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<?php include 'header.php'; ?>
<section class="page-title page-title-layout5 text-center">
<div class="bg-img"><img src="assets/images/backgrounds/6.jpg" alt="background"></div>
<div class="container">
<div class="row">
<div class="col-12">
<h1 class="pagetitle__heading">Contact Us</h1>
<nav>
<ol class="breadcrumb justify-content-center mb-0">
<li class="breadcrumb-item"><a href="index.php">Home</a></li>
<li class="breadcrumb-item active" aria-current="page">Contact Us</li>
</ol>
</nav>
</div><!-- /.col-xl-6 -->
</div><!-- /.row -->
</div><!-- /.container -->
</section><!-- /.page-title -->
<!-- =========================
Google Map
========================= -->
<section class="google-map py-0">
<iframe rameborder="0" height="500" width="100%" src="https://www.google.com/maps/embed?pb=!1m18!1m12!1m3!1d3568.647458926579!2d74.68064337377457!3d26.563591176856942!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x396be94284b0ffdd%3A0x805a8605f127f74d!2sB%20R%20shastri%20Hospital%20Ajmer!5e0!3m2!1sen!2sin!4v1729751496216!5m2!1sen!2sin" width="600" height="450" style="border:0;" allowfullscreen="" loading="lazy" referrerpolicy="no-referrer-when-downgrade"></iframe>
</section><!-- /.GoogleMap -->
<!-- ==========================
contact layout 1
=========================== -->
<section class="contact-layout1 pt-0 mt--100">
<div class="container">
<div class="row">
<div class="col-12">
<div class="contact-panel d-flex flex-wrap">
<form class="contact-panel__form" method="POST" action="userinfo.php">
<div class="row">
<div class="col-sm-12">
<h4 class="contact-panel__title">How Can We Help? </h4>
<p class="contact-panel__desc mb-30">Please feel welcome to contact our friendly reception staff
with any general or medical enquiry. Our doctors will receive or return any urgent calls.
</p>
</div>
<div class="col-sm-6 col-md-6 col-lg-6">
<div class="form-group">
<i class="icon-user form-group-icon"></i>
<input type="text" class="form-control" placeholder="Name" id="contact-name" name="name"
required>
</div>
</div><!-- /.col-lg-6 -->
<div class="col-sm-6 col-md-6 col-lg-6">
<div class="form-group">
<i class="icon-email form-group-icon"></i>
<input type="email" class="form-control" placeholder="Email" id="contact-email"
name="email" required>
</div>
</div><!-- /.col-lg-6 -->
<div class="col-sm-6 col-md-6 col-lg-6">
<div class="form-group">
<i class="icon-phone form-group-icon"></i>
<input type="text" class="form-control" placeholder="Phone" id="contact-Phone"
name="mobile" required>
</div>
</div><!-- /.col-lg-6 -->
<div class="col-sm-6 col-md-6 col-lg-6">
<div class="form-group">
<i class="icon-news form-group-icon"></i>
<input type="text" class="form-control" placeholder="Subject" id="contact-Phone"
name="subject" required>
</div>
</div><!-- /.col-lg-6 -->
<div class="col-12">
<div class="form-group">
<i class="icon-alert form-group-icon"></i>
<textarea class="form-control" placeholder="Message" id="contact-message"
name="message"></textarea>
</div>
<button type="submit" value="submit" class="btn btn__secondary btn__rounded btn__block btn__xhight mt-10">
<span>Submit Request</span> <i class="icon-arrow-right"></i>
</button>
</div><!-- /.col-lg-12 -->
</div><!-- /.row -->
</form>
<div class="contact-panel__info d-flex flex-column justify-content-between bg-overlay bg-overlay-primary-gradient">
<?php
$sel = "SELECT * FROM contact";
$res = mysqli_query($con,$sel);
while($r = mysqli_fetch_array($res))
{
?>
<div class="bg-img"><img src="assets/images/banners/1.jpg" alt="banner"></div>
<div>
<h4 class="contact-panel__title color-white"><?php echo $r[1]; ?></h4>
<p class="contact-panel__desc font-weight-bold color-white mb-30"><?php echo $r[2]; ?>
</p>
</div>
<div>
<ul class="contact__list list-unstyled mb-30">
<li>
<i class="icon-phone"></i><a href="tel:+91 8000176428">Emergency Line: <?php echo $r[3]; ?></a>
</li>
<li>
<i class="icon-location"></i><a href="#">Location: <?php echo $r[4]; ?></a>
</li>
<li>
<i class="icon-clock"></i><a href="contact-us.html">Time: <?php echo $r[5]; ?></a>
</li>
</ul>
<a href="#" class="btn btn__white btn__rounded btn__outlined">Contact Us</a>
</div>
<?php
}
?>
</div>
</div>
</div><!-- /.col-lg-6 -->
</div><!-- /.row -->
</div><!-- /.container -->
</section><!-- /.contact layout 1 -->
<?php include 'footer.php'; ?>