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'Edit Patient' : 'Add New Patient'}\n </h1>\n\n {error && <ErrorAlert message={error} onClose={() => setError(null)} />}\n {success && <SuccessAlert message={success} onClose={() => setSuccess(null)} />}\n\n <form onSubmit={handleSubmit} className=\"bg-white rounded-lg shadow p-6 space-y-4\">\n <div className=\"grid grid-cols-2 gap-4\">\n <div>\n <label className=\"block text-sm font-semibold mb-2\">First Name *</label>\n <input\n type=\"text\"\n name=\"firstName\"\n value={formData.firstName}\n onChange={handleChange}\n className=\"w-full px-4 py-2 border rounded-lg\"\n required\n />\n </div>\n <div>\n <label className=\"block text-sm font-semibold mb-2\">Last Name *</label>\n <input\n type=\"text\"\n name=\"lastName\"\n value={formData.lastName}\n onChange={handleChange}\n className=\"w-full px-4 py-2 border rounded-lg\"\n required\n />\n </div>\n </div>\n\n <div>\n <label className=\"block text-sm font-semibold mb-2\">EMBG *</label>\n <input\n type=\"text\"\n name=\"embg\"\n value={formData.embg}\n onChange={handleChange}\n className=\"w-full px-4 py-2 border rounded-lg\"\n required\n disabled={!!id}\n />\n </div>\n\n <div>\n <label className=\"block text-sm font-semibold mb-2\">Email</label>\n <input\n type=\"email\"\n name=\"emailAddress\"\n value={formData.emailAddress}\n onChange={handleChange}\n className=\"w-full px-4 py-2 border rounded-lg\"\n />\n </div>\n\n <div className=\"grid grid-cols-2 gap-4\">\n <div>\n <label className=\"block text-sm font-semibold mb-2\">Phone</label>\n <input\n type=\"tel\"\n name=\"phoneNumber\"\n value={formData.phoneNumber}\n onChange={handleChange}\n className=\"w-full px-4 py-2 border rounded-lg\"\n />\n </div>\n <div>\n <label className=\"block text-sm font-semibold mb-2\">Date of Birth</label>\n <input\n type=\"date\"\n name=\"dateOfBirth\"\n value={formData.dateOfBirth}\n onChange={handleChange}\n className=\"w-full px-4 py-2 border rounded-lg\"\n />\n </div>\n </div>\n\n <div className=\"grid grid-cols-2 gap-4\">\n <div>\n <label className=\"block text-sm font-semibold mb-2\">Gender</label>\n <select\n name=\"gender\"\n value={formData.gender}\n onChange={handleChange}\n className=\"w-full px-4 py-2 border rounded-lg\"\n >\n <option value=\"\">Select Gender</option>\n <option value=\"MALE\">Male</option>\n <option value=\"FEMALE\">Female</option>\n <option value=\"OTHER\">Other</option>\n </select>\n </div>\n <div>\n <label className=\"block text-sm font-semibold mb-2\">Blood Type</label>\n <select\n name=\"bloodType\"\n value={formData.bloodType}\n onChange={handleChange}\n className=\"w-full px-4 py-2 border rounded-lg\"\n >\n <option value=\"\">Select Blood Type</option>\n <option value=\"O_POSITIVE\">O+</option>\n <option value=\"O_NEGATIVE\">O-</option>\n <option value=\"A_POSITIVE\">A+</option>\n <option value=\"A_NEGATIVE\">A-</option>\n <option value=\"B_POSITIVE\">B+</option>\n <option value=\"B_NEGATIVE\">B-</option>\n <option value=\"AB_POSITIVE\">AB+</option>\n <option value=\"AB_NEGATIVE\">AB-</option>\n </select>\n </div>\n </div>\n\n <div className=\"flex gap-4 pt-4\">\n <button\n type=\"submit\"\n disabled={loading}\n className=\"bg-purple-600 text-white px-6 py-2 rounded hover:bg-purple-700 disabled:opacity-50\"\n >\n {loading ? 'Saving...' : 'Save Patient'}\n </button>\n <button\n type=\"button\"\n onClick={() => navigate('/patients')}\n className=\"bg-gray-300 text-gray-700 px-6 py-2 rounded hover:bg-gray-400\"\n >\n Cancel\n </button>\n </div>\n </form>\n </div>\n );\n}\n\nexport default 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