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ManojDekhane · Jul 30, 2024 · d008da9 · d008da9
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diff --git a/public/images/img1.jpg b/public/images/img1.jpg
diff --git a/public/index.html b/public/index.html
@@ -0,0 +1,56 @@
+<!DOCTYPE html>
+<html lang="en">
+
+<head>
+    <meta charset="UTF-8">
+    <meta name="viewport" content="width=device-width, initial-scale=1.0">
+    <title>Appointment</title>
+    <link rel="stylesheet" href="style.css">
+
+</head>
+
+<body>
+    <header>
+        <div>
+
+            <img src="images/img1.jpg" alt="img1" id="img1">
+        </div>
+        <div class="info">
+            <form action="/" method="POST">
+                <h1>GlowUp Clinic</h1>
+                <label for="full-name">Full Name:</label>
+                <input type="text" name="full-name" id="full-name" required>
+
+                <label for="dob">Date of Birth:</label>
+                <input type="date" name="dob" id="dob" required>
+
+                <label for="gender">Gender:</label>
+                <select name="gender" id="gender">
+                    <option value="male">Male</option>
+                    <option value="female">Female</option>
+                    <option value="other">Other</option>
+                </select>
+
+                <label for="phone">Phone Number:</label>
+                <input type="tel" name="phone" id="phone" required>
+
+                <label for="email">Email Address:</label>
+                <input type="email" name="email" id="email">
+
+                <label for="appointment-date">Preferred Date and Time:</label>
+                <input type="datetime-local" id="appointment-date" name="appointment_date" required>
+
+                <label for="reason">Reason for Visit:</label>
+                <textarea id="reason" name="reason" required></textarea>
+
+                <button type="submit">Submit Appointment Request</button>
+
+            </form>
+        </div>
+    </header>
+    <main>
+
+    </main>
+</body>
+
+</html>
diff --git a/public/style.css b/public/style.css
@@ -0,0 +1,90 @@
+*{
+    margin: 0;
+    padding: 0;
+}
+header {
+    height: 50%;
+    width: 100%;
+}
+
+#img1 {
+    height: 37em;
+    width: 48em;
+}
+
+.info {
+    float: right;
+}
+
+.info {
+    position: fixed;
+    top: 10px;
+    right: 40px;
+    width: 300px;
+    padding: 20px;
+    background-color: #f9f9f9;
+    box-shadow: 0 4px 8px rgba(0, 0, 0, 0.1);
+    border-radius: 8px;
+}
+
+form {
+    display: flex;
+    flex-direction: column;
+}
+
+h1 {
+    text-align: center;
+    font-family: 'Franklin Gothic Medium', 'Arial Narrow', Arial, sans-serif;
+    color: rgb(11, 11, 108);
+}
+
+label {
+    margin: 8px 0 5px;
+    font-weight: bold;
+}
+
+input, select, textarea {
+    margin-bottom: 10px;
+    padding: 3px;
+    border: 1px solid #ccc;
+    border-radius: 4px;
+    font-size: 11px;
+}
+
+button {
+    padding: 8px;
+    border: none;
+    border-radius: 4px;
+    background-color: #007bff;
+    color: #fff;
+    font-size: 16px;
+    cursor: pointer;
+    transition: background-color 0.3s ease;
+}
+
+button:hover {
+    background-color: #0056b3; 
+}
+
+@media (max-width: 1200px) {
+    #img1{
+        width: 60vw;
+    }
+}    
+
+@media (max-width: 800px) {
+    header {
+        flex-direction: column;
+    }
+
+    #img1 {
+        width: 100vw;
+        height: auto;
+    }
+
+    .info {
+        position: static;
+        width: 90%;
+        margin: 15px auto;
+    }
+}