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viewreport.html
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<html>
<head>
<title>view your reports</title>
<link rel="stylesheet" href="style.css">
<link rel="stylesheet" href="https://stackpath.bootstrapcdn.com/bootstrap/4.3.1/css/bootstrap.min.css">
</head>
<body>
<form action="https://formspree.io/f/xqknoqdp" method="POST">
<div class="container">
<div class="row">
<div class="col-md-10 offset=md-1">
<div class="row">
<div class="col-md-5 register-left">
<h3> View your Reports </h3>
<p> You can check your test reports easily and talk to your doctor and if there is any emergency you can contact our emergency services. </p>
<button type="button" class="btn btn-primary">About Us</button>
</div>
<div class="col-md-7 register-right">
<h2> Enter your details </h2>
<div class="register-form">
<div class="form-group">
<input type="text" class="form-control" placeholder="name" required>
</div>
<div class="form-group">
<input type="date" class="form-control" placeholder="Date of Birth" required>
</div>
<div class="form-group">
<input type="text" class="form-control" placeholder="Patient id" required>
</div>
<div class="form-group">
<input type="number" class="form-control" placeholder="Phone number" required>
</div>
<input type="submit" value="view request" class=" btn btn-primary" />
</div>
</div>
</div>
</div>
</div>
</div>
</form>
</body>
</html>