jsp

<%--
    Document   : head_form
    Created on : Nov 26, 2014, 1:17:45 PM
    Author     : vnc
--%>

<%@page contentType="text/html" pageEncoding="UTF-8"%>
<!DOCTYPE html>
<!DOCTYPE html>
<!--
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and open the template in the editor.
-->
<html>
    <head>
        <title>InstaHosp</title>
        <meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=no">
        <link href="//maxcdn.bootstrapcdn.com/bootstrap/3.2.0/css/bootstrap.min.css" rel="stylesheet">
        <link href="/java_web/css/ripples.min.css" rel="stylesheet">
        <link href="/java_web/css/material-wfont.min.css" rel="stylesheet">
        <link href="/java_web/css/main.css" rel="stylesheet">
    </head>
    <body>
        <div class="well bs-component" style="height: 352px;overflow: hidden;margin: 0;">
            <form id="form" class="form-horizontal" method="POST" style="background: white;" action="javascript:void(0)">
                <fieldset>
                    <legend>Injury Request Form</legend>
                    <input type="hidden" id="injury" ame="injury" value="head"/>

                    <%
                        String id = (String) session.getAttribute("id");
                    %>
                    <input type="hidden" name="user" id="userid" value="${id}"/>
                    <div class="form-group">
                        <label for="select" class="col-lg-2 control-label">Select your pain</label>
                        <textarea class="form-control empty" rows="3" id="textArea" name="info">