HospitalManagementSystem / hospital-management / Forgotpassword.php
Forgotpassword.php
Raw
<?php
include("header.php");
?>

<div class="wrapper col2">
  <div id="breadcrumb">
    <ul>
      <li class="first">Add New Forgot Password</li></ul>
  </div>
</div>
<div class="wrapper col4">
  <div id="container">
    <h1>Add new Forgot Password record</h1>
    <table width="200" border="3">
      <tbody>
        <tr>
          <td width="34%">Email ID</td>
          <td width="66%"><input type="text" name="loginid" id="loginid" /></td>
        </tr>
        <tr>
          <td height="36" colspan="2" align="center"><input type="submit" name="submit" id="submit" value="Submit" /></td>
        </tr>
      </tbody>
    </table>
    <p>&nbsp;</p>
  </div>
</div>
</div>
 <div class="clear"></div>
  </div>
</div>
<?php
include("footer.php");
?>