mongard.org Open in urlscan Pro
38.180.26.188  Public Scan

Form analysis
3 forms found in the DOM

#

<form class="form" action="#">
  <div class="row">
    <div class="col-lg-6 col-md-6 col-12">
      <div class="form-group">
        <input name="name" type="text" placeholder="Name">
      </div>
    </div>
    <div class="col-lg-6 col-md-6 col-12">
      <div class="form-group">
        <input name="email" type="email" placeholder="Email">
      </div>
    </div>
    <div class="col-lg-6 col-md-6 col-12">
      <div class="form-group">
        <input name="phone" type="text" placeholder="Phone">
      </div>
    </div>
    <div class="col-lg-6 col-md-6 col-12">
      <div class="form-group">
        <div class="nice-select form-control wide" tabindex="0"><span class="current">Department</span>
          <ul class="list">
            <li data-value="1" class="option selected ">Department</li>
            <li data-value="2" class="option">Cardiac Clinic</li>
            <li data-value="3" class="option">Neurology</li>
            <li data-value="4" class="option">Dentistry</li>
            <li data-value="5" class="option">Gastroenterology</li>
          </ul>
        </div>
      </div>
    </div>
    <div class="col-lg-6 col-md-6 col-12">
      <div class="form-group">
        <div class="nice-select form-control wide" tabindex="0"><span class="current">Doctor</span>
          <ul class="list">
            <li data-value="1" class="option selected ">Doctor</li>
            <li data-value="2" class="option">Dr. Akther Hossain</li>
            <li data-value="3" class="option">Dr. Dery Alex</li>
            <li data-value="4" class="option">Dr. Jovis Karon</li>
          </ul>
        </div>
      </div>
    </div>
    <div class="col-lg-6 col-md-6 col-12">
      <div class="form-group">
        <input type="text" placeholder="Date" id="datepicker">
      </div>
    </div>
    <div class="col-lg-12 col-md-12 col-12">
      <div class="form-group">
        <textarea name="message" placeholder="Write Your Message Here....."></textarea>
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-lg-5 col-md-4 col-12">
      <div class="form-group">
        <div class="button">
          <button type="submit" class="btn">Book An Appointment</button>
        </div>
      </div>
    </div>
    <div class="col-lg-7 col-md-8 col-12">
      <p>( We will be confirm by an Text Message )</p>
    </div>
  </div>
</form>

GET mail/mail.php

<form action="mail/mail.php" method="get" target="_blank" class="newsletter-inner">
  <input name="EMAIL" placeholder="Your email address" class="common-input" onfocus="this.placeholder = ''" onblur="this.placeholder = 'Your email address'" required="" type="email">
  <button class="btn">Subscribe</button>
</form>

GET mail/mail.php

<form action="mail/mail.php" method="get" target="_blank" class="newsletter-inner">
  <input name="email" placeholder="Email Address" class="common-input" onfocus="this.placeholder = ''" onblur="this.placeholder = 'Your email address'" required="" type="email">
  <button class="button"><i class="icofont icofont-paper-plane"></i></button>
</form>

Text Content

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 * About
 * Doctors
 * Contact
 * FAQ

 * +880 1234 56789
 * support@yourmail.com

 * Home ►
   * Home Page 1
 * Doctos
 * Services
 * Pages ►
   * 404 Error
 * Blogs ►
   * Blog Details
 * Contact Us

 * Home
   * Home Page 1
 * Doctos
 * Services
 * Pages
   * 404 Error
 * Blogs
   * Blog Details
 * Contact Us

Book Appointment


WE PROVIDE MEDICAL SERVICES THAT YOU CAN TRUST!

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Mauris sed nisl
pellentesque, faucibus libero eu, gravida quam.

Get Appointment About Us


WE PROVIDE MEDICAL SERVICES THAT YOU CAN TRUST!

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pellentesque, faucibus libero eu, gravida quam.

Get Appointment Conatct Now


WE PROVIDE MEDICAL SERVICES THAT YOU CAN TRUST!

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pellentesque, faucibus libero eu, gravida quam.

Get Appointment Learn More


WE PROVIDE MEDICAL SERVICES THAT YOU CAN TRUST!

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Mauris sed nisl
pellentesque, faucibus libero eu, gravida quam.

Get Appointment About Us


WE PROVIDE MEDICAL SERVICES THAT YOU CAN TRUST!

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Mauris sed nisl
pellentesque, faucibus libero eu, gravida quam.

Get Appointment Conatct Now


WE PROVIDE MEDICAL SERVICES THAT YOU CAN TRUST!

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Mauris sed nisl
pellentesque, faucibus libero eu, gravida quam.

Get Appointment Learn More


WE PROVIDE MEDICAL SERVICES THAT YOU CAN TRUST!

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Mauris sed nisl
pellentesque, faucibus libero eu, gravida quam.

Get Appointment About Us

Lorem Amet

EMERGENCY CASES

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convallis sodales.

LEARN MORE
Fusce Porttitor

DOCTORS TIMETABLE

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convallis sodales.

LEARN MORE
Donec luctus

OPENING HOURS

 * Monday - Fridayp 8.00-20.00
 * Saturday 9.00-18.30
 * Monday - Thusday 9.00-15.00

LEARN MORE


WE ARE ALWAYS READY TO HELP YOU & YOUR FAMILY

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pretiumts


EMERGENCY HELP

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ENRICHED PHARMECY

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MEDICAL TREATMENT

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3468

Hospital Rooms

557

Specialist Doctors

4379

Happy Patients

32

Years of Experience


WE OFFER DIFFERENT SERVICES TO IMPROVE YOUR HEALTH

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pretiumts


WHO WE ARE

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antege vel est lobortis, a commodo magna rhoncus. In quis nisi non emet quam
pharetra commodo.

Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos
himenaeos.

 * Maecenas vitae luctus nibh.
 * Duis massa massa.
 * Aliquam feugiat interdum.

 * Maecenas vitae luctus nibh.
 * Duis massa massa.
 * Aliquam feugiat interdum.




DO YOU NEED EMERGENCY MEDICAL CARE? CALL @ 1234 56789

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dictum turpis nec gravida.

Contact Now Learn More


WE MAINTAIN CLEANLINESS RULES INSIDE OUR HOSPITAL

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pretiumts

View Details
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WE OFFER DIFFERENT SERVICES TO IMPROVE YOUR HEALTH

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pretiumts

GENERAL TREATMENT

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eros ut imperdiet.

TEETH WHITENING

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eros ut imperdiet.

HEART SURGERY

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eros ut imperdiet.

EAR TREATMENT

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eros ut imperdiet.

VISION PROBLEMS

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eros ut imperdiet.

BLOOD TRANSFUSION

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eros ut imperdiet.


WE PROVIDE YOU THE BEST TREATMENT IN RESONABLE PRICE

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pretiumts

PLASTIC SUGGERY

$199/ Per Visit

 * Lorem ipsum dolor sit
 * Cubitur sollicitudin fentum
 * Nullam interdum enim
 * Donec ultricies metus
 * Pellentesque eget nibh

Book Now

TEETH WHITENING

$299/ Per Visit

 * Lorem ipsum dolor sit
 * Cubitur sollicitudin fentum
 * Nullam interdum enim
 * Donec ultricies metus
 * Pellentesque eget nibh

Book Now

HEART SUGGERY

$399/ Per Visit

 * Lorem ipsum dolor sit
 * Cubitur sollicitudin fentum
 * Nullam interdum enim
 * Donec ultricies metus
 * Pellentesque eget nibh

Book Now


KEEP UP WITH OUR MOST RECENT MEDICAL NEWS.

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pretiumts

22 Aug, 2020


WE HAVE ANNNOCUCED OUR NEW PRODUCT.

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tempor incididunt sed do incididunt sed.

15 Jul, 2020


TOP FIVE WAY FOR SOLVING TEETH PROBLEMS.

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tempor incididunt sed do incididunt sed.

05 Jan, 2020


WE PROVIDE HIGHLY BUSINESS SOLIUTIONS.

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tempor incididunt sed do incididunt sed.

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WE ARE ALWAYS READY TO HELP YOU. BOOK AN APPOINTMENT

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pretiumts

Department
 * Department
 * Cardiac Clinic
 * Neurology
 * Dentistry
 * Gastroenterology

Doctor
 * Doctor
 * Dr. Akther Hossain
 * Dr. Dery Alex
 * Dr. Jovis Karon



Book An Appointment

( We will be confirm by an Text Message )



SIGN UP FOR NEWSLETTER

Cu qui soleat partiendo urbanitas. Eum aperiri indoctum eu,
homero alterum.

Subscribe


ABOUT US

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incididunt ut labore dolore magna.

 * 
 * 
 * 
 * 
 * 


QUICK LINKS

 * Home
 * About Us
 * Services
 * Our Cases
 * Other Links

 * Consuling
 * Finance
 * Testimonials
 * FAQ
 * Contact Us


OPEN HOURS

Lorem ipsum dolor sit ame consectetur adipisicing elit do eiusmod tempor
incididunt.

 * Monday - Fridayp 8.00-20.00
 * Saturday 9.00-18.30
 * Monday - Thusday 9.00-15.00


NEWSLETTER

subscribe to our newsletter to get allour news in your inbox.. Lorem ipsum dolor
sit amet, consectetur adipisicing elit,



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