fix
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@@ -21,7 +21,7 @@
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<div class="card card-statistics h-100 mb-0">
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<div class="card-header d-flex justify-content-between">
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<div class="card-heading">
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<h4 class="card-title">New Patient</h4>
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<h4 class="card-title">New Patient - <?= $account_message ?> </h4>
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</div>
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<div class="dropdown">
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<!-- a class="btn btn-round btn-inverse-primary btn-xs" href="#">View all </a -->
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@@ -53,11 +53,11 @@
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<div class="form-group col-md-6">
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<label for="inputPassword4">Gendar</label>
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<select class="form-control" aria-label="Default select example">
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<option selected>Open this select menu</option>
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<option value="1">One</option>
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<option value="2">Two</option>
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<option value="3">Three</option>
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<select class="form-control" aria-label="Select Gender" name ="gender">
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<option selected>Select</option>
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<option value="M">Male</option>
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<option value="F">Female</option>
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<option value="U">Unknown</option>
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</select>
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</div>
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@@ -102,13 +102,13 @@
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<input type="text" class="form-control" id="zipcode" name="zipcode" value="<?= $zipcode ?>">
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</div>
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</div>
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<div class="form-group">
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<!-- div class="form-group">
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<div class="form-check">
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<label class="form-check-label">
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<?= $account_message ?>
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</label>
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</div>
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</div>
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</!-->
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<div class="form-row">
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<div class="form-group col-md-9">
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