Solution:
<html> <title></title> <body> <h1><U>Patient Admit Card</U></h1></div> <form action="form.php" method="POST"> <table> <tr> <td width="50%">Patient Name </td> <td width="50%"><INPUT TYPE = "text" NAME="pName" ></td> </tr> <tr> <td width="50%">Patient ID</td> <td width="50%"><INPUT TYPE = "text" NAME="pID"></td> </tr> <tr> <td width="50%">Patient Age</td> <td width="50%"><INPUT TYPE = "number" NAME="pAge"></td> </tr> <tr> <td width="50%"> Mobile Number</td> <td width="50%"> <INPUT TYPE = "text" NAME="mNumber"></td> </tr> <tr> <td width="50%">Gender Male</td> <td width="50%"><input type="radio" name="gender"> Male <input type="radio" name="gender"> Female</td> </tr> <tr> <td width="50%">Patient Address</td> <td width="50%"><INPUT TYPE = "Text" NAME="pAddress"></td> </tr> <tr> <td width="50%">City</td> <td width="50%"><INPUT TYPE = "Text" NAME="city"></td> <tr> <td width="50%">District</td> <td width="50%"><INPUT TYPE = "Text" NAME="district"></td> </tr> <tr> <td width="50%">Doctor Name</td> <td width="50%"><INPUT TYPE = "Text" NAME="dName"></td> </tr> <tr> </table> <table> <tr> <td width="0%"><INPUT TYPE = "submit" NAME="Submit"></td> <td width="0%"><INPUT TYPE = "reset" NAME="Reset"></td> </tr> </table> </form> </body> </html>CS001 Quiz 1 Solution and Discussion
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