How To Design Doctor Appointment Form with Html & Css
<!DOCTYPE HTML>
<html lang="en-US">
<head>
<meta charset="UTF-8">
<title>Doctor Appointment Form</title>
<style>
input:checked{accent-color:blue;}
textarea:hover{background:blue;opacity:0.3;}
textarea,img{filter:drop-shadow(6px 10px 12px red);}
[type="submit"]{background:teal;color:white;}
</style>
</head>
<body>
<table align="center" width="70%" cellpadding="10px" cellspacing="0">
<tr>
<td colspan="3"><h1 align="center">Doctor Appointment Form</h1><hr color="red"size="5"/></td>
</tr>
<tr>
<td>Appointment Date</td>
<td colspan="2"><input type="date"/></td>
</tr>
<tr>
<td>Appointment Time</td>
<td colspan="2"><input type="time"/></td>
</tr>
<tr>
<td>Name</td>
<td><input type="text" placeholder="First"/></td>
<td><input type="text" placeholder="Last"/></td>
</tr>
<tr>
<td>Gender</td>
<td colspan="2">Male<input type="radio" name="gender"/>Female<input type="radio" name="gender"/></td>
</tr>
<tr>
<td>Phone</td>
<td colspan="2"><input type="text" maxlength="10" placeholder="####"/></td>
</tr>
<tr>
<td>Address</td>
<td><input type="text" placeholder="city"/></td>
<td><input type="text" placeholder="state"/></td>
</tr>
<tr>
<td>Your Query</td>
<td colspan="2">
<textarea cols="40" rows="4"></textarea>
</td>
</tr>
<tr>
<td valign="top">Appointment Type</td>
<td colspan="2">
Select which appointment type(s) you require<br/>
<input type="checkbox"/> Cervix checkup<br/>
<input type="checkbox"/> Heart checkup<br/>
<input type="checkbox"/> Eye check-up<br/>
<input type="checkbox"/> Hearing Test<br/>
</td>
</tr>
<tr>
<td></td>
<td colspan="2">
<input type="submit" value="Appointment"/> <input type="submit" value="Reset"/>
</td>
</tr>
</table><br>
<div style="width:740px;padding:10px;margin-top:-900;">
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</body>
</html>
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