<!

-- form itself end-->

<form id="test-form" action="appoint.php" method="POST" class="white-popup-
block mfp-hide">
<div class="popup_box ">
<div class="popup_inner">
<h3 style="margin-top:-20px;">Make an Appointment</h3>
<form action="#">
<div class="row">
<div class="col-xl-12">
<input type="date" style="border:1px solid
black;color:black;" name="select_date" id="select_date" placeholder="dd/mm/yyyy
‫>"تاریخ‬
<!-- <input type="number" class="js-date"
maxlength="10" style="border:1px solid black;" id="datepicker" name="curdate"
min="" placeholder="dd/mm/yyyy"> -->
</div>
<div class="col-xl-6">
<input style="border:1px solid black;" type="text"
name="pname" placeholder="Name ‫>" نام‬
</div>
<div class="col-xl-6">
<input style="border:1px solid black;" type="text"
name="phone" placeholder="Phone no. ‫>"موبائل فون نمبر‬
</div>
<div class="col-xl-12">
<input style="border:1px solid black;" type="email"
name="pemail" placeholder="Email ‫>"ای میل‬
</div>
<div class="col-xl-12 mb-4">
<select style="border:1px solid black;height:52px;"
class="form-select wide" id="doctor" name="doctor" onchange="autoSubmit();">

<option data-display="Select Doctors ‫ڈاکٹرمنتخب‬

‫>"کریں‬Select Doctors ‫ڈاکٹرمنتخب کریں‬
</option>>
<optgroup label="Lungs Specialist">
<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='Lungs Specialist'");
while($row=mysqli_fetch_array($res)){

?>
 <option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>
<optgroup label="Heart Specialist">
<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='Heart Specialist'");
while($row=mysqli_fetch_array($res)){

?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>
<optgroup label="Liver Specialist">
<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='Liver Specialist'");
while($row=mysqli_fetch_array($res)){
?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>

<optgroup label="Urologist">
<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='Urologist'");
while($row=mysqli_fetch_array($res)){

?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>
<optgroup label="Psychologist">
<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}
$res=mysqli_query($con,"select * from professionalprofiledoctor where
secondaryspecialization='Psychologist'");
while($row=mysqli_fetch_array($res)){

?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>

<optgroup label="Radiologist">
<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='Radiologist'");
while($row=mysqli_fetch_array($res)){

?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>

<optgroup label="Oncologist">
<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='Oncologist'");
while($row=mysqli_fetch_array($res)){

?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>

<optgroup label="Pain Management">

<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='Pain Management'");
while($row=mysqli_fetch_array($res)){

?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>

<optgroup label="Gastroenterologist">
<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }
// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='Gastroenterologist'");
while($row=mysqli_fetch_array($res)){

?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>

<optgroup label="General Surgeon">

<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='General Surgeon'");
while($row=mysqli_fetch_array($res)){

?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>

<optgroup label="Orthopedic Surgeon">

<?php
$con = mysqli_connect('localhost','root');
if(!$con){
echo " ERROR established ".mysqli_error($con);

mysqli_select_db($con,'doctorzonepk_database');

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='Orthopedic Surgeon'");
while($row=mysqli_fetch_array($res)){

?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>

<optgroup label="Diabetes Specialist">

<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='Diabetes Specialist'");
while($row=mysqli_fetch_array($res)){

?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>

<optgroup label="Psychiatrist">
<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='Psychiatrist'");
while($row=mysqli_fetch_array($res)){

?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>

<optgroup label="Neurologist">
<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='Neurologist'");
while($row=mysqli_fetch_array($res)){

?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>
 <optgroup label="Eye Specialist">
<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='Eye Specialist'");
while($row=mysqli_fetch_array($res)){

?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>

<optgroup label="Child Specialist">

<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='Child Specialist'");
while($row=mysqli_fetch_array($res)){

?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>
 <?php
}
?>
</optgroup>

<optgroup label="Kidney Specialist">

<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='Kidney Specialist'");
while($row=mysqli_fetch_array($res)){

?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>

<optgroup label="Skin Specialist">

<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='Skin Specialist'");
while($row=mysqli_fetch_array($res)){
?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>

<optgroup label="Dentist">
<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='Dentist'");
while($row=mysqli_fetch_array($res)){

?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>

<optgroup label="ENT Specialist">

<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}
$res=mysqli_query($con,"select * from professionalprofiledoctor where
secondaryspecialization='ENT Specialist'");
while($row=mysqli_fetch_array($res)){

?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>

<optgroup label="Gynaecologist">
<?php
// $con = mysqli_connect('localhost','root');
// if(!$con){
// echo " ERROR established ".mysqli_error($con);
// }

// mysqli_select_db($con,'doctorzonepk_database');
define("SERVER", "localhost");
define("NAME", "doctorzonepk_adm");
define("PASSWORD", "=W)qS55fUv!t");
define("DB","doctorzonepk_database");
$con = mysqli_connect(SERVER, NAME, PASSWORD, DB);
if(!$con){
echo "Connection does not establish due to: ".mysqli_error($con);
}

$res=mysqli_query($con,"select * from professionalprofiledoctor where

secondaryspecialization='Gynaecologist'");
while($row=mysqli_fetch_array($res)){

?>
<option value="<?php echo $row["fullname"] ?>"><?
php echo $row["fullname"] ?></option>

<?php
}
?>
</optgroup>
<!-- <option value="1">Heart Specialist</option>
<option value="2">Gynaecologist</option>
<option value="3">Lungs Specialist</option>
<option value="4">Liver Specialist</option>
<option value="5">ENT Specialist</option>
<option value="6">Dentist</option>
<option value="7">Skin Specialist</option>
<option value="8">Kidney Specialist</option>
<option value="9">Child Specialist</option>
<option value="10">Eye Specialist</option>
<option value="11">Neurologist</option>
<option value="12">Psychiatrist</option>
<option value="13">Orthopedic Surgeon</option>
 <option value="14">Diabetes Specialist</option>
<option value="15">Gastroenterologist</option>
<option value="16">Pain Management</option>
<option value="17">Radiography</option>
<option value="18">Oncologist</option>
<option value="19">Urologist</option>
<option value="20">Psychologist</option>
<option value="21">General Surgeon</option> -->

</select>
</div>
<div class="col-xl-12" style="width:fit-content;">
<textarea style="border:1px solid black;"
name="message" rows="4" cols="72" placeholder=" Descriptions ‫تفصیل‬
‫<>""کریں‬/textarea>
</div>
<!-- <div class="col-xl-6 mb-4">
<select style="border:1px solid black;" class="form-
select wide" id="depart" name="service">
<option Data-display="Services">Services</option>
<option value="Heart Specialist">Heart
Specialist</option>
<option
value="Gynaecologist">Gynaecologist</option>
<option value="Lungs Specialist">Lungs
Specialist</option>
<option value="Liver Specialist">Liver
Specialist</option>
<option value="ENT Specialist">ENT
Specialist</option>
<option value="Dentist">Dentist</option>
<option value="Skin Specialist">Skin
Specialist</option>
<option value="Kidney Specialist">Kidney
Specialist</option>
<option value="Child Specialist">Child
Specialist</option>
<option value="Eye Specialist">Eye
Specialist</option>
<option value="Neurologist">Neurologist</option>
<option value="Psychiatrist">Psychiatrist</option>
<option value="Orthopedic Surgeon">Orthopedic
Surgeon</option>
<option value="Diabetes Specialist">Diabetes
Specialist</option>
<option
value="Gastroenterologist">Gastroenterologist</option>
<option value="Pain Management">Pain
Management</option>
<option value="Radiography">Radiography</option>
<option value="Oncologist">Oncologist</option>
<option value="Urologist">Urologist</option>
<option value="Psychologist">Psychologist</option>
<option value="General Surgeon">General
Surgeon</option>

</select>
</div> -->
 <div style="margin-bottom:-20px;" class="col-xl-12">
<button type="submit" class="boxed-
btn3">Confirm</button>
</div>
</div>
</form>
</div>
</div>
</form>