ikan Uploader :
Directory : /var/www/html/shardahospital.org/application/views/
Upload File : |
| Current File : /var/www/html/shardahospital.org/application/views/contactus.php |
<div class="slider-inners">
<div class="container">
<div class="row">
<div class="col-md-12">
<ul class="breadcrumb-slider">
<li><a href="<?php echo base_url()?>">Home</a></li>
<li> <i class="fa fa-angle-right" aria-hidden="true"></i> </li>
<li>Contact us</li>
</ul>
<div class="clearfix"></div>
<h1>Contact us </h1>
</div>
</div>
</div>
</div>
<div class="contact-inners">
<div class="container">
<div class="row">
<div class="col-md-1"></div>
<div class="col-md-10">
<div class="contact-main">
<div class="contact-left">
<img src="<?=base_url('assests/images/')?>contact-hospital.png" />
</div>
<div class="contact-right">
<strong> Sharda Hospital, Greater Noida</strong>
<p>Plot No. 32, Sharda Hospital, Campus Greater Noida, 34, Knowledge Park III, Greater Noida, Uttar Pradesh 201306</p>
<div class="contactlist">
<span><i class="fa fa-phone" aria-hidden="true"></i> +91-8447333999, 0120-2333999</span>
<span><i class="fa fa-envelope-o" aria-hidden="true"></i> info@shardahospital.org</span>
<a href="https://www.google.com/maps?ll=28.474344,77.482281&z=14&t=m&hl=en&gl=IN&mapclient=embed&cid=14509256422583578990"><i class="fa fa-map-marker" aria-hidden="true"></i> Get Direction</a>
</div>
<div class="footer-social contact-social">
<ul>
<li><a href="https://www.facebook.com/ShardaHospital/" target="_blank"><i class="fa fa-facebook-f"></i></a></li>
<li><a href="https://twitter.com/shardahospital" target="_blank"><i class="fa fa-twitter"></i></a></li>
<li><a href="https://plus.google.com/+shardahospitalorg" target="_blank"><i class="fa fa-google-plus"></i></a></li>
</ul>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-1"></div>
<div class="col-md-10">
<div class="contact-map">
<div class="contact-right">
<strong>Contact Us</strong>
<p>Please fill in the required details and our team will get in touch with you.</p>
<form action="<?php echo site_url('Contact'); ?>" method="POST" id="commentForm">
<input type="hidden" name="contactSource" id="contactSource" value="" >
<input type="text" name="Name" value="" id="name" maxlength="150" autocomplete=OFF required placeholder="Name" />
<small id="namevalid" class="form-text text-muted invalid-feedback">
Your username must be more than 2 characters long and should start with a Capital letter.
</small>
<input type="text" name="Email" id="email" value="" maxlength="100" autocomplete=OFF required placeholder="Email" />
<small id="emailvalid" class="form-text text-muted invalid-feedback">
Your email must be a valid email
</small>
<input type="text" name="Mobile" value="" onkeyup="this.value=this.value.replace(/[^\d]/,'')" autocomplete="off" maxlength="10" required placeholder="Mobile" />
<input type="text" name="City" value="" required placeholder="City" />
<textarea name="Message" value="" required placeholder="Message"></textarea>
<script src="https://www.google.com/recaptcha/api.js" async defer></script>
<div class="g-recaptcha" data-sitekey="6LdytHImAAAAAHyFCAPeGPbanxU1K2rt84aF-9lL"></div>
<button type="submit" value="Submit" id="login" class="button1">Submit <span><i class="bi bi-arrow-right-short"></i></span></button>
</form>
</div>
<div class="contact-left">
<iframe src="https://www.google.com/maps/embed?pb=!1m14!1m8!1m3!1d14028.690951207322!2d77.4822811!3d28.4743441!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x0%3A0xc95b3bd7cf26316e!2sSharda%20Hospital!5e0!3m2!1sen!2sin!4v1650262328878!5m2!1sen!2sin" width="100%" height="100%" style="border:0;" allowfullscreen="" loading="lazy" referrerpolicy="no-referrer-when-downgrade"></iframe>
</div>
</div>
</div>
</div>
</div>
</div>
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.7.0/jquery.min.js"></script>
<script>
$(document).on('click','#login', function(){
var response = grecaptcha.getResponse();
if(response.length==0){
alert('Please verify you are not a robot');
return false;
}
});
</script>
<script>
const name = document.getElementById('name');
const email = document.getElementById('email');
const namevalid =document.getElementById("namevalid").style.display = "none";
const emailvalid =document.getElementById("emailvalid").style.display = "none";
// console.log('name');
name.addEventListener('blur', ()=>{
// console.log("name is blurred");
// Validate name here
let regex = /^[A-Z]([0-9a-zA-Z ]){2,50}$/;
// let regex = /^[a-zA-Z ]{2,30}$/;
let str = name.value;
console.log(regex, str);
if(regex.test(str)){
// console.log('Your name is valid');
name.classList.remove('is-invalid');
const namevalid =document.getElementById("namevalid").style.display = "none";
}
else{
// console.log('Your name is not valid');
name.classList.add('is-invalid');
const namevalid =document.getElementById("namevalid").style.display = "block";
}
});
email.addEventListener('blur', ()=>{
console.log("email is blurred");
// Validate email here
let regex = /^([_\-\.0-9a-zA-Z]+)@([_\-\.0-9a-zA-Z]+)\.([a-zA-Z]){2,7}$/;
let str = email.value;
console.log(regex, str);
if(regex.test(str)){
console.log('Your email is valid');
email.classList.remove('is-invalid');
const emailvalid =document.getElementById("emailvalid").style.display = "none";
}
else{
console.log('Your email is not valid');
email.classList.add('is-invalid');
const emailvalid =document.getElementById("emailvalid").style.display = "block";
}
});
</script>
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