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<!DOCTYPE html>





<html lang="en">

<?php include("partials/head.php"); ?>

<body>

<div id="page" class="page">

<?php include("partials/header.php"); ?>

<div id="breadcrumb" class="division">
            <div class="container">
                <div class="row">
                    <div class="col">
                        <div class=" breadcrumb-holder">

<nav aria-label="breadcrumb">
                                <ol class="breadcrumb">
                                    <li class="breadcrumb-item"><a href="index.php">Home</a></li>
                                    <li class="breadcrumb-item active" aria-current="page">Appointment</li>
                                </ol>
                            </nav>

<h4 class="h4-sm steelblue-color">Appointment</h4>

</div>
                    </div>
                </div> 
            </div> 
        </div>

<div id="appointment-page" class="wide-60 appointment-page-section division">
            <div class="container">
                <div class="row">

<div class="col-lg-8">
                        <div class="txt-block pr-30">

<h3 class="h3-md steelblue-color">Book an Appointment</h3>

<div id="appointment-form-holder" class="text-center">
                                <form action="saveappointment.php" name="appointmentform"
                                    class="row appointment-form" method="POST">

<div id="input-name" class="col-lg-12">
                                        <input type="text" name="name" class="form-control name"
                                            placeholder="Enter Your Name*" required>
                                    </div>

<div id="input-date" class="col-lg-12">
                                        <input id="datetimepicker" type="text" name="date" class="form-control date"
                                            placeholder="Appointment Date" required>
                                    </div>

<div id="input-department" class="col-md-12 input-department">
                                        <select id="inlineFormCustomSelect1" name="department"
                                            class="custom-select department" required>
                                            <option value="">Select Department</option>
                                            <option>Consulting Physician & Intensivist</option>
                                            <option>Consulting Neurophysician</option>
                                        </select>
                                    </div>

<div id="input-patient" class="col-md-12 input-patient">
                                        <select id="inlineFormCustomSelect3" name="visit" class="custom-select patient"
                                            required>
                                            <option value="">Have You Visited Us Before?*</option>
                                            <option>New Patient</option>
                                            <option>Returning Patient</option>
                                            <option>Other</option>
                                        </select>
                                    </div>

<div class="col-lg-12 form-btn">
                                        <button type="submit" class="btn btn-blue blue-hover submit">Request an
                                            Appointment</button>
                                    </div>

</form>

</div>

</div>
                    </div>

<aside id="sidebar" class="col-lg-4">

<div id="txt-widget" class="sidebar-div mb-50">

<div class="txt-widget-unit mb-15 clearfix d-flex align-items-center">

<div class="txt-widget-avatar">
                                    <img src="images/logo-1.jpeg" alt="testimonial-avatar">
                                </div>

</div>

<p class="p-sm">Welcome to Krishiv Neurolyf Hospital, where we specialize in comprehensive
                                neurological and physician care.
                            </p>

</div>

<div class="sidebar-table blue-table sidebar-div mb-50">

<h5 class="h5-md">Working Time</h5>

<p style="text-align:justify;" class="p-sm"> Our clinic is dedicated to providing accessible
                                and convenient healthcare services to
                                meet your needs. We are open six days a week with consistent hours from Wednesday to
                                Tuesday, operating from 10:30 am to 1 pm and then again from 4:30 pm to 8 pm.
                            </p>

<table class="table">
                                <tbody>
                                    <tr>
                                        <td>Mon – Sat</td>
                                        <td> - </td>
                                        <td class="text-right"> 10:30 AM - 1:00 PM</td>
                                    </tr>
                                    <tr>
                                        <td>Mon – Sat</td>
                                        <td> - </td>
                                        <td class="text-right">4:30 PM - 8:00 PM</td>
                                    </tr>
                                  
                                    <tr class="last-tr">
                                        <td>Sunday</td>
                                        <td>-</td>
                                        <td class="text-right">Open 24 hours</td>
                                    </tr>
                                </tbody>
                            </table>

</div>

</aside>

</div> 
            </div> 
        </div>

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

</div>

<!-- <script src="js/custom.js"></script>

</body>

</html>