From 68ce4294ba651d55faf9fe08b623b4a52132c0e2 Mon Sep 17 00:00:00 2001 From: lukas Date: Thu, 16 Jan 2025 03:26:23 +0100 Subject: [PATCH] simple sample intake form --- sample_intake.html | 138 +++++++++++++++++++++++++++++++++++++++++++++ 1 file changed, 138 insertions(+) create mode 100644 sample_intake.html diff --git a/sample_intake.html b/sample_intake.html new file mode 100644 index 0000000..3f18d37 --- /dev/null +++ b/sample_intake.html @@ -0,0 +1,138 @@ + + + + + + + + + + +

Add Sample

+
+
+
+ +
+
+ + +
+
+ +
+
+ +
+
+ + +
+
+
+
+ +
+
+ +
+
+
+
+ +
+
+ +
+
+ +
+
+ +
+
+ +
+
+ + +
+
+ + +