56 lines
2.2 KiB
HTML
56 lines
2.2 KiB
HTML
<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta charset="UTF-8">
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<meta name="viewport" content="width=device-width, initial-scale=1.0">
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<title>Clinic Registration | CuraFlow HMS</title>
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<link rel="stylesheet" href="index.css">
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<link rel="stylesheet" href="login.css">
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<link href="https://fonts.googleapis.com/css2?family=Inter:wght@400;500;600;700&family=Outfit:wght@600;700&display=swap" rel="stylesheet">
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</head>
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<body class="auth-body">
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<div class="auth-container">
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<div class="auth-card">
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<div class="auth-logo">
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<span class="logo-icon">C</span>
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<h1>CuraFlow</h1>
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</div>
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<h2>Register Your Clinic</h2>
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<p>Join Bharat's first WhatsApp-native HMS.</p>
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<form id="registerForm">
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<div class="input-row">
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<div class="input-group">
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<label>Doctor/Owner Name</label>
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<input type="text" placeholder="Dr. Satish Sharma" required>
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</div>
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<div class="input-group">
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<label>Clinic Name</label>
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<input type="text" placeholder="Sharma Heart Center" required>
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</div>
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</div>
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<div class="input-group">
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<label>WhatsApp Number (Business)</label>
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<input type="tel" placeholder="+91 XXXXX XXXXX" required>
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</div>
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<div class="input-group">
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<label>Password</label>
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<input type="password" placeholder="••••••••" required>
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</div>
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<button type="submit" class="btn-primary auth-btn">Create Clinic Account</button>
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</form>
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<p class="auth-footer">Already have an account? <a href="login.html">Login</a></p>
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</div>
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</div>
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<script>
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document.getElementById('registerForm').onsubmit = (e) => {
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e.preventDefault();
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alert('Clinic registered! Please login with your credentials.');
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window.location.href = 'login.html';
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};
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</script>
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</body>
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</html>
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