diff --git a/providerwww/application/views/provider/patient/newpatient.php b/providerwww/application/views/provider/patient/newpatient.php
index c8efd46..80a64fa 100644
--- a/providerwww/application/views/provider/patient/newpatient.php
+++ b/providerwww/application/views/provider/patient/newpatient.php
@@ -20,113 +20,69 @@
                     <div class="card card-statistics h-100 mb-0">
                         <div class="card-header d-flex justify-content-between">
                             <div class="card-heading">
-                                <h4 class="card-title">Recent Encounters</h4>
+                                <h4 class="card-title">New Patient</h4>
                             </div>
                             <div class="dropdown">
-                                <a class="btn btn-round btn-inverse-primary btn-xs" href="#">View all </a>
+                                <!-- a class="btn btn-round btn-inverse-primary btn-xs" href="#">View all </a -->
                             </div>
                         </div>
                         <div class="card-body">
-                            <div class="row active-task m-b-20">
-                                <div class="col-xs-1">
-                                    <div class="bg-type mb-1 mb-xs-0 mt-1">
-                                        <span>PP</span>
+                            
+                            
+                            <div class="card-body">
+                                <form>
+                                    <div class="form-row">
+                                        <div class="form-group col-md-6">
+                                            <label for="inputEmail4">Email</label>
+                                            <input type="email" class="form-control" id="inputEmail4" placeholder="Email">
+                                        </div>
+                                        <div class="form-group col-md-6">
+                                            <label for="inputPassword4">Password</label>
+                                            <input type="password" class="form-control" id="inputPassword4" placeholder="Password">
+                                        </div>
                                     </div>
-                                </div>
-                                <div class="col-11">
-                                    <small class="d-block mb-1">Car dealer</small>
-                                    <h5 class="mb-0"><a href="#">Unread utf-8 in more quick overview</a></h5>
-                                    <ul class="list-unstyled list-inline">
-                                        <li class="list-inline-item">
-                                            <small> Created by Lizzy Halfman</small>
-                                        </li>
-                                        <li class="list-inline-item">|</li>
-                                        <li class="list-inline-item">
-                                            <small>Saturday, March 17 2019</small>
-                                        </li>
-                                    </ul>
-                                </div>
-                            </div>
-                            <div class="row active-task m-b-20">
-                                <div class="col-xs-1">
-                                    <div class="bg-type bg-pink mb-1 mb-xs-0 mt-1">
-                                        <span>SL</span>
+                                    <div class="form-group">
+                                        <label for="inputAddress">Address</label>
+                                        <input type="text" class="form-control" id="inputAddress" placeholder="1234 Main St">
                                     </div>
-                                </div>
-                                <div class="col-11">
-                                    <small class="d-block mb-1">Webster HTML5 </small>
-                                    <h5 class="mb-0"><a href="#">I get an error "No Direct Access Allowed!" when I enter purchase</a></h5>
-                                    <ul class="list-unstyled list-inline">
-                                        <li class="list-inline-item">
-                                            <small> Created by Samuel Woods</small>
-                                        </li>
-                                        <li class="list-inline-item">|</li>
-                                        <li class="list-inline-item">
-                                            <small>Sunday, March 19 2019</small>
-                                        </li>
-                                    </ul>
-                                </div>
-                            </div>
-                            <div class="row active-task m-b-20">
-                                <div class="col-xs-1">
-                                    <div class="bg-type bg-success mb-1 mb-xs-0 mt-1">
-                                        <span>MP</span>
+                                    <div class="form-group">
+                                        <label for="inputAddress2">Address 2</label>
+                                        <input type="text" class="form-control" id="inputAddress2" placeholder="Apartment, studio, or floor">
                                     </div>
-                                </div>
-                                <div class="col-11">
-                                    <small class="d-block mb-1">The corps</small>
-                                    <h5 class="mb-0"><a href="#">OAuth Credentials not generating the key</a></h5>
-                                    <ul class="list-unstyled list-inline">
-                                        <li class="list-inline-item">
-                                            <small> Created by Andrew nico</small>
-                                        </li>
-                                        <li class="list-inline-item">|</li>
-                                        <li class="list-inline-item">
-                                            <small>Monday, March 21 2019</small>
-                                        </li>
-                                    </ul>
-                                </div>
-                            </div>
-                            <div class="row active-task m-b-20">
-                                <div class="col-xs-1">
-                                    <div class="bg-type bg-orange mb-1 mb-xs-0 mt-1">
-                                        <span>SP</span>
+                                    <div class="form-row">
+                                        <div class="form-group col-md-6">
+                                            <label for="inputCity">City</label>
+                                            <input type="text" class="form-control" id="inputCity">
+                                        </div>
+                                        <div class="form-group col-md-4">
+                                            <label for="inputState">State</label>
+                                            <select id="inputState" class="form-control">
+                                                <option selected>Select State</option>
+                                                <option>Ontario</option>
+                                                <option>Toronto</option>
+                                            </select>
+                                        </div>
+                                        <div class="form-group col-md-2">
+                                            <label for="inputZip">Zip</label>
+                                            <input type="text" class="form-control" id="inputZip">
+                                        </div>
                                     </div>
-                                </div>
-                                <div class="col-11">
-                                    <small class="d-block mb-1">Sam martin vCard</small>
-                                    <h5 class="mb-0"><a href="#">Pre-Buy Questions : For bakery Shop (Mentor Android Application)</a></h5>
-                                    <ul class="list-unstyled list-inline">
-                                        <li class="list-inline-item">
-                                            <small> Created by Jimmy Falicon</small>
-                                        </li>
-                                        <li class="list-inline-item">|</li>
-                                        <li class="list-inline-item">
-                                            <small>Friday, March 22 2019</small>
-                                        </li>
-                                    </ul>
-                                </div>
-                            </div>
-                            <div class="row active-task m-b-20">
-                                <div class="col-xs-1">
-                                    <div class="bg-type bg-info mb-1 mb-xs-0 mt-1">
-                                        <span>AP</span>
+                                    <div class="form-group">
+                                        <div class="form-check">
+                                            <input class="form-check-input" type="checkbox" id="gridCheck">
+                                            <label class="form-check-label" for="gridCheck">
+                                                Check me out
+                                            </label>
+                                        </div>
                                     </div>
-                                </div>
-                                <div class="col-11">
-                                    <small class="d-block mb-1">Mentor admin </small>
-                                    <h5 class="mb-0"><a href="#">I need a payment option, for each seller per item</a></h5>
-                                    <ul class="list-unstyled list-inline">
-                                        <li class="list-inline-item">
-                                            <small> Created by Brian Joedon</small>
-                                        </li>
-                                        <li class="list-inline-item">|</li>
-                                        <li class="list-inline-item">
-                                            <small>Saturday, March 17 2019</small>
-                                        </li>
-                                    </ul>
-                                </div>
+                                    <button type="submit" class="btn btn-primary">Sign in</button>
+                                </form>
                             </div>
+
+                            
+                            
+                            
+               
                         </div>
                     </div>
                 </div>