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LiteSpeed

System:

Linux 5.14.0-611.16.1.el9_7.x86_64

PHP Version:

8.2.30

User:

u226437350

Directory:

/home/u226437350/domains/santukapalace.in/public_html/multimedi

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✏️ Editing: appoinment.php

<?php 
    include 'header.php';
?>

<div class="container-fluid page-header py-5 mb-5 wow fadeIn" data-wow-delay="0.1s">
        <div class="container text-center py-5 mt-4">
            <h1 class="display-2 text-white mb-3 animated slideInDown">Appoinment</h1>
            <nav aria-label="breadcrumb animated slideInDown">
                <ol class="breadcrumb justify-content-center mb-0">
                    <li class="breadcrumb-item"><a href="#">Home</a></li>
                    <li class="breadcrumb-item"><a href="#">Pages</a></li>
                    <li class="breadcrumb-item" aria-current="page">Appoinment</li>
                </ol>
            </nav>
        </div>
    </div>

<div class="container-fluid py-5">
        <div class="container">
            <div class="row g-5">
                <div class="col-lg-6 wow fadeInUp" data-wow-delay="0.1s">
                    <h1 class="display-6 mb-4">We Ensure You Will Always Get The Best Result</h1>
                    <p>Lorem ipsum dolor sit amet, consectetur adipiscing elit. Curabitur tellus augue, iaculis id elit eget, ultrices pulvinar tortor. Quisque vel lorem porttitor, malesuada arcu quis, fringilla risus. Pellentesque eu consequat augue.</p>
                    <p class="mb-4">Lorem ipsum dolor sit amet, consectetur adipiscing elit. Curabitur tellus augue, iaculis id elit eget, ultrices pulvinar tortor.</p>
                    <div class="d-flex align-items-start wow fadeIn" data-wow-delay="0.3s">
                        <div class="icon-box-primary">
                            <i class="bi bi-geo-alt text-dark fs-1"></i>
                        </div>
                        <div class="ms-3">
                            <h5>Office Address</h5>
                            <span>123 Street, New York, USA</span>
                        </div>
                    </div>
                    <hr>
                    <div class="d-flex align-items-start wow fadeIn" data-wow-delay="0.4s">
                        <div class="icon-box-primary">
                            <i class="bi bi-clock text-dark fs-1"></i>
                        </div>
                        <div class="ms-3">
                            <h5>Office Time</h5>
                            <span>Mon-Sat 09am-5pm, Sun Closed</span>
                        </div>
                    </div>
                </div>
                <div class="col-lg-6 wow fadeInUp" data-wow-delay="0.5s">
                    <h2 class="mb-4">Online Appoinment</h2>
                    <div class="row g-3">
                        <div class="col-sm-6">
                            <div class="form-floating">
                                <input type="text" class="form-control" id="name" placeholder="Your Name">
                                <label for="name">Your Name</label>
                            </div>
                        </div>
                        <div class="col-sm-6">
                            <div class="form-floating">
                                <input type="email" class="form-control" id="mail" placeholder="Your Email">
                                <label for="mail">Your Email</label>
                            </div>
                        </div>
                        <div class="col-sm-6">
                            <div class="form-floating">
                                <input type="text" class="form-control" id="mobile" placeholder="Your Mobile">
                                <label for="mobile">Your Mobile</label>
                            </div>
                        </div>
                        <div class="col-sm-6">
                            <div class="form-floating">
                                <select class="form-select" id="service">
                                    <option selected>Pathology Testing</option>
                                    <option value="">Microbiology Tests</option>
                                    <option value="">Biochemistry Tests</option>
                                    <option value="">Histopatology Tests</option>
                                </select>
                                <label for="service">Choose A Service</label>
                            </div>
                        </div>
                        <div class="col-12">
                            <div class="form-floating">
                                <textarea class="form-control" placeholder="Leave a message here" id="message"
                                    style="height: 130px"></textarea>
                                <label for="message">Message</label>
                            </div>
                        </div>
                        <div class="col-12 text-center">
                            <button class="btn btn-primary w-100 py-3" type="submit">Submit Now</button>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>

<?php 
    include 'footer.php';
?>

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