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<div className="card textcenter mt-3"> | |
<div className="apt-addheading card-header bg-primary text-white"> | |
Add Appointment | |
</div> | |
<div className="card-body"> | |
<form id="aptForm" noValidate> | |
<div className="form-group form-row"> | |
<label | |
className="col-md-2 col-form-label text-md-right" | |
htmlFor="petName" | |
readOnly | |
> | |
Pet Name | |
</label> | |
<div className="col-md-10"> | |
<input | |
type="text" | |
className="form-control" | |
name="petName" | |
placeholder="Pet's Name" | |
/> | |
</div> | |
</div> | |
<div className="form-group form-row"> | |
<label | |
className="col-md-2 col-form-label text-md-right" | |
htmlFor="ownerName" | |
> | |
Pet Owner | |
</label> | |
<div className="col-md-10"> | |
<input | |
type="text" | |
className="form-control" | |
name="ownerName" | |
placeholder="Owner's Name" | |
/> | |
</div> | |
</div> | |
<div className="form-group form-row"> | |
<label | |
className="col-md-2 col-form-label text-md-right" | |
htmlFor="aptDate" | |
> | |
Date | |
</label> | |
<div className="col-md-4"> | |
<input | |
type="date" | |
className="form-control" | |
name="aptDate" | |
id="aptDate" | |
/> | |
</div> | |
<label | |
className="col-md-2 col-form-label text-md-right" | |
htmlFor="aptTime" | |
> | |
Time | |
</label> | |
<div className="col-md-4"> | |
<input | |
type="time" | |
className="form-control" | |
name="aptTime" | |
id="aptTime" | |
/> | |
</div> | |
</div> | |
<div className="form-group form-row"> | |
<label className="col-md-2 text-md-right" htmlFor="aptNotes"> | |
Apt. Notes | |
</label> | |
<div className="col-md-10"> | |
<textarea | |
className="form-control" | |
rows="4" | |
cols="50" | |
name="aptNotes" | |
id="aptNotes" | |
placeholder="Appointment Notes" | |
/> | |
</div> | |
</div> | |
<div className="form-group form-row mb-0"> | |
<div className="offset-md-2 col-md-10"> | |
<button | |
type="submit" | |
className="btn btn-primary d-block ml-auto" | |
> | |
Add Appointment | |
</button> | |
</div> | |
</div> | |
</form> | |
</div> | |
</div> |
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