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