93 lines
3.6 KiB
HTML
93 lines
3.6 KiB
HTML
<!DOCTYPE html>
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<html lang="en">
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<!-- Mirrored from radixtouch.in/templates/admin/redstar/source/light/sign_up.html by HTTrack Website Copier/3.x [XR&CO'2014], Wed, 28 Aug 2019 14:11:40 GMT -->
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<head>
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<meta charset="utf-8" />
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<meta http-equiv="X-UA-Compatible" content="IE=edge">
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<meta content="width=device-width, initial-scale=1" name="viewport" />
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<meta name="description" content="Responsive Admin Template" />
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<meta name="author" content="SmartUniversity" />
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<title>Redstar Hospital | Bootstrap Responsive Hospital Admin Template</title>
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<!-- google font -->
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<link href="http://fonts.googleapis.com/css?family=Open+Sans:400,300,600,700&subset=all" rel="stylesheet" type="text/css" />
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<!-- icons -->
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<link href="css/font-awesome.min.css" rel="stylesheet" type="text/css" />
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<link rel="stylesheet" href="../assets/iconic/css/material-design-iconic-font.min.css">
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<!-- bootstrap -->
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<link href="../assets/bootstrap/css/bootstrap.min.css" rel="stylesheet" type="text/css" />
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<!-- style -->
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<link rel="stylesheet" href="css/extra_pages.css">
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<!-- favicon -->
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<link rel="shortcut icon" href="img/favicon.ico" />
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</head>
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<body>
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<div class="limiter">
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<div class="container-login100 page-background">
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<div class="wrap-login100">
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<form class="login100-form validate-form">
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<span class="login100-form-logo">
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<img alt="" src="img/hospital.png">
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</span>
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<span class="login100-form-title p-b-34 p-t-27">
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Registration
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</span>
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<div class="row">
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<div class="col-lg-6 p-t-20">
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<div class="wrap-input100 validate-input" data-validate="Enter username">
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<input class="input100" type="text" name="username" placeholder="Username">
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<span class="focus-input100" data-placeholder=""></span>
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</div>
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</div>
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<div class="col-lg-6 p-t-20">
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<div class="wrap-input100 validate-input" data-validate="Enter email">
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<input class="input100" type="email" name="email" placeholder="Email">
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<span class="focus-input100" data-placeholder=""></span>
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</div>
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</div>
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<div class="col-lg-6 p-t-20">
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<div class="wrap-input100 validate-input" data-validate="Enter password">
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<input class="input100" type="password" name="pass" placeholder="Password">
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<span class="focus-input100" data-placeholder=""></span>
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</div>
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</div>
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<div class="col-lg-6 p-t-20">
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<div class="wrap-input100 validate-input" data-validate="Enter password again">
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<input class="input100" type="password" name="pass2" placeholder="Confirm password">
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<span class="focus-input100" data-placeholder=""></span>
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</div>
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</div>
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</div>
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<div class="contact100-form-checkbox">
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<input class="input-checkbox100" id="ckb1" type="checkbox" name="remember-me">
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<label class="label-checkbox100" for="ckb1">
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Remember me
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</label>
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</div>
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<div class="container-login100-form-btn">
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<button class="login100-form-btn">
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Register
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</button>
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</div>
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<div class="text-center p-t-30">
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<a class="txt1" href="login.html">
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You already have a membership?
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</a>
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</div>
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</form>
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</div>
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</div>
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</div>
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<!-- start js include path -->
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<script src="../assets/jquery.min.js"></script>
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<!-- bootstrap -->
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<script src="../assets/bootstrap/js/bootstrap.min.js"></script>
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<script src="../assets/login.js"></script>
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<!-- end js include path -->
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</body>
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<!-- Mirrored from radixtouch.in/templates/admin/redstar/source/light/sign_up.html by HTTrack Website Copier/3.x [XR&CO'2014], Wed, 28 Aug 2019 14:11:40 GMT -->
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</html> |