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appointment.html
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<!DOCTYPE html>
<html>
<head>
<title> Unity Hospital | Appointment </title>
<!-- Web Fonts -->
<link rel="stylesheet" href="//fonts.googleapis.com/css?family=Open+Sans:400,300,600&subset=cyrillic,latin">
<!-- CSS Global Compulsory -->
<link rel="stylesheet" href="assets/plugins/bootstrap/css/bootstrap.min.css">
<link rel="stylesheet" href="assets/css/style.css">
<!-- CSS Header and Footer -->
<link rel="stylesheet" href="assets/css/header.css">
<link rel="stylesheet" href="assets/css/footer.css">
<!-- CSS Implementing Plugins -->
<link rel="stylesheet" href="assets/plugins/line-icons-pro/styles.css">
<link rel="stylesheet" href="assets/plugins/line-icons/line-icons.css">
<link rel="stylesheet" href="assets/plugins/font-awesome/css/font-awesome.min.css">
<link rel="stylesheet" href="assets/plugins/sky-forms-pro/skyforms/css/sky-forms.css">
<link rel="stylesheet" href="assets/plugins/sky-forms-pro/skyforms/custom/custom-sky-forms.css">
<!-- CSS Customization -->
<link rel="stylesheet" href="assets/css/custom.css">
</head>
<body>
<div class="wrapper">
<!--=== Header v1 ===-->
<div class="header-v1">
<!-- Topbar -->
<div class="topbar-v1">
<div class="container">
<div class="row">
<div class="col-md-6">
<ul class="list-inline top-v1-contacts">
<li>
<i class="fa fa-envelope"></i> Email: unityhospital@gmail.com
</li>
<li>
<i class="fa fa-phone"></i> Contact no : 88666 00555
</li>
</ul>
</div>
</div>
</div>
</div>
<!-- End Topbar -->
<!-- Navbar -->
<div class="navbar mega-menu" role="navigation">
<div class="container">
<!-- Brand and toggle get grouped for better mobile display -->
<div class="res-container">
<button type="button" class="navbar-toggle" data-toggle="collapse" data-target=".navbar-responsive-collapse">
<span class="sr-only">Toggle navigation</span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
</button>
<div class="navbar-brand">
<a href="index.html">
<img src="assets/img/logo/unity_white.jpg" alt="Logo">
</a>
</div>
</div><!--/end responsive container-->
<!-- Collect the nav links, forms, and other content for toggling -->
<div class="collapse navbar-collapse navbar-responsive-collapse">
<div class="res-container">
<ul class="nav navbar-nav">
<!-- Collect the nav links, forms, and other content for toggling -->
<!-- Home -->
<li class="mega-menu-fullwidth">
<a href="index.html" >
HOME
</a>
</li>
<!-- End Home-->
<!-- About Us -->
<li class="mega-menu-fullwidth">
<a href="about.html" >
ABOUT US
</a>
</li>
<!-- End About us -->
<!-- Doctors -->
<li class="mega-menu-fullwidth">
<a href="doctors.html" >
DOCTORS
</a>
</li>
<!-- End Doctors -->
<!-- Gallery -->
<li class="mega-menu-fullwidth">
<a href="gallery.html" >
GALLERY
</a>
</li>
<!-- End Gallery -->
<!-- Blog -->
<li class="mega-menu-fullwidth">
<a href="blog.html" >
BLOGS
</a>
</li>
<!-- End Blog -->
<!-- Contact Us -->
<li class="mega-menu-fullwidth">
<a href="contact.html" >
CONTACT US
</a>
</li>
<!-- End Contact us -->
<!-- Registration -->
<li class="mega-menu-fullwidth">
<a href="registration.html" >
REGISTRATION
</a>
</li>
<!-- End registration -->
<!-- login -->
<li class="mega-menu-fullwidth">
<a href="login.html" >
LOGIN
</a>
</li>
<!-- End login -->
<!-- Appointment -->
<li class="mega-menu-fullwidth">
<a href="appointment.html">
BOOK APPOINTMENT
</a>
</li>
<!-- End Appointment -->
</ul>
</div>
</div>
</div>
</div>
</div>
<!-- End Navbar -->
<!--=== Heading ===-->
<div class="container content">
<div class="row " style="margin-bottom: 30px;">
<div class="col-md-9 " style="margin-bottom: 30px;">
<div class="headline"><h2>Appointment Form</h2></div>
<!--=== APPOINTMENT FORM ===-->
<form onsubmit="showMsg(0);return false;" method="post" class="sky-form sky-changes-3">
<fieldset>
<div class="row">
<section class="col col-6">
<label class="label">Name</label>
<label class="input">
<i class="icon-append fa fa-user"></i>
<input type="text" name="name" id="name" required="">
</label>
</section>
<section class="col col-6">
<label class="label">E-mail</label>
<label class="input">
<i class="icon-append fa fa-envelope-o"></i>
<input type="email" name="email" id="email" required="">
</label>
</section>
</div>
<section>
<label class="label">Purpose Of Appointment</label>
<label class="input">
<i class="icon-append fa fa-tag"></i>
<input type="text" name="subject" required="">
</label>
</section>
<section>
<label class="label">Mobile Number</label>
<label class="input">
<i class="icon-append fa fa-phone"></i>
<input type="text" name="number" id="number" required="">
</label>
</section>
<section>
<label class="select">
<select name="Department" required="">
<option value="" selected="" disabled="">Select Department</option>
<option>Cardiology</option>
<option>Dermatology and Cosmetology</option>
<option>General Surgery</option>
<option>Health Checkup Packages</option>
<option>Neurology</option>
</select>
<i></i>
</label>
</section>
<div class="row">
<section class="col col-6">
<label class="date">Select Date</label>
<label class="input">
<i class="icon-append fa fa-calendar"></i>
<input type="date" required="">
</label>
</section>
<section class="col col-6">
<label class="time">Select Time</label>
<label class="select">
<select name="Time" required="">
<option value="" selected="" disabled="">Select Time</option>
<option>8 AM - 10 AM</option>
<option>10 AM - 12 PM</option>
<option>12 PM - 2 PM</option>
<option>2 PM - 4 PM</option>
<option>4 PM - 6 PM</option>
<option>6 PM - 8 PM</option>
<option>8 PM - 10 PM</option>
</select>
<i></i>
</label>
</section>
</div>
<div class="alert alert-success successBox">
<button type="button" class="close" onclick="showMsg(1);">×</button>
<strong style="font-size: 16px;">Congratulations!</strong><span class="alert-link"> Your Appointment has been booked successfully.</span>
</div>
</fieldset>
<footer>
<button type="submit" class="btn-u">Send message</button>
</footer>
</form>
</div><!--/col-md-9-->
<!-- side part of appointment -->
<div class="col-md-3" style="margin-top: 56px;">
<!-- Address -->
<div class="headline"><h2>Appointment Notes</h2></div>
<p> You Only Can Book Your Appointment Between <strong>8 AM to 10 PM.</strong> </p>
<p> In Other Times You Can Call Our Ambulance Which Is Available 24/7. </p>
<!-- Business Hours -->
<div class="headline" style="margin-top: 20px;"><h2>Business Hours</h2></div>
<ul class="list-unstyled " style="margin-bottom: 30px;">
<li><strong>Monday-Saturday:</strong> 24/7 Available.</li>
<li><strong>Sunday:</strong> 4 AM to 11 PM.</li>
</ul>
<!-- Why choose us? -->
<div class="headline"><h2>Why Choose Us?</h2></div>
<p>All healthcare facilities can be accessed here under one roof, making UNITY Hospital a one point contact for all your healthcare needs.</p>
<ul class="list-unstyled">
<li><i class="fa fa-check color-green"></i> 24/7 Ambulance Support.</li>
<li><i class="fa fa-check color-green"></i> Eminent and Experienced Doctors.</li>
<li><i class="fa fa-check color-green"></i> Multiple Options For Treatment.</li>
</ul>
</div><!--/col-md-3-->
</div><!--/row-->
</div><!--/container-->
<!--=== Footer ===-->
<div class="footer-v1">
<div class="footer">
<div class="container">
<div class="row">
<!-- About -->
<div class="col-md-3 " style="margin-bottom: 40px;">
<a href="index.html"><img id="logo-footer" class="footer-logo" src="assets/img/logo/unity_white.jpg" alt=""></a>
<p>At Unity Hospital, we are convinced that 'quality' and 'lowest cost' are not mutually exclusive when it comes to healthcare delivery.</p>
<p>Our mission is to deliver high quality, affordable healthcare services to the broader population in India.</p>
</div><!--/col-md-3-->
<!-- End About -->
<!-- Latest -->
<div class="col-md-3 " style="margin-bottom: 40px;">
<div class="posts">
<div class="headline"><h2>Latest Posts</h2></div>
<ul class="list-unstyled latest-list">
<li>
<a href="blog.html">Incredible content</a>
<small>December 16, 2020</small>
</li>
<li>
<a href="gallery.html">Latest Images</a>
<small>December 16, 2020</small>
</li>
<li>
<a href="terms.html">Terms and Conditions</a>
<small>December 16, 2020</small>
</li>
</ul>
</div>
</div><!--/col-md-3-->
<!-- End Latest -->
<!-- Link List -->
<div class="col-md-3 " style="margin-bottom: 40px;">
<div class="headline"><h2>Useful Links</h2></div>
<ul class="list-unstyled link-list">
<li><a href="about.html">About us</a><i class="fa fa-angle-right"></i></li>
<li><a href="Contact.html">Contact us</a><i class="fa fa-angle-right"></i></li>
<li><a href="appointment.html">Book Appointment</a><i class="fa fa-angle-right"></i></li>
</ul>
</div><!--/col-md-3-->
<!-- End Link List -->
<!-- Address -->
<div class="col-md-3 map-img " style="margin-bottom: 40px;">
<div class="headline"><h2>Contact Us</h2></div>
<address class="" style="margin-bottom: 40px;">
Unity Hospital <br />
Ahmedabad, IN <br />
Phone: 886 666 00555 <br />
Email: unityhospital@gmail.com
</address>
</div><!--/col-md-3-->
<!-- End Address -->
</div>
</div>
</div><!--/footer-->
<div class="copyright">
<div class="container">
<div class="row">
<div class="col-md-6">
<p>
2020 © All Rights Reserved.
<a href="privacy.html">Privacy Policy</a> | <a href="terms.html">Terms of Service</a>
</p>
</div>
<!-- Social Links -->
<div class="col-md-6">
<ul class="footer-socials list-inline">
<li>
<a href="http://www.facebook.com" class="tooltips" data-toggle="tooltip" data-placement="top" title="" data-original-title="Facebook">
<i class="fa fa-facebook"></i>
</a>
</li>
<li>
<a href="http://www.skype.com" class="tooltips" data-toggle="tooltip" data-placement="top" title="" data-original-title="Skype">
<i class="fa fa-skype"></i>
</a>
</li>
<li>
<a href="http://www.googleplus.com" class="tooltips" data-toggle="tooltip" data-placement="top" title="" data-original-title="Google Plus">
<i class="fa fa-google-plus"></i>
</a>
</li>
<li>
<a href="http://www.linkedin.com" class="tooltips" data-toggle="tooltip" data-placement="top" title="" data-original-title="Linkedin">
<i class="fa fa-linkedin"></i>
</a>
</li>
<li>
<a href="http://www.Pinterest.com" class="tooltips" data-toggle="tooltip" data-placement="top" title="" data-original-title="Pinterest">
<i class="fa fa-pinterest"></i>
</a>
</li>
<li>
<a href="http://www.twitter.com" class="tooltips" data-toggle="tooltip" data-placement="top" title="" data-original-title="Twitter">
<i class="fa fa-twitter"></i>
</a>
</li>
</ul>
</div>
<!-- End Social Links -->
</div>
</div>
</div><!--/copyright-->
</div>
<!--=== End Footer ===-->
</div><!--/wrapper-->
<!-- Java scripts -->
<script type="text/javascript" src="assets/plugins/jquery/jquery.min.js"></script>
<script type="text/javascript">
function showMsg(flag){
if(flag==0){
$('.successBox').css('display', 'block');
}else{
$('.successBox').css('display', 'none');
}
}
</script>
</body>
</html>