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<!DOCTYPE html> | ||
<html lang="pt-br"> | ||
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<head> | ||
<meta charset="UTF-8"> | ||
<meta name="viewport" content="width=device-width, initial-scale=1.0"> | ||
<link rel="icon" type="image/jpg" href="img/logoBancoDeSangueNew.png"> | ||
<link rel="stylesheet" type="text/css" href="./styles/styleCadastro.css"> | ||
<script src="https://cdn.tailwindcss.com"></script> | ||
<title>Banco de Sangue</title> | ||
</head> | ||
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<body> | ||
<form> | ||
<div class="space-y-12"> | ||
<div class="border-b border-gray-900/10 pb-12"> | ||
<h2 class="text-base font-semibold leading-7 text-gray-900">Cadastro de Doadores</h2> | ||
<p class="mt-1 text-sm leading-6 text-gray-600">This information will be displayed publicly so be careful what you share.</p> | ||
</div> | ||
</div> | ||
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<div class="border-b border-gray-900/10 pb-12"> | ||
<!-- <h2 class="text-base font-semibold leading-7 text-gray-900">Personal Information</h2> | ||
<p class="mt-1 text-sm leading-6 text-gray-600">Use a permanent address where you can receive mail.</p> --> | ||
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<div class="mt-10 grid grid-cols-1 gap-x-6 gap-y-8 sm:grid-cols-5"> | ||
<div class="sm:col-span-5"> | ||
<label for="nomeCompleto" class="block text-sm font-medium leading-6 text-gray-900">Nome Completo</label> | ||
<div class="mt-2"> | ||
<input type="text" name="nomeCompleto" id="nomeCompleto" autocomplete="nomeCompleto" | ||
class="block w-full p-3 rounded-md border-0 py-1.5 text-gray-900 shadow-sm ring-1 ring-gray-300 placeholder:text-gray-400 focus:ring-4 focus:ring-[#9B0602] focus:outline-none sm:leading-6"> | ||
</div> | ||
</div> | ||
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<div class="sm:col-span-2"> | ||
<label for="tipoSangue" class="block text-sm font-medium leading-6 text-gray-900">Tipo Sanguíneo</label> | ||
<div class="mt-2"> | ||
<input id="tipoSangue" name="tipoSangue" type="text" autocomplete="tipoSangue" | ||
class="block w-full p-3 rounded-md border-0 py-1.5 text-gray-900 shadow-sm ring-1 ring-gray-300 placeholder:text-gray-400 focus:ring-4 focus:ring-[#9B0602] focus:outline-none sm:leading-6"> | ||
</div> | ||
</div> | ||
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<div class="sm:col-span-5"> | ||
<label for="email" class="block text-sm font-medium leading-6 text-gray-900">E-mail</label> | ||
<div class="mt-2"> | ||
<input id="email" name="email" type="email" autocomplete="email" | ||
class="block w-full p-3 rounded-md border-0 py-1.5 text-gray-900 shadow-sm ring-1 ring-gray-300 placeholder:text-gray-400 focus:ring-4 focus:ring-[#9B0602] focus:outline-none sm:leading-6"> | ||
</div> | ||
</div> | ||
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<div class="col-span-3"> | ||
<label for="bairro" class="block text-sm font-medium leading-6 text-gray-900">Bairro</label> | ||
<div class="mt-2"> | ||
<input type="text" name="bairro" id="bairro" autocomplete="bairro" | ||
class="block w-full p-3 rounded-md border-0 py-1.5 text-gray-900 shadow-sm ring-1 ring-gray-300 placeholder:text-gray-400 focus:ring-4 focus:ring-[#9B0602] focus:outline-none sm:leading-6"> | ||
</div> | ||
</div> | ||
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<div class="sm:col-span-3"> | ||
<label for="cidade" class="block text-sm font-medium leading-6 text-gray-900">Cidade</label> | ||
<div class="mt-2"> | ||
<input type="text" name="cidade" id="cidade" autocomplete="cidade" | ||
class="block w-full p-3 rounded-md border-0 py-1.5 text-gray-900 shadow-sm ring-1 ring-gray-300 placeholder:text-gray-400 focus:ring-4 focus:ring-[#9B0602] focus:outline-none sm:leading-6"> | ||
</div> | ||
</div> | ||
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<div class="sm:col-span-3"> | ||
<label for="estado" class="block text-sm font-medium leading-6 text-gray-900">Estado</label> | ||
<div class="mt-2"> | ||
<input type="text" name="estado" id="estado" autocomplete="estado" | ||
class="block w-full p-3 rounded-md border-0 py-1.5 text-gray-900 shadow-sm ring-1 ring-gray-300 placeholder:text-gray-400 focus:ring-4 focus:ring-[#9B0602] focus:outline-none sm:leading-6"> | ||
</div> | ||
</div> | ||
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<div class="sm:col-span-2"> | ||
<label for="postal-code" class="block text-sm font-medium leading-6 text-gray-900">ZIP / Postal | ||
code</label> | ||
<div class="mt-2"> | ||
<input type="text" name="postal-code" id="postal-code" autocomplete="postal-code" | ||
class="block w-full p-3 rounded-md border-0 py-1.5 text-gray-900 shadow-sm ring-1 ring-gray-300 placeholder:text-gray-400 focus:ring-4 focus:ring-[#9B0602] focus:outline-none sm:leading-6"> | ||
</div> | ||
</div> | ||
</div> | ||
</div> | ||
</div> | ||
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<div class="mt-6 flex items-center justify-end gap-x-6"> | ||
<button type="button" class="text-sm font-semibold leading-6 text-gray-900">Cancel</button> | ||
<button | ||
type="submit" | ||
class="rounded-md | ||
bg-[#9B0602] | ||
px-3 py-2 | ||
text-sm | ||
font-semibold | ||
text-white | ||
shadow-sm | ||
hover:bg-[#9B0602] | ||
focus-visible:outline | ||
focus-visible:outline-2 | ||
focus-visible:outline-offset-2" | ||
> | ||
Save | ||
</button> | ||
</div> | ||
</form> | ||
</body> | ||
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</html> |
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