diff --git a/Polyclinic/PolyclinicWebAppImplementer/Views/Home/Symptom.cshtml b/Polyclinic/PolyclinicWebAppImplementer/Views/Home/Symptom.cshtml
index 9c064ec..6d3dba9 100644
--- a/Polyclinic/PolyclinicWebAppImplementer/Views/Home/Symptom.cshtml
+++ b/Polyclinic/PolyclinicWebAppImplementer/Views/Home/Symptom.cshtml
@@ -1,3 +1,63 @@
 @{
     ViewBag.SelectedSiteMenuItem = SiteMenuItems.Symptom;
 }
+<form class="d-flex flex-column" method="post">
+    <div class="row mb-5">
+        <div class="col-3">Название:</div>
+        <div class="col-8"><input type="text" id="name" name="name" /></div>
+    </div>
+    <div class="row mb-5">
+        <div class="col-3">Коментарий:</div>
+        <div class="col-8"><textarea id="comment" name="comment"></textarea></div>
+    </div>
+    <div class="row mb-5">
+        <div class="col-3">Болезни:</div>
+        <div class="col-8">
+            <div class="row">
+                <div class="d-flex">
+                    <button class="btn btn-success" type="button">
+                        Добавить
+                    </button>
+                    <select id="recipeId" name="recipeId">
+                        <option value="">Выберите болезнь</option>
+                        @{
+                            int count = 10;
+                            for (int i = 0; i < count; i++)
+                            {
+                                <option value="@i">Какая-то противная болезнь @i</option>
+                            }
+                        }
+                    </select>
+                </div>
+                <div class="col-3">
+                </div>
+            </div>
+        </div>
+    </div>
+    <div class="row">
+        <ol>
+            @{
+                count = 7;
+                for (int i = 0; i < count; i++)
+                {
+                    <li class="mb-2">
+                        <a asp-action="Symptom" class="text-decoration-none">
+                            <svg xmlns="http://www.w3.org/2000/svg" width="16" height="16" fill="currentColor" class="bi bi-trash-fill text-danger " viewBox="0 0 16 16">
+                                <path d="M2.5 1a1 1 0 0 0-1 1v1a1 1 0 0 0 1 1H3v9a2 2 0 0 0 2 2h6a2 2 0 0 0 2-2V4h.5a1 1 0 0 0 1-1V2a1 1 0 0 0-1-1H10a1 1 0 0 0-1-1H7a1 1 0 0 0-1 1zm3 4a.5.5 0 0 1 .5.5v7a.5.5 0 0 1-1 0v-7a.5.5 0 0 1 .5-.5M8 5a.5.5 0 0 1 .5.5v7a.5.5 0 0 1-1 0v-7A.5.5 0 0 1 8 5m3 .5v7a.5.5 0 0 1-1 0v-7a.5.5 0 0 1 1 0" />
+                            </svg>
+                        </a>
+                        <span>Выбранная болезнь</span>
+                    </li>
+                }
+            }
+        </ol>
+    </div>
+    <div class="row mb-5">
+        <div class="col-4">
+            <button class="btn btn-success" type="submit">
+                Сохранить
+            </button>
+            @Html.ActionLink("Отмена", "Courses", "Home", null, new { @class = "btn btn-danger" })
+        </div>
+    </div>
+</form>
\ No newline at end of file