File manager - Edit - /home/asiatechinc/public_html/asiatechinc-websites/arorayurveda.com/book.php
Back
<!DOCTYPE HTML> <html> <head> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> <meta name="viewport" content="width=device-width, initial-scale = 1.0, user-scalable = no"/> <meta name="author" content="ThemeOxygen"> <meta http-equiv="Content-Style-Type" content="text/css" /> <meta http-equiv="Content-Script-Type" content="text/javascript" /> <title> Book Your Appointment| Arora Ayurveda </title> <link href='http://fonts.googleapis.com/css?family=Open+Sans:300italic,400italic,600italic,700italic,400,700,600,300' rel='stylesheet' type='text/css'/> <link href='http://fonts.googleapis.com/css?family=Raleway:400,100,200,300,500,600,800,700,900' rel='stylesheet' type='text/css'/> <link href='http://fonts.googleapis.com/css?family=Josefin+Slab:100,300,400,600,700,100italic,300italic,400italic,600italic,700italic' rel='stylesheet' type='text/css'/> <link href="css/animate.css" rel="stylesheet" type="text/css" /> <link rel="stylesheet" href="maxcdn.bootstrapcdn.com/font-awesome/4.3.0/css/font-awesome.min.css"/> <link href="css/tabs_services.css" rel="stylesheet" type="text/css" /> <link href="css/animation_tabs.css" rel="stylesheet" type="text/css" /> <link href="css/bootstrap.css" rel="stylesheet" type="text/css" /> <link href="css/jquery.bxslider.css" rel="stylesheet" type="text/css" /> <link href="css/component.css" rel="stylesheet" type="text/css" /> <link href="css/fxfullwidth.css" rel="stylesheet" type="text/css" /> <link rel="stylesheet" href="css/style.css" type="text/css"/> <link href="css/responsive.css" rel="stylesheet" type="text/css" /> <script type="text/javascript" src="js/modernizr.custom.79639.js"></script> <script src="js/modernizr.custom.js" type="text/javascript"></script> <noscript> <link rel="stylesheet" type="text/css" href="css/styleNoJS.css" /> </noscript> <script src="https://maps.googleapis.com/maps/api/js?v=3.exp" type="text/javascript"></script> <link rel="shortcut icon" href="images/favicon.png"> <script src="http://ajax.googleapis.com/ajax/libs/jquery/1.8.2/jquery.min.js" type="text/javascript"></script> <script src='https://www.google.com/recaptcha/api.js'></script> </head> <body> <!-- PRELOAD --> <!--<div id="loading"> <div id="loading-center"> <div id="loading-center-absolute"> <div class="object" id="object_one"></div> <div class="object" id="object_two"></div> <div class="object" id="object_three"></div> <div class="object" id="object_four"></div> <div class="object" id="object_five"></div> <div class="object" id="object_six"></div> <div class="object" id="object_seven"></div> <div class="object" id="object_eight"></div> <div class="object" id="object_big"></div> </div> </div> </div>--> <style>.translator1 { position: fixed; right: 10px; top: 77px; background-color: transparent; z-index: 100;} .goog-te-gadget-simple { background-color: #fff; border-left: 1px solid #d5d5d5; border-top: 1px solid #9b9b9b; border-bottom: 1px solid #e8e8e8; border-right: 1px solid #d5d5d5; font-size: 10pt; display: inline-block; padding-top: 1px; padding-bottom: 2px; cursor: pointer; zoom: 1; } .goog-te-gadget-icon { margin-left: 2px; margin-right: 2px; width: 19px; height: 19px;} .goog-te-gadget-simple .goog-te-menu-value { color: #000; } .goog-te-gadget-simple .goog-te-menu-value span { text-decoration: none; } .goog-te-gadget { font-family: arial; font-size: 11px; color: #666; white-space: nowrap; }</style> <div class="translator1"> <div id="google_translate_element"></div><script type="text/javascript"> function googleTranslateElementInit() { new google.translate.TranslateElement({pageLanguage: 'en', layout: google.translate.TranslateElement.InlineLayout.SIMPLE}, 'google_translate_element'); } </script><script type="text/javascript" src="//translate.google.com/translate_a/element.js?cb=googleTranslateElementInit"></script> </div> <!-- MENU NAVIGATION --> <div id="menu" class="menu"> <?php include 'includes/header.php'; ?> </div> <div class="slide" id="shoppingCart"> <img src="images/bookme.png" alt="" style="margin-top:66px !important;height: 231px !important;"/> </div> <!-- CONTACT --> <div id="contact"> <div class="container clearfix"> <div class="contact_block"> <div class="col-md-12"> <div class="col-md-8"> <div class="contact_form"> <div id="fields"> <div class="col-md-6"> <form action="bookmailer1.php" method="post" autocomplete="off"> <select id="booking" name="booking" required> <option value="1">Book Your Appointment for Consulting</option> <option value="2">Book Your Panch Karma / Treatment</option> </select> <select id="timing" name="timing" required> <option value="1">9:30am-10:00am</option> <option value="2">10:00am-10:30am</option> <option value="3">10:30am-11:00am</option> <option value="4">11:30am-12:00pm</option> <option value="5">12:00pm-12:30pm</option> <option value="6">12:30pm-1:00pm</option> </select> <select id="weeks" name="weeks" required> <option value="3">3 Week</option> <option value="4">4 Week</option> <option value="5">5 Week</option> <option value="6">6 Week</option> </select> <input type="text" id="datepicker" name="datepicker" value="" placeholder="Date Of Appointment" style="padding: 11px 10px 9px 19px !important;border: 1px solid #fff !important" required> <input type="text" id="age" name="name" value="" placeholder="Your Name" required> </div> <div class="col-md-6"> <input type="text" id="email" name="email" value="" placeholder="Email Id" required> <input type="text" id="phone" name="phone" value="" placeholder="Contact Number" maxlength="10" required> <input type="text" id="age" name="age" value="" placeholder="Age" required> <select id="gender" name="gender"> <option value="1">Male</option> <option value="2">Female</option> </select> </div> <div class="col-md-12"> <textarea name="message" id="message" placeholder="Message" required></textarea> <br> <input type="submit" class="contact_btn send_btn" value="Send" /> <!--<input type="reset" class="contact_btn" value="Clear Form" /> <div class="clear"></div> <p class="success">Your message has been sent successfully.</p> <p class="error">E-mail must be valid</p> <div class="clear"></div>--> </div> </div> </div> </div> <div class="col-md-4 contact_det_block"> <h2><strong>Notes:</strong></h2> <ul> <li>Only one appointment can be booked for 1 slot.</li> <li>Person should come empty stomach (minimum 4 hours).</li> <li>No ayurvedic consultation will be done if person is not empty stomach.</li> <li>Price of INR 400 per consultation would be charged (Rates valid till 30th sept,2016).</li> <li>Kindly bring all your health reports if any prior aliments. </li> </ul> <h2><strong>Special Note For Panch Karma</strong></h2> <ul> <li>We take Panch Karma treatment for Minimum 3 week extendable upto 4, 5 , 6 week or more as required depending on case to case basis.</li> <li>We charge Price of INR 1000 per day for Panch Karma (Rates valid till 30th sept,2016).</li> </ul> <h2><strong>Inclusions for Panch Karma</strong></h2> <ul> <li>2 to 3 treatments per day.</li> <li>Simple medications will be given as required.</li> <li>Daily supervision of doctor.</li> <li>Treatment are done in the morning from 9 am to 2 pm.</li> <li>Specific medication advise by doctors for chronic disease will be charged extra.</li> </ul> </div> </div> <div class="col-md-12"> </div> </div> </div> </div> </div> </div> <!-- FOOTER --> <div id="footer"> <?php include 'includes/footer.php'; ?> </div> <script src="ajax.googleapis.com/ajax/libs/jquery/1.8.2/jquery.min.js" type="text/javascript"></script> <script> $(document).ready(function(){ $("#booking").change(function(){ var val=$(this).val(); if(val==2){ $("#timing").hide(); $("#weeks").show(); }else{ $("#timing").show(); $("#weeks").hide(); } }); }); </script> <link rel="stylesheet" href="//code.jquery.com/ui/1.11.4/themes/smoothness/jquery-ui.css"> <script src="//code.jquery.com/jquery-1.10.2.js"></script> <script src="//code.jquery.com/ui/1.11.4/jquery-ui.js"></script> <script> $(function() { $( "#datepicker" ).datepicker({ minDate:0, }); }); </script> <script src="js/classie.js" type="text/javascript"></script> <script src="js/main.js" type="text/javascript"></script> <script type="text/javascript" src="js/jquery.easing.1.3.js"></script> <script src="js/jquery.ui.totop.js" type="text/javascript"></script> <script src="js/jquery.bxslider.js" type="text/javascript"></script> <script src="js/scriptHome.js" type="text/javascript"></script> <script src="js/JScript.js" type="text/javascript"></script> </body> </html>
| ver. 1.4 |
Github
|
.
| PHP 7.4.33 | Generation time: 0.02 |
proxy
|
phpinfo
|
Settings