"visa randevu formu"
Bootstrap 3.3.0 Snippet by muammerkeles

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<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<!------ Include the above in your HEAD tag ---------->
<script src="https://eternicode.github.io/bootstrap-datepicker/bootstrap-datepicker/js/bootstrap-datepicker.min.js"></script>
<link href="https://eternicode.github.io/bootstrap-datepicker/bootstrap-datepicker/css/bootstrap-datepicker3.min.css" rel="stylesheet">
<div class="container">
<div class="row">
<h2>Randevunuzu Oluşturun</h2>
<form class="form-horizontal">
<fieldset>
<!-- Form Name -->
<legend>Randevu Talep Formu</legend>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label" for="r_adsoyad">Ad Soyad</label>
<div class="col-md-4">
<input id="r_adsoyad" name="r_adsoyad" type="text" placeholder="Ad Soyad" class="form-control input-md" required="">
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label" for="r_pasaportno">Pasaport No</label>
<div class="col-md-4">
<input id="r_pasaportno" name="r_pasaportno" type="text" placeholder="Pasaport No" class="form-control input-md" required="">
</div>
</div>
<!-- Text input-->
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#timecontainer{
background: #DBEEFF;
margin: 5px 0;
border: solid 1px #B4D2EC;
border-top-left-radius: 5px;
border-top-right-radius: 5px;
overflow: hidden;
}
#timecontainer .avails{
padding: 10px;
}
#timecontainer .timerinfo{
margin: 0;
background: #337AB7;
padding: 10px;
color: white;
}
#timecontainer .colum{
display: block;
float: left;
width: 25%;
height: 50px;
background: none;
margin: 0;
padding: 0 0 5px 0;
overflow: hidden;
}
#timecontainer .colum label{
display: block;
background: #FF5722;
margin: 0 5px 0;
height: 100%;
border: solid 1px #FFFFFF;
color: #E5DDDD;
padding: 7px 0 0;
text-align: center;
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$(document).ready(function(){
$("#r_btnsend").on("click",function(){
alert("ss");
});
$("#r_randevutarihi").datepicker({
autoclose: true,
todayHighlight: true
}).on("input change", function (e) {
$("#timecontainer").prepend("<div class='timerinfo'>" + e.target.value + " Tarihindeki Müsait Saatler.</div>").removeClass("hide");
});
$("#timecontainer label").click(function(){
$("#timecontainer label").removeClass("active");
$(this).addClass("active");
});
});
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