Use html 5 featured a Feedback form for the Hospital FEEDBACK page in that accepts Name of patient ,Address,City,ZipCode, in the format of city name 3 alphabets and rest 4 digit numbers a valid E mail address and Comment from User.There should be a button for submitting the form .Implements Table without Border for Proper Implementation. The careshould be taken the data should reach to some server which is handed over to det.asp
Question
Use html 5 featured a Feedback form for the Hospital FEEDBACK page in that accepts Name of patient ,Address,City,ZipCode, in the format of city name 3 alphabets and rest 4 digit numbers a valid E mail address and Comment from User.There should be a button for submitting the form .Implements Table without Border for Proper Implementation. The careshould be taken the data should reach to some server which is handed over to det.asp
Solution
Sure, here is a simple HTML5 form that meets your requirements:
<!DOCTYPE html>
<html>
<head>
<style>
table {
border-collapse: collapse;
}
</style>
</head>
<body>
<form action="det.asp" method="post">
<table>
<tr>
<td>Name of patient:</td>
<td><input type="text" name="patientName" required></td>
</tr>
<tr>
<td>Address:</td>
<td><input type="text" name="address" required></td>
</tr>
<tr>
<td>City:</td>
<td><input type="text" name="city" required></td>
</tr>
<tr>
<td>ZipCode:</td>
<td><input type="text" pattern="[A-Za-z]{3}[0-9]{4}" name="zipCode" required></td>
</tr>
<tr>
<td>Email:</td>
<td><input type="email" name="email" required></td>
</tr>
<tr>
<td>Comment:</td>
<td><textarea name="comment" required></textarea></td>
</tr>
<tr>
<td></td>
<td><input type="submit" value="Submit"></td>
</tr>
</table>
</form>
</body>
</html>
This form includes fields for the patient's name, address, city, zip code (with the specified format), email, and a comment. The form data will be sent to "det.asp" when the user clicks the "Submit" button. The form fields are all required, so the user cannot submit the form without filling them out. The table does not have a border as per your request.
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