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crmackay/sample.html

Last active April 30, 2017 22:24
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sample.html
<!DOCTYPE html>
<head><meta charset="UTF-8"></head>
<body>
<form id="form1">
<select name="question1">
<option value="value1">Value 1</option>
<option value="value2" selected>Value 2</option>
<option value="value3">Value 3</option>
</select>
<br/><br/>
<input type="text" name="firstname" value="John">
<br/><br/>
<input type="radio" name="gender" value="male" checked> Male<br>
<input type="radio" name="gender" value="female"> Female<br>
<input type="radio" name="gender" value="other"> Other
<br/><br/>
<select name="ddlInventario" id="ddlInventario" style="height:16px;width:168px;">
<option selected="selected" value="Adultos Tablet">Adultos Tablet</option>
<option value="Amlodipina 5 Tablet">Amlodipina 5 Tablet</option>
<option value="Amlodipina 10 Tablet">Amlodipina 10 Tablet</option>
<option value="Amoxicilina 500 Tablet">Amoxicilina 500 Tablet</option>
<option value="Amoxicilina 250 Tablet">Amoxicilina 250 Tablet</option>
<option value="Amoxicilina 250 Suspensión">Amoxicilina 250 Suspensión</option>
<option value="Amoxicilina 125 Suspensión">Amoxicilina 125 Suspensión</option>
<option value="Aspirina 325 Tablet">Aspirina 325 Tablet</option>
<option value="Aspirina 81 Tablet">Aspirina 81 Tablet</option>
<option value="Atenolol 50 Tablet">Atenolol 50 Tablet</option>
<option value="Atenolol 100 Tablet">Atenolol 100 Tablet</option>
<option value="Bactrim 800 Tablet">Bactrim 800 Tablet</option>
<option value="Bactrim 600 Tablet">Bactrim 600 Tablet</option>
<option value="Benadryl 25 Tablet">Benadryl 25 Tablet</option>
<option value="Benadryl 125 Suspencion">Benadryl 125 Suspencion</option>
<option value="Cefalexina 500 Tablet">Cefalexina 500 Tablet</option>
<option value="Cefalexina 250 Tablet">Cefalexina 250 Tablet</option>
<option value="Cefalexina 400 Suspensión">Cefalexina 400 Suspensión</option>
<option value="Cefalexina 250 Suspensión">Cefalexina 250 Suspensión</option>
<option value="Ciprofloxacina 500 Tablet">Ciprofloxacina 500 Tablet</option>
<option value="Clotrimazole 40 cream">Clotrimazole 40 cream</option>
<option value="Doxiciclina 200 Tablet">Doxiciclina 200 Tablet</option>
<option value="Doxiciclina 100 Tablet">Doxiciclina 100 Tablet</option>
<option value="Fluconazole 150 Tablet">Fluconazole 150 Tablet</option>
<option value="Fluconazole 50 Tablet">Fluconazole 50 Tablet</option>
<option value="Gotas para ojos Bottle">Gotas para ojos Bottle</option>
<option value="Hidrocortizona cream">Hidrocortizona cream</option>
<option value="Ibuprofen 800 Tablet">Ibuprofen 800 Tablet</option>
<option value="Ibuprofen 400 Tablet">Ibuprofen 400 Tablet</option>
<option value="Ibuprofen 200 Tablet">Ibuprofen 200 Tablet</option>
<option value="Ibuprofen 125 Syrup">Ibuprofen 125 Syrup</option>
<option value="Infantes Syrup">Infantes Syrup</option>
<option value="Loratadina 20 Tablet">Loratadina 20 Tablet</option>
<option value="Metformina 800 Tablet">Metformina 800 Tablet</option>
<option value="Metformina 500 Tablet">Metformina 500 Tablet</option>
<option value="Metrodinazole 500 Tablet">Metrodinazole 500 Tablet</option>
<option value="Metrodinazole 250 Tablet">Metrodinazole 250 Tablet</option>
<option value="Naproxen 500 Tablet">Naproxen 500 Tablet</option>
<option value="Naproxen 200 Tablet">Naproxen 200 Tablet</option>
<option value="Niños Tablet">Niños Tablet</option>
<option value="Omeprazole 20 Tablet">Omeprazole 20 Tablet</option>
<option value="Omeprazole 10 Tablet">Omeprazole 10 Tablet</option>
<option value="Prenatal Tablet">Prenatal Tablet</option>
<option value="Raditidina 300 Tablet">Raditidina 300 Tablet</option>
<option value="Raditidina 250 Tablet">Raditidina 250 Tablet</option>
<option value="Rubitusin 125 syrup">Rubitusin 125 syrup</option>
<option value="Suero oral oral">Suero oral oral</option>
<option value="Tums Bottle">Tums Bottle</option>
<option value="Tylenol 500 Tablet">Tylenol 500 Tablet</option>
<option value="Tylenol 325 Tablet">Tylenol 325 Tablet</option>
<option value="Tylenol Children 80 Suspensión">Tylenol Children 80 Suspensión</option>
<option value="Tylenol Children 125 Suspensión">Tylenol Children 125 Suspensión</option>
</select>
</form>
</body>
</html>
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