schedule.html 1.7 KB

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  1. <!DOCTYPE html>
  2. <html lang="en">
  3. <head>
  4. <meta charset="UTF-8">
  5. <meta name="viewport" content="width=device-width, initial-scale=1.0">
  6. <title>Attending Appointment</title>
  7. <link rel="stylesheet" href="../stylesheets/schedule.css">
  8. </head>
  9. <body>
  10. <div class="container">
  11. <h1>Attending an appointment</h1>
  12. <form id="schedule-form">
  13. <div class="input-group">
  14. <label for="email">Email</label>
  15. <input type="email" id="email" name="email" placeholder="johndoe@example.com" required>
  16. </div>
  17. <div class="input-group">
  18. <label for="firstname">First Name</label>
  19. <input type="text" id="firstname" name="firstname" placeholder="John" required>
  20. </div>
  21. <div class="input-group">
  22. <label for="lastname">Last Name</label>
  23. <input type="text" id="lastname" name="lastname" placeholder="Doe" required>
  24. </div>
  25. <!-- Preset Due Date -->
  26. <div class="input-group">
  27. <label for="due-date">Due Date</label>
  28. <input type="text" id="due-date" name="dueDate" value="2024-12-20" readonly>
  29. </div>
  30. <!-- Preset Appointment Date -->
  31. <div class="input-group">
  32. <label for="appointment-date">Appointment Date</label>
  33. <input type="text" id="appointment-date" name="appointmentDate" value="2024-12-25" readonly>
  34. </div>
  35. <!-- Preset Time Span -->
  36. <div class="input-group">
  37. <label for="time-span">Time Span</label>
  38. <input type="text" id="time-span" name="timeSpan" value="10:00 AM to 12:00 PM" readonly>
  39. </div>
  40. <button type="submit" class="btn-submit">Attend</button>
  41. </form>
  42. </div>
  43. </body>
  44. </html>