function MainComponent() { return /*#__PURE__*/ React.createElement("div", { className: "w-full max-w-2xl mx-auto p-6 bg-[#f9f9f9] rounded shadow-lg", __source: { fileName: "", lineNumber: 3, columnNumber: 5 }, __self: this }, /*#__PURE__*/ React.createElement("h1", { className: "text-2xl font-bold mb-4 font-roboto", __source: { fileName: "", lineNumber: 4, columnNumber: 7 }, __self: this }, "受付番号発行画面"), /*#__PURE__*/ React.createElement("form", { __source: { fileName: "", lineNumber: 5, columnNumber: 7 }, __self: this }, /*#__PURE__*/ React.createElement("div", { className: "mb-4", __source: { fileName: "", lineNumber: 6, columnNumber: 9 }, __self: this }, /*#__PURE__*/ React.createElement("label", { className: "block text-sm font-medium text-gray-700 mb-2 font-roboto", htmlFor: "name", __source: { fileName: "", lineNumber: 7, columnNumber: 11 }, __self: this }, "名前"), /*#__PURE__*/ React.createElement("input", { type: "text", id: "name", name: "name", className: "w-full p-2 border border-gray-300 rounded", __source: { fileName: "", lineNumber: 8, columnNumber: 11 }, __self: this })), /*#__PURE__*/ React.createElement("div", { className: "mb-4", __source: { fileName: "", lineNumber: 10, columnNumber: 9 }, __self: this }, /*#__PURE__*/ React.createElement("label", { className: "block text-sm font-medium text-gray-700 mb-2 font-roboto", htmlFor: "age", __source: { fileName: "", lineNumber: 11, columnNumber: 11 }, __self: this }, "年齢"), /*#__PURE__*/ React.createElement("input", { type: "number", id: "age", name: "age", className: "w-full p-2 border border-gray-300 rounded", __source: { fileName: "", lineNumber: 12, columnNumber: 11 }, __self: this })), /*#__PURE__*/ React.createElement("div", { className: "mb-4", __source: { fileName: "", lineNumber: 14, columnNumber: 9 }, __self: this }, /*#__PURE__*/ React.createElement("label", { className: "block text-sm font-medium text-gray-700 mb-2 font-roboto", htmlFor: "gender", __source: { fileName: "", lineNumber: 15, columnNumber: 11 }, __self: this }, "性別"), /*#__PURE__*/ React.createElement("select", { id: "gender", name: "gender", className: "w-full p-2 border border-gray-300 rounded", __source: { fileName: "", lineNumber: 16, columnNumber: 11 }, __self: this }, /*#__PURE__*/ React.createElement("option", { value: "male", __source: { fileName: "", lineNumber: 17, columnNumber: 13 }, __self: this }, "男性"), /*#__PURE__*/ React.createElement("option", { value: "female", __source: { fileName: "", lineNumber: 18, columnNumber: 13 }, __self: this }, "女性"), /*#__PURE__*/ React.createElement("option", { value: "other", __source: { fileName: "", lineNumber: 19, columnNumber: 13 }, __self: this }, "その他"))), /*#__PURE__*/ React.createElement("div", { className: "mb-4", __source: { fileName: "", lineNumber: 22, columnNumber: 9 }, __self: this }, /*#__PURE__*/ React.createElement("label", { className: "block text-sm font-medium text-gray-700 mb-2 font-roboto", htmlFor: "symptoms", __source: { fileName: "", lineNumber: 23, columnNumber: 11 }, __self: this }, "症状"), /*#__PURE__*/ React.createElement("textarea", { id: "symptoms", name: "symptoms", className: "w-full p-2 border border-gray-300 rounded", __source: { fileName: "", lineNumber: 24, columnNumber: 11 }, __self: this })), /*#__PURE__*/ React.createElement("button", { type: "submit", className: "bg-blue-500 text-white p-2 rounded hover:bg-blue-600 font-roboto", __source: { fileName: "", lineNumber: 26, columnNumber: 9 }, __self: this }, "送信"))); }