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| Original file line number | Diff line number | Diff line change |
|---|---|---|
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|
@@ -4,54 +4,78 @@ | |
| <meta charset="UTF-8"> | ||
| <meta name="viewport" content="width=device-width, initial-scale=1.0"> | ||
| <title>Book an Appointment</title> | ||
| <link rel="shortcut icon" href="/assets/img/favi-Appoint.png" type="image/x-icon" > | ||
| <link rel="stylesheet" href="./Css-Files/appointStyle.css"> | ||
| <style>#progressBar { | ||
| position: fixed; | ||
| top: 0; | ||
| left: 0; | ||
| width: 0%; | ||
| height: 8px; | ||
| background-color: #3fbcc0; | ||
| z-index: 9999; | ||
|
|
||
| }</style> | ||
| <style> | ||
| #progressBar { | ||
| position: fixed; | ||
| top: 0; | ||
| left: 0; | ||
| width: 0%; | ||
| height: 8px; | ||
| background-color: #3fbcc0; | ||
| z-index: 9999; | ||
| } | ||
| </style> | ||
| </head> | ||
| <body> | ||
| <div id="progressBar"></div> | ||
| <script> | ||
| window.onscroll = function () { | ||
| var winScroll = document.body.scrollTop || document.documentElement.scrollTop; | ||
| var height = document.documentElement.scrollHeight - document.documentElement.clientHeight; | ||
| var scrolled = (winScroll / height) * 100; | ||
| document.getElementById("progressBar").style.width = scrolled + "%"; | ||
| }; | ||
| window.onscroll = function () { | ||
| var winScroll = document.body.scrollTop || document.documentElement.scrollTop; | ||
| var height = document.documentElement.scrollHeight - document.documentElement.clientHeight; | ||
| var scrolled = (winScroll / height) * 100; | ||
| document.getElementById("progressBar").style.width = scrolled + "%"; | ||
| }; | ||
| </script> | ||
| <header> | ||
| <div class="logo">Doctor's Clinic</div> | ||
| </header> | ||
|
|
||
| <main> | ||
| <h1>Book an Appointment</h1> | ||
| <p>Schedule your visit with our expert doctors easily.</p> | ||
| <p>Conveniently Connect with the Healthcare Experts!</p> | ||
|
|
||
| <form id="appointment-form"> | ||
| <div class="form-section"> | ||
| <label for="doctor-select">Select a Doctor:</label> | ||
| <label for="full-name">Full Name</label> | ||
| <input type="text" id="full-name" name="full-name" placeholder="Enter your name" required> | ||
| </div> | ||
|
|
||
| <div class="form-section"> | ||
| <label for="dob">Date of Birth : | ||
| <input type="date" id="dob" name="dob" required></label> | ||
| </div> | ||
|
|
||
| <div class="form-section"> | ||
| <label for="email">Email Address</label> | ||
| <input type="email" id="email" name="email" placeholder="[email protected]" required> | ||
| </div> | ||
|
|
||
| <div class="form-section"> | ||
| <label for="phone">Phone Number</label> | ||
| <input type="tel" id="phone" name="phone" placeholder="Enter your phone number" required> | ||
| </div> | ||
|
|
||
| <div class="form-section"> | ||
| <label for="doctor-select">Select a Doctor</label> | ||
| <select id="doctor-select" name="doctor"> | ||
| <option value="doctor1">Dr. Vikas Chopra - Cardiologist</option> | ||
| <option value="doctor2">Dr. Ajay Aggarwal - Cardiologist</option> | ||
| <option value="doctor3">Dr. Soni Gupta - Dermatologist</option> | ||
| <option value="doctor4">Dr. Jayant Jaswal - ENT Specialist</option> | ||
| <option value="" disabled selected>Select a Doctor</option> | ||
| <option value="Dr. Vikas Chopra">Dr. Vikas Chopra - Cardiologist</option> | ||
| <option value="Dr. Ajay Aggarwal">Dr. Ajay Aggarwal - Cardiologist</option> | ||
| <option value="Dr. Soni Gupta">Dr. Soni Gupta - Dermatologist</option> | ||
| <option value="Dr. Jayant Jaswal">Dr. Jayant Jaswal - ENT Specialist</option> | ||
| </select> | ||
| </div> | ||
|
|
||
| <div class="form-section"> | ||
| <label for="appointment-date">Choose a Date:</label> | ||
| <input type="date" id="appointment-date" name="date" required> | ||
| <label for="appointment-date">Appointment : | ||
| <input type="date" id="appointment-date" name="date" required></label> | ||
|
|
||
| </div> | ||
|
|
||
| <div class="form-section"> | ||
| <label for="time-slot">Select a Time:</label> | ||
| <label for="time-slot">Select a Time</label> | ||
| <select id="time-slot" name="time-slot" required> | ||
| <option value="10:00 AM">10:00 AM</option> | ||
| <option value="11:00 AM">11:00 AM</option> | ||
|
|
@@ -62,36 +86,26 @@ <h1>Book an Appointment</h1> | |
| </div> | ||
|
|
||
| <div class="form-section"> | ||
| <label for="full-name">Full Name:</label> | ||
| <input type="text" id="full-name" name="full-name" required> | ||
|
|
||
| <label for="dob">Date of Birth:</label> | ||
| <input type="date" id="dob" name="dob" required> | ||
|
|
||
| <label for="email">Email Address:</label> | ||
| <input type="email" id="email" name="email" required> | ||
|
|
||
| <label for="phone">Phone Number:</label> | ||
| <input type="tel" id="phone" name="phone" required> | ||
|
|
||
| <label for="reason">Reason for Visit:</label> | ||
| <textarea id="reason" name="reason" required></textarea> | ||
| <label for="reason">Reason for Visit</label> | ||
| <textarea id="reason" name="reason" placeholder="Enter your reason for visit..." required></textarea> | ||
| </div> | ||
|
|
||
| <div class="form-section"> | ||
| <label> | ||
| <input type="checkbox" name="existing-patient" id="existing-patient"> | ||
| Existing Patient | ||
| <input type="checkbox" name="existing-patient" id="existing-patient" onchange="togglePatientID()"> | ||
| Existing Patient? | ||
| </label> | ||
| <input type="text" id="patient-id" name="patient-id" placeholder="Patient ID" style="display:none;"> | ||
| <input type="text" id="patient-id" name="patient-id" placeholder="Enter Patient ID" style="display:none;"> | ||
| </div> | ||
|
|
||
| <button type="button" onclick="previewAppointment()">Preview Appointment</button> | ||
| </form> | ||
|
|
||
| <div id="preview-section" style="display:none;"> | ||
| <h2>Preview Appointment Details</h2> | ||
| <h2>Appointment Details</h2> | ||
| <p id="preview-details"></p> | ||
| <button type="button" onclick="confirmAppointment()">Submit</button> | ||
| <button type="button" onclick="editAppointment()">Edit</button> | ||
| <button type="button" onclick="confirmAppointment()" style="display: inline;">Submit</button> | ||
| <button type="button" onclick="editAppointment()" style="display: inline;">Edit</button> | ||
| </div> | ||
| </main> | ||
|
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