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Directory : /var/www/html/shardahospital_old.org/lp/neurology/php/
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| Current File : /var/www/html/shardahospital_old.org/lp/neurology/php/contact.php |
<?php
/*
* ------------------------------------
* Contact Form Configuration
* ------------------------------------
*/
$to = "lalit.kumar@shardatech.org"; // <--- Your email ID here
/*
* ------------------------------------
* END CONFIGURATION
* ------------------------------------
*/
$name = $_POST["name"];
$email = $_POST["email"];
$website = (isset($_SERVER['HTTPS']) ? "https" : "http") . "://$_SERVER[HTTP_HOST]$_SERVER[REQUEST_URI]";
if (isset($email) && isset($name)) {
$subject = "$name sent you a message via MediClick"; // <--- Contact for Subject here.
$headers = "MIME-Version: 1.0" . "\r\n";
$headers .= "Content-type:text/html;charset=iso-8859-1" . "\r\n";
$headers .= "From: ".$name." <".$email.">\r\n"."Reply-To: ".$email."\r\n" ;
$msg = 'Hello Admin, <br/> <br/> Here are the message details:';
$msg .= ' <br/> <br/> <table border="1" cellpadding="6" cellspacing="0" style="border: 1px solid #eeeeee;">';
foreach ($_POST as $label => $value) {
$msg .= "<tr><td width='100'>". ucfirst($label) . "</td><td width='300'>" . $value . " </tr>";
}
$msg .= " </table> <br> --- <br>This e-mail was sent from $website";
$mail = mail($to, $subject, $msg, $headers);
/* Please do not change the values below. */
if($mail) {
echo 'success';
} else {
echo 'failed';
}
} // END isset
?>
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