Write an HTML file that creates the following web page.

Write an HTML file that creates the following web page. mportant notes: 1. You should have to copy and paste the "HTML script" as your answer to this question. DON' T take a screenshot for your H TML script. It must be an editable script. 2. Take a screenshot of your output web page and pasteit as a part of your answer. 3. Make use oflabels and appropriate input types. 4. The dropdown menu has the options: Tooth Extraction, Grafting, Restoration, Cosmetic Dentistry, and Implants. Dental Treatment Informed Consent Form Patient information * denotes mandotory Name*: Age*: Email Address: Date of Birth*; Type of Dental Procedure* : Discount Coupon code: Terms and conditions I allow and authorize the clinic to perform this procedure to me. I understands the side effects of the medications given to me. I understand that I am not allowed to eat or drink 4-6 hours before the procedure