bnmbertsurhetertertertertertertertpdf'tdfg

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<!DOCTYPE html>
<html lang="zxx">

<title>Para Medical Council | Contact Us</title>
 <link rel="shortcut icon" href="assets/images/favicon.png">
  
  <meta name="viewport" content="width=device-width, initial-scale=1">
 <?php include"includes/links.php" ; ?>

</head>

<?php include"includes/header.php" ; ?>

<section class="page-header">
  <div class="container">
    <div class="row justify-content-center">
      <div class="col-lg-8">
          <div class="page-header-content">
            <h1>Contact Us</h1>
            <ul class="list-inline mb-0">
              <li class="list-inline-item">
                <a href="index.html">Home</a>
              </li>
              <li class="list-inline-item">/</li>
              <li class="list-inline-item">
                  Contact Us
              </li>
            </ul>
          </div>
      </div>
    </div>
  </div>
</section>

<section class="contact-info section-padding">
    <div class="container">
        <div class="row align-items-center justify-content-center">
            <div class="col-lg-6">
                <div class="section-heading center-heading">
                    <span class="subheading">Contact Us</span>
                    <h3>Have any query?</h3>
                   
                </div>
            </div>
        </div>
       
        <?php    
            include 'includes/db.php';
            $query = "SELECT * FROM contact";
            $select_details = mysqli_query($connection,$query);
            $row = mysqli_fetch_assoc($select_details);
            $id = $row['id'];    
            $email = $row['email'];
            $mobile = $row['mobile'];
            $office = $row['office'];
            $co_office = $row['co_office'];
            $monday = $row['monday'];
            $tuesday = $row['tuesday'];
            $wednesday = $row['wednesday'];
            $thursday = $row['thursday'];
            $friday = $row['friday'];
            $saturday = $row['saturday'];
            
            
        ?>     
       
        <div class="row justify-content-center">
            <div class="col-lg-8">
			<form id="contact_form" name="contact_form" class="form-transparent" enctype="multipart/form-data" action="contactform.php" method="post">
              <div class="row">
                <div class="col-lg-6">
                           <div class="form-group">
                               <input type="text" id="name" name="fullname" class="form-control" placeholder="Full Name">
                           </div>
                       </div>
					   <div class="col-lg-6">
                           <div class="form-group">
                               <input type="text" id="name" name="fathername" class="form-control" placeholder="Father's Name">
                           </div>
                       </div>
					    <div class="col-lg-6">
                           <div class="form-group">
                               <input type="text" id="name" name="address" class="form-control" placeholder="Address">
                           </div>
                       </div>
					    <div class="col-lg-6">
                           <div class="form-group">
                               <input type="text" id="name" name="contact" class="form-control" placeholder="Contact No.">
                           </div>
                       </div>
                       
                       <div class="col-lg-6">
                           <div class="form-group">
                               <input type="text" name="email" id="email" class="form-control" placeholder="Mail Id">
                           </div>
                       </div>
					   
					     <div class="col-lg-6">
                           <div class="form-group">
                             <select class="form-select form-select-sm" name="state" aria-label=".form-select-sm example">
  <option selected>Select State</option>
  <option value="Andhra Pradesh">Andhra Pradesh</option>
<option value="Andaman and Nicobar Islands">Andaman and Nicobar Islands</option>
<option value="Arunachal Pradesh">Arunachal Pradesh</option>
<option value="Assam">Assam</option>
<option value="Bihar">Bihar</option>
<option value="Chandigarh">Chandigarh</option>
<option value="Chhattisgarh">Chhattisgarh</option>
<option value="Dadar and Nagar Haveli">Dadar and Nagar Haveli</option>
<option value="Daman and Diu">Daman and Diu</option>
<option value="Delhi">Delhi</option>
<option value="Lakshadweep">Lakshadweep</option>
<option value="Puducherry">Puducherry</option>
<option value="Goa">Goa</option>
<option value="Gujarat">Gujarat</option>
<option value="Haryana">Haryana</option>
<option value="Himachal Pradesh">Himachal Pradesh</option>
<option value="Jammu and Kashmir">Jammu and Kashmir</option>
<option value="Jharkhand">Jharkhand</option>
<option value="Karnataka">Karnataka</option>
<option value="Kerala">Kerala</option>
<option value="Madhya Pradesh">Madhya Pradesh</option>
<option value="Maharashtra">Maharashtra</option>
<option value="Manipur">Manipur</option>
<option value="Meghalaya">Meghalaya</option>
<option value="Mizoram">Mizoram</option>
<option value="Nagaland">Nagaland</option>
<option value="Odisha">Odisha</option>
<option value="Punjab">Punjab</option>
<option value="Rajasthan">Rajasthan</option>
<option value="Sikkim">Sikkim</option>
<option value="Tamil Nadu">Tamil Nadu</option>
<option value="Telangana">Telangana</option>
<option value="Tripura">Tripura</option>
<option value="Uttar Pradesh">Uttar Pradesh</option>
<option value="Uttarakhand">Uttarakhand</option>
<option value="West Bengal">West Bengal</option>
</select>
                           </div>
                       </div>
					    
             
              </div>
              
              <div class="form-group">
                <textarea id="form_message" name="message" class="form-control required" rows="5" placeholder="Mesage"></textarea>
              </div>
            <div class="col-lg-12">
                       <div class="mt-4 text-right">
                           <button class="btn btn-main" type="submit">Send Message <i class="fa fa-angle-right ml-2"></i></button>
                       </div>
                   </div>
            </form>
			
               
            </div>
            <div class="col-lg-4">
                <div class="row">
                    <div class="col-lg-12 col-md-6">
                        <div class="contact-item">
                            <p><strong>Email Us:</strong></p>
							<p class="text-secondary"><?= $email;?></p>
                            
                        </div>
                    </div>
                     <div class="col-lg-12 col-md-6">
                        <div class="contact-item">
                            <p><strong>Make a Call:</strong></p>
							<p class="text-secondary"><?= $mobile;?></p>
                            
                        </div>
                    </div>
                     <div class="col-lg-12 col-md-6">
                        <div class="contact-item">
                            <p><strong>Main Office:</strong></p>
							<p class="text-secondary"><?= $office;?></p>
                            
                        </div>
                    </div>
                    <div class="col-lg-12 col-md-6">
                        <div class="contact-item">
                            <p><strong>Corporate Office:</strong></p>
							<p class="text-secondary"><?= $co_office;?></p>
                            
                        </div>
                    </div>
					 <div class="col-lg-12 col-md-6">
                        <div class="contact-item">
                            <p><strong>Timing:</strong></p>
                            <p class="text-secondary"><?= $monday;?></p>
                            <p class="text-secondary"><?= $tuesday;?></p>
                            <p class="text-secondary"><?= $wednesday;?></p>
                            <p class="text-secondary"><?= $thursday;?></p>
                            <p class="text-secondary"><?= $friday;?></p>
                            <p class="text-secondary"><?= $saturday;?></p>
                        </div>
                    </div>
					
                </div>
            </div>
        </div>
    </div>
</section>

</html>