="Content-Security-Policy" content="default-src 'self'; script-src 'self'" />
<meta http-equiv="X-Content-Security-Policy" content="default-src 'self'; script-src 'self'" />
<link rel="stylesheet" href="style.css">
<title>DocPres</title>
</head>
<body>
<header>
<img src="logo.png" alt="" class="logo">
<h1 class="heading-primary">Ali Health Care Centre</h1>
<div class="number">
+91-9911321705
</div>
</header>
<div class="container">
<form action="" class="form">
<!-- <div class="patient-name"> -->
<div class="title">
<select name="" id="name-title">
<option value="none" disabled selected>- - - Choose Title - - -</option>
<option class="op-1" value="Mr.">Mr.</option>
<option value="Mrs.">Mrs.</option>
<option value="Miss">Miss.</option>
</select>
</div>
<!-- </div> -->
<input class="age" type="number" name="" id="" placeholder="Patient Age...">
<input class="name" type="text" placeholder=" Patient Full Name">
<select class="gender" name="" id="gender-option">
<option value="none" selected disabled>- - - Gender - - -</option>
<option class="op-1" value="M">Male</option>
<option value="F">Female</option>
<option value="Trans.">Transgender</option>
</select>
<div class="patient-condtion">
<div class="readings">
<label for="temp">Temperature</label>
<input type="text" id="temp">
<label for="pulse">Pulse</label>
<input type="text" id="pulse">
<label for="weght">Weight</label>
<input type="text" id="weight">
<label class="sub" for="spo">SPO<sub>2</sub></label>
<input type="text" id="spo">
</div>
<div class="medical-history">
<label for="">Medical History & Complaints</label>
<textarea class="" name="" id="history" cols="30" rows="10"
placeholder="Medical History & Complaints"></textarea>
</div>
</div>
</form>
<div class="prescription">
</div>
<div class="add">
<span class="add-label">Add</span>
<svg xmlns="http://www.w3.org/2000/svg" class="plus" fill="none" viewBox="0 0 24 24" stroke-width="1.5"
stroke="currentColor" class="plus-span">
<path stroke-linecap="round" stroke-linejoin="round" d="M12 9v6m3-3H9m12 0a9 9 0 11-18 0 9 9 0 0118 0z" />
</svg>
</div>
<!-- fees and charges -->
<div class="fee-details">
<h2 class="fee-label">Fees and Charges</h2>
<div class="fee-container">
</div>
<select name="" id="fees">
<option value="none" disabled selected>- - - Choose Fee Type - - -</option>
<option class="consultation-fee" value="Consultation">Consultation</option>
<option value="medicines">Medicines/Injections</option>
<option value="lab">Pathology (Lab Test)</option>
<!-- <option value="custome">Add Custom Field</option> -->
</select>
</div>
</div>
<!-- generate pdf btn -->
<div class="btn">
<button class="pdf-btn">Generate Pdf</button>
</div>
<footer>
<div class="footer">
<p class="legal">not valid for medico-legal purpose</p>
<p class="address">f-26-27,shaheen bagh, near icici atm, nala road, near 40 futa road,/okhla delhi-110025</p>
</div>
</footer>
<script src="renderer.js"></script>
</body>
</html>