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<h1 style="text-align:center;font-family:courier new; color:darkblue"> HOSPITAL

MANAGEMENT SYSTEM</h1>
<t>
</br>
</br>

<form name="input" action="patientdetailspage.html" method="get">


<p style="font-family:courier new; color:darkblue; font-size:16px;text-align:center">
<input type="submit" value="Patient Details" text-align="center"/>
</form>
</br>
</br>

<form name="input" action="surgeryschedulepage.html" method="get">

<input type="submit" value="Surgery Schedule" />


</form>
</br>
</br>

<form name="input" action="surgerytypepage.html" method="get">

<input type="submit" value="Surgery Type" />


</form>

<form>
<h1 style="text-align:center;font-family:courier new; color:darkblue"> HOSPITAL
INFORMATION SYSTEM</h1>
<p style="font-family:courier new; color:darkblue; font-size:16px;text-align:center">

<t>
<a href="homepage.html" target="_blank" text-align="center">Home</a>
</t>

</t>
<a href="surgeryschedulepage.html" target="_blank">Surgery Schedule</a>
</t>
</t>
<a href="surgerytypepage.html" target="_blank">Surgery Type</a>
</t>

<fieldset>
<legend>
PATIENT DETAILS INFORMATION
</legend>
<form action="">
<p style="font-family:courier new; color:darkblue; font-size:16px;text-align:center">
Patient Name:
</t>
<input type="text" name="Patient Name" />
<br />
<br />
Patient Age :
</t>
<input type="text" name=" Patient Age" />
<br />
<br />
</t>
Nature of patient:
</t>
</t>
<input type="radio" name=" Nature of patient: " value="Inpatient " /> Inpatient
</t>
</t>
<input type="radio" name=" Nature of patient: " value="Outpatient " /> Outpatient
<br />
<br />
</t>
</t>
Height: <input type="text" size="3"> cms
Weight: <input type="text" size="3"> Kgs
<br />
<br/>
</t>
</t>
<br/>
<br/>

If Inpatient:
</t>
</t>
<br/>
<br/>
Admission Date:
</t>
</t>
<input type="text" name="Admission date" />
</t>
</t>
<br/>
<br/>
Room No:
</t>
</t>
<input type="text" name="Room no" />
</t>
</t>
<br/>
<br/>
Attending Doctor:
</t>
</t>
<input type="text" name=" Attending Doctor: " />
</t>
</t>
<br/>
Surgery </t> :
</t>
<input type="radio" name="surgery" value="Yes" /> Yes
</t>
</t>
</t>
<input type="radio" name="surgery" value="No" /> No
<br />
<br/>
</t>
</t>
Contact Num:<input type="text" name=" contactnumber" />
</t>
<br />
<br />
Insurance:
</t>
<input type="radio" name="insurance" value="Yes" /> Yes
</t>
</t>
<input type="radio" name="insurance" value="No" /> No
</P>
</form>
</fieldset>
<p style="font-family:courier new; color:darkblue; font-size:16px;text-align:center">
<form name="input" action="homepage.html" method="get">

<input type="submit" value="Submit" />


</form>

</form>
<form>
<h1 style="text-align:center;font-family:courier new; color:darkblue"> HOSPITAL
INFORMATION SYSTEM</h1>
<p style="font-family:courier new; color:darkblue; font-size:16px;text-align:center">
<t>
<a href="homepage.html" target="_blank" text-align="center">Home</a>
</t>

</t>
<a href="patientdetailspage.html" target="_blank">Patient Information</a>
</t>
</t>
<a href="surgeryschedulepage.html" target="_blank">Surgery Schedule</a>
</t>

<fieldset>
<legend>
TYPE OF SURGERY
</legend>
<form action="">
<p style="font-family:courier new; color:darkblue; font-size:16px;text-align:center">
Major:
<select name="Major">
<option value="">Select</option>
<option value="Brain Tumors">Brain Tumors </option>
<option value="Heart">Heart</option>
<option value="Eye">Eye</option>
<option value="correction of spinal abnormalities"> correction of spinal abnormalities
</option>
<option value="Bone malformations of skull"> Bone malformations of skull </option>
<option value="Intestinal Surgery"> Intestinal Surgery </option>
<option value="Joint replacement"> Joint replacement </option>
</select>
</br>
</br>
Minor:
<select name="Minor">
<option value="">Select</option>
<option value="Laproscopy">Laproscopy</option>
<option value="Ear Surgery">Ear Surgery </option>
<option value="Plastic Surgery">Plastic Surgery</option>
</select>
</br>
</br>
Surgery Details:

</t>
<textarea rows="10" cols="30">

</textarea>
</br>
</br>
Treatment Details:

</t>
<textarea rows="10" cols="30">

</textarea>
</br>
</br>

</form>
</fieldset>
<p style="font-family:courier new; color:darkblue; font-size:16px;text-align:center">
<form name="input" action="homepage.html" method="get">

<input type="submit" value="Submit" />


</form>

</form>

<form>
<h1 style="text-align:center;font-family:courier new; color:darkblue"> HOSPITAL
INFORMATION SYSTEM</h1>
<p style="font-family:courier new; color:darkblue; font-size:16px;text-align:center">

<t>
<a href="homepage.html" target="_blank" text-align="center">Home</a>
</t>

</t>
<a href="patientdetailspage.html" target="_blank">Patient Information</a>
</t>
</t>
<a href="surgerytypepage.html" target="_blank">Surgery Type</a>
</t>
<fieldset>
<legend>
SURGERY SCHEDULE INFORMATION
</legend>
<form action="">
<p style="font-family:courier new; color:darkblue; font-size:16px;text-align:center">
Surgery Date:
</t>
<input type="text" name="Surgerydate" />
<br />
<br />
Surgery Time:
</t>
Hrs:
<select name="Hrs">
<option value="">Select</option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>

</select>
Min:
<select name="Min">
<option value="">Select</option>
<option value="00">00</option>
<option value="15">15</option>
<option value="30">30</option>
<option value="45">45</option>
</select>

<select name="Time">
<option value="">Select</option>
<option value="AM">AM</option>
<option value="PM">PM</option>
</select>
<br />
<br />
Surgeon Name:
</t>
<input type="text" name="Surgeonname" />
<br />
<br />
Surgery Room no:
</t>
<input type="text" name="surgeryroom" />
<br />
<br/>
</t>
</t>
Surgery Cancel:
</t>
</t>
<input type="radio" name="Surgery Cancel" value="Yes" /> Yes
</t>
</t>
<input type="radio" name="Surgery Cancel" value="No" /> No
</t>
<br/>
<br/>
</t>
If Cancel:
<br/>
<br/>
</t>
</t>
New Surgery Date:
</t>
<input type="text" name="New Surgerydate" />
<br />
<br />
New Surgery Time:
</t>
Hrs:
<select name="Hrs">
<option value="">Select</option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>

</select>
Min:
<select name="Min">
<option value="">Select</option>
<option value="00">00</option>
<option value="15">15</option>
<option value="30">30</option>
<option value="45">45</option>
</select>

<select name="Time">
<option value="">Select</option>
<option value="AM">AM</option>
<option value="PM">PM</option>
</select>

<br />
<br />
Surgeon Name:
</t>
<input type="text" name="Surgeonname" />
<br />
<br />
Surgery Room no:
</t>
<input type="text" name="surgeryroom" />
<br />
</form>

</form>

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