Revert "Added fields to new-patient-form.html"

This reverts commit 6eaf2bf894f3ec0e0a33a475e4bd19874c67783a.
Revert "Revert "Added fields to new-patient-form.html""

This reverts commit 9926f5d9b90e24e859639f6f7f36f6cb313cd4d0.
Fix Try