Untitled

<!DOCTYPE html>
<html lang="en">
  <head>
    <meta charset="utf-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="width=device-width, initial-scale=1">
    <!-- The above 3 meta tags *must* come first in the head; any other head content must come *after* these tags -->
    <title>Decentralized Health Care </title>

    <!-- Bootstrap -->
    <link href="css/bootstrap.min.css" rel="stylesheet">

    <!-- HTML5 shim and Respond.js for IE8 support of HTML5 elements and media queries -->
    <!-- WARNING: Respond.js doesn't work if you view the page via file:// -->
    <!--[if lt IE 9]>
      <script src="https://oss.maxcdn.com/html5shiv/3.7.3/html5shiv.min.js"></script>
      <script src="https://oss.maxcdn.com/respond/1.4.2/respond.min.js"></script>
    <![endif]-->
  </head>
  <body>
    <div class="container" style="width: 650px;">
      <div class="row">
        <div class="col-lg-12">
          <h2>Add Patient</h2>
         <form action="" onsubmit="addpatient();return false;">
            <div class="form-group">
              <label for="email">Name:</label>
              <input type="text" class="form-control" id="name">
            </div>
            <div class="form-group">
              <label for="pwd">Date of birth:</label>
              <input type="date" class="form-control" id="dob">
            </div>

            <div class="form-group">
              <label for="email">Phone:</label>
              <input type="text" class="form-control" id="phone">
            </div>

            <div class="form-group">
              <label for="pwd">Location:</label>
              <input type="text" class="form-control" id="gender">
            </div>
              <div class="form-group">
                <label for="sel1">Select Gender:</label>
                <select class="form-control" id="gender">
                  <option value="male">Male</option>
                  <option value="female">Female</option>

                </select>
              </div>


            <button type="submit" class="btn btn-default">Submit</button>
        </form>

        </div>
      </div>

            <div class="row">
        <div class="col-lg-12">
          <h2>Patient List</h2>
<table class="table table-bordered">
    <thead>
      <tr>
        <th>Id</th>
        <th>Name</th>
        <th>Dob</th>
        <th>Phone</th>
        <th>Gender</th>
        <th>Location</th>
      </tr>
    </thead>
    <tbody>
      <tr>
        <td>John</td>
        <td>Doe</td>
        <td>john@example.com</td>
        <td>John</td>
        <td>Doe</td>
        <td>john@example.com</td>
      </tr>
      <tr>
        <td>Mary</td>
        <td>Moe</td>
        <td>mary@example.com</td>
        <td>John</td>
        <td>Doe</td>
        <td>john@example.com</td>
      </tr>
      <tr>
        <td>July</td>
        <td>Dooley</td>
        <td>july@example.com</td>
        <td>John</td>
        <td>Doe</td>
        <td>john@example.com</td>
      </tr>
    </tbody>
  </table>

        </div>
      </div>
    </div>

    <!-- jQuery (necessary for Bootstrap's JavaScript plugins) -->
    <script src="https://ajax.googleapis.com/ajax/libs/jquery/1.12.4/jquery.min.js"></script>
    <!-- Include all compiled plugins (below), or include individual files as needed -->
    <script src="js/bootstrap.min.js"></script>
    <script src="js/web3.min.js"></script>
    <script src="js/truffle-contract.js"></script>
    <script src="js/app.js"></script>
  </body>
</html>