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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Manage Appointment - ZMABC</title>
<link rel="stylesheet" href="styles/manage-appointment.css">
</head>
<body>
<main class="manage-main">
<div class="manage-border">
<h1>Manage Appointment</h1>
<section class="manage-section">
<h2>Original Appointment Details</h2>
<div class="manage-details-table">
<div class="manage-details-row">
<span class="manage-details-label">Date</span>
<span class="manage-details-value">July 15, 2024</span>
</div>
<div class="manage-details-row">
<span class="manage-details-label">Time</span>
<span class="manage-details-value">10:00 AM</span>
</div>
<div class="manage-details-row">
<span class="manage-details-label">Provider</span>
<span class="manage-details-value">Dr. Emily Carter</span>
</div>
</div>
</section>
<section class="manage-section">
<h2>Change Appointment</h2>
<form class="manage-form">
<label for="new-date" class="manage-form-label">Select New Date</label>
<input type="date" id="new-date" class="manage-form-input">
<label for="new-time" class="manage-form-label">Select New Time</label>
<select id="new-time" class="manage-form-input">
<option>Select Time</option>
<option>9:00 AM</option>
<option>10:00 AM</option>
<option>11:00 AM</option>
<option>1:00 PM</option>
<option>2:00 PM</option>
<option>3:00 PM</option>
</select>
<div class="manage-actions">
<button type="button" class="manage-btn cancel">Cancel Appointment</button>
<button type="submit" class="manage-btn reschedule">Reschedule Appointment</button>
</div>
</form>
</section>
</div>
</main>
</body>
</html> |