Zen/patients_signup.html at master · anweshb/Zen · GitHub

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<!DOCTYPE html>
<html lang="en" dir="ltr">
<link rel="stylesheet" href="https://stackpath.bootstrapcdn.com/bootstrap/4.3.1/css/bootstrap.min.css" integrity="sha384-ggOyR0iXCbMQv3Xipma34MD+dH/1fQ784/j6cY/iJTQUOhcWr7x9JvoRxT2MZw1T" crossorigin="anonymous">
<script src="https://stackpath.bootstrapcdn.com/bootstrap/4.3.1/js/bootstrap.min.js" integrity="sha384-JjSmVgyd0p3pXB1rRibZUAYoIIy6OrQ6VrjIEaFf/nJGzIxFDsf4x0xIM+B07jRM" crossorigin="anonymous"></script>
<script src="https://code.jquery.com/jquery-3.3.1.slim.min.js" integrity="sha384-q8i/X+965DzO0rT7abK41JStQIAqVgRVzpbzo5smXKp4YfRvH+8abtTE1Pi6jizo" crossorigin="anonymous"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.14.7/umd/popper.min.js" integrity="sha384-UO2eT0CpHqdSJQ6hJty5KVphtPhzWj9WO1clHTMGa3JDZwrnQq4sF86dIHNDz0W1" crossorigin="anonymous"></script>
<script src="https://code.jquery.com/jquery-3.2.1.slim.min.js" integrity="sha384-KJ3o2DKtIkvYIK3UENzmM7KCkRr/rE9/Qpg6aAZGJwFDMVNA/GpGFF93hXpG5KkN" crossorigin="anonymous"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.12.9/umd/popper.min.js" integrity="sha384-ApNbgh9B+Y1QKtv3Rn7W3mgPxhU9K/ScQsAP7hUibX39j7fakFPskvXusvfa0b4Q" crossorigin="anonymous"></script>
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/4.0.0/js/bootstrap.min.js" integrity="sha384-JZR6Spejh4U02d8jOt6vLEHfe/JQGiRRSQQxSfFWpi1MquVdAyjUar5+76PVCmYl" crossorigin="anonymous"></script>
<link rel="stylesheet" href="patients_signup.css">
<head>
    <meta charset="utf-8">
    <title>Sign Up</title>
  </head>
  <body>
    <nav class="navbar navbar-expand-lg navbar navbar-dark bg-dark fixed-top">
  <a class="navbar-brand" href="landing_page.html">
    <img src="IMG_0215.png" width="30" height="30" class="d-inline-block align-top" alt="">
    Zen
  </a>
  <button class="navbar-toggler" type="button" data-toggle="collapse" data-target="#navbarSupportedContent" aria-controls="navbarSupportedContent" aria-expanded="false" aria-label="Toggle navigation">
    <span class="navbar-toggler-icon"></span>
       </button>
  <div class="collapse navbar-collapse" id="navbarSupportedContent">
    <ul class="navbar-nav mr-auto">
      <li class="nav-item active">
        <a class="nav-link" href="about.html">About Us <span class="sr-only">(current)</span></a>
      </li>
      <li class="nav-item active">
        <a class="nav-link" href="feedback.html">Feedback</a>
      </li>
    </ul>

    <ul class="navbar-nav ml-auto">
      <li class="nav-item active">
        <a class="nav-link"href="signin.html">Sign In</a>
      </li>
  </div>
</nav>
<div class="jumbotron" style="height:100vh;">
  <br>
  <br>
  <br>
  <div class="center-it">
  <h4 class="display-4">Sign Up!<h4>
    <br>
    <br>
    <style>
  </style>

  <label for="fname">
  <input type="text" align = "center" id = "fname" name="" placeholder=" First Name" required>
  </label>
  <br>
  <label for="lname">
  <input type="text" align ="center"  id ="lname" name="" placeholder=" Last Name" required>
  </label>
  <br>
  <label for="emailid">
    <input id="emailid" align="center" type="email" name="" placeholder=" Email ID" required>
  </label>
  <br>
  <label for="phno">
    <input id ="phno" type="tel" name="" placeholder=" Phone No">
  </label>
  <br>
</label>
  <label for="userpassword">
  <input type="password" id ="userpassword" name="" value="" placeholder=" Password"required>
  </label>
  <br>
  <label for="conpassword">
  <input type="password" id = "conpassword" name="" value="" placeholder=" Confirm Password" required>
  </label>
  <hr class="my-4">

  <div class="button">
    <a class="btn btn-primary btn-lg" href="#" role="button">
      Sign Up!
    </a>
  </div>
  </div>

</div>
  </body>
</html>