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<!doctype html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
<title>VCare</title>
<link rel="stylesheet" href="assets/css/bootstrap.min.css">
<link rel="stylesheet" href="assets/css/fontawsom-all.min.css">
<link rel="stylesheet" href="assets/css/animate.css">
<link rel="stylesheet" href="assets/plugins/testimonial/css/owl.carousel.min.css">
<link rel="stylesheet" href="assets/plugins/testimonial/css/owl.theme.min.css">
<link rel="stylesheet" type="text/css" href="assets/css/style.css" />
</head>
<body>
<!-- ################# Header Starts Here#######################--->
<header id="menu-jk">
<nav id="menu" class="">
<div class="container">
<div class="row nav-ro">
<div class="col-lg-3 col-md-4 col-sm-12">
<a href="index.html"><h1 id="logo" class="text-center">VCare</h1></a>
<a data-toggle="collapse" data-target="#menu" href="#menu"><i class="fas d-block d-md-none small-menu fa-bars"></i></a>
</div>
<div class="col-lg-7 col-md-8 d-none d-md-block no-padding">
<ul>
<li><a href="index.html">Home</a></li>
<li><a href="about_us.html">About Us</a></li>
<li><a href="services.html">Services</a></li>
<li><a href="contact_us.html">Contact Us</a></li>
</ul>
</div>
<div class="col-sm-2 d-none d-lg-block">
<button class="btn btn-success">Book an Appointment</button>
</div>
</div>
</div>
</nav>
</header>
<!-- ************************* Page Title Starts Here ************************** -->
<div class="page-nav no-margin row">
<div class="container">
<div class="row">
<h2>Appointment VCare</h2>
<ul>
<li> <a href="index.html"><i class="fas fa-home"></i> Home</a></li>
<li><i class="fas fa-angle-double-right"></i>Appointment</li>
</ul>
</div>
</div>
</div>
<!-- ######## Page Title End ####### -->
<div class="row contact-rooo no-margin">
<div class="container">
<div class="row">
<div style="padding:20px" class="col-sm-6">
<h2 style="font-size:18px">Appointment Form</h2>
<div class="row">
<div style="padding-top:10px;" class="col-sm-3"><label>Enter Name :</label></div>
<div class="col-sm-8"><input type="text" placeholder="Enter Name" name="name" class="form-control input-sm" ></div>
</div>
<div style="margin-top:10px;" class="row">
<div style="padding-top:10px;" class="col-sm-3"><label>Email Address :</label></div>
<div class="col-sm-8"><input type="text" name="name" placeholder="Enter Email Address" class="form-control input-sm" ></div>
</div>
<div style="margin-top:10px;" class="row">
<div style="padding-top:10px;" class="col-sm-3"><label>Mobile Number:</label></div>
<div class="col-sm-8"><input type="text" name="name" placeholder="Enter Mobile Number" class="form-control input-sm" ></div>
</div>
<div style="margin-top:10px;" class="row">
<div style="padding-top:10px;" class="col-sm-3"><label>Date:</label></div>
<div class="col-sm-8"><input type="date" name="name" placeholder="Enter " class="form-control input-sm" ></div>
</div>
<div style="margin-top:10px;" class="row">
<div style="padding-top:10px;" class="col-sm-3"><label>Time:</label></div>
<div class="col-sm-8"><input type="time" name="name" placeholder="Enter " class="form-control input-sm" ></div>
</div>
<div style="margin-top:10px;" class="row">
<div style="padding-top:10px;" class="col-sm-3"><label></label></div>
<div class="col-sm-8">
<button class="btn btn-success btn-sm">Send Message</button>
</div>
</div>
</div>
<div class="col-sm-6">
<div style="margin:50px" class="serv">
<h2 style="margin-top:10px;">Address</h2>
MediCaps University <br>
Indore<br>
Madhya Pradesh<br>
Phone: +91 **********<br>
Email: aviraljn1512@gmail.com<br>
</div>
</div>
</div>
</div>
</div>
<div class="copy">
<div class="container">
<a href="https://github.com/aviraljaindev">2022 © All Rights Reserved | Designed and Developed by Aviral</a>
<span>
<a><i class="fab fa-github"></i></a>
<a><i class="fab fa-google-plus-g"></i></a>
<a><i class="fab fa-pinterest-p"></i></a>
<a><i class="fab fa-twitter"></i></a>
<a><i class="fab fa-facebook-f"></i></a>
</span>
</div>
</div>
</body>
<script src="assets/js/jquery-3.2.1.min.js"></script>
<script src="assets/js/popper.min.js"></script>
<script src="assets/js/bootstrap.min.js"></script>
<script src="assets/plugins/scroll-fixed/jquery-scrolltofixed-min.js"></script>
<script src="assets/plugins/testimonial/js/owl.carousel.min.js"></script>
<script src="assets/js/script.js"></script>
</html>