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Hospital_reg.php
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64 lines (57 loc) · 1.62 KB
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<head>
<?php session_start();?>
<title>Hospital Registration Form</title>
<style>
body {
width: 100vw;
height: 90vh;
display: flex;
flex-direction: column;
justify-content: center;
align-items: center;
font-family: sans-serif;
font-size: 16px;
background-color: #F0F8FF;
}
input{
width: 100%;
padding: 10px , 20px;
font-size: 1 rem;
margin: 15px 0;
box-sizing: border-box;
border: 3px solid salmon;
border-radius: 5px;
}
input[type="submit"]{
width: 100%;
padding: 20 px 20 px;
border: none;
background-color: red;
color: white;
padding: 10px;
cursor: pointer;
border-radius: 50px;
}
</style>
</head>
<body>
<h2>Sign Up</h2>
<form name = "form1" method = "post" enctype = "multipart/form-data" >
<label>Hospital Name:</label>
<input type = "text" name = "hname" value = "" required/>
<br>
<label>Address:</label>
<input type = "text" name = "address" value = "" required/>
<br>
<label>Capacity:</label>
<input type = "number" name = "cap" value = "" required/>
<br>
<label>Password:</label>
<input type = "password" name = "hpwd" value = "" required/>
<br>
<label>Vaccine:</label>
<input type="text" name="vac" required/>
<input type="submit" class="btn btn-solid" name = "login" value="Login">
</form>
</body>
<?php include 'Hospital_reg_backend.php';?>