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| <!DOCTYPE html> | ||
| <html lang="pt-BR"> | ||
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| <head> | ||
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| <meta charset="UTF-8"> | ||
| <meta name="viewport" content="width=device-width, initial-scale=1.0"> | ||
| <meta http-equiv="Content-Language" content="pt-br"> | ||
| <title>Cadastro</title> | ||
| <style> | ||
| @import url('https://fonts.googleapis.com/css2?family=Inter:wght@200;300;400;500&family=Open+Sans:wght@300;400;500;600&display=swap'); | ||
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| body { | ||
| margin: 0; | ||
| padding: 0; | ||
| background-color: #eaeef0; | ||
| color: #36413e; | ||
| } | ||
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| .container { | ||
| position: relative; | ||
| margin: auto; | ||
| width: 25%; | ||
| height: 100%; | ||
| /* align-items: center; | ||
| justify-content: center; */ | ||
| background-color: #f2f2f2; | ||
| padding: 20px; | ||
| margin-top: 50px; | ||
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| } | ||
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| .form-row { | ||
| font-family: 'Inter', sans-serif; | ||
| } | ||
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| .form-row .row { | ||
| position: relative; | ||
| } | ||
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| /* 100/5= 20 */ | ||
| .form-row .col-1 { | ||
| position: relative; | ||
| margin-top: 5px; | ||
| /* border: red 1px solid; */ | ||
| font-size: 1.2em; | ||
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| } | ||
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| .form-row label { | ||
| position: relative; | ||
| top: 5px; | ||
| /* color: red */ | ||
| /* border: red 1px solid; */ | ||
| } | ||
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| .form-row input[type="search"], | ||
| input[type="text"], | ||
| input[type="email"], | ||
| input[type="date"] { | ||
| border: #079c7e 2px solid; | ||
| width: 100%; | ||
| border-radius: 4px; | ||
| padding: 10px; | ||
| margin: 10px 0; | ||
| box-sizing: border-box; | ||
| font-size: 0.9em; | ||
| } | ||
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| .form-row button[type="submit"] { | ||
| transform: translate(2.2%); | ||
| padding: 3px; | ||
| margin-top: 0.6rem; | ||
| font-weight: bold; | ||
| cursor: pointer; | ||
| background-color: #079c7e; | ||
| border: none; | ||
| border-radius: 5px; | ||
| font-size: 16px; | ||
| font-weight: 500; | ||
| padding: 13px 35px; | ||
| color: #fff !important; | ||
| text-transform: uppercase; | ||
| } | ||
| </style> | ||
| </head> | ||
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| <body> | ||
| <div class="container"> | ||
| <form action="{% url 'cadastra_paciente' %}" method="POST" class="form-row"> | ||
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| <div class="row"> | ||
| <div class="col-1"> | ||
| <label for="susCodigo">SUS</label> | ||
| </div> | ||
| <div class="col-1"> | ||
| <input type="search" id="susCodigo" name="susCodigo" placeholder="Digite seu SUS"> | ||
| </div> | ||
| </div> | ||
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| <div class="row"> | ||
| <div class="col-1"> | ||
| <label for="nome">Nome completo</label> | ||
| </div> | ||
| <div class="col-1"> | ||
| <input type="text" id="nome" name="nome" placeholder="Nome"> | ||
| </div> | ||
| </div> | ||
| <div class="row"> | ||
| <div class="col-1"> | ||
| <label for="email">Email</label> | ||
| </div> | ||
| <div class="col-1"> | ||
| <input type="email" id="email" name="email" placeholder="Email"> | ||
| </div> | ||
| </div> | ||
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| <div class="row"> | ||
| <div class="col-1"> | ||
| <label for="">Data de nascimento</label> | ||
| </div> | ||
| <div class="col-1"> | ||
| <input type="date" lang="pt-br" /> | ||
| </div> | ||
| </div> | ||
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| <div> | ||
| <p><strong>Renata Isabelle Luciana dos Santos</strong></p> | ||
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| <p></p><strong>Casada</strong></p> | ||
| <p></p><strong>39 anos</strong></p> | ||
| <p></p><strong>São Paulo - SP</strong></p> | ||
| </div> | ||
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| <div class="row"> | ||
| <button type="submit"> | ||
| Solicitar Transporte | ||
| </button> | ||
| </div> | ||
| </form> | ||
| </div> | ||
| </body> | ||
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| </html> |