"Doctor Appointment Form"
Bootstrap 4.1.1 Snippet by theimran

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<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>
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.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,
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