<?php include 'header.php';?>


<section class="inner-banner bg-light">
    <div class="container">
        <div class="row align-items-center intro-title">
            <div class="col-12">
                <ol class="breadcrumb mb-0">
                    <li class="breadcrumb-item"><a href="#"> <i class="fas fa-home"></i> </a></li>
                    <li class="breadcrumb-item active"> <i class="fas fa-chevron-right"></i> <span>Contact Us</span></li>
                </ol>
            </div>
        </div>
    </div>
</section>
<iframe src="https://www.google.com/maps/embed?pb=!1m18!1m12!1m3!1d7542.264966304465!2d72.8215637899652!3d19.05791186938631!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x3be7c93e5d13ed89%3A0xc292fcb80177198f!2sHoly%20Family%20Multispeciality%20Hospital%20Bandra!5e0!3m2!1sen!2sin!4v1760435294450!5m2!1sen!2sin" width="100%" height="300" style="border:0;" allowfullscreen="" loading="lazy" referrerpolicy="no-referrer-when-downgrade"></iframe>

<section class="contact-address-area">
    <div class="container">
        <div class="row">
            <div class="col-md-6">
                <div class="row">
                    <div class="col-md-6">
                        <div class="contact_box">
                            <h4>Ambulance / Board</h4>
                            <a href="tel:022-62670555"><p>022-62670555</p></a>
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="contact_box">
                            <h4>Admissions</h4>
                            <a href="tel:022-62670396"><p>022-62670396</p></a>
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="contact_box">
                            <h4>Blood Bank</h4>
                            <a href="tel:022-62670300"><p>022-62670300</p></a>
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="contact_box">
                            <h4>Emergency</h4>
                            <a href="tel:022-62670370"><p>022-62670370</p></a>
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="contact_box">
                            <h4>Help Desk</h4>
                            <a href="tel:022-62670366"><p>022-62670366</p></a>
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="contact_box">
                            <h4>OPD Registration</h4>
                            <a href="tel:022-62670318"><p>022-62670318</p></a>
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="contact_box">
                            <h4>Report Collection</h4>
                            <a href="tel:022-62670333"><p>022-62670333</p></a>
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="contact_box">
                            <h4>Insurance & TPA Desk</h4>
                            <a href="tel:022-62670386"><p>022-62670386</p></a>
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="contact_box">
                            <h4>Holy Family Heart Institute</h4>
                            <a href="tel:022-62670452/53"><p>022-62670452/53</p></a>
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="contact_box">
                            <h4>OPD Reception 2nd floor </h4>
                            <a href="tel:022-62670419"><p>022-62670419</p></a>
                        </div>
                    </div>
                </div>
            </div>
            <div class="col-md-6 pl_40">
                <div class="col-xl-12 col-lg-12 col-md-12 col-sm-12">
                <div class="contact-form">
                    <div class="row">
                        <div class="col-xl-12">
                            <div class="sec-title-style1 float-left">
                                <div class="text-center">
                                    <h3 class="center animated slideInDown" style="text-align: left;"><span>Send Your </span>Message</h3>
                                </div>
                                <div class="text"><div class="decor-left"><span></span></div><p>Contact Form</p></div>
                            </div>
                            <div class="text-box float-right">
                                <p>Lorem Ipsum is simply dummy text of the printing and typesetting industry. </p>
                            </div>
                        </div> 
                    </div>   
                    <div class="inner-box">
                        <form id="contact-form" name="contact_form" class="default-form" action="inc/sendmail.php" method="post">
                            <div class="row">
                                <div class="col-xl-12 col-lg-12">
                                    <div class="row">
                                        <div class="col-xl-12">
                                            <div class="input-box">   
                                                <input type="text" name="form_name" value="" placeholder="Name" required="">
                                            </div> 
                                        </div>
                                        <div class="col-xl-6">
                                            <div class="input-box"> 
                                                <input type="text" name="form_phone" value="" placeholder="Phone">
                                            </div>
                                        </div>
                                        <div class="col-xl-6">
                                            <div class="input-box"> 
                                                <input type="email" name="form_email" value="" placeholder="Email" required="">
                                            </div>
                                        </div>  
                                    </div> 
                                    <div class="row">
                                         <div class="col-xl-12">
                                            <div class="input-box"> 
                                                <input type="text" name="form_subject" value="" placeholder="Subject">
                                            </div>     
                                        </div> 
                                    </div>   
                                </div>
                                <div class="col-xl-12 col-lg-12">
                                    <div class="input-box">    
                                        <textarea name="form_message" placeholder="Your Message..." required=""></textarea>
                                    </div>
                                    <div class="button-box">
                                        <input id="form_botcheck" name="form_botcheck" class="form-control" type="hidden" value="">
                                        <button type="submit" data-loading-text="Please wait...">Send Message<span class="flaticon-next"></span></button>    
                                    </div>         
                                </div> 
                            </div>
                        </form>
                    </div>
                </div>
            </div>
            </div>
        </div>
    </div>
</section>  
<!--End Contact Address Area-->  
 


<?php include 'footer.php';?>
