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register.php
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register.php
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<?php
include("header.php");
?>
<div id="page-wrapper">
<div class="row">
<div class="col-md-8 col-md-offset-2">
<div class="login-panel panel panel-default">
<div class="panel-heading">
<h3 class="panel-title">Enter new User details</h3>
</div>
<div class="panel-body">
<form role="form" action="doregister.php" method="post">
<fieldset>
<div class="form-group">
<input class="form-control" placeholder="Full name" name="name" type="text" required="" autofocus>
</div>
<div class="form-group">
<select name="type" class="form-control">
<option value="">-----User Type-------</option>
<option value="Doctor">Doctor</option>
<option value="Administrator">Administrator</option>
</select>
</div>
<div class="form-group">
<input class="form-control" placeholder="Phone number" name="phone" type="text" required="">
</div>
<div class="form-group">
<input class="form-control" placeholder="Password" name="password" type="password" required="" value="">
</div>
<!-- Change this to a button or input when using this as a form -->
<input type="submit" class="btn btn-lg btn-success btn-block" value="Add User" />
</fieldset>
</form>
</div>
</div>
</div>
</div>
</div>
<!-- Core Scripts - Include with every page -->
<script src="assets/plugins/jquery-1.10.2.js"></script>
<script src="assets/plugins/bootstrap/bootstrap.min.js"></script>
<script src="assets/plugins/metisMenu/jquery.metisMenu.js"></script>
</body>
</html>