-
Notifications
You must be signed in to change notification settings - Fork 16
/
checkout.html
505 lines (449 loc) · 17.1 KB
/
checkout.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
<!DOCTYPE html>
<html lang="en">
<!-- doccure/checkout.html 30 Nov 2019 04:12:16 GMT -->
<head>
<meta charset="utf-8">
<title>Doccure</title>
<meta name="viewport" content="width=device-width, initial-scale=1.0, user-scalable=0">
<!-- Favicons -->
<link href="assets/img/favicon.png" rel="icon">
<!-- Bootstrap CSS -->
<link rel="stylesheet" href="assets/css/bootstrap.min.css">
<!-- Fontawesome CSS -->
<link rel="stylesheet" href="assets/plugins/fontawesome/css/fontawesome.min.css">
<link rel="stylesheet" href="assets/plugins/fontawesome/css/all.min.css">
<!-- Main CSS -->
<link rel="stylesheet" href="assets/css/style.css">
<!-- HTML5 shim and Respond.js IE8 support of HTML5 elements and media queries -->
<!--[if lt IE 9]>
<script src="assets/js/html5shiv.min.js"></script>
<script src="assets/js/respond.min.js"></script>
<![endif]-->
</head>
<body>
<!-- Main Wrapper -->
<div class="main-wrapper">
<!-- Header -->
<header class="header">
<nav class="navbar navbar-expand-lg header-nav">
<div class="navbar-header">
<a id="mobile_btn" href="javascript:void(0);">
<span class="bar-icon">
<span></span>
<span></span>
<span></span>
</span>
</a>
<a href="index-2.html" class="navbar-brand logo">
<img src="assets/img/logo.png" class="img-fluid" alt="Logo">
</a>
</div>
<div class="main-menu-wrapper">
<div class="menu-header">
<a href="index-2.html" class="menu-logo">
<img src="assets/img/logo.png" class="img-fluid" alt="Logo">
</a>
<a id="menu_close" class="menu-close" href="javascript:void(0);">
<i class="fas fa-times"></i>
</a>
</div>
<ul class="main-nav">
<li>
<a href="index-2.html">Home</a>
</li>
<li class="has-submenu">
<a href="#">Doctors <i class="fas fa-chevron-down"></i></a>
<ul class="submenu">
<li><a href="doctor-dashboard.html">Doctor Dashboard</a></li>
<li><a href="appointments.html">Appointments</a></li>
<li><a href="schedule-timings.html">Schedule Timing</a></li>
<li><a href="my-patients.html">Patients List</a></li>
<li><a href="patient-profile.html">Patients Profile</a></li>
<li><a href="chat-doctor.html">Chat</a></li>
<li><a href="invoices.html">Invoices</a></li>
<li><a href="doctor-profile-settings.html">Profile Settings</a></li>
<li><a href="reviews.html">Reviews</a></li>
<li><a href="doctor-register.html">Doctor Register</a></li>
</ul>
</li>
<li class="has-submenu active">
<a href="#">Patients <i class="fas fa-chevron-down"></i></a>
<ul class="submenu">
<li><a href="search.html">Search Doctor</a></li>
<li><a href="doctor-profile.html">Doctor Profile</a></li>
<li><a href="booking.html">Booking</a></li>
<li class="active"><a href="checkout.html">Checkout</a></li>
<li><a href="booking-success.html">Booking Success</a></li>
<li><a href="patient-dashboard.html">Patient Dashboard</a></li>
<li><a href="favourites.html">Favourites</a></li>
<li><a href="chat.html">Chat</a></li>
<li><a href="profile-settings.html">Profile Settings</a></li>
<li><a href="change-password.html">Change Password</a></li>
</ul>
</li>
<li class="has-submenu">
<a href="#">Pages <i class="fas fa-chevron-down"></i></a>
<ul class="submenu">
<li><a href="voice-call.html">Voice Call</a></li>
<li><a href="video-call.html">Video Call</a></li>
<li><a href="search.html">Search Doctors</a></li>
<li><a href="calendar.html">Calendar</a></li>
<li><a href="components.html">Components</a></li>
<li class="has-submenu">
<a href="invoices.html">Invoices</a>
<ul class="submenu">
<li><a href="invoices.html">Invoices</a></li>
<li><a href="invoice-view.html">Invoice View</a></li>
</ul>
</li>
<li><a href="blank-page.html">Starter Page</a></li>
<li><a href="login.html">Login</a></li>
<li><a href="register.html">Register</a></li>
<li><a href="forgot-password.html">Forgot Password</a></li>
</ul>
</li>
<li>
<a href="admin/index.html" target="_blank">Admin</a>
</li>
<li class="login-link">
<a href="login.html">Login / Signup</a>
</li>
</ul>
</div>
<ul class="nav header-navbar-rht">
<li class="nav-item contact-item">
<div class="header-contact-img">
<i class="far fa-hospital"></i>
</div>
<div class="header-contact-detail">
<p class="contact-header">Contact</p>
<p class="contact-info-header"> +1 315 369 5943</p>
</div>
</li>
<li class="nav-item">
<a class="nav-link header-login" href="login.html">login / Signup </a>
</li>
</ul>
</nav>
</header>
<!-- /Header -->
<!-- Breadcrumb -->
<div class="breadcrumb-bar">
<div class="container-fluid">
<div class="row align-items-center">
<div class="col-md-12 col-12">
<nav aria-label="breadcrumb" class="page-breadcrumb">
<ol class="breadcrumb">
<li class="breadcrumb-item"><a href="index-2.html">Home</a></li>
<li class="breadcrumb-item active" aria-current="page">Checkout</li>
</ol>
</nav>
<h2 class="breadcrumb-title">Checkout</h2>
</div>
</div>
</div>
</div>
<!-- /Breadcrumb -->
<!-- Page Content -->
<div class="content">
<div class="container">
<div class="row">
<div class="col-md-7 col-lg-8">
<div class="card">
<div class="card-body">
<!-- Checkout Form -->
<form action="https://dreamguys.co.in/demo/doccure/booking-success.html">
<!-- Personal Information -->
<div class="info-widget">
<h4 class="card-title">Personal Information</h4>
<div class="row">
<div class="col-md-6 col-sm-12">
<div class="form-group card-label">
<label>First Name</label>
<input class="form-control" type="text">
</div>
</div>
<div class="col-md-6 col-sm-12">
<div class="form-group card-label">
<label>Last Name</label>
<input class="form-control" type="text">
</div>
</div>
<div class="col-md-6 col-sm-12">
<div class="form-group card-label">
<label>Email</label>
<input class="form-control" type="email">
</div>
</div>
<div class="col-md-6 col-sm-12">
<div class="form-group card-label">
<label>Phone</label>
<input class="form-control" type="text">
</div>
</div>
</div>
<div class="exist-customer">Existing Customer? <a href="#">Click here to login</a></div>
</div>
<!-- /Personal Information -->
<div class="payment-widget">
<h4 class="card-title">Payment Method</h4>
<!-- Credit Card Payment -->
<div class="payment-list">
<label class="payment-radio credit-card-option">
<input type="radio" name="radio" checked>
<span class="checkmark"></span>
Credit card
</label>
<div class="row">
<div class="col-md-6">
<div class="form-group card-label">
<label for="card_name">Name on Card</label>
<input class="form-control" id="card_name" type="text">
</div>
</div>
<div class="col-md-6">
<div class="form-group card-label">
<label for="card_number">Card Number</label>
<input class="form-control" id="card_number" placeholder="1234 5678 9876 5432" type="text">
</div>
</div>
<div class="col-md-4">
<div class="form-group card-label">
<label for="expiry_month">Expiry Month</label>
<input class="form-control" id="expiry_month" placeholder="MM" type="text">
</div>
</div>
<div class="col-md-4">
<div class="form-group card-label">
<label for="expiry_year">Expiry Year</label>
<input class="form-control" id="expiry_year" placeholder="YY" type="text">
</div>
</div>
<div class="col-md-4">
<div class="form-group card-label">
<label for="cvv">CVV</label>
<input class="form-control" id="cvv" type="text">
</div>
</div>
</div>
</div>
<!-- /Credit Card Payment -->
<!-- Paypal Payment -->
<div class="payment-list">
<label class="payment-radio paypal-option">
<input type="radio" name="radio">
<span class="checkmark"></span>
Paypal
</label>
</div>
<!-- /Paypal Payment -->
<!-- Terms Accept -->
<div class="terms-accept">
<div class="custom-checkbox">
<input type="checkbox" id="terms_accept">
<label for="terms_accept">I have read and accept <a href="#">Terms & Conditions</a></label>
</div>
</div>
<!-- /Terms Accept -->
<!-- Submit Section -->
<div class="submit-section mt-4">
<button type="submit" class="btn btn-primary submit-btn">Confirm and Pay</button>
</div>
<!-- /Submit Section -->
</div>
</form>
<!-- /Checkout Form -->
</div>
</div>
</div>
<div class="col-md-5 col-lg-4 theiaStickySidebar">
<!-- Booking Summary -->
<div class="card booking-card">
<div class="card-header">
<h4 class="card-title">Booking Summary</h4>
</div>
<div class="card-body">
<!-- Booking Doctor Info -->
<div class="booking-doc-info">
<a href="doctor-profile.html" class="booking-doc-img">
<img src="assets/img/doctors/doctor-thumb-02.jpg" alt="User Image">
</a>
<div class="booking-info">
<h4><a href="doctor-profile.html">Dr. Darren Elder</a></h4>
<div class="rating">
<i class="fas fa-star filled"></i>
<i class="fas fa-star filled"></i>
<i class="fas fa-star filled"></i>
<i class="fas fa-star filled"></i>
<i class="fas fa-star"></i>
<span class="d-inline-block average-rating">35</span>
</div>
<div class="clinic-details">
<p class="doc-location"><i class="fas fa-map-marker-alt"></i> Newyork, USA</p>
</div>
</div>
</div>
<!-- Booking Doctor Info -->
<div class="booking-summary">
<div class="booking-item-wrap">
<ul class="booking-date">
<li>Date <span>16 Nov 2019</span></li>
<li>Time <span>10:00 AM</span></li>
</ul>
<ul class="booking-fee">
<li>Consulting Fee <span>$100</span></li>
<li>Booking Fee <span>$10</span></li>
<li>Video Call <span>$50</span></li>
</ul>
<div class="booking-total">
<ul class="booking-total-list">
<li>
<span>Total</span>
<span class="total-cost">$160</span>
</li>
</ul>
</div>
</div>
</div>
</div>
</div>
<!-- /Booking Summary -->
</div>
</div>
</div>
</div>
<!-- /Page Content -->
<!-- Footer -->
<footer class="footer">
<!-- Footer Top -->
<div class="footer-top">
<div class="container-fluid">
<div class="row">
<div class="col-lg-3 col-md-6">
<!-- Footer Widget -->
<div class="footer-widget footer-about">
<div class="footer-logo">
<img src="assets/img/footer-logo.png" alt="logo">
</div>
<div class="footer-about-content">
<p>Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. </p>
<div class="social-icon">
<ul>
<li>
<a href="#" target="_blank"><i class="fab fa-facebook-f"></i> </a>
</li>
<li>
<a href="#" target="_blank"><i class="fab fa-twitter"></i> </a>
</li>
<li>
<a href="#" target="_blank"><i class="fab fa-linkedin-in"></i></a>
</li>
<li>
<a href="#" target="_blank"><i class="fab fa-instagram"></i></a>
</li>
<li>
<a href="#" target="_blank"><i class="fab fa-dribbble"></i> </a>
</li>
</ul>
</div>
</div>
</div>
<!-- /Footer Widget -->
</div>
<div class="col-lg-3 col-md-6">
<!-- Footer Widget -->
<div class="footer-widget footer-menu">
<h2 class="footer-title">For Patients</h2>
<ul>
<li><a href="search.html"><i class="fas fa-angle-double-right"></i> Search for Doctors</a></li>
<li><a href="login.html"><i class="fas fa-angle-double-right"></i> Login</a></li>
<li><a href="register.html"><i class="fas fa-angle-double-right"></i> Register</a></li>
<li><a href="booking.html"><i class="fas fa-angle-double-right"></i> Booking</a></li>
<li><a href="patient-dashboard.html"><i class="fas fa-angle-double-right"></i> Patient Dashboard</a></li>
</ul>
</div>
<!-- /Footer Widget -->
</div>
<div class="col-lg-3 col-md-6">
<!-- Footer Widget -->
<div class="footer-widget footer-menu">
<h2 class="footer-title">For Doctors</h2>
<ul>
<li><a href="appointments.html"><i class="fas fa-angle-double-right"></i> Appointments</a></li>
<li><a href="chat.html"><i class="fas fa-angle-double-right"></i> Chat</a></li>
<li><a href="login.html"><i class="fas fa-angle-double-right"></i> Login</a></li>
<li><a href="doctor-register.html"><i class="fas fa-angle-double-right"></i> Register</a></li>
<li><a href="doctor-dashboard.html"><i class="fas fa-angle-double-right"></i> Doctor Dashboard</a></li>
</ul>
</div>
<!-- /Footer Widget -->
</div>
<div class="col-lg-3 col-md-6">
<!-- Footer Widget -->
<div class="footer-widget footer-contact">
<h2 class="footer-title">Contact Us</h2>
<div class="footer-contact-info">
<div class="footer-address">
<span><i class="fas fa-map-marker-alt"></i></span>
<p> 3556 Beech Street, San Francisco,<br> California, CA 94108 </p>
</div>
<p>
<i class="fas fa-phone-alt"></i>
+1 315 369 5943
</p>
<p class="mb-0">
<i class="fas fa-envelope"></i>
</p>
</div>
</div>
<!-- /Footer Widget -->
</div>
</div>
</div>
</div>
<!-- /Footer Top -->
<!-- Footer Bottom -->
<div class="footer-bottom">
<div class="container-fluid">
<!-- Copyright -->
<div class="copyright">
<div class="row">
<div class="col-md-6 col-lg-6">
<div class="copyright-text">
<p class="mb-0"><a href="templateshub.net">Templates Hub</a></p>
</div>
</div>
<div class="col-md-6 col-lg-6">
<!-- Copyright Menu -->
<div class="copyright-menu">
<ul class="policy-menu">
<li><a href="term-condition.html">Terms and Conditions</a></li>
<li><a href="privacy-policy.html">Policy</a></li>
</ul>
</div>
<!-- /Copyright Menu -->
</div>
</div>
</div>
<!-- /Copyright -->
</div>
</div>
<!-- /Footer Bottom -->
</footer>
<!-- /Footer -->
</div>
<!-- /Main Wrapper -->
<!-- jQuery -->
<script src="assets/js/jquery.min.js"></script>
<!-- Bootstrap Core JS -->
<script src="assets/js/popper.min.js"></script>
<script src="assets/js/bootstrap.min.js"></script>
<!-- Sticky Sidebar JS -->
<script src="assets/plugins/theia-sticky-sidebar/ResizeSensor.js"></script>
<script src="assets/plugins/theia-sticky-sidebar/theia-sticky-sidebar.js"></script>
<!-- Custom JS -->
<script src="assets/js/script.js"></script>
</body>
<!-- doccure/checkout.html 30 Nov 2019 04:12:16 GMT -->
</html>