Write an HTML Form to input a new patient information in a hospital. The form will have no action.

The form should ask the new patient for the following:

$1.$ His name $($first$,$ middle, last$)($use input of type text here$)$

$2.$ Age $($Use input of type number here$)$

$3.$ Gender $($use a select here$)$

$4.$ Date of birth $($use an input of type date for this field$)$

$5.$ Address $...$

$6.$ Phone number $($Use an input of type tel here, and apply a pattern$)$

$7.$ Time of arrival $($Use input of type time here$)$

$8.$ Type of insurance $...$

$9.$ Previous illnesses $($A select with multiple selections$)$

$10.$ Number of previous visits $($Radio buttons$)($first time or $1-5$ or $5-10$ or more than $10)$

$11.$ Drugs he is currently taking $...$

$12.$ Allergies if any $($Check boxes$)$

$13.$ Complaint $($text area$)$

$14.$ Degree of the pain he is feeling right now $($from $1-10)($Use input of type range$)$

$15.$ Email $($use input of type email$)$

$16.$ Password $($use input of type password here$)$

$17.$ Re$-$type the password

$18.$ A submit button

$19.$ A reset button

$20.$ A button called $$Check$$ when clicked will make sure that the password and the re$-$type of the password are the same. $($Hint: Use a JavaScript function to do that onClick$)$

Make sure that the password is more than $8$ characters, has capital and small letters, has digits, and at least one special character.