</label>
    <input type="text" id="pcv" name="pcv">
    <br>

    <label for="htn">HTN: </label>
    <input type="text" id="htn" name="htn">
    <br>

    <label for="dm">D.M : </label>
    <input type="text" id="dm" name="dm">
    <br>

    <label for="appet">Appet: </label>
    <input type="text" id="appet" name="appet">
    <br>
    <br>

    <input type="submit" value="Submit"><br><br>
</form>


    </div>


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