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form.html
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form.html
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<ul class="nav nav-tabs" role="tablist">
<li role="presentation" class="active">
<a data-toggle="tab" href="#tab-paciente">
Paciente
</a>
</li>
<li role="presentation">
<a data-toggle="tab" href="#tab-instituicao">
Instituição
</a>
</li>
<li role="presentation">
<a data-toggle="tab" href="#tab-convenio">
Convênio
</a>
</li>
<li role="presentation">
<a data-toggle="tab" href="#tab-adm">
Administrador
</a>
</li>
</ul>
<div class="tab-content">
<div class="tab-pane fade in active col-md-12" id="tab-paciente">
<form>
<div class="form-group form-paciente">
<label>Nome:</label>
<input type="text" class="form-control" id="nome-paciente" placeholder="Digite o seu nome">
<div class="row">
<div class="col-md-6 com-sm-12">
<label>RG:</label>
<input type="text" class="form-control" id="rg-paciente" placeholder="Informe seu RG">
<label>Data de Nascimento:</label>
<input type="date" class="form-control" id="data-paciente">
<label>Tipo Sanguíneo:</label>
<select class="form-control" id="tipo-sanguineo">
<option>A+</option>
<option>A-</option>
<option>B+</option>
<option>B-</option>
<option>AB+</option>
<option>AB-</option>
<option>O+</option>
<option>O-</option>
</select>
<label>CEP</label>
<input type="text" class="form-control" id="cpf-paciente" maxlength="11" required>
</div>
<div class="col-md-6 com-sm-12">
<label>CPF:</label>
<input class="form-control" id="cpf-paciente" placeholder="Informe seu CPF">
<label>Sexo</label>
<select class="form-control" id="sexo-paciente">
<option>Feminino</option>
<option>Masculino</option>
</select>
<label>Problemas de Saúde</label>
<select class="form-control" id="problemas-saude">
<option>Colesterol</option>
<option>Diabetes</option>
<option>Hipertensão</option>
<option>Outros</option>
</select>
<label>UF</label>
<select class="form-control uf">
<option value="AC">Acre</option>
<option value="AL">Alagoas</option>
<option value="AP">Amapá</option>
<option value="AM">Amazonas</option>
<option value="BA">Bahia</option>
<option value="CE">Ceará</option>
<option value="DF">Distrito Federal</option>
<option value="ES">Espírito Santo</option>
<option value="GO">Goiás</option>
<option value="MA">Maranhão</option>
<option value="MT">Mato Grosso</option>
<option value="MS">Mato Grosso do Sul</option>
<option value="MG">Minas Gerais</option>
<option value="PA">Pará</option>
<option value="PB">Paraíba</option>
<option value="PR">Paraná</option>
<option value="PE">Pernambuco</option>
<option value="PI">Piauí</option>
<option value="RJ">Rio de Janeiro</option>
<option value="RN">Rio Grande do Norte</option>
<option value="RS">Rio Grande do Sul</option>
<option value="RO">Rondônia</option>
<option value="RR">Roraima</option>
<option value="SC">Santa Catarina</option>
<option value="SP">São Paulo</option>
<option value="SE">Sergipe</option>
<option value="TO">Tocantins</option>
</select>
</div>
</div>
<label>Endereço</label>
<input type="text" class="form-control" id="end-paciente">
<label>E-mail</label>
<input type="email" class="form-control" id="exampleInputEmail1" aria-describedby="emailHelp" placeholder="Digite o seu e-mail">
<div class="row">
<div class="col-md-6 com-sm-12">
<label>telefone</label>
<input type="text" class="form-control" id="tel-paciente">
</div>
<div class="col-md-6 com-sm-12">
<label>Formas de pagamento</label>
<select class="form-control" id="forma-pagamento">
<option>Dinheiro</option>
<option>Cartão</option>
</select>
</div>
</div>
<div class="text-center">
<button type="submit" class="btn btn-primary">Submit</button>
</div>
</div>
</form>
</div>
<div class="tab-pane fade col-md-12" id="tab-instituicao">
<h3>eu sou o tab instituição</h3>
</div>