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donor variable.html
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donor variable.html
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<html>
<head>
<title>BLOOD BANK</title>
</head>
<!DOCTYPE html>
<html>
<style>
body {
background-image:
url("images/13.jpg");
background-repeat: no-repeat;
background-attachment: fixed;
background-size: cover;
}
</style>
<body>
<link rel="stylesheet" href="common.css">
<div class="nav">
<div class="topnav">
<a class="active" href="welcome.html">Home</a>
<a href="contact.html">Contact</a>
</div>
</div>
<br>
<center>
<h1 style="color:rgb(104, 48, 156); background-color:black;opacity:0.8;width:800px;align-items: center;">BLOOD DONATING FORM</h1>
</center>
<center> <form style="color:blueviolet; background-color:black;opacity:0.95;width:800px;align-items: center;" action="donor variable.php" method="post">
<br><br>
<center><b>Enter donor's id:<input type="text" name="Id" required /></b></center><br />
<center><b>Enter camp id:<input type="text" name="C_Id" required /></b></center><br />
<center><b>Enter employee's id:<input type="text" name="E_id" required /></b></center><br />
<center><b>Enter weight:<input type="text" name="weight" /></b></center></br>
<center><b>Enter last blood donated date:<input type="date" name="last_donated" required /></b></center><br />
<center><b>Enter the times blood is donated:<input type="text" name="times" required></b>
</center><br />
<center><b>Enter donation date:<input type="date" name="d_date" required /></b></center><br />
<center><b>Enter health issues:<input type="text" name="issues" required /></b></center><br />
<center><b>Enter blood type:<select name = "blood_type">
<option selected>TYPE</option>
<option value = "A+">A+</option>
<option value = "A-">A-</option>
<option value = "B+">B+</option>
<option value = "B-">B-</option>
<option value = "AB+">AB+</option>
<option value = "AB-">AB-</option>
<option value = "O+">O+</option>
<option value = "O-">O-</option>
</select></b></center><br />
<center><b>Enter donated blood quantity :<input type="text" name="quant" required /></b></center><br />
<center><input type="submit" value="submit"></center><br />
<br><br></form>
</center>
</body>
</html>