Patient Form - Copy this React, Tailwind Component to your project

make-a-patient-form-page-attractive-ui-(use-images-of-healthcare)-forms-inputs-are-PhoneNo-,Name,-Age-Address-,-Refereed-By-(select-option)-,-category(select)-subcategory(select),-fees-,-discount-,-final-payment-,-submit-button-,-form-is-on-the-left-alligna-nd-use-health-care-image-for-background-and-on-right-side