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upload.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8" />
<title>Upload</title>
<meta content="width=device-width, initial-scale=1.0" name="viewport" />
<meta content="" name="keywords" />
<meta content="" name="description" />
<!-- Favicon -->
<link href="img/favicon.ico" rel="icon" />
<!-- Google Web Fonts -->
<link rel="preconnect" href="https://fonts.googleapis.com" />
<link rel="preconnect" href="https://fonts.gstatic.com" crossorigin />
<link
href="https://fonts.googleapis.com/css2?family=Heebo:wght@400;500&family=Roboto:wght@400;500;700&display=swap"
rel="stylesheet"
/>
<!-- Icon Font Stylesheet -->
<link
href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/5.10.0/css/all.min.css"
rel="stylesheet"
/>
<link
href="https://cdn.jsdelivr.net/npm/[email protected]/font/bootstrap-icons.css"
rel="stylesheet"
/>
<!-- Libraries Stylesheet -->
<link href="lib/animate/animate.min.css" rel="stylesheet" />
<link href="lib/owlcarousel/assets/owl.carousel.min.css" rel="stylesheet" />
<link href="lib/lightbox/css/lightbox.min.css" rel="stylesheet" />
<!-- Customized Bootstrap Stylesheet -->
<link href="css/bootstrap.min.css" rel="stylesheet" />
<!-- Template Stylesheet -->
<link href="css/style.css" rel="stylesheet" />
</head>
<body>
<div class="container-xxl bg-white p-0">
<!-- Spinner Start -->
<div
id="spinner"
class="show bg-white position-fixed translate-middle w-100 vh-100 top-50 start-50 d-flex align-items-center justify-content-center"
>
<div
class="spinner-grow text-primary"
style="width: 3rem; height: 3rem"
role="status"
>
<span class="sr-only">Loading...</span>
</div>
</div>
<!-- Spinner End -->
<!-- Navbar & Hero Start -->
<div class="container-xxl position-relative p-0">
<nav
class="navbar navbar-expand-lg navbar-light px-4 px-lg-5 py-3 py-lg-0"
>
<a href="" class="navbar-brand p-0">
<h1 class="m-0">
<i class="fa fa-search me-2"></i>SEO<span class="fs-5"
>Master</span
>
</h1>
<!-- <img src="img/logo.png" alt="Logo"> -->
</a>
<button
class="navbar-toggler"
type="button"
data-bs-toggle="collapse"
data-bs-target="#navbarCollapse"
>
<span class="fa fa-bars"></span>
</button>
<div class="collapse navbar-collapse" id="navbarCollapse">
<div class="navbar-nav ms-auto py-0">
<a href="index.html" class="nav-item nav-link">Home</a>
<a href="about.html" class="nav-item nav-link">About</a>
<a href="upload.html" class="nav-item nav-link active">Upload</a>
<a href="fetch.html" class="nav-item nav-link">Fetch</a>
</div>
</nav>
<div class="container-xxl py-5 bg-primary hero-header mb-5">
<div class="container my-5 py-5 px-lg-5">
<div class="row g-5 py-5">
<div class="col-12 text-center">
<h1 class="text-white animated zoomIn">Upload</h1>
<hr class="bg-white mx-auto mt-0" style="width: 90px" />
<nav aria-label="breadcrumb">
<ol class="breadcrumb justify-content-center">
<li class="breadcrumb-item">
<a class="text-white" href="#">Home</a>
</li>
<li class="breadcrumb-item">
<a class="text-white" href="#">Pages</a>
</li>
<li
class="breadcrumb-item text-white active"
aria-current="page"
>
Upload
</li>
</ol>
</nav>
</div>
</div>
</div>
</div>
</div>
<!-- Navbar & Hero End -->
<!-- Full Screen Search Start -->
<div class="modal fade" id="searchModal" tabindex="-1">
<div class="modal-dialog modal-fullscreen">
<div class="modal-content" style="background: rgba(29, 29, 39, 0.7)">
<div class="modal-header border-0">
<button
type="button"
class="btn bg-white btn-close"
data-bs-dismiss="modal"
aria-label="Close"
></button>
</div>
<div
class="modal-body d-flex align-items-center justify-content-center"
>
<div class="input-group" style="max-width: 600px">
<input
type="text"
class="form-control bg-transparent border-light p-3"
placeholder="Type search keyword"
/>
<button class="btn btn-light px-4">
<i class="bi bi-search"></i>
</button>
</div>
</div>
</div>
</div>
</div>
<!-- Full Screen Search End -->
<!-- Contact Start -->
<div class="container-xxl py-5">
<div class="container px-lg-5">
<div class="row justify-content-center">
<div class="col-lg-7">
<div
class="section-title position-relative text-center mb-5 pb-2 wow fadeInUp"
data-wow-delay="0.1s"
>
<h6 class="position-relative d-inline text-primary ps-4">
Upload Data
</h6>
<h2 class="mt-2">Add Paient Details Here</h2>
<h5
class="position-relative d-inline text-primary ps-4"
id="confirmtxt"
></h5>
</div>
<div class="wow fadeInUp" data-wow-delay="0.3s">
<div class="row g-3">
<div class="col-md-12">
<div class="form-floating">
<input
type="text"
class="form-control"
id="patientName"
placeholder="Your Name"
/>
<label for="text">Patient Name</label>
</div>
</div>
<div class="col-12">
<div class="form-floating">
<input
type="text"
class="form-control"
id="hospitalName"
placeholder="Subject"
/>
<label for="subject">Hospital Name</label>
</div>
</div>
<div class="col-12">
<div class="form-floating">
<input
type="text"
class="form-control"
id="doctorName"
placeholder="Subject"
/>
<label for="subject">Doctor Name</label>
</div>
</div>
<!-- year -->
<div class="col-12">
<div class="form-floating">
<input
type="number"
class="form-control"
id="year"
placeholder="Subject"
/>
<label for="subject">Year (YYYY)</label>
</div>
</div>
<!-- date -->
<div class="col-12">
<div class="form-floating">
<input
type="number"
class="form-control"
id="date"
placeholder="Subject"
/>
<label for="subject">Date (DDMMYY)</label>
</div>
</div>
<!-- vital statistics -->
<div class="col-12">
<div class="form-floating">
<input
type="text"
class="form-control"
id="vitalStatistics"
placeholder="Subject"
/>
<label for="subject">Vital Statistics</label>
</div>
</div>
<!-- symtoms -->
<div class="col-12">
<div class="form-floating">
<input
type="text"
class="form-control"
id="symptoms"
placeholder="Subject"
/>
<label for="subject">Symptoms</label>
</div>
</div>
<!-- treatment -->
<div class="col-12">
<div class="form-floating">
<input
type="text"
class="form-control"
id="treatment"
placeholder="Subject"
/>
<label for="subject">Treatment</label>
</div>
</div>
<!-- next checkup date -->
<div class="col-12">
<div class="form-floating">
<input
type="number"
class="form-control"
id="nextCheckupDate"
placeholder="Subject"
/>
<label for="subject">Next Checkup Date (DDMMYY)</label>
</div>
</div>
<!-- extra note -->
<div class="col-12">
<div class="form-floating">
<textarea
class="form-control"
placeholder="Leave a message here"
id="extraNote"
style="height: 150px"
></textarea>
<label for="subject">Extra Note</label>
</div>
</div>
</div>
<div class="col-12">
<button class="btn btn-primary w-100 py-3" id="adddata">
Add Records
</button>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- Contact End -->
<!-- Footer Start -->
<div
class="container-fluid bg-primary text-light footer mt-5 pt-5 wow fadeIn"
data-wow-delay="0.1s"
>
<div class="container py-5 px-lg-5">
<div class="row g-5">
<div class="col-md-6 col-lg-3">
<h5 class="text-white mb-4">Get In Touch</h5>
<p>
<i class="fa fa-map-marker-alt me-3"></i>Laxman Reddy Avenue, Dundigal, Hyderabad, Telangana 500043
</p>
<p><i class="fa fa-phone-alt me-3"></i>+91 9866675818</p>
<p><i class="fa fa-envelope me-3"></i>[email protected]</p>
<div class="d-flex pt-2">
<a class="btn btn-outline-light btn-social" href=""
><i class="fab fa-twitter"></i
></a>
<a class="btn btn-outline-light btn-social" href=""
><i class="fab fa-facebook-f"></i
></a>
<a class="btn btn-outline-light btn-social" href=""
><i class="fab fa-youtube"></i
></a>
<a class="btn btn-outline-light btn-social" href=""
><i class="fab fa-instagram"></i
></a>
<a class="btn btn-outline-light btn-social" href=""
><i class="fab fa-linkedin-in"></i
></a>
</div>
</div>
<div class="col-md-6 col-lg-3">
<h5 class="text-white mb-4">Popular Link</h5>
<a class="btn btn-link" href="about.html">About Us</a>
<a class="btn btn-link" href="upload.html">Upload</a>
<a class="btn btn-link" href="fetch.html">Fetch Us</a>
</div>
<div class="col-md-6 col-lg-3">
<h5 class="text-white mb-4">Project Gallery</h5>
<div class="row g-2">
<div class="col-4">
<img
class="img-fluid"
src="img/portfolio-1.jpg"
alt="Image"
/>
</div>
<div class="col-4">
<img
class="img-fluid"
src="img/portfolio-2.jpg"
alt="Image"
/>
</div>
<div class="col-4">
<img
class="img-fluid"
src="img/portfolio-3.jpg"
alt="Image"
/>
</div>
<div class="col-4">
<img
class="img-fluid"
src="img/portfolio-4.jpg"
alt="Image"
/>
</div>
<div class="col-4">
<img
class="img-fluid"
src="img/portfolio-5.jpg"
alt="Image"
/>
</div>
<div class="col-4">
<img
class="img-fluid"
src="img/portfolio-6.jpg"
alt="Image"
/>
</div>
</div>
</div>
<div class="col-md-6 col-lg-3">
<h5 class="text-white mb-4">Newsletter</h5>
<p>
Join us in transforming the healthcare industry for the better.
</p>
<div class="position-relative w-100 mt-3">
<input
class="form-control border-0 rounded-pill w-100 ps-4 pe-5"
type="text"
placeholder="Your Email"
style="height: 48px"
/>
<button
type="button"
class="btn shadow-none position-absolute top-0 end-0 mt-1 me-2"
>
<i class="fa fa-paper-plane text-primary fs-4"></i>
</button>
</div>
</div>
</div>
</div>
<div class="container px-lg-5">
<div class="copyright">
<div class="row">
<div class="col-md-6 text-center text-md-start mb-3 mb-md-0">
© <a class="border-bottom" href="#">WeberMedico</a>, All
Right Reserved.
<!--/*** This template is free as long as you keep the footer author’s credit link/attribution link/backlink. If you'd like to use the template without the footer author’s credit link/attribution link/backlink, you can purchase the Credit Removal License from "https://htmlcodex.com/credit-removal". Thank you for your support. ***/-->
Designed By
<a class="border-bottom" href="https://weber.cottonseeds.com"
>Weber Technologies</a
>
</div>
<div class="col-md-6 text-center text-md-end">
<div class="footer-menu">
<a href="index.html">Home</a>
<a href="about.html">about</a>
<a href="upload.html">upload</a>
<a href="fetch.html">fetch</a>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- Footer End -->
<!-- Back to Top -->
<a href="#" class="btn btn-lg btn-primary btn-lg-square back-to-top pt-2"
><i class="bi bi-arrow-up"></i
></a>
</div>
<!-- JavaScript Libraries -->
<script src="https://code.jquery.com/jquery-3.4.1.min.js"></script>
<script src="https://cdn.jsdelivr.net/npm/[email protected]/dist/js/bootstrap.bundle.min.js"></script>
<script src="lib/wow/wow.min.js"></script>
<script src="lib/easing/easing.min.js"></script>
<script src="lib/waypoints/waypoints.min.js"></script>
<script src="lib/owlcarousel/owl.carousel.min.js"></script>
<script src="lib/isotope/isotope.pkgd.min.js"></script>
<script src="lib/lightbox/js/lightbox.min.js"></script>
<!-- Template Javascript -->
<script src="js/main.js"></script>
<script src="uploadbundle.js" async></script>
<!-- <script>
window.addEventListener("load", () => {
document.getElementById("addata"),
(onclick = () => {
console.log("clicked");
});
});
</script> -->
</body>
</html>