{% extends 'layout.html' %} {% block content %}

Add New Patient

{{ form.hidden_tag() }}
{{ form.firstName.label(class="form-control-label") }} {{ form.firstName(class="form-control") }} {{ form.lastName.label(class="form-control-label") }} {{ form.lastName(class="form-control") }} {{ form.birthDate.label(class="form-control-label") }} {{ form.birthDate(class="form-control") }} {{ form.address.label(class="form-control-label") }} {{ form.address(class="form-control") }} {{ form.phoneNumber.label(class="form-control-label") }} {{ form.phoneNumber(class="form-control") }} {{ form.email.label(class="form-control-label") }} {{ form.email(class="form-control") }} {{ form.gender.label(class="form-control-label") }} {{ form.gender(class="form-control") }} {{ form.height.label(class="form-control-label") }} {{ form.height(class="form-control") }} {{ form.weight.label(class="form-control-label") }} {{ form.weight(class="form-control") }} {{ form.bloodType.label(class="form-control-label") }} {{ form.bloodType(class="form-control") }} {{ form.allergies.label(class="form-control-label") }} {{ form.allergies(class="form-control") }} {{ form.healthInsurance.label(class="form-control-label") }} {{ form.healthInsurance(class="form-control") }}
{{ form.saveData(class="btn btn-outline-success") }}
{% endblock content %}