Appointment Booking Form

<h1>Book Vaccine</h1>

  <form action="/book" method="post">
    <p><label for="patId">Patient ID:
      <input type="text" required size="7" id="patId" name="patId">
    </label><br>
    <label for="prefDate">Preferred Date:
      <input type="date" required id="prefDate" name="prefDate">
    </label>

    <label for="prefStart">Between
      <input type="time" required id="prefStart" name="prefStart">
    </label>
    <label for="prefEnd">and
      <input type="time" required id="prefEnd" name="prefEnd">
    </label></p>
    <fieldset><legend>Check any assistance you require:</legend>
    <label for="assistTr"><input type="checkbox" id="assistTr" name="assist" value="Transportation">
        Transportation</label><br>
    <label for="assistInt"><input type="checkbox" id="assistInt" name="assist" value="Interpreter">
        Interpreter</label><br>
    <label for="assistMob"><input type="checkbox" id="assistMob" name="assist" value="Mobility Device">
        Mobility Device</label><br>
    <label for="assistSg"><input type="checkbox" id="assistSg" name="assist" value="Sight Guide">
        Sight Guide</label></fieldset>
        <p><input type="submit"></p>
  </form>