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receiver static.html
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receiver static.html
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<!DOCTYPEhtml>
<html>
<head>
<title>BLOOD BANK</title>
</head>
<style>body {
background-image:
url("images/11.jpg");
background-repeat: no-repeat;
background-attachment: fixed;
background-size: cover;
}</style>
<!DOCTYPE html>
<html>
<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>
<center>
<h1>CREATE BLOOD RECEIVER'S ACCOUNT</h1>
</center>
<form action="receiver static.php" method="post" >
<centre><div style="margin-left: 400px;border-radius: 50px; color:white;background-color:black;opacity:0.7; line-height:30px; width:700px">\
<br>
<br>
<center><b>Create receiver's id:<input type="text" name="Id" required /></b></center><br />
<center><b>Enter receiver's name:<input type="text" name="Name" required /></b></center><br />
<center><b>
<p>Enter gender:</p>
</b>
<b><input type="radio" name="gdr" value="male">MALE</b>
<b><input type="radio" name="gdr" value="female">FEMALE</b>
</center>
<center><b>Enter your birth-date:<input type="date" name="birth" required /></b></center></br>
<center><b>Enter address:<input type="text" name="Address" required /></b></center><br />
<center><b>Enter your phone number:<input type="text" name="Mobile_no" pattern="[0-9]{10}" required></b>
</center><br />
<center><b>Enter your Email:<input type="text" name="Email" required /></b></center><br />
<!-- <center><b>Create a new password:<input type="password" name="pwd" required /></b></center><br /> -->
<!-- <center><b>Enter blood broup:<input type="text" name="bg" required /></b></center><br /> -->
<center><input type="submit" value="submit"></center><br />
</div></centre>
</form>
</body>
</html>