"Doctor Appointment Form"
Bootstrap 4.1.1 Snippet by theimran

<link href="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/js/bootstrap.min.js"></script> <script src="//cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script> <!------ Include the above in your HEAD tag ----------> <div class="appointment_sec"> <div class="container"> <div class="row"> <div class="col-md-6 col-lg-5 offset-lg-7 offset-md-6"> <div class="appoint_ment_form"> <h4>Book an Appointment</h4> <p>It established fact that and reader will be distracted that it has a normal content.</p> <form> <input type="text" placeholder="Name of patients"> <input type="tel" placeholder="+88 017 ****"> <input id="datepicker-disable-past" type="text" placeholder="22 June, 2019"> <button type="submit" class="btn">Get Your Free Appointment</button> </form> </div> <!--/.appoint_ment_form--> </div> </div> </div> <!--/.container--> </div>
.appointment_sec { width: 100%; position: relative; z-index: 1; background-image: url(https://theimran.com/dext-html/img/appointment_bg.jpg); background-size: cover; background-position: center; background-repeat: no-repeat; background-position: left center; padding-top: 90px; margin-bottom: 74px; } .appointment_sec.home2 { margin-bottom: 0; } .appointment_sec.home2 .col-md-5 { padding: 0; } .appoint_ment_form { background-color: #ffffff; padding: 42px; text-align: center; position: relative; } .appoint_ment_form h4 { font-family: "Playfair Display", serif; font-weight: 700; color: #222222; font-size: 35px; padding-bottom: 24px; } .appoint_ment_form p { color: #767676; font-size: 17px; font-weight: 400; font-family: "Roboto", sans-serif; padding-bottom: 45px; } .appoint_ment_form form { width: 100%; } .appoint_ment_form form input, .appoint_ment_form form textarea { width: 100%; padding: 12px 24px; background-color: #f9f9f9; border: 1px solid #e3e3e3; margin-bottom: 14px; color: #767676; font-size: 17px; font-weight: 400; font-family: "Roboto", sans-serif; outline: 0; } .appoint_ment_form form input:focus, .appoint_ment_form form textarea:focus { outline: 0; } .appoint_ment_form form .btn { width: 100%; background-color: #ff9703; padding: 22px 0; text-align: center; color: #ffffff; font-weight: 400; font-family: "Roboto", sans-serif; font-size: 19px; position: absolute; left: 0; bottom: -72px; -ms-radius: 0; -o-radius: 0; -webkit-border-radius: 0; -moz-border-radius: 0; border-radius: 0; }

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