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<!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, shrink-to-fit=no" />
<meta name="description" content="Vitalsync is a remote vital monitoring system" />
<meta name="author" content="Dashboard" />
<meta name="keywords" content="vitalsync, remote vital monitoring solution" />
<link href="https://cdn.jsdelivr.net/npm/bootstrap@5.0.2/dist/css/bootstrap.min.css" rel="stylesheet"
integrity="sha384-EVSTQN3/azprG1Anm3QDgpJLIm9Nao0Yz1ztcQTwFspd3yD65VohhpuuCOmLASjC" crossorigin="anonymous">
<script src="https://cdn.jsdelivr.net/npm/bootstrap@5.0.2/dist/js/bootstrap.bundle.min.js"
integrity="sha384-MrcW6ZMFYlzcLA8Nl+NtUVF0sA7MsXsP1UyJoMp4YLEuNSfAP+JcXn/tWtIaxVXM"
crossorigin="anonymous"></script>
<link rel="preconnect" href="https://fonts.gstatic.com" />
<link rel="shortcut icon" href="img/icons/icon-48x48.png" />
<title>Vitalsync</title>
<link href="css/app.css" rel="stylesheet" />
<link href="https://fonts.googleapis.com/css2?family=Inter:wght@300;400;600&display=swap" rel="stylesheet" />
</head>
<body>
<div class="wrapper">
<nav id="sidebar" class="sidebar js-sidebar">
<div class="sidebar-content js-simplebar">
<a class="sidebar-brand" href="index.html">
<span class="align-middle">Control Panel</span>
</a>
<ul class="sidebar-nav">
<li class="sidebar-header">Vitalsync</li>
<li class="sidebar-item">
<a class="sidebar-link" href="index.html">
<i class="align-middle" data-feather="activity"></i>
<span class="align-middle">Remote Monitoring</span>
</a>
</li>
<li class="sidebar-item active ">
<a class="sidebar-link" href="add-patient.html">
<i class="align-middle" data-feather="user-plus"></i>
<span class="align-middle">Add patient</span>
</a>
</li>
<li class="sidebar-item">
<a class="sidebar-link" href="alert.html">
<i class="align-middle" data-feather="alert-triangle"></i>
<span class="align-middle">Alerts</span>
</a>
</li>
</ul>
<div class="sidebar-cta"></div>
</div>
</nav>
<div class="main">
<nav class="navbar navbar-expand navbar-light navbar-bg">
<a class="sidebar-toggle js-sidebar-toggle">
<i class="hamburger align-self-center"></i>
</a>
<div class="navbar-collapse collapse">
<ul class="navbar-nav navbar-align">
<li class="nav-item dropdown">
<a class="nav-icon dropdown-toggle" href="#" id="alertsDropdown" data-bs-toggle="dropdown">
<div class="position-relative">
<i class="align-middle" data-feather="bell"></i>
<span class="indicator">3</span>
</div>
</a>
<div class="dropdown-menu dropdown-menu-lg dropdown-menu-end py-0"
aria-labelledby="alertsDropdown">
<div class="dropdown-menu-header">4 New Notifications</div>
<div class="list-group">
<a href="#" class="list-group-item">
<div class="row g-0 align-items-center">
<div class="col-2">
<i class="text-danger" data-feather="alert-circle"></i>
</div>
<div class="col-10">
<div class="text-dark">Update completed</div>
<div class="text-muted small mt-1">
Restart server 12 to complete the update.
</div>
<div class="text-muted small mt-1">30m ago</div>
</div>
</div>
</a>
<a href="#" class="list-group-item">
<div class="row g-0 align-items-center">
<div class="col-2">
<i class="text-warning" data-feather="bell"></i>
</div>
<div class="col-10">
<div class="text-dark">Lorem ipsum</div>
<div class="text-muted small mt-1">
Aliquam ex eros, imperdiet vulputate hendrerit et.
</div>
<div class="text-muted small mt-1">2h ago</div>
</div>
</div>
</a>
<a href="#" class="list-group-item">
<div class="row g-0 align-items-center">
<div class="col-2">
<i class="text-primary" data-feather="home"></i>
</div>
<div class="col-10">
<div class="text-dark">Login from 192.186.1.8</div>
<div class="text-muted small mt-1">5h ago</div>
</div>
</div>
</a>
<a href="#" class="list-group-item">
<div class="row g-0 align-items-center">
<div class="col-2">
<i class="text-success" data-feather="user-plus"></i>
</div>
<div class="col-10">
<div class="text-dark">New connection</div>
<div class="text-muted small mt-1">
Christina accepted your request.
</div>
<div class="text-muted small mt-1">14h ago</div>
</div>
</div>
</a>
</div>
<div class="dropdown-menu-footer">
<a href="#" class="text-muted">Show all notifications</a>
</div>
</div>
</li>
</li>
<li class="nav-item dropdown">
<a class="nav-icon dropdown-toggle d-inline-block d-sm-none" href="#"
data-bs-toggle="dropdown">
<i class="align-middle" data-feather="settings"></i>
</a>
<a class="nav-link dropdown-toggle d-none d-sm-inline-block" href="#"
data-bs-toggle="dropdown">
<span class="text-dark">Nurse</span>
</a>
<div class="dropdown-menu dropdown-menu-end">
<a class="dropdown-item" href="pages-profile.html"><i class="align-middle me-1"
data-feather="user"></i>
Profile</a>
<a class="dropdown-item" href="#"><i class="align-middle me-1"
data-feather="pie-chart"></i>
Analytics</a>
<div class="dropdown-divider"></div>
<a class="dropdown-item" href="index.html"><i class="align-middle me-1"
data-feather="settings"></i>
Settings & Privacy</a>
<a class="dropdown-item" href="#"><i class="align-middle me-1"
data-feather="help-circle"></i>
Help Center</a>
<div class="dropdown-divider"></div>
<a class="dropdown-item" href="#">Log out</a>
</div>
</li>
</ul>
</div>
</nav>
<main class="content">
<div class="container-fluid p-0">
<h1 class="h3 mb-3"><strong>Add</strong> Patient</h1>
<div class="row">
<div class="col-12">
<div class="card">
<div class="card-header">
</div>
<div class="card-body">
<form class="row g-3">
<div class="col-md-4">
<label for="first name" class="form-label">First name</label>
<input type="text" class="form-control" id="fname">
</div>
<div class="col-md-4">
<label for="last name" class="form-label">Last Name</label>
<input type="text" class="form-control" id="lname">
</div>
<div class="col-md-4"></div>
<div class="col-md-2">
<label for="inputZip" class="form-label">Patient ID</label>
<input type="number " class="form-control" id="id">
</div>
<div class="col-md-2">
<label for="inputZip" class="form-label">Room No</label>
<input type="number " class="form-control" id="roomno">
</div>
<div class="col-md-2">
<label for="inputState" class="form-label">Sensor Module</label>
<select id="Sensor module" class="form-select">
<option value="module1">Module 1</option>
<option value="module2">Module 2</option>
<option value="module3">Module 3</option>
</select>
</div>
<div class="col-md-6"></div>
<div class="col-sm-2">
<label for="inputZip" class="form-label">Age</label>
<input type="number " class="form-control" id="age">
</div>
<div class="col-md-2">
<label for="inputState" class="form-label">Gender</label>
<select id="gender" class="form-select">
<option value="M">Male</option>
<option value="F">Female</option>
<option value="O">Other</option>
</select>
</div>
<div class="col-12">
<button id="addButton" class="btn btn-success">Add</button>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
</main>
<footer class="footer">
<div class="container-fluid">
<div class="row text-muted">
<div class="col-6 text-start">
<p class="mb-0">
<a class="text-muted" href="" target="_blank"><strong>Vitalsync</strong></a> ©
</p>
</div>
<div class="col-6 text-end">
<ul class="list-inline">
<li class="list-inline-item">
<a class="text-muted" href="" target="_blank">Support</a>
</li>
<li class="list-inline-item">
<a class="text-muted" href="" target="_blank">Help Center</a>
</li>
<li class="list-inline-item">
<a class="text-muted" href="" target="_blank">Privacy</a>
</li>
<li class="list-inline-item">
<a class="text-muted" href="" target="_blank">Terms</a>
</li>
</ul>
</div>
</div>
</div>
</footer>
</div>
</div>
<script src="js/app.js"></script>
<script type="module" src="js/index.js"></script>
</body>
</html>