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newadvice.php~
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/
newadvice.php~
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<?php
include("header.php");
?>
<div id="page-wrapper">
<div class="row">
<!-- page header -->
<div class="col-lg-12">
<h1 class="page-header">Doctors Advice</h1>
</div>
<!--end page header -->
</div>
<div class="row">
<div class="col-lg-2">
</div>
<div class="col-lg-8">
<!-- Form Elements -->
<div class="panel panel-default">
<div class="panel-heading">
Basic Form Elements
</div>
<div class="panel-body">
<form role="form" action="doadvice.php" method="post">
<div class="form-group">
<label>Diabetes Type</label>
<select name="type" class="form-control">
<option value="Type 1">Type 1</option>
<option value="Type 2">Type 2</option>
</select>
<p class="help-block">Example block-level help text here.</p>
</div>
<div class="form-group">
<label>Advice</label>
<textarea class="form-control" name="advice"></textarea>
</div>
<button type="submit" class="btn btn-primary">Submit Button</button>
<button type="reset" class="btn btn-success">Reset Button</button>
</form>
</div>
</div>
</div>
<div class="col-lg-2">
</div>
</div>
</div>
<!-- end page-wrapper -->
</div>
<!-- end wrapper -->
<!-- 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>
<script src="assets/plugins/pace/pace.js"></script>
<script src="assets/scripts/siminta.js"></script>
</body>
</html>