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Mini Shell

Direktori : /home/importfo/www/swastikdentalclinic.co.in/
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Current File : /home/importfo/www/swastikdentalclinic.co.in/appointment.php

<!DOCTYPE html>
<html lang="zxx">
    <head>
        <meta charset="utf-8" />
        <meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no" />
        <link rel="stylesheet" href="assets/css/bootstrap.min.css" />
        <link rel="stylesheet" href="assets/css/animate.min.css" />
        <link rel="stylesheet" href="assets/css/meanmenu.css" />
        <link rel="stylesheet" href="assets/css/boxicons.min.css" />
        <link rel="stylesheet" href="assets/css/flaticon.css" />
        <link rel="stylesheet" href="assets/css/odometer.min.css" />
        <link rel="stylesheet" href="assets/css/nice-select.min.css" />
        <link rel="stylesheet" href="assets/css/owl.carousel.min.css" />
        <link rel="stylesheet" href="assets/css/owl.theme.default.min.css" />
        <link rel="stylesheet" href="assets/css/magnific-popup.min.css" />
        <link rel="stylesheet" href="assets/css/style.css" />
        <link rel="stylesheet" href="assets/css/responsive.css" />
        <title>Appointment - Swastik Superspeciality Dental Clinic Chandkheda Dr. Part Parikh(MDS)</title>
        <link rel="icon" type="image/png" href="assets/images/favicon.png" />
    </head>
    <body>
       

        <?php include("top.php") ?>
       

        <div class="page-banner-area5">
            <div class="container">
                <div class="page-banner-content">
                    <h2>Appointment</h2>
                    <ul class="pages-list">
                        <li><a href="index.php">Home</a></li>
                        <li>Appointment</li>
                    </ul>
                </div>
            </div>
        </div>

        

        <section class="appointment-area bg-image ptb-100">
            <div class="container">
                <div class="row">
                    <div class="col-md-7">
                        <div class="appointment-form">
                    <h4><i class="flaticon-calendar"></i> Make An Appointment</h4>
                    <form method="post" action="inquiry.php">
                        <div class="row">
                            <div class="col-md-6">
                                <div class="form-group">
                                    <input type="text" class="form-control" placeholder="Name" />
                                </div>
                            </div>
                            <div class="col-md-6">
                                 <div class="form-group">
                                    <input type="text" class="form-control" placeholder="Email" />
                                </div>
                            </div>
                            <div class="col-md-12">
                                 <div class="form-group">
                                    <input type="text" class="form-control" placeholder="Phone" />
                                </div>
                            </div>
                            <div class="col-md-12">
                                <div class="form-group">
                                    <input type="text" class="form-control" placeholder="Services" />
                                </div>
                            </div>
                            <div class="col-md-12">
                                 <div class="form-group">
                                    <textarea class="form-control" name="msg" rows="3" placeholder="text here.."></textarea>
                                    
                                </div>
                            </div>
                        </div>
                        <button type="submit" name="submit" class="default-btn">Book Appointment</button>
                    </form>
                </div>
                    </div>
                    <div class="col-md-5 apo">
                       <img src="assets/images/swastic/IMG_3071.jpg">
                    </div>
                </div>
               
            </div>
        </section>

        <?php include("footer.php") ?>      

        <div class="go-top">
            <i class="bx bx-up-arrow-alt"></i>
        </div>

        <script src="assets/js/jquery.min.js"></script>
        <script src="assets/js/popper.min.js"></script>
        <script src="assets/js/bootstrap.min.js"></script>
        <script src="assets/js/jquery.meanmenu.js"></script>
        <script src="assets/js/owl.carousel.min.js"></script>
        <script src="assets/js/jquery.appear.js"></script>
        <script src="assets/js/odometer.min.js"></script>
        <script src="assets/js/nice-select.min.js"></script>
        <script src="assets/js/jquery.magnific-popup.min.js"></script>
        <script src="assets/js/jquery.ajaxchimp.min.js"></script>
        <script src="assets/js/form-validator.min.js"></script>
        <script src="assets/js/contact-form-script.js"></script>
        <script src="assets/js/wow.min.js"></script>
        <script src="assets/js/main.js"></script>
    </body>

</html>

Zerion Mini Shell 1.0