shrisaibabacharitabletrust.com
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103.14.99.106
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URL:
https://shrisaibabacharitabletrust.com/
Submission: On June 28 via api from US — Scanned from DE
Submission: On June 28 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form id="test-form" class="white-popup-block mfp-hide">
<div class="popup_box ">
<div class="popup_inner">
<h3>Make an Appointment</h3>
<div class="row">
<div class="col-xl-6">
<div role="wrapper" class="gj-datepicker gj-datepicker-md gj-unselectable"><input id="datepicker" placeholder="Pick date" data-type="datepicker" data-guid="f143c00a-0423-e0b7-ee35-e6fd82357ae3" data-datepicker="true" class="gj-textbox-md"
role="input"><span class="fa fa-caret-down" role="right-icon"></span></div>
</div>
<div class="col-xl-6">
<div role="wrapper" class="gj-datepicker gj-datepicker-md gj-unselectable"><input id="datepicker2" placeholder="Suitable time" data-type="datepicker" data-guid="8659d0d4-fba8-c9f2-c6fc-56f4504af43f" data-datepicker="true"
class="gj-textbox-md" role="input"><span class="fa fa-caret-down" role="right-icon"></span></div>
</div>
<div class="col-xl-6">
<select class="form-select wide" id="default-select" style="display: none;">
<option data-display="Select Department">Department</option>
<option value="1">Eye Care</option>
<option value="2">Physical Therapy</option>
<option value="3">Dental Care</option>
</select>
<div class="nice-select form-select wide" tabindex="0"><span class="current">Select Department</span>
<ul class="list">
<li data-value="Department" data-display="Select Department" class="option selected">Department</li>
<li data-value="1" class="option">Eye Care</li>
<li data-value="2" class="option">Physical Therapy</li>
<li data-value="3" class="option">Dental Care</li>
</ul>
</div>
</div>
<div class="col-xl-6">
<select class="form-select wide" id="default-select" style="display: none;">
<option data-display="Doctors">Doctors</option>
<option value="1">Mirazul Alom</option>
<option value="2">Monzul Alom</option>
<option value="3">Azizul Isalm</option>
</select>
<div class="nice-select form-select wide" tabindex="0"><span class="current">Doctors</span>
<ul class="list">
<li data-value="Doctors" data-display="Doctors" class="option selected">Doctors</li>
<li data-value="1" class="option">Mirazul Alom</li>
<li data-value="2" class="option">Monzul Alom</li>
<li data-value="3" class="option">Azizul Isalm</li>
</ul>
</div>
</div>
<div class="col-xl-6">
<input type="text" placeholder="Name">
</div>
<div class="col-xl-6">
<input type="text" placeholder="Phone no.">
</div>
<div class="col-xl-12">
<input type="email" placeholder="Email">
</div>
<div class="col-xl-12">
<button type="submit" class="boxed-btn3">Confirm</button>
</div>
</div>
</div>
</div>
</form>Text Content
* 10 AM - 10 PM दर्शनाची वेळ * | 1234567890 देणगी बाबत माहिती साठी * मुखपृष्ठ * देणगी * संस्थे विषयी * थेट दर्शन * श्री साईबाबा ऍप * देणगी * छायाचित्र * कार्यक्रम * कार्य MENU * मुखपृष्ठ * देणगी * संस्थे विषयी * थेट दर्शन * श्री साईबाबा ऍप * देणगी * छायाचित्र * कार्यक्रम * कार्य श्री साईबाबा चॅरिटेबल ट्रस्ट कार्य श्री साईबाबा भंडारा व साई पालखी सोहळा Learn More सांस्तृतीक कार्यक्रमाचे आयोजन Learn More विध्यार्थ्यांना शालेय शैक्षणिक साहित्याचे वाटप Learn More सन्मान सोहळा नवरात्री उत्सव निमित्त कोरोना योद्धा सन्मान कार्यक्रम Learn More × Click Here Naresh Vishnu Pawar CHINMAY HEIGHTS BUILDING, Diva-Agasan Rd, Datiwali Gaon, Thane, Maharashtra 400612 Copyright ©2024 All rights reserved | This template is made with by Colorlib MAKE AN APPOINTMENT Department Eye Care Physical Therapy Dental Care Select Department * Department * Eye Care * Physical Therapy * Dental Care Doctors Mirazul Alom Monzul Alom Azizul Isalm Doctors * Doctors * Mirazul Alom * Monzul Alom * Azizul Isalm Confirm