Patient Registration Modal - Copy this React, Tailwind Component to your project

Central Patient register modal Description: Position: On the central area. Content: The component must contain a registration modal with the following required fields: Name, Age, Gender, Fax Code, Email, Phone1, Phone2, Address. Design Details for PureCode IA: Font: Use "Inter" for all text, with the following sizes: Main Titles: 22 24px, Bold Section Headers: 18 20px, Semi bold General Text: 14 16px, Regular Small Notes: 12 14px, Light Colors: Apply the custom “mytheme” with the following colors: Primary: #3b82f6 (blue) for main buttons and links. Secondary: #34d399 (green) for availability indicators and success states. Accent: #eab308 (yellow) for critical elements. Background: #f3f4f6 (light gray). Text: #111827 (dark gray).