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  • Name-Tushar Satija UI Lab Activity

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    adit123456
    14 views3 pages
    covid 19 hhtml

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    covid 19 hhtml

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    14 views3 pages

    Name-Tushar Satija UI Lab Activity

    Uploaded by

    adit123456
    covid 19 hhtml

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    NAME-TUSHAR SATIJA

    UI lab activity
    CODE

    <!DOCTYPE html>
    <html>
    <head>
    <style>
    #cherry{
    background-color: rgb(222,222,222);
    border:5px solid pink;
    padding:56px;
    border-radius:40px;

    }
    .my{
    border:1px solid skyblue;

    </style>
    </head>
    <body>
    <div id="cherry">
    <h2 style="text-align:center">DONATION FORM</h2>
    <h4>COVID-19</h4>
    <p class="my">
    COVID-19 affects different people in different ways. Most infected people will
    develop mild to moderate illness and recover without hospitalization.
    Most common symptoms:
    fever
    dry cough
    tiredness
    Less common symptoms:
    aches and pains
    sore throat
    diarrhoea
    conjunctivitis
    headache
    loss of taste or smell
    a rash on skin, or discolouration of fingers or toes
    <img src="download(1).jpg" alt="image note available"></p>
    <form action="back.php">
    <p class="my">Personal Detail</p>
    <div>
    <label>CANDIDATE NAME : </label>
    <input type="text">
    <br>
    <label>FATHER'S NAME : </label>
    <input type="text">
    <br>
    <label>MOTHER'S NAME : </label>
    <input type="text">
    <br>
    <label>AGE : </label>
    <input type="text">
    <br>
    <label>DATE OF BIRTH : </label>
    <input type="text">
    <br>
    <label>AADHAR NUMBER: </label>
    <input type="text">
    <br>
    <label>GENDER : </label>
    <input type="radio" name="gender">
    <label>MALE</label> <br>
    <input type="radio" name="gender">
    <label>FEMALE</label>

    </div>
    <p class="my">Contact details</p>
    <br>
    <label>ADDRESS : </label>
    <input type="text">
    <br>
    <label>EMAIL : </label>
    <input type="text">
    <br>
    <label>MOBILE NUMBER : </label>
    <input type="text">
    <br>
    <label>STATE : </label>
    <input type="text">
    <br>
    <p class="my">PAYMENT</p>
    <label >MODEOFPAyment : </label>
    <input type="radio" name="MODEOFPAyment">
    <label>phonepay</label>
    <input type="radio" name="MODEOFPAyment">
    <label>netbanking</label>
    <input type="radio" name="MODEOFPAyment">
    <label>paytm</label>
    <br>
    <input type="submit" value="SUBMIT NOW">
    </form>
    </div>
    </body>
    </html>

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