<%@ Page Language="VB" AutoEventWireup="false" CodeFile="appointment.aspx.vb" Inherits="appointment" %> <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head runat="server"> <title>Book an Appointment: PANDEY HOSPITAL PVT. LTD. www.pandeyhospitals.com</title> <link href="css/bootstrap.css" rel='stylesheet' type='text/css' /> <link rel="shortcut icon" type="image/x-icon" href="favicon.ico"> <!-- jQuery (necessary for Bootstrap's JavaScript plugins) --> <script src="js/jquery.min.js"></script> <!-- Custom Theme files --> <link href="css/style.css" rel="stylesheet" type="text/css" media="all" /> <!-- Custom Theme files --> <!-- navigation --> <link href="css/component.css" rel="stylesheet" type="text/css" /> <!-- navigation --> <meta name="viewport" content="width=device-width, initial-scale=1"> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <meta name="keywords" content="My Pets Responsive web template, Bootstrap Web Templates, Flat Web Templates, Andriod Compatible web template, Smartphone Compatible web template, free webdesigns for Nokia, Samsung, LG, SonyErricsson, Motorola web design" /> <script type="application/x-javascript"> addEventListener("load", function() { setTimeout(hideURLbar, 0); }, false); function hideURLbar(){ window.scrollTo(0,1); } </script> <!--webfont--> <link href='http://fonts.googleapis.com/css?family=Roboto:400,100,100italic,300,300italic,400italic,500,500italic,700,700italic,900,900italic' rel='stylesheet' type='text/css'> <script src="js/responsiveslides.min.js"></script> <script> $(function () { $("#slider").responsiveSlides({ auto: true, speed: 500, namespace: "callbacks", pager: true, }); }); </script> <script type="text/javascript" src="js/move-top.js"></script> <script type="text/javascript" src="js/easing.js"></script> <style type="text/css"> .style1 { width: 145px; } .style2 { width: 145px; height: 44px; } .style3 { height: 44px; } </style> </head> <body> <form id="form1" runat="server"> <!-- header-section-starts --> <div class="header"> <div class="header-top"> <div class="container"> <p class="location" style="font-weight: bold; font-size: 12pt"><i ></i> <br /> <a href="appointment.aspx" class="btn btn-1 btn-1c">Book an appointment</a><a href="directors-message.html" class="btn btn-1 btn-1c">Directors Message</a> </p> <p class="phonenum" style="font-weight: bold; font-size: 12pt"> <iframe src="facebookgoogle/index.html" width="100%" height ="60" frameborder="0" marginheight="0" marginwidth="0" scrolling="no" ></iframe></p> <div class="clearfix"></div> </div> </div> <div class="header-bottom"> <div class="container"> <div class="logo"> <a href="index.html"><img src="logo11.PNG" alt="" /></a> </div> <span class="menu"></span> <div class="top-menu"> <ul> <nav class="cl-effect-5"> <li><a class="active" href="index.html">Home</a></li> <li><a href="about.html" >About Us</a></li> <li><a href="whyus.html">Why Us</a></li> <li><a href="services.html">Services</a></li> <li><a href="department.html">Departments </a></li> <li><a href="contact.html">Contact Us</a></li> </nav> </ul> </div> <!-- script for menu --> <script> $( "span.menu" ).click(function() { $( ".top-menu" ).slideToggle( "slow", function() { // Animation complete. }); }); </script> <!-- script for menu --> <div class="clearfix"></div> </div> </div> </div> <!-- content-section-starts --> <div class="content"> <!--about--> <div class="main"> <div class="container"> <div class="about-top"> </div> <div class="about-bottom"> <div class="about-topgrid1"> <h3>Book an Appointment</h3> <div class="col-md-8 about-bottom-info"> <div class="rsidebar span_1_of_3"> <table cellspacing="10" style="width: 55%; height: 378px;" __designer:mapid="d4b"> <tr> <td style="font-size: 11pt; " class="style1"> </td> <td> </td> </tr> <tr> <td style="font-size: 11pt; " class="style1"> First Name</td> <td> <asp:TextBox ID="first" runat="server" BorderColor="#0182B5" BorderWidth="1px" Font-Size="12pt" Height="30px" Width="200px"></asp:TextBox> <asp:RequiredFieldValidator ID="RequiredFieldValidator1" runat="server" ControlToValidate="first" ErrorMessage="*" Font-Bold="True" Font-Size="12pt"></asp:RequiredFieldValidator> </td> </tr> <tr> <td style="font-size: 11pt; " class="style1"> Last Name</td> <td> <asp:TextBox ID="last" runat="server" BorderColor="#0182B5" BorderWidth="1px" Font-Size="12pt" Height="30px" Width="200px"></asp:TextBox> <asp:RequiredFieldValidator ID="RequiredFieldValidator2" runat="server" ControlToValidate="last" ErrorMessage="*" Font-Bold="True" Font-Size="12pt"></asp:RequiredFieldValidator> </td> </tr> <tr> <td style="font-size: 11pt; " class="style2"> Gender</td> <td class="style3"> <asp:DropDownList ID="gender" runat="server" BorderColor="#0182B5" BorderWidth="1px" Font-Bold="False" Font-Size="12pt" ForeColor="#333333" Height="30px" Width="200px"> <asp:ListItem selected="selected" value="">Male</asp:ListItem> <asp:ListItem>Female</asp:ListItem> </asp:DropDownList> </td> </tr> <tr> <td style="font-size: 11pt; " class="style1"> Age</td> <td> <asp:TextBox ID="age" runat="server" BorderColor="#0182B5" BorderWidth="1px" Font-Size="12pt" Height="30px" Width="200px"></asp:TextBox> <asp:RequiredFieldValidator ID="RequiredFieldValidator3" runat="server" ControlToValidate="age" ErrorMessage="*" Font-Bold="True" Font-Size="12pt"></asp:RequiredFieldValidator> </td> </tr> <tr> <td style="font-size: 11pt; " class="style1"> Mobile</td> <td> <asp:TextBox ID="mobile" runat="server" BorderColor="#0182B5" BorderWidth="1px" Font-Size="12pt" Height="30px" Width="200px"></asp:TextBox> <asp:RequiredFieldValidator ID="RequiredFieldValidator4" runat="server" ControlToValidate="mobile" ErrorMessage="*" Font-Bold="True" Font-Size="12pt"></asp:RequiredFieldValidator> </td> </tr> <tr> <td style="font-size: 11pt; " class="style1"> Email</td> <td> <asp:TextBox ID="email" runat="server" BorderColor="#0182B5" BorderWidth="1px" Font-Size="12pt" Height="30px" Width="200px"></asp:TextBox> <asp:RequiredFieldValidator ID="RequiredFieldValidator5" runat="server" ControlToValidate="email" ErrorMessage="*" Font-Bold="True" Font-Size="12pt"></asp:RequiredFieldValidator> <br /> </td> </tr> <tr> <td style="font-size: 11pt; " class="style1"> Select Appointment</td> <td> <asp:Calendar ID="Calendar1" runat="server" BackColor="White" BorderColor="#999999" CellPadding="4" DayNameFormat="Shortest" Font-Names="Verdana" Font-Size="8pt" ForeColor="Black" Height="180px" Width="200px"> <SelectedDayStyle BackColor="#666666" Font-Bold="True" ForeColor="White" /> <SelectorStyle BackColor="#CCCCCC" /> <WeekendDayStyle BackColor="#FFFFCC" /> <TodayDayStyle BackColor="#CCCCCC" ForeColor="Black" /> <OtherMonthDayStyle ForeColor="#808080" /> <NextPrevStyle VerticalAlign="Bottom" /> <DayHeaderStyle BackColor="#CCCCCC" Font-Bold="True" Font-Size="7pt" /> <TitleStyle BackColor="#999999" BorderColor="Black" Font-Bold="True" /> </asp:Calendar> </td> </tr> <tr> <td style="font-size: 11pt; " class="style1"> </td> <td > <asp:Button ID="Button2" runat="server" BackColor="#E35A58" BorderColor="#1D71A4" BorderWidth="0px" Font-Bold="True" Font-Size="10pt" ForeColor="White" Height="48px" Text="Submit" Width="155px" /> </td> </tr> <tr> <td style="font-size: 11pt; " class="style1"> </td> <td> </td> </tr> </table> </div></div> <div class="col-md-4 about-bottom-info-right"> <img src="images/appointment banner.jpg" alt="" /> </div> <div class="clearfix"> </div> </div> </div> <div class="clearfix"> </div> </div> </div> </div> <!--/about--> </div> <!-- content-section-ends --> <!-- footer-section-starts --> <div class="footer"> <div class="container"> <div class="col-md-5 contact-section"> <h4>Contact Form</h4> <input type="text" class="text" value="Name" onfocus="this.value = '';" onblur="if (this.value == '') {this.value = 'Name';}"> <input type="text" class="text" value="Email" onfocus="this.value = '';" onblur="if (this.value == '') {this.value = 'Email';}"> <textarea onfocus="if(this.value == 'Message') this.value='';" onblur="if(this.value == '') this.value='Message';" >Message</textarea> <input type="submit" value="SEND"> </div> <div class="col-md-7 follow-us"> <h4>Follow Us</h4> <div class="social-icons"> <i class="facebook"></i> <i class="twitter"></i> <i class="pinterest"></i> <i class="googlepluse"></i> </div> <h4>PANDEY HOSPITAL PVT. LTD.</h4> <p>Address: 499, NORTH CIVIL LINES BEOHARBAGH JABALPUR(M.P.)INDIA</p> <p>Pin No: 482002</p> <p>Landline No: +917612627833</p> <p>Fax No: +917612625489</p> <p>Email: info@pandeyhospitals.com</p> <p>Website: www.pandeyhospitals.com</p> <div class="copyright"> <p>Developed by <a href="http://shinesofttech.com"> Shine Software Technology</a></p> </div> </div> <div class="clearfix"></div> </div> </div> <!-- footer-section-ends --> <script type="text/javascript"> $(document).ready(function() { /* var defaults = { containerID: 'toTop', // fading element id containerHoverID: 'toTopHover', // fading element hover id scrollSpeed: 1200, easingType: 'linear' }; */ $().UItoTop({ easingType: 'easeOutQuart' }); }); </script> <a href="#" id="toTop" style="display: block;"> <span id="toTopHover" style="opacity: 1;"> </span></a> </form> </body> </html>