Ele57885fddfgdfgfghgقفغفغفقhfg555434536

kohjhjhصثقصثقصثقgdfgdg Ele57885fddfgdfgfghgقفغفغفقhfg555434536

<!DOCTYPE html>
<html lang="zxx">
    <head>
        <meta charset="utf-8" />
        <meta name="description" content="Full Mouth Implant Supported Prosthesis in Randesan, Dentist in Randesan,Dental Clinic in Randesan,Removable Denture Treatment in Randesan,Fixed Denture Treatment in Randesan,Geriatric Dentistry in Randesan,Dental Implant Center in Randesan,Root Canal Treatment in Randesan,Cosmetic Dentistry in Randesan,Teeth Whitening Treatment in Randesan,Dental Smile Design Treatment in Randesan,Denture Treatment in Randesan,Dental Braces Treatment in Randesan,Cavity Filling Treatment in Randesan,Wisdom Tooth Removal Treatment in Randesan,Tooth Extraction Treatment in Randesan,Decayed Teeth Treatment in Randesan,Bleeding Gum Treatment in Randesan,Dental Bridge Treatment in Randesan,Dental Veneers Treatment in Randesan,Dental Laser Treatment in Randesan,Dental Crowns Treatment in Randesan,Dental Clear Aligners Treatment in Randesan,Dental Scaling Treatment in Randesan,Dental Radiography in Randesan,Pediatric Dentist in Randesan,Mouth Guards in Randesan,Dental Filling Treatment in Randesan,Teeth Bonding Treatment in Randesan,Dental Sealant Treatment in Randesan,Pediatric Dentistry in Randesan,Child Dentistry in Randesan,Dental Fluoride Treatment in Randesan,Elderly Dentistry in Randesan,Orthodontic Treatment in Randesan">
        <meta name="keywords" content="Full Mouth Implant Supported Prosthesis in Randesan, Dentist in Randesan,Dental Clinic in Randesan,Removable Denture Treatment in Randesan,Fixed Denture Treatment in Randesan,Geriatric Dentistry in Randesan,Dental Implant Center in Randesan,Root Canal Treatment in Randesan,Cosmetic Dentistry in Randesan,Teeth Whitening Treatment in Randesan,Dental Smile Design Treatment in Randesan,Denture Treatment in Randesan,Dental Braces Treatment in Randesan,Cavity Filling Treatment in Randesan,Wisdom Tooth Removal Treatment in Randesan,Tooth Extraction Treatment in Randesan,Decayed Teeth Treatment in Randesan,Bleeding Gum Treatment in Randesan,Dental Bridge Treatment in Randesan,Dental Veneers Treatment in Randesan,Dental Laser Treatment in Randesan,Dental Crowns Treatment in Randesan,Dental Clear Aligners Treatment in Randesan,Dental Scaling Treatment in Randesan,Dental Radiography in Randesan,Pediatric Dentist in Randesan,Mouth Guards in Randesan,Dental Filling Treatment in Randesan,Teeth Bonding Treatment in Randesan,Dental Sealant Treatment in Randesan,Pediatric Dentistry in Randesan,Child Dentistry in Randesan,Dental Fluoride Treatment in Randesan,Elderly Dentistry in Randesan,Orthodontic Treatment in Randesan">
        <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 - Dr. Dishant Patel</title>
        <link rel="icon" type="image/png" href="assets/images/footer.jpg" />
    </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>

<?php
if (isset($_POST['submit'])) {

include("admin/config.php");

$name = $db->real_escape_string(trim($_POST['name']));
    $email = $db->real_escape_string(trim($_POST['email']));
    $contact = $db->real_escape_string(trim($_POST['contact']));
    $subject = $db->real_escape_string(trim($_POST['sub']));
    $message = $db->real_escape_string(trim($_POST['msg']));

$sql = "INSERT INTO contact (name, email, contact, subject, message) 
            VALUES ('$name', '$email', '$contact', '$subject', '$message')";

if ($db->query($sql)) {
        echo "<script>alert('Thank you! Your inquiry has been submitted.'); window.location.href='contact.php';</script>";
    } else {
        echo "<script>alert('Error: " . $db->error . "');</script>";
    }
}
?>

<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="appointment.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">
                       <img src="assets/images/main-slides/appoiment1.jpg">
                    </div>
                </div>
               
            </div>
        </section>

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

</html>