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quarantine_wards.php
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/
quarantine_wards.php
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<!DOCTYPE html>
<html>
<head>
<title>Clinitical</title>
<link rel = "icon" href =
"images/logo.png"
type = "image/x-icon">
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link rel="stylesheet" href="css/isolation_wards.css">
<!-- Bootstrap CSS -->
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/4.0.0-beta/css/bootstrap.min.css" integrity="sha384-/Y6pD6FV/Vv2HJnA6t+vslU6fwYXjCFtcEpHbNJ0lyAFsXTsjBbfaDjzALeQsN6M" crossorigin="anonymous">
</head>
<body>
<?php require_once "navbar.php"; ?>
<section id="addIsolationWard" style="margin-top:60px;">
<div class ="container">
<h1>Add Quarantine Ward</h1>
<hr/>
<div class="main" style="margin-top:-34px;">
<div class="card-body" >
<form class="form-group" action="fun_quarantine_Ward.php" method="post">
<label>ID:</label><br>
<input type="text" name="id" class="form-control" required><br>
<label>Quarantine Name:</label><br>
<input type="text" name="quarantine_name" class="form-control" required><br>
<label>Capacity</label><br>
<input type="text" name="capacity" class="form-control" required><br>
<label>City:</label><br>
<input type="text" name="city" class="form-control" required><br>
<label>Provience:</label><br>
<input type="text" name="provience" class="form-control" required><br>
<label>Phone Number:</label><br>
<input type="text" name="phn_num" class="form-control" required><br>
<label>Head Name:</label><br>
<input type="text" name="head_name" class="form-control" required><br>
<label>Latitude:</label><br>
<input type="text" name="lat" class="form-control" required><br>
<label>Longitude:</label><br>
<input type="text" name="lng" class="form-control" required><br>
<input type="submit" class="btn btn-primary" name="qur_submit" value="Add Quarantine Ward">
</form>
</div>
</div>
</div>
<div/>
</section>
</body>
</html>