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sampanna
2025-08-17 16:23:14 +05:45
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resources/views/theme/spade/pages/doctor-provider/appointment.blade.php Normal file
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@extends('theme.spade.layouts.main')
@section('title') Doctors & Providers @endsection
@section('meta')
<meta name="title" content="{{ $seoSetting['meta_title'] }}" />
<meta name="description" content="{{ $seoSetting['meta_detail'] }}">
<meta name="keywords" content="{{ $seoSetting['meta_keywords'] }}" />
@endsection
@section('canonical')
<link ref="canonical" href="{{ route('appointment') }}" />
@endsection
@section('content')
@php
$breadcrumbData = [
[
'title' => 'Make an Appointment',
'link' => route('appointment')
]
]
@endphp
@include('theme.spade.layouts.includes.breadcrumb', $breadcrumbData)
<section class="contact-us-area">
<div class="auto-container">
<div class="row clearfix">
<div class="col-md-3 col-sm-6 col-xs-12 map-area wow fadeInRight" data-wow-delay="0ms"
data-wow-duration="1000ms">
<div class="candidate radius">
<div class="candidate-margins format-image">
<a href="javascript:;" alt="{{ $teamMemberDetail->name }}"
class="media-box image-popup-vertical-fit">
<img src="{{ asset('storage/uploads/' . $teamMemberDetail->image_path) }}"
alt="Dr. Kavish Chouhan" class="img-responsive" />
</a>
<div class="inner-box">
<h3><a href="javascript:;">{{ $teamMemberDetail->name }}</a>
<span>{{ $teamMemberDetail->detail }}</span>
{{-- <span>MD, AIIMS (New Delhi), MISHRS, USA</span> --}}
</h3>
</div>
</div>
</div>
</div>
<!--Contact Form-->
<div class="col-md-7 col-sm-6 col-xs-12 contact-form wow fadeInLeft" data-wow-delay="0ms"
data-wow-duration="1000ms">
<h2>Book Your Appointment with {{ $teamMemberDetail->name }}</h2>
<form action="{{ route('make-appointment') }}" method="post">
@csrf
<div class="field-container clearfix">
{{-- <input type="hidden" name="emal_to" value=""> --}}
<input type="hidden" name="team_member_id" value="{{ $teamMemberDetail->id }}">
<div class="form-group col-md-6 col-sm-12 col-xs-12">
<input type="text" name="full_name" placeholder="Full Name*" required="required">
</div>
<div class="form-group col-md-6 col-sm-12 col-xs-12">
<input type="email" name="email" placeholder="Email*" required="required">
</div>
<div class="clearfix"></div>
<div class="form-group col-md-4 col-sm-12 col-xs-12">
<input type="text" name="contact_no" placeholder="Contact No*" required="required">
</div>
<div class="form-group col-md-8 col-sm-12 col-xs-12">
<input type="text" name="subject" placeholder="Subject*" required="required">
</div>
<div class="clearfix"></div>
<div class="form-group col-md-12 col-sm-12 col-xs-12">
<textarea name="feedback" placeholder="Message" required="required"></textarea>
</div>
<div class="form-group col-md-12 col-sm-12 col-xs-12">
<button type="submit" name="submit-form" class="primary-btn hvr-bounce-to-left"><span
class="btn-text">Submit</span> <strong class="icon"><span
class="f-icon flaticon-letter110"></span></strong></button>
</div>
</div>
</form>
</div>
</div>
</div>
</section>
@endsection