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medicines.html
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<!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>Medicines</title>
<link rel="stylesheet" href="medicines.css">
</head>
<body>
<nav>
<h1>
<img src="Title.png" alt="Title" height="10%" width="12%" style="float:left; padding-bottom: 10px;">WELCOME (patient name)!
<br><br>
</h1>
<h2 style="float:right">Unique ID: (id of patient)</h2>
</nav>
<br>
<hr>
<div class="formdiv">
<form action="insertmedi.php" method="post">
<h1>Add Medicines</h1>
<label for="imageFile">Enter your Email id</label>
<input type="email" name="emailid" required placeholder="[email protected]" id="emailid">
<ol>
<li>
<p>Medicine Name <input type="text" name="medicinename" required placeholder="Medcine Name" id="medcinename"></p>
<label for="dosage">Dosage per day:</label>
<select id="dosage" name="dosage">
<option value="once">Once</option>
<option value="twice">Twice</option>
<option value="four">Four times</option>
<option value="hourly">Every Hour</option>
</select>
<br>
<br>
</li>
<li>
<p>Medicine Name <input type="text" name="medicinename" placeholder="Medcine Name" id="medcinename"></p>
<label for="dosage">Dosage per day:</label>
<select id="dosage" name="dosage">
<option value="once">Once</option>
<option value="twice">Twice</option>
<option value="four">Four times</option>
<option value="hourly">Every Hour</option>
</select>
<br>
<br>
</li>
<li>
<p>Medicine Name <input type="text" name="medicinename" placeholder="Medcine Name" id="medcinename"></p>
<label for="dosage">Dosage per day:</label>
<select id="dosage" name="dosage">
<option value="once">Once</option>
<option value="twice">Twice</option>
<option value="four">Four times</option>
<option value="hourly">Every Hour</option>
</select>
<br>
<br>
</li>
<li>
<p>Medicine Name <input type="text" name="medicinename" placeholder="Medcine Name" id="medcinename"></p>
<label for="dosage">Dosage per day:</label>
<select id="dosage" name="dosage">
<option value="once">Once</option>
<option value="twice">Twice</option>
<option value="four">Four times</option>
<option value="hourly">Every Hour</option>
</select>
<br>
<br>
</li>
<li>
<p>Medicine Name <input type="text" name="medicinename" placeholder="Medcine Name" id="medcinename"></p>
<label for="dosage">Dosage per day:</label>
<select id="dosage" name="dosage">
<option value="once">Once</option>
<option value="twice">Twice</option>
<option value="four">Four times</option>
<option value="hourly">Every Hour</option>
</select>
<br>
<br>
</li>
<li>
<p>Medicine Name <input type="text" name="medicinename" placeholder="Medcine Name" id="medcinename"></p>
<label for="dosage">Dosage per day:</label>
<select id="dosage" name="dosage">
<option value="once">Once</option>
<option value="twice">Twice</option>
<option value="four">Four times</option>
<option value="hourly">Every Hour</option>
</select>
<br>
<br>
</li>
</ol>
<div class="resum">
<input type="reset" value="Reset">
<input type="submit" value="Submit">
</div>
</form>
</div>
</body>
</html>