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| 1 | +<!DOCTYPE html> |
| 2 | +<html lang="en"> |
| 3 | +<head> |
| 4 | + <meta charset="UTF-8"> |
| 5 | + <meta name="viewport" content="width=device-width, initial-scale=1.0"> |
| 6 | + <title>Add Patient</title> |
| 7 | + <link rel="stylesheet" href="css/styles.css"> |
| 8 | +</head> |
| 9 | +<body> |
| 10 | + <h2>Add Patient Information</h2> |
| 11 | + |
| 12 | + <div class="container"> |
| 13 | + <div class="box"> |
| 14 | + <label for="patient-name">Patient Name:</label> |
| 15 | + <input type="text" id="patient-name" name="patient-name"> |
| 16 | + </div> |
| 17 | + <div class="box"> |
| 18 | + <label for="patient-id">Patient ID:</label> |
| 19 | + <input type="text" id="patient-id" name="patient-id"> |
| 20 | + </div> |
| 21 | + </div> |
| 22 | + |
| 23 | + <div> |
| 24 | + <label for="patient-sex">Sex:</label> |
| 25 | + <select id="patient-sex" name="patient-sex"> |
| 26 | + <option value="male">Male</option> |
| 27 | + <option value="female">Female</option> |
| 28 | + <option value="other">Other</option> |
| 29 | + </select> |
| 30 | + </div> |
| 31 | + <div> |
| 32 | + <label for="patient-birthdate">Birth Date:</label> |
| 33 | + <input type="date" id="patient-birthdate" name="patient-birthdate"> |
| 34 | + </div> |
| 35 | + |
| 36 | + <h3>Experiments</h3> |
| 37 | + <div id="experiments"> |
| 38 | + <div class="experiment"> |
| 39 | + <label for="experiment-name-1">Experiment Name:</label> |
| 40 | + <select id="experiment-name-1" name="experiment-name-1"> |
| 41 | + <option value="exp1">Experiment 1</option> |
| 42 | + <option value="exp2">Experiment 2</option> |
| 43 | + <option value="exp3">Experiment 3</option> |
| 44 | + </select> |
| 45 | + <button class="remove-experiment">Remove</button> |
| 46 | + </div> |
| 47 | + </div> |
| 48 | + <button id="add-experiment">Add Experiment</button> |
| 49 | + |
| 50 | + <script src="https://code.jquery.com/jquery-3.6.0.min.js"></script> |
| 51 | + <script src="js/add_patient.js"></script> |
| 52 | +</body> |
| 53 | +</html> |
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