function MainComponent() { const [formData, setFormData] = React.useState({ name: '', age: '', symptoms: '', contactNumber: '', availability: '' }); const handleChange = (event)=>{ const { name, value } = event.target; setFormData((prevFormData)=>({ ...prevFormData, [name]: value })); }; const handleSubmit = (event)=>{ event.preventDefault(); }; const availabilityOptions = [ "Morning", "Afternoon", "Evening" ].map((period)=>/*#__PURE__*/ React.createElement("option", { key: period, value: period, __source: { fileName: "", lineNumber: 20, columnNumber: 5 }, __self: this }, period)); return /*#__PURE__*/ React.createElement("div", { className: "flex flex-col items-center justify-center min-h-screen bg-[#F8FAFC] p-4", __source: { fileName: "", lineNumber: 23, columnNumber: 5 }, __self: this }, /*#__PURE__*/ React.createElement("div", { className: "w-full max-w-3xl p-6 bg-white rounded-lg shadow-md", __source: { fileName: "", lineNumber: 24, columnNumber: 7 }, __self: this }, /*#__PURE__*/ React.createElement("h1", { className: "text-center text-4xl font-semibold font-roboto text-[#121212] mb-8", __source: { fileName: "", lineNumber: 25, columnNumber: 9 }, __self: this }, "Medical Adviser Appointment Form"), /*#__PURE__*/ React.createElement("form", { className: "space-y-6", onSubmit: handleSubmit, __source: { fileName: "", lineNumber: 26, columnNumber: 9 }, __self: this }, /*#__PURE__*/ React.createElement("div", { __source: { fileName: "", lineNumber: 27, columnNumber: 11 }, __self: this }, /*#__PURE__*/ React.createElement("label", { className: "block mb-2 text-sm font-medium font-roboto text-[#121212]", __source: { fileName: "", lineNumber: 28, columnNumber: 13 }, __self: this }, "Full Name:"), /*#__PURE__*/ React.createElement("input", { type: "text", name: "name", className: "w-full px-4 py-2 border rounded-md text-sm font-roboto text-[#121212] bg-[#FFFFFF] border-[#D1D5DB]", value: formData.name, onChange: handleChange, __source: { fileName: "", lineNumber: 29, columnNumber: 13 }, __self: this })), /*#__PURE__*/ React.createElement("div", { __source: { fileName: "", lineNumber: 37, columnNumber: 11 }, __self: this }, /*#__PURE__*/ React.createElement("label", { className: "block mb-2 text-sm font-medium font-roboto text-[#121212]", __source: { fileName: "", lineNumber: 38, columnNumber: 13 }, __self: this }, "Age:"), /*#__PURE__*/ React.createElement("input", { type: "number", name: "age", className: "w-full px-4 py-2 border rounded-md text-sm font-roboto text-[#121212] bg-[#FFFFFF] border-[#D1D5DB]", value: formData.age, onChange: handleChange, __source: { fileName: "", lineNumber: 39, columnNumber: 13 }, __self: this })), /*#__PURE__*/ React.createElement("div", { __source: { fileName: "", lineNumber: 47, columnNumber: 11 }, __self: this }, /*#__PURE__*/ React.createElement("label", { className: "block mb-2 text-sm font-medium font-roboto text-[#121212]", __source: { fileName: "", lineNumber: 48, columnNumber: 13 }, __self: this }, "Symptoms Description:"), /*#__PURE__*/ React.createElement("textarea", { name: "symptoms", className: "w-full px-4 py-2 border rounded-md text-sm font-roboto text-[#121212] bg-[#FFFFFF] border-[#D1D5DB] h-[120px]", value: formData.symptoms, onChange: handleChange, __source: { fileName: "", lineNumber: 49, columnNumber: 13 }, __self: this })), /*#__PURE__*/ React.createElement("div", { __source: { fileName: "", lineNumber: 56, columnNumber: 11 }, __self: this }, /*#__PURE__*/ React.createElement("label", { className: "block mb-2 text-sm font-medium font-roboto text-[#121212]", __source: { fileName: "", lineNumber: 57, columnNumber: 13 }, __self: this }, "Contact Number:"), /*#__PURE__*/ React.createElement("input", { type: "tel", name: "contactNumber", className: "w-full px-4 py-2 border rounded-md text-sm font-roboto text-[#121212] bg-[#FFFFFF] border-[#D1D5DB]", value: formData.contactNumber, onChange: handleChange, __source: { fileName: "", lineNumber: 58, columnNumber: 13 }, __self: this })), /*#__PURE__*/ React.createElement("div", { __source: { fileName: "", lineNumber: 66, columnNumber: 11 }, __self: this }, /*#__PURE__*/ React.createElement("label", { className: "block mb-2 text-sm font-medium font-roboto text-[#121212]", __source: { fileName: "", lineNumber: 67, columnNumber: 13 }, __self: this }, "Preferred Availability:"), /*#__PURE__*/ React.createElement("select", { name: "availability", className: "w-full px-4 py-2 border rounded-md text-sm font-roboto text-[#121212] bg-[#FFFFFF] border-[#D1D5DB]", value: formData.availability, onChange: handleChange, __source: { fileName: "", lineNumber: 68, columnNumber: 13 }, __self: this }, /*#__PURE__*/ React.createElement("option", { value: "", __source: { fileName: "", lineNumber: 74, columnNumber: 15 }, __self: this }, "Select..."), availabilityOptions)), /*#__PURE__*/ React.createElement("div", { className: "flex justify-end", __source: { fileName: "", lineNumber: 78, columnNumber: 11 }, __self: this }, /*#__PURE__*/ React.createElement("button", { type: "submit", className: "px-8 py-3 bg-[#4F46E5] text-white text-sm font-medium font-roboto rounded hover:bg-[#4338CA]", __source: { fileName: "", lineNumber: 79, columnNumber: 13 }, __self: this }, "Book Appointment"))))); }