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req_blood.html
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req_blood.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Request For Blood</title>
<!-- vendor style -->
<!-- normalize -->
<link rel="stylesheet" href="vendor/css/normalize.css">
<!-- google font -->
<link rel="preconnect" href="https://fonts.googleapis.com">
<link rel="preconnect" href="https://fonts.gstatic.com" crossorigin>
<link href="https://fonts.googleapis.com/css2?family=Anton&family=Fredoka+One&family=Open+Sans&family=Tourney:wght@200&display=swap" rel="stylesheet">
<!-- bootstrap link -->
<link rel="stylesheet" href="vendor/css/bootstrap.min.css">
<!-- font awesome -->
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.min.css">
<link rel="stylesheet" href="vendor/css/font-awesome.min.css">
<!-- custom style -->
<link rel="stylesheet" href="resources/css/style.css">
<link rel="stylesheet" href="resources/css/responsive.css">
<link rel="stylesheet" href="resources/css/nav,title.css">
<link rel="stylesheet" href="resources/css/req_blood.css">
</head>
<body>
<nav class="navbar ">
<div class="container-fluid">
<a href="index.html" class="nav-logo col-lg-3">
<img src="resources/img/logo.png" alt="logo" class="logo">
<div class="logo-text">
Blood Bank
</div>
</a>
</nav>
<section id="req_blood" class=" d-flex justify-content-center align-items-center">
<div class="container ">
<div class="req-form py-5 m-auto col-xl-4 col-lg-5 col-md-8 col-sm-10 col-12">
<h1 class="text-center">Request For Blood</h1>
<hr>
<!-- form starts here -->
<form action="#" method="post">
<div class="input-div">
<label for="full-name">
<h4>Full Name</h4>
</label>
<div class="input-group">
<div class="input-icon">
<i class=" fa fa-user"></i>
</div><input type="text" name="" id="full-name" placeholder="Enter Full Name">
</div>
</div>
<div class="input-div">
<label for="b_group">
<h4>Blood Group</h4>
</label>
<div class="input-group">
<div class="input-icon">
<i class=" fa fa-tint"></i>
</div>
<select name="" id="b_group">
<option value="">Blood Group</option>
<option value="A+">A+</option>
<option value="A-">A-</option>
<option value="B+">B+</option>
<option value="B-">B-</option>
<option value="AB+">AB+</option>
<option value="AB-">AB-</option>
<option value="O+">O+</option>
<option value="O-">O-</option>
</select>
</div>
</div>
<div class="input-div">
<label for="quantity">
<h4>Quantity of blood</h4>
</label>
<div class="input-group">
<div class="input-icon">
<i class=" fa fa-shopping-bag"></i>
</div>
<input type="number" name="" id="quantity" placeholder="Quantity; Ex: 1 bag">
<h4>Bag</h4>
</div>
</div>
<div class="input-div">
<label for="time">
<h4>You need blood within</h4>
</label>
<div class="input-group">
<div class="input-icon">
<i class=" fa fa-clock-o"></i>
</div>
<input type="number" name="" id="time" placeholder="Time; Ex: 8 hour">
<select name="" id="b_group">
<option value="Day">Day</option>
<option value="Hour">hour</option>
</select>
</div>
</div>
<div class="input-div">
<label for="location">
<h4>Hospital Name</h4>
</label>
<div class="input-group">
<div class="input-icon">
<i class=" fa fa-map-marker"></i>
</div>
<input type="text" name="" id="location" placeholder="Where you need blood?">
</div>
</div>
<input type="submit" name="submit" value="Request Now" class=" btn btn-primary btn-lg w-100">
</form>
<!-- form Ends -->
</div>
</div>
</section>
<!-- footer starts -->
<footer class="" id="footer">
<div class="container-md py-5">
<div class="row pt-5">
<!-- contact us -->
<div class="col-sm-4 p-3 mb-4">
<h1>CONTACT US</h1>
<p><i class=" fa fa-map-marker pr-3"></i><b>Headquerter : </b> Khwaja Yunus Ali Hospital, Enayetput, Sirajganj.</p>
<p><i class=" fa fa-envelope pr-2"></i><b>Email : </b><a href="mailto: [email protected]" >[email protected]</a></p>
<p><i class=" fa fa-phone pr-3"></i><b>Tel : </b><a href="tel: 01759458961" >01759458961</a></p>
</div>
<!-- services -->
<div class="col-sm-4 p-3 mb-4">
<h1>Services</h1>
<p><a href="#">Donate blood</a></p>
<p><a href="#">Request blood</a></p>
<p><a href="#">About Blood</a></p>
</div>
<!-- additional links -->
<div class="col-sm-4 p-3 mb-4">
<h1>additional links</h1>
<p><a href="#">About us</a></p>
<p><a href="#">Terms and conditions</a></p>
<p><a href="#">Privacy policy</a></p>
<p><a href="#">Contact us</a></p>
</div>
</div>
</div>
<div class="footer-end py-5">
<div class="container-md">
<div class="row flex-column-reverse flex-md-row">
<div class="col-md-4 text-center text-md-left mb-4">
© 2021 All Rights Reserved
</div>
<!-- social links -->
<div class="col-md-4 social-links text-center mb-4">
<i class=" fa fa-facebook"></i>
<i class=" fa fa-instagram"></i>
<i class=" fa fa-twitter"></i>
</div>
<div class="col-md-4 text-md-right text-center mb-4">
<p><b>Design by </b><span class=" text-red" style="cursor: pointer;"> Shubrato Debnath</span></p>
</div>
</div>
</div>
</div>
</footer>
<!-- footer Ends -->
<!-- javascript -->
<script src="vendor/js/jquery.min.js"></script>
<script src="vendor/js/popper.min.js"></script>
<script src="vendor/js/html5shiv.min.js"></script>
<script src="vendor/js/respond.min.js"></script>
<script src="vendor/js/bootstrap.min.js"></script>
<!-- animated headline js-->
<script src="vendor/js/animateHeader.js"></script>
<!-- data-aos-->
<script src="vendor/js/aos.js"></script>
<!-- owl carousel -->
<script src="vendor/js/owl.carousel.min.js"></script>
<!-- mixitup plugin for filter -->
<script src="vendor/js/mixitup.min.js"></script>
<!-- custom js -->
<script src="resources/js/main.js"></script>
</body>
</html>