CNSA-216-FP/FWA_MAIN/physNew.aspx

<%@ Page Title="Title" Language="C#" MasterPageFile="main.master" CodeBehind="physNew.aspx.cs" Inherits="FWA_MAIN.physNew" %>

<asp:Content runat="server" ContentPlaceHolderID="cph1">
    
    <link type="text/css" href="main.css"/>
    
    <style>
        .container {
            text-align: center;
        }
        .buttonGroup {
            margin-top: 20px;
        }
        .patDiv {
            text-align: center;
        }
        .buttonGroup .buttonWrapper {
            display: inline-block;
            margin-right: 10px;
        }
    </style>

    <h1 style="text-align: center; font-size: 44px">New Physician</h1>
    <div class="container">
        <div class="patDiv">
            <div class="indivPatDiv"><label class="buttonLabel">Physician ID: </label></div>
            <div class="indivPatDiv"><label class="buttonLabel">First Name: </label></div>
            <div class="indivPatDiv"><label class="buttonLabel">Last Name: </label></div>
            <div class="indivPatDiv"><label class="buttonLabel">Middle Initial: </label></div>
            <div class="indivPatDiv"><label class="buttonLabel">Zip Code: </label></div>
            <div class="indivPatDiv"><label class="buttonLabel">City: </label></div>
            <div class="indivPatDiv"><label class="buttonLabel">State: </label></div>
            <div class="indivPatDiv"><label class="buttonLabel">Date of Birth: </label></div>
            <div class="indivPatDiv"><label class="buttonLabel">Phone Number: </label></div>
            <div class="indivPatDiv"><label class="buttonLabel">Gender (M/F): </label></div>
            <div class="indivPatDiv"><label class="buttonLabel">Specialty: </label></div>
        </div>
        <div class="patDiv">
            <div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtPhysID"></asp:TextBox></div>
            <div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtFNAME"></asp:TextBox></div>
            <div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtLNAME"></asp:TextBox></div>
            <div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtMidInit"></asp:TextBox></div>
            <div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtZip"></asp:TextBox></div>
            <div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtCity"></asp:TextBox></div>
            <div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtState"></asp:TextBox></div>
            <div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtDOB"></asp:TextBox></div>
            <div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtPhone"></asp:TextBox></div>            
            <div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtGender"></asp:TextBox></div>
            <div class="indivPatDiv"><asp:TextBox runat="server" CssClass="defaultTXT" ID="txtSpecialty"></asp:TextBox></div>
        </div>
    </div>    
    <br/>
    <div class="patDiv buttonGroup" style="margin-left:500px">
        <div class="buttonWrapper"><asp:Button runat="server" CssClass="standardbtn" ID="btnSavePat" Text="Create"/></div>
        <div class="buttonWrapper"><asp:Button runat="server" CssClass="standardbtn" ID="btnCancelPat" Text="Cancel" OnClick="btnCancelPat_OnClick"/></div>
    </div>
</asp:Content>