67 lines
3.0 KiB
HTML
67 lines
3.0 KiB
HTML
{% extends "templates/web.html" %}
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{% block title %}{{ _("Book Appointment") }}{% endblock %}
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{% block script %}
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<script src="assets/js/moment-bundle.min.js"></script>
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<script src="book_appointment/index.js"></script>
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{% endblock %}
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{% block page_content %}
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<div class="container">
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<!-- title: Book an appointment -->
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<div id="select-date-time">
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<div class="text-center mt-5">
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<h3>Book an appointment</h3>
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<p class="lead text-muted" id="lead-text">Select the date and your timezone</p>
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</div>
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<div class="row justify-content-center mt-3">
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<div class="col-md-6 align-self-center ">
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<div class="row">
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<input type="date" oninput="on_date_or_timezone_select()" name="appointment-date"
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id="appointment-date" class="form-control mt-3 col-md m-3">
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<select name="appointment-timezone" oninput="on_date_or_timezone_select()" id="appointment-timezone"
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class="form-control m-3 col-md">
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</select>
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</div>
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</div>
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</div>
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<div class="mt-3" id="timeslot-container">
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</div>
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<div class="row justify-content-center mt-3">
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<div class="col-md-4 mb-3">
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<button class="btn btn-primary form-control" id="next-button">Next</button>
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</div>
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</div>
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</div>
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</div>
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<!--Enter Details-->
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<div id="enter-details" class="mb-5">
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<div class="text-center mt-5">
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<h3>Add details</h3>
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<p class="lead text-muted">Selected date is <span class="date-span"></span> at <span class="time-span">
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</span></p>
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</div>
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<div class="row justify-content-center mt-3">
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<div class="col-md-4 align-items-center">
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<form id="customer-form" action='#'>
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<input class="form-control mt-3" type="text" name="customer_name" id="customer_name" placeholder="Your Name (required)" required>
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<input class="form-control mt-3" type="tel" name="customer_number" id="customer_number" placeholder="+910000000000">
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<input class="form-control mt-3" type="text" name="customer_skype" id="customer_skype" placeholder="Skype">
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<input class="form-control mt-3"type="email" name="customer_email" id="customer_email" placeholder="Email Address (required)" required>
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<textarea class="form-control mt-3" name="customer_notes" id="customer_notes" cols="30" rows="10"
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placeholder="Notes"></textarea>
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</form>
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<div class="row mt-3 " id="submit-button-area">
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<div class="col-md mt-3" style="grid-area: back;"><button class="btn btn-dark form-control" onclick="initialise_select_date()">Go back</button></div>
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<div class="col-md mt-3" style="grid-area: submit;"><button class="btn btn-primary form-control " onclick="submit()" id="submit-button">Submit</button></div>
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</div>
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</div>
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</div>
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</div>
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</div>
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{% endblock %}
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