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contact.html
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<!DOCTYPE html>
<html lang="en">
<head>
<title>Elen - Free Bootstrap 4 Template by Colorlib</title>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
<link href="https://fonts.googleapis.com/css?family=Poppins:300,400,500,600,700" rel="stylesheet">
<link href="https://fonts.googleapis.com/css?family=Montserrat:300,400,500,700" rel="stylesheet">
<link rel="stylesheet" href="css/open-iconic-bootstrap.min.css">
<link rel="stylesheet" href="css/animate.css">
<link rel="stylesheet" href="css/owl.carousel.min.css">
<link rel="stylesheet" href="css/owl.theme.default.min.css">
<link rel="stylesheet" href="css/magnific-popup.css">
<link rel="stylesheet" href="css/aos.css">
<link rel="stylesheet" href="css/ionicons.min.css">
<link rel="stylesheet" href="css/bootstrap-datepicker.css">
<link rel="stylesheet" href="css/jquery.timepicker.css">
<link rel="stylesheet" href="css/flaticon.css">
<link rel="stylesheet" href="css/icomoon.css">
<link rel="stylesheet" href="css/style.css">
</head>
<body>
<div id="colorlib-page">
<a href="#" class="js-colorlib-nav-toggle colorlib-nav-toggle"><i></i></a>
<aside id="colorlib-aside" role="complementary" class="js-fullheight text-center">
<h1 id="colorlib-logo"><a href="index.html">AADHAR HEALTHCARE.<span>.</span></a></h1>
<nav id="colorlib-main-menu" role="navigation">
<ul>
<li><a href="index.html">खाताधारक की जानकारी</a></li>
<li><a href="photography.html">नया डेटा जोड़ें</a></li>
<li><a href="travel.html">पुराना डेटा देखें</a></li>
<li><a href="fashion.html">पंजिकृत योजनाएं</a></li>
<li><a href="about.html">नवीन योजनाएं</a></li>
<li class="colorlib-active"><a href="contact.html">अगला परामर्श</a></li>
</ul>
</nav>
</aside> <!-- END COLORLIB-ASIDE -->
<div id="colorlib-main">
<section class="ftco-section contact-section">
<div class="container">
<div class="row d-flex mb-5 contact-info">
<div class="col-md-12 mb-4">
<h2 class="h4 font-weight-bold">अगला परामर्श</h2>
</div>
<div class="w-100"></div>
<div class="col-md-3">
<p><span>Address:</span> <input value = ""></p>
</div>
<div class="col-md-3">
<p><span>Phone:</span> <input value = ""></p>
</div>
<div class="col-md-3">
<p><span>Email:</span> <input value = ""></a></p>
</div>
<div class="col-md-3">
<p><span>Website</span><input value = ""></p>
</div>
</div>
<div class="row block-9">
<div class="col-md-6 order-md-last pr-md-5">
<form action="#">
<div class="form-group">
<input type="text" class="form-control" placeholder="doctor Name">
</div>
<div class="form-group">
<input type="text" class="form-control" placeholder="doctor Email">
</div>
<div class="form-group">
<input type="text" class="form-control" placeholder="spacelist in">
</div>
<label for="start">appointment date:</label>
<input type="date" id="start" name="trip-start"
value="2018-07-22"
min="2018-01-01" max="2018-12-31">
<div class="form-group">
<button onclick="myFunction()">submit</button>
<script>
function myFunction() {
alert("next appointment date details set , you will be notified before your appointment on your registered phone no.");
}
</script>
</div>
</form>
</div>
<div class="col-md-6">
<div id="map"></div>
</div>
</div>
</div>
</section>
<script src="js/jquery.min.js"></script>
<script src="js/jquery-migrate-3.0.1.min.js"></script>
<script src="js/popper.min.js"></script>
<script src="js/bootstrap.min.js"></script>
<script src="js/jquery.easing.1.3.js"></script>
<script src="js/jquery.waypoints.min.js"></script>
<script src="js/jquery.stellar.min.js"></script>
<script src="js/owl.carousel.min.js"></script>
<script src="js/jquery.magnific-popup.min.js"></script>
<script src="js/aos.js"></script>
<script src="js/jquery.animateNumber.min.js"></script>
<script src="js/bootstrap-datepicker.js"></script>
<script src="js/jquery.timepicker.min.js"></script>
<script src="js/scrollax.min.js"></script>
<script src="https://maps.googleapis.com/maps/api/js?key=AIzaSyBVWaKrjvy3MaE7SQ74_uJiULgl1JY0H2s&sensor=false"></script>
<script src="js/google-map.js"></script>
<script src="js/main.js"></script>
</body>
</html>