Blood-Donation-Management-System/patientpanel.html at main · nehlinshanila/Blood-Donation-Management-System · GitHub

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Document</title>
    <link rel="stylesheet" href="style.css">
</head>
<body>
    <div>
        <video autoplay loop muted plays-inline class="backvid">
            <source src="img/1videoplayback.mp4" type="video/mp4">
        </video>
        <div class="navbar">
            <nav>
                <a href="#"><img src="img/LifeSource Foundation-1 (2).png" alt="logo" height="50px" width="200px"></a>
               <ul>
                   <li> <a href="index.html">HOME</a> </li>
                   <li> <a href="SignUp.html">SIGN UP</a> </li>
                   <li> <a href="Login.html">LOGIN</a> </li>
                   <li> <a href="donorpanel.html">DONOR PANEL</a> </li>
                   <li> <a href="patientpanel.html">PATIENT PANEL</a> </li>
                   <li> <a href="admin.html">ADMIN</a> </li>
                   <li> <a href="volunteer.html">VOLUNTEER</a> </li>
                   <li> <a href="guest.html">GUEST</a> </li>
               </ul>
           </nav>

        </div>
        <div>
            <div class="centerpatientpanel">
            <h1 class="blooddonationform">Blood Donation Form</h1>
            <form method="post">
                <br>
                <h2>What are you donating?</h2>
                <br>

                <div class="btn-group">
                    <button>Whole Blood</button>
                    <button>Platelets</button>
                    <button>Plasma</button>
                    <button>Double Red Cells</button>
                  </div>
                  <br>
                  <select name="format" id="format">
                    <option selected disabled>What is your Blood Type?</option>
                    <option value="Apos">A+</option>
                    <option value="Aneg">A-</option>
                    <option value="Bpos">B+</option>
                    <option value="Bneg">B-</option>
                    <option value="ABpos">AB+</option>
                    <option value="ABneg">AB-</option>
                    <option value="Opos">O+</option>
                    <option value="Oneg">O-</option>
                  </select>


                    <form method="post">
                        <br>
                        <br>
                    <label for="fname">First name: </label>
                    <input type="text" id="fname" name="fname"><br><br>
                    <label for="lname">Last name: </label>
                    <input type="text" id="lname" name="lname"><br><br>
                    </form>
                    <br>
                <input type="submit" value="Login">
                <div class="signuplink"> Already got an account?
                    <a href="Login.html">Login</a>
                </div>

            </form>
            <br>
        </div>
    </div>
</body>
</html>