FirstAPI/report.html at master · SyedSaifAliAlvi/FirstAPI · GitHub

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<!DOCTYPE html>
<html lang="en">
<head>
  <title>Front end of Heart Disease Report</title>
  <meta charset="utf-8">
  <meta name="viewport" content="width=device-width, initial-scale=1">
  <link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/4.4.1/css/bootstrap.min.css">
  <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.4.1/jquery.min.js"></script>
  <script src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.16.0/umd/popper.min.js"></script>
  <script src="https://maxcdn.bootstrapcdn.com/bootstrap/4.4.1/js/bootstrap.min.js"></script>
</head>
<body>

<div class="container">
  <h2>Heart Disease Report</h2>
  <form action="/result" method="POST">
    <div class="form-group">
      <label for="age">Enter you age</label>
      <input type="number" class="form-control" id="age" placeholder="age" name="age">
    </div>

    <div class="form-group">
      <label for="resting_blood_pressure">The persons resting blood pressure (mm Hg on admission to the hospital)</label>
      <input type="number" class="form-control" id="resting_blood_pressure" placeholder="resting_blood_pressure" name="resting_blood_pressure">
    </div>

    <div class="form-group">
      <label for="cholesterol">The persons cholesterol measurement in mg/dl</label>
      <input type="number" class="form-control" id="cholesterol" placeholder="cholesterol" name="cholesterol">
    </div>

    <div class="form-group">
      <label for="max_heart_rate_achieved">The persons maximum heart rate achieved</label>
      <input type="number" class="form-control" id="max_heart_rate_achieved" placeholder="max_heart_rate_achieved" name="max_heart_rate_achieved">
    </div>

    <div class="form-group">
      <label for="st_depression">ST depression induced by exercise relative to rest  1- 4</label>
      <input type="number" class="form-control" id="st_depression" placeholder="st_depression" name="st_depression">
    </div>

    <div class="form-group">
      <label for="num_major_vessels">The number of major vessels working (0-3)</label>
      <input type="number" class="form-control" id="num_major_vessels" placeholder="num_major_vessels" name="num_major_vessels">
    </div>


	<div class="form-group">
    <label for="st_slope_downsloping">the slope of the peak exercise ST segment (Value 0: upsloping, Value 1: flat, Value 2: downsloping)</label>
    <select class="form-control" id="st_slope_downsloping" name="st_slope_downsloping">
      <option>0</option>
      <option>1</option>
      <option>2</option>
    </select>
    </div>

    <div class="form-group">
    <label for="sex_male">The persons sex (1 = male, 0 = female)</label>
    <select class="form-control" id="sex_male" placeholder="Gender" name="sex_male">
	  <option>0</option>
      <option>1</option>
	</select>
    </div>

	<div class="form-group">
    <label for="chest_pain_type_atypical angina">The chest pain experienced (Value 0: typical angina, Value 1: atypical angina, Value 2: non-anginal pain, Value 3: asymptomatic)</label>
    <select class="form-control" id="chest_pain_type_atypical angina" name="chest_pain_type_atypical angina">
      <option>0</option>
      <option>1</option>
      <option>2</option>
      <option>3</option>
    </select>
    </div>

    <div class="form-group">
    <label for="fasting_blood_sugar_lower than 120mg/ml">The persons fasting blood sugar (> 120 mg/dl, 1 = true; 0 = false)</label>
    <select class="form-control" id="fasting_blood_sugar_lower than 120mg/ml" placeholder="fasting blood sugar lower" name="fasting_blood_sugar_lower than 120mg/ml">
	  <option>0</option>
      <option>1</option>
	</select>
    </div>

	<div class="form-group">
    <label for="rest_ecg_left ventricular hypertrophy">Resting electrocardiographic measurement (0 = normal, 1 = having ST-T wave abnormality, 2 = showing probable or definite left ventricular hypertrophy by Estes criteria)</label>
    <select class="form-control" id="rest_ecg_left ventricular hypertrophy" name="rest_ecg_left ventricular hypertrophy">
      <option>0</option>
      <option>1</option>
      <option>2</option>
    </select>
    </div>

    <div class="form-group">
    <label for="exercise_induced_angina_yes">Exercise induced angina (1 = yes; 0 = no)</label>
    <select class="form-control" id="exercise_induced_angina_yes" name="exercise_induced_angina_yes">
	  <option>0</option>
      <option>1</option>
    </select>
    </div>

    <div class="form-group">
    <label for="thalassemia_fixed defect">A blood disorder called thalassemia (0 = normal; 1 = fixed defect; 2 = reversable defect)</label>
    <select class="form-control" id="thalassemia_fixed defect" name="thalassemia_fixed defect">
	  <option>0</option>
      <option>1</option>
	  <option>2</option>
    </select>
    </div>

    </div>
    <button type="submit" class="btn btn-primary">Submit</button>
  </form>
</div>

</body>
</html>