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<?php | ||
include_once('hms/include/config.php'); | ||
if(isset($_POST['submit'])) | ||
{ | ||
$name=$_POST['fullname']; | ||
$email=$_POST['emailid']; | ||
$mobileno=$_POST['mobileno']; | ||
$dscrption=$_POST['description']; | ||
$query=mysqli_query($con,"insert into tblcontactus(fullname,email,contactno,message) value('$name','$email','$mobileno','$dscrption')"); | ||
echo "<script>alert('Your information succesfully submitted');</script>"; | ||
echo "<script>window.location.href ='contact.php'</script>"; | ||
} | ||
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?> | ||
<!DOCTYPE HTML> | ||
<html> | ||
<head> | ||
<title>HMS | Contact us</title> | ||
<link href="css/style.css" rel="stylesheet" type="text/css" media="all" /> | ||
<link href='http://fonts.googleapis.com/css?family=Ropa+Sans' rel='stylesheet' type='text/css'> | ||
</head> | ||
<body> | ||
<!--start-wrap--> | ||
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<!--start-header--> | ||
<div class="header"> | ||
<div class="wrap"> | ||
<!--start-logo--> | ||
<div class="logo"> | ||
<a href="index.html" style="font-size: 30px;">Hospital Management system</a> | ||
</div> | ||
<!--end-logo--> | ||
<!--start-top-nav--> | ||
<div class="top-nav"> | ||
<ul> | ||
<li><a href="index.html">Home</a></li> | ||
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<li class="active"><a href="contact.php">contact</a></li> | ||
</ul> | ||
</div> | ||
<div class="clear"> </div> | ||
<!--end-top-nav--> | ||
</div> | ||
<!--end-header--> | ||
</div> | ||
<div class="clear"> </div> | ||
<div class="wrap"> | ||
<div class="contact"> | ||
<div class="section group"> | ||
<div class="col span_1_of_3"> | ||
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<div class="company_address"> | ||
<h2>Hospital Address :</h2> | ||
<p>500 Lorem Ipsum Dolor Sit,</p> | ||
<p>22-56-2-9 Sit Amet, Lorem,</p> | ||
<p>India</p> | ||
<p>Phone:(00) 222 666 444</p> | ||
<p>Fax: (000) 000 00 00 0</p> | ||
<p>Email: <span>[email protected]</span></p> | ||
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</div> | ||
</div> | ||
<div class="col span_2_of_3"> | ||
<div class="contact-form"> | ||
<h2>Contact Us</h2> | ||
<form name="contactus" method="post"> | ||
<div> | ||
<span><label>NAME</label></span> | ||
<span><input type="text" name="fullname" required="true" value=""></span> | ||
</div> | ||
<div> | ||
<span><label>E-MAIL</label></span> | ||
<span><input type="email" name="emailid" required="ture" value=""></span> | ||
</div> | ||
<div> | ||
<span><label>MOBILE.NO</label></span> | ||
<span><input type="text" name="mobileno" required="true" value=""></span> | ||
</div> | ||
<div> | ||
<span><label>Description</label></span> | ||
<span><textarea name="description" required="true"> </textarea></span> | ||
</div> | ||
<div> | ||
<span><input type="submit" name="submit" value="Submit"></span> | ||
</div> | ||
</form> | ||
</div> | ||
</div> | ||
</div> | ||
<div class="clear"> </div> | ||
</div> | ||
<div class="clear"> </div> | ||
</div> | ||
<div class="clear"> </div> | ||
<div class="footer"> | ||
<div class="wrap"> | ||
<div class="footer-left"> | ||
<ul> | ||
<li><a href="index.html">Home</a></li> | ||
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<li><a href="contact.php">contact</a></li> | ||
</ul> | ||
</div> | ||
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<div class="clear"> </div> | ||
</div> | ||
</div> | ||
<!--end-wrap--> | ||
</body> | ||
</html> | ||
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/*! http://responsiveslides.com v1.53 by @viljamis */ | ||
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.rslides { | ||
position: relative; | ||
list-style: none; | ||
overflow: hidden; | ||
padding: 0; | ||
margin: 0; | ||
} | ||
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.rslides li { | ||
-webkit-backface-visibility: hidden; | ||
position: absolute; | ||
display: none; | ||
width: 100%; | ||
left: 0; | ||
top: 0; | ||
} | ||
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.rslides li:first-child { | ||
position: relative; | ||
display: block; | ||
float: left; | ||
} | ||
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.rslides img { | ||
display: block; | ||
height: auto; | ||
float: left; | ||
border: 0; | ||
width: 100%; | ||
} |
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