-
Notifications
You must be signed in to change notification settings - Fork 0
/
register (1).html
76 lines (70 loc) · 3.31 KB
/
register (1).html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link rel="stylesheet" href="./css/bootstrap.min.css">
<link rel="stylesheet" href="./css/style.css">
<title>Register</title>
</head>
<body class="bg-white">
<h2 style="text-align: center; font-family: 'Segoe UI', Tahoma, Geneva, Verdana, sans-serif; margin-top: 30px;"
class="fw-bold">SIGN UP</h2>
<form class="login-I">
<div class="container">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-12">
<img src="./images/Mobile login-rafiki.png" class="bgImage bouncee img-fluid" alt="">
</div>
<div class="col-lg-6 col-md-6 col-sm-12 mt-5 pt-5 ps-5">
<div class="mb-3">
<label for="exampleInputName1" class="form-label">First Name</label>
<input type="text" class="form-control inputErr" id="exampleInputName1" aria-describedby="emailHelp">
<span id="FirstNameErr"></span>
</div>
<!-- Modal Container -->
<div id="appointmentModal">
<!-- Modal Content -->
<div class="modal-content">
<!-- Close Button -->
<span class="close" style="margin-left: 530px;" id="myModal" onclick="CancleBtn()">×</span>
<!-- Modal Content Body -->
<h5 class="text-align-center">Congratulations🎉! on you've successfully signed up. You are
now part of our valued community. We look forward
to serving you and meeting all your healthcare needs.!</h5>
<h5 class="text-dark mt-3">Click <strong>Okay</strong> to proceed to the login page.</h5>
<a href="login (1).html"><button class="btn btn-md btn-primary mt-3"
style="width: 100%;">Okay</button></a>
</div>
</div>
<div class="mb-3">
<label for="exampleInputName1" class="form-label">Last Name</label>
<input type="text" class="form-control inputErr" id="exampleInputName2" aria-describedby="emailHelp">
<span id="LastNameErr"></span>
</div>
<div class="mb-3">
<label for="exampleInputEmail1" class="form-label">Email address</label>
<input type="email" class="form-control inputErr" id="exampleInputEmail1" aria-describedby="emailHelp">
<span id="EmailErr"></span>
</div>
<div class="mb-3">
<label for="exampleInputPassword1" class="form-label">Password</label>
<input type="password" class="form-control inputErr" id="exampleInputPassword1">
<span id="passwrdErr"></span>
</div>
<button type="button" id="submit" class="btn btn-primary mt-3">Submit</button>
<p class="mt-2 text-dark already-copyright">Already Have an account? <a href="./login (1).html">Login Here</a>
</p>
<p class="text-dark already-copyright">© 2023 bornian pharmaceuticals.com</p>
</div>
</div>
</div>
</form>
<script src="./js/bootstrap.bundle.min.js"></script>
<!-- Typing js link -->
<script src="https://unpkg.com/[email protected]/dist/typed.umd.js"></script>
<!-- -->
<script src="./home.js"></script>
</body>
</html>