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index.php
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<?php require "login/loginheader.php";
?>
<!DOCTYPE html>
<html lang="en">
<head>
<title>Book Appointment</title>
<!-- Bootstrap -->
<link href="css/bootstrap.css" rel="stylesheet" media="screen">
<link href="css/main.css" rel="stylesheet" media="screen">
</head>
<body>
<div class="container">
<div >
<a href="login/logout.php" style="float:right;color:white;">Logout</a>
</div>
<div><h4 class="form-signup-heading text-center">Book Your Appointment</h4>
<form class=" form-signin" method="post" name="book" id="book" action="login/submit.php" target="message">
<p>Name of the Doctor</p>
<select name="names" id="names" class="form-control" required>
<option value="Dr. Ajay Gupta">Dr. Ajay Gupta</option>
<option value="Dr. Naveen Chhatwal">Dr. Naveen Chhatwal</option>
<option value="Dr. Awantika Jain">Dr. Awantika Jain</option>
<option value="Dr. Shubham Mishra">Dr. Shubham Mishra</option>
<option value="Dr. Gagandeep Singh">Dr. Gagandeep Singh</option>
<option value="Dr. Sreshtha Verma">Dr. Sreshtha Verma</option>
</select>
<br>
<p>Select Date and Time </p>
<input type="date" name="appdate" id="appdate" class="form-control">
<select name="apptime" id="apptime" class="form-control">
<option value="9:00 AM">9:00 AM</option>
<option value="9:15 AM">9:15 AM</option>
<option value="9:30 AM">9:30 AM</option>
<option value="9:45 AM">9:45 AM</option>
<option value="10:00 AM">10:00 AM</option>
<option value="10:15 AM">10:15 AM</option>
<option value="10:30 AM">10:30 AM</option>
<option value="10:45 AM">10:45 AM</option>
<option value="11:00 AM">11:00 AM</option>
<option value="11:15 AM">11:15 AM</option>
<option value="11:30 AM">11:30 AM</option>
<option value="11:45 AM">11:45 AM</option>
<option value="12:00 PM">12:00 PM</option>
<option value="12:15 PM">12:15 PM</option>
<option value="12:30 PM">12:30 PM</option>
<option value="12:45 PM">12:45 PM</option>
<option value="1:00 PM">1:00 PM</option>
<option value="1:15 PM">1:15 PM</option>
<option value="1:30 PM">1:30 PM</option>
<option value="1:45 PM">1:45 PM</option>
<option value="2:00 PM">2:00 PM</option>
<option value="2:15 PM">2:15 PM</option>
<option value="2:30 PM">2:30 PM</option>
<option value="2:45 PM">2:45 PM</option>
<option value="3:00 PM">3:00 PM</option>
<option value="3:15 PM">3:15 PM</option>
<option value="3:30 PM">3:30 PM</option>
<option value="3:45 PM">3:45 PM</option>
<option value="4:00 PM">4:00 PM</option>
<option value="4:15 PM">4:15 PM</option>
<option value="4:30 PM">4:30 PM</option>
<option value="4:45 PM">4:45 PM</option>
<option value="5:00 PM">5:00 PM</option>
<option value="5:15 PM">5:15 PM</option>
<option value="5:30 PM">5:30 PM</option>
<option value="5:45 PM">5:45 PM</option>
<option value="6:00 PM">6:00 PM</option>
<option value="6:15 PM">6:15 PM</option>
<option value="6:30 PM">6:30 PM</option>
<option value="6:45 PM">6:45 PM</option>
<option value="7:00 PM">7:00 PM</option>
<option value="7:15 PM">7:15 PM</option>
<option value="7:30 PM">7:30 PM</option>
<option value="7:45 PM">7:45 PM</option>
<option value="8:00 PM">8:00 PM</option>
<option value="8:15 PM">8:15 PM</option>
<option value="8:30 PM">8:30 PM</option>
<option value="8:45 PM">8:45 PM</option>
<option value="9:00 PM">9:00 PM</option>
</select>
<br>
<button name="submitit" class="btn btn-lg btn-primary btn-block" type="submit">Book Now!</button>
</form>
<a href="login/cancel.php" style="float:right;color:white;">Cancel Appointment?</a>
</div>
</div>
<script src="http://jqueryvalidation.org/files/dist/jquery.validate.min.js"></script>
<script src="http://jqueryvalidation.org/files/dist/additional-methods.min.js"></script>
<!-- jQuery (necessary for Bootstrap's JavaScript plugins) -->
<script src="//code.jquery.com/jquery.js"></script>
<!-- Include all compiled plugins (below), or include individual files as needed -->
<script type="text/javascript" src="js/bootstrap.js"></script>
<script src="login/js/submit.js"></script>
<script>
$( "#book" ).validate({
rules: {
appdate: {
required: true,
},
apptime: {
required: true,
}
}
});
</script>
</body>
</html>