diff --git a/pwa/src/components/PatientInfoForm.tsx b/pwa/src/components/PatientInfoForm.tsx
index 27f4064..6899e7a 100644
--- a/pwa/src/components/PatientInfoForm.tsx
+++ b/pwa/src/components/PatientInfoForm.tsx
@@ -113,7 +113,7 @@ export default function Form(): ReactElement {
-
+
Birth Date