Project/src/app/components/appointment/appointment.component.html at e5a651a866d3236bbc880919583f37c395bcd413 · Deepika516/Project · GitHub

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<section class="vh-100" style="background-color: #eee;">
  <div class="container h-100">
    <div class="row d-flex justify-content-center align-items-center h-100">
      <div class="col-lg-12 col-xl-11">
        <div class="card text-black" style="border-radius: 25px;">
          <div class="card-body p-md-5">
            <div class="row justify-content-center">
              <div class="col-md-10 col-lg-6 col-xl-5 order-2 order-lg-1">

                <p class="text-center h1 fw-bold mb-5 mx-1 mx-md-4 mt-4">Schedule Your Appointment</p>
                <form [formGroup]="appointmentForm" (ngSubmit)="onSubmitAppointment()">
                  <div class="d-flex flex-row align-items-center mb-4">
                    <i class="fas fa-user fa-lg me-3 fa-fw"></i>
                    <div class="form-outline flex-fill mb-0">
                      <label class="form-label">Name</label>
                      <input type="text" class="form-control" formControlName="name" name="name" />
                    </div>
                  </div>
                  <!-- For Date of Birth -->
                  <div class="d-flex flex-row align-items-center mb-4">
                    <i class="fas fa-envelope fa-lg me-3 fa-fw"></i>
                    <div class="form-outline flex-fill mb-0">
                      <label class="form-label" for="dob">DOB:</label>
                      <input type="date" id="dob" class="form-control" formControlName="dob" name="dob">
                    </div>
                  </div>
                  <!-- For Gender (Radio Buttons) -->
                  <div class="d-flex flex-row align-items-center mb-4">
                    <i class="fas fa-lock fa-lg me-3 fa-fw"></i>
                    <div class="form-outline flex-fill mb-0">
                      <label class="form-label">Gender</label><br>
                      <div class="form-check form-check-inline">
                        <input class="form-check-input" type="radio" formControlName="gender" name="gender"
                          id="inlineRadio1" value="MALE">
                        <label class="form-check-label" for="inlineRadio1">Male</label>
                      </div>
                      <div class="form-check form-check-inline">
                        <input class="form-check-input" type="radio" formControlName="gender" name="gender"
                          id="inlineRadio2" value="FEMALE">
                        <label class="form-check-label" for="inlineRadio2">Female</label>
                      </div>
                    </div>
                  </div>
                  <!-- For Email -->
                  <div class="d-flex flex-row align-items-center mb-4">
                    <i class="fas fa-lock fa-lg me-3 fa-fw"></i>
                    <div class="form-outline flex-fill mb-0">
                      <label class="form-check-label">Email </label>
                      <input type="email" class="form-control" formControlName="email" name="email" />
                    </div>
                  </div>

                  <!-- For Department Dropdown -->
                  <div class="d-flex flex-row align-items-center mb-4">
                    <i class="fas fa-lock fa-lg me-3 fa-fw"></i>
                    <div class="form-outline flex-fill mb-0">
                      <label for="dept" class="form-label">Department:</label><br>
                      <select select class="custom-select mb-3" (change)="changeDept($event)" name="dept"
                        class="form-control" id="dept" formControlName="dept" name="dept">
                        <option *ngFor="let dept of department" value="{{dept.id}}">{{dept.dept_name}}</option>
                      </select>
                    </div>
                  </div>

                  <!-- !-- For Doctor Dropdown -->
                  <div class="d-flex flex-row align-items-center mb-4">
                    <i class="fas fa-lock fa-lg me-3 fa-fw"></i>
                    <div class="form-outline flex-fill mb-0">
                      <label for="doc" class="form-label">Doctor:</label><br>
                      <select class="custom-select mb-3" placeHolderName="Doctors" name="doc" class="form-control"
                        id="doc" formControlName="doc" name="doc">
                        <option>Choose Doctor</option>
                        <option *ngFor="let doc of doctors">{{doc.doc_name}}</option>
                      </select>
                    </div>
                  </div>

                  <!-- For APpointment datetime picker -->
                  <div class="d-flex flex-row align-items-center mb-4">
                    <i class="fas fa-key fa-lg me-3 fa-fw"></i>
                    <div class="form-outline flex-fill mb-0">
                      <label class="form-label">Date for Appointment</label>
                      <input type="datetime-local" id="doa" class="form-control" formControlName="doa" ngModel
                        name="doa">
                    </div>
                  </div>

                  <!--For Submit button -->
                  <div class="d-flex justify-content-center mx-4 mb-3 mb-lg-4">
                    <button type="submit" class="btn btn-primary btn-lg">Book</button>
                  </div>
                </form>

              </div>
              <!-- Image -->
              <div class="col-md-10 col-lg-6 col-xl-7 d-flex align-items-center order-1 order-lg-2">
                <img
                  src="https://st.depositphotos.com/1598598/2023/i/450/depositphotos_20236679-stock-photo-yellow-paper-note-with-text.jpg"
                  class="img-fluid" alt="Sample image">
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
</section>