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appointment.html
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<html>
<head>
<link href="http://fonts.googleapis.com/icon?family=Material+Icons" rel="stylesheet">
<!-- <link type="text/css" rel="stylesheet" href="materialize/css/materialize.min.css" media="screen,projection"/> -->
<meta name="viewport" content="width=device-width, initial-scale=1.0"/>
<!-- Compiled and minified CSS -->
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/materialize/0.98.2/css/materialize.min.css">
<!-- Compiled and minified JavaScript -->
<script src="https://cdnjs.cloudflare.com/ajax/libs/materialize/0.98.2/js/materialize.min.js"></script>
<title>MediCare</title>
</head>
<body>
<nav>
<div class="nav-wrapper cyan lighten-3">
<a href="dashboard.php" class="brand-logo center"><strong>My AveKare</strong></a>
</div>
</nav>
<br/>
<h6 class="grey-text text-darken-2 center">Fill the following form to apply for an appointment.</h6>
<br/>
<div class="container">
<div class="col s8 offset-s4">
<div class="container">
<h3 class="cyan-text center">Appointment Form</h3>
<div class="row">
<form class="col s12" method="GET" action = "email.php">
<div class="row">
<div class="input-field col s12">
<input id="email" name="name" type="text" class="validate">
<label for="docname">Name</label>
</div>
<div class="row">
<div class="input-field col s12">
<input id="email" name="docname" type="text" class="validate">
<label for="docname">Doctor's Name</label>
</div>
</div>
<div class="row">
<div class="input-field col s12">
<input id="email" name="hospitalname" type="text" class="validate">
<label for="email">Hospital Name</label>
</div>
</div>
<div class="row">
<div class="input-field col s6">
<input id="password" name="date" type="text" class="validate">
<label for="password">Date</label>
</div>
<div class="input-field col s6">
<input id="password" name="time" type="text" class="validate">
<label for="password">Preferred time</label>
</div>
</div>
<div class="row">
<div class="input-field col s12">
<input id="password" name="disease" type="text" class="validate">
<label for="password">Mention Disease</label>
</div>
</div>
<button class="btn waves-effect waves-light cyan lighten-3" type="submit" name="submit">apply
<i class="material-icons right">send</i>
</button>
</form>
</div>
</div>
</div>
</div>
<br/>
<footer class="page-footer cyan lighten-3">
<div class="container">
<div class="center">
<div class="row">
<h6 class="white-text">Follow us:</h6>
<a href="#!"><img height="60px" width="60px" src="footer_icon\google_plus.png" /></a>
<a href="https://www.facebook.com/www.avekare.co.in/?fref=ts"><img height="60px" width="60px" src="footer_icon\facebook.png" /></a>
<a href=""><img height="60px" width="60px" src="footer_icon\twitter.png" /></a>
<a href="https://avekarecoin.wordpress.com/"><img height="60px" width="60px" src="footer_icon\wordpress.png" /></a>
</div>
</div>
</div>
<div class="footer-copyright cyan lighten-2">
<div class="container">
ÃÂé2017 MediCare+, All rights reserved.
</div>
</div>
</footer>
<!--Import jQuery before materialize.js-->
<script type="text/javascript" src="jquery.min.js"></script>
<script type="text/javascript" src="materialize/js/materialize.min.js"></script>
</body>
</html>