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NotaMedica.html
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<!doctype html>
<html lang="en">
<head>
<meta charset="utf-8" />
<link rel="apple-touch-icon" sizes="76x76" href="assets/img/apple-icons.png" />
<link rel="icon" type="image/png" href="assets/img/favicons.png" />
<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1" />
<title>Clínica San Luis Huexotla</title>
<meta content='width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=0' name='viewport' />
<meta name="viewport" content="width=device-width" />
<!-- Bootstrap core CSS -->
<link href="assets/css/bootstrap.min.css" rel="stylesheet" />
<!-- Material Dashboard CSS -->
<link href="assets/css/material-dashboard.css?v=1.2.0" rel="stylesheet" />
<!-- CSS for Demo Purpose, don't include it in your project -->
<link href="assets/css/demo.css" rel="stylesheet" />
<!-- Fonts and icons -->
<link href="http://maxcdn.bootstrapcdn.com/font-awesome/latest/css/font-awesome.min.css" rel="stylesheet">
<link rel="stylesheet" type="text/css" href="https://fonts.googleapis.com/css?family=Roboto:300,400,500,700|Roboto+Slab:400,700|Material+Icons" />
</head>
<body>
<div class="wrapper">
<div class="sidebar" data-color="azul" data-image="bg2.JPG">
<!--
Tip 1: You can change the color of the sidebar using: data-color="purple | blue | green | orange | red"
Tip 2: you can also add an image using data-image tag
-->
<div class="logo">
<a class="simple-text">
Samuel Garrido
</a>
</div>
<div class="sidebar-wrapper">
<ul class="nav">
<li>
<a href="dashboard.html">
<i class="material-icons">dashboard</i>
<p>Vista General</p>
</a>
</li>
<li>
<a href="DatosPaciente.html">
<i class="material-icons">person</i>
<p>Datos personales</p>
</a>
</li>
<li>
<a href="HistoriaClinica.html">
<i class="material-icons">fingerprint</i>
<p>Historia Clínica</p>
</a>
</li>
<li class="active">
<a href="Diagnosticos.html">
<i class="material-icons">accessibility_new</i>
<p>Diagnósticos</p>
</a>
</li>
<li>
<a href="Archivos.html">
<i class="material-icons">folder_shared</i>
<p>Archivos</p>
</a>
</li>
<li>
<a href="CitasPaciente.html">
<i class="material-icons text-gray">access_time</i>
<p>Citas programadas</p>
</a>
</li>
</ul>
</div>
</div>
<div class="main-panel">
<nav class="navbar navbar-inverse navbar-fixed-top">
<div class="container-fluid">
<div class="navbar-header">
<button type="button" class="navbar-toggle" data-toggle="collapse">
<span class="sr-only">Toggle navigation</span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
</button>
<a class="navbar-brand" href="#"> ⚕︎ Clínica San Luis Huexotla</a>
</div>
<div class="collapse navbar-collapse" id="navigation-example-2">
<ul class="nav navbar-nav navbar-right">
<li>
<a href="ListaPaciente.html">
<i class="material-icons text-gray">table_chart</i>
Tabla general
</a>
</li>
<li>
<a href="Calendario.html">
<i class="material-icons text-gray">insert_invitation</i>
Calendario
</a>
</li>
<li class="dropdown">
<a href="#pablo" class="dropdown-toggle" data-toggle="dropdown">
<i class="material-icons text-gray">face</i>
Perfil
</a>
<ul class="dropdown-menu">
<li class="dropdown-header">
Médico
</li>
<li>
<a href="#pablo">Datos médicos</a>
</li>
<li>
<a href="#pablo">Configuración página</a>
</li>
<li class="divider"></li>
<li>
<a href="index.html">Cerrar Sesión</a></li>
</ul>
</li>
</ul>
<form class="navbar-form navbar-right" role="search">
</form>
</div><!-- /.navbar-collapse -->
</div>
</nav>
<div class="content">
<div class="container-fluid">
<div class="row">
<div class="col-md-12">
<div class="card">
<div class="card-header" data-background-color="green">
<i class="material-icons pull-right" style="font-size: 54px;">emoji_people</i>
<h4 class="title">Nueva Nota Médica</h4>
<p class="category">Inserte los datos requeridos por favor</p>
</div>
<div class="card-content">
<form>
<div class="row">
<h5 align="center"> <b>Datos generales</b></h5>
</div>
<div class="row">
<div class="col-md-5">
<label class="control-label" style="font-size: 12px !important">Fecha</label>
<h6>28-12-2019</h6>
</div>
<div class="col-md-3">
<label class="control-label" style="font-size: 12px !important">Diagnóstico</label>
<h6>Diabetes tipo 2</h6>
</div>
<div class="col-md-4">
<label class="control-label" style="font-size: 12px !important">Cédula Profesional Médico</label>
<h6>12345678</h6>
</div>
</div>
<div class="row">
<div class="col-md-5">
<label class="control-label" style="font-size: 12px !important">Nombre Paciente</label>
<h6>Samuel Arturo</h6>
</div>
<div class="col-md-3">
<label class="control-label" style="font-size: 12px !important">Apellidos Paterno</label>
<h6>Garrido</h6>
</div>
<div class="col-md-4">
<label class="control-label" style="font-size: 12px !important">Apellido Materno</label>
<h6>Sánchez</h6>
</div>
</div>
<div class="row">
<h5 align="center"> <b>Signos vitales</b></h5>
</div>
<div class="row">
<div>
<div class="col-md-2">
<div class="form-group label-floating">
<label class="control-label">Temp (ºC)</label>
<input type="number" step="0.1" class="form-control">
</div>
</div>
<div class="col-md-1">
<div class="form-group label-floating">
<label class="control-label">TA</label>
<input type="number" class="form-control">
</div>
</div>
<div class="col-md-1">
<div class="form-group label-floating">
<label class="control-label">FC</label>
<input type="number" class="form-control">
</div>
</div>
<div class="col-md-1">
<div class="form-group label-floating">
<label class="control-label">FR</label>
<input type="number" class="form-control">
</div>
</div>
<div class="col-md-1">
<div class="form-group label-floating">
<label class="control-label">Ox:</label>
<input type="number" class="form-control">
</div>
</div>
<div class="col-md-2">
<div class="form-group label-floating">
<label class="control-label">Peso (kg) </label>
<input type="number" step="0.001" class="form-control">
</div>
</div>
<div class="col-md-2">
<div class="form-group label-floating">
<label class="control-label">Talla (cm)</label>
<input type="number" class="form-control">
</div>
</div>
</div>
</div>
<div class="row">
<h5 align="center"> <b>Notas</b></h5>
</div>
<div class="row">
<div class="col-md-12">
<div class="form-group">
<div class="form-group label-floating">
<label class="control-label"> Padecimiento</label>
<textarea class="form-control" rows="6"></textarea>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-12">
<div class="form-group">
<div class="form-group label-floating">
<label class="control-label"> Exploración Física</label>
<textarea class="form-control" rows="6"></textarea>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-12">
<div class="form-group">
<div class="form-group label-floating">
<label class="control-label"> Tratamiento</label>
<textarea class="form-control" rows="6"></textarea>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-12">
<div class="form-group">
<div class="form-group label-floating">
<label class="control-label"> Plan</label>
<textarea class="form-control" rows="6"></textarea>
</div>
</div>
</div>
</div>
<div class="row">
<h5 align="center"> <b>Archivos adjuntos *</b></h5>
</div>
<div class="row">
<div class="col-md-4">
<div class="form-group">
<div class="form-group label-floating">
<label class="control-label"> Número de archivos adjuntos:</label>
<input type="number" class="form-control" placeholder=" 3">
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-3">
<div class="form-group">
<input type="file" id="inputFile2" multiple="">
<div class="input-group">
<input type="text" readonly="" class="form-control" placeholder="Añadir archivo">
<span class="input-group-btn input-group-s">
<button type="button" class="btn btn-just-icon btn-round btn-primary">
<i class="material-icons">attach_file</i>
</button>
</span>
</div>
</div>
<div class="form-group label-floating">
<label class="control-label" style="font-size: 12px !important">Tipo</label>
<input type="text" class="form-control" placeholder=" Análisis de laboratorio de sangre">
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<input type="file" id="inputFile2" multiple="">
<div class="input-group">
<input type="text" readonly="" class="form-control" placeholder="Añadir archivo">
<span class="input-group-btn input-group-s">
<button type="button" class="btn btn-just-icon btn-round btn-primary">
<i class="material-icons">attach_file</i>
</button>
</span>
</div>
</div>
<div class="form-group label-floating">
<label class="control-label" style="font-size: 12px !important">Tipo</label>
<input type="text" class="form-control" placeholder=" Radiografía de fémur">
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<input type="file" id="inputFile2" multiple="">
<div class="input-group">
<input type="text" readonly="" class="form-control" placeholder="Añadir archivo">
<span class="input-group-btn input-group-s">
<button type="button" class="btn btn-just-icon btn-round btn-primary">
<i class="material-icons">attach_file</i>
</button>
</span>
</div>
</div>
<div class="form-group label-floating">
<label class="control-label" style="font-size: 12px !important">Tipo</label>
<input type="text" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-md-6">
<p>*Archivos tales como análisis de laboratorio, radiografías, cultivos, etc. <b>PDF</b></p>
</div>
</div>
<button type="submit" class="btn btn-success pull-right">Guardar nota médica</button>
<div class="clearfix"></div>
</form>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</body>
<!-- Core JS Files -->
<script src="assets/js/jquery-3.2.1.min.js" type="text/javascript"></script>
<script src="assets/js/bootstrap.min.js" type="text/javascript"></script>
<script src="assets/js/material.min.js" type="text/javascript"></script>
<!-- Charts Plugin -->
<script src="assets/js/chartist.min.js"></script>
<!-- Dynamic Elements plugin -->
<script src="assets/js/arrive.min.js"></script>
<!-- PerfectScrollbar Library -->
<script src="assets/js/perfect-scrollbar.jquery.min.js"></script>
<!-- Notifications Plugin -->
<script src="assets/js/bootstrap-notify.js"></script>
<!-- Google Maps Plugin -->
<script type="text/javascript" src="https://maps.googleapis.com/maps/api/js?key=YOUR_KEY_HERE"></script>
<!-- Material Dashboard javascript methods -->
<script src="assets/js/material-dashboard.js"></script>
<!-- Material Dashboard DEMO methods, don't include it in your project! -->
<script src="assets/js/demo.js"></script>
<script type="text/javascript">
$(document).ready(function() {
// Javascript method's body can be found in assets/js/demos.js
demo.initDashboardPageCharts();
});
</script>
</html>