hackventoProject/registration.html at master · avani112/hackventoProject · GitHub

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<html>
	<head>
		<title>Registration Form</title>
		<link rel="stylesheet" type="text/css" href="register.css">
	</head>
<body>
	<center>
	<h1 align="center">REGISTRATION FORM </h1>
	<form method="post" action="register.php">
	<table class=table >
			<tr>
				<th>
				Name:</th><td> <input type="text" name="name"></td>
			</tr><br>
			<tr>
			    <th>Age:</th> <td>  <input type="number" name="age"></td>
		    </tr><br>
		  <tr>
		       <th> Gender:</th>  <td><input type="radio" name="gender" value="M" checked>M
                <input type="radio" name="gender" value="F"> F
                </td>
         </tr><br>
         <tr>
        	<th>Contact no:</th><td>  <input type="number" name="contact" value="+91"><br><br></td>
        </tr><br>
        <tr>
        <th>Choose your Doctor:</th> <td><select>
        										<option>Dr.Kailash Bhatia </option>
        										<option>Dr.Ajay Tiwari</option>
        										<option>Dr.Narendra Gokhale</option>
        										<option>Dr.Girish Kumar</option>
        								</select></td>
        </tr>
       </table><br><br><br>
         <button>
         <input type="submit" value="Submit" align="center">
         </button>
	</form>
	</center>
</body>
</html>