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admission.html
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<!DOCTYPE html>
<html>
<head>
<title>Admission Form - Matter Hosipital</title>
<link rel="stylesheet" type="text/css" href="style.css">
</head>
<body>
<header>
<img src="images/logo.jpg" height="100px" width="100px">
<h1 class="title">Matter Hosipital</h1>
<nav>
<ul>
<li><a href="home.html">Home</a></li>
<li><a href="Department.html">Department</a></li>
<li><a href="admission.html">Admission</a></li>
<li><a href="gallery.html">Gallery</a></li>
</ul>
</nav>
</header>
<main>
<section>
<h2>Admission Form</h2>
<form>
<fieldset>
<label for="name">Name</label>
<input type="text" id="name" name="name" required>
<label for="email">Email</label>
<input type="email" id="email" name="email" required><br><hr>
<label for="phone">Phone</label>
<input type="tel" id="phone" name="phone" required>
<label for="gender">Gender</label>
<select id="gender" name="gender" required>
<option value="">Select Gender</option>
<option value="male">Male</option>
<option value="female">Female</option>
<option value="other">Other</option>
</select><br><hr>
<label for="dob">Date of Birth</label>
<input type="date" id="dob" name="dob" required>
<label for="address">Address</label>
<input type="text"><br><hr>
<label for="Reason of visit">HELP</label>
<select id="Consaltation" name="Consaltation" required>
<option value="">Help</option>
<option value="Phamarcy">Phamarcy</option>
<option value="Clinic">Clinic</option>
<option value="Emmergency">Emmergency</option>
<option value="Dental">Dental</option>
<option value="Matternerty">Matternerty</option>
<option value="Finance">Finance</option>
</select>
<label for="Medical Number">Medical Number</label>
<input type="number" id="Medical Number" name="Medical Number" required><br><hr>
<label for="Previous">Previous Remarks</label>
<input type="number" id="Results" name="Results" required><br><hr>
<button type="submit">Submit</button>
</fieldset>
</form>
</section>
</main>
</body>
</html>