{% extends "hbase.html" %}

{% block content %}

<div class="container mt-4">

    <div class="card shadow">
        <div class="card-header">
            <h4>Update Patient</h4>
        </div>

        <div class="card-body">

            <form method="POST">
                {% csrf_token %}

                <div class="mb-3">
                    <label>Name</label>
                    {{ form.name }}
                </div>

                <div class="mb-3">
                    <label>Date of Birth</label>
                    {{ form.dob }}
                </div>

                <div class="mb-3">
                    <label>Gender</label>
                    {{ form.gender }}
                </div>

                <button type="submit" class="btn btn-primary">
                    Update Patient
                </button>

            </form>

        </div>
    </div>

</div>

{% endblock %}