{"id":686,"date":"2018-11-15T10:04:55","date_gmt":"2018-11-15T06:34:55","guid":{"rendered":"http:\/\/new.armaghan-med.ir\/?page_id=686"},"modified":"2022-09-18T23:22:18","modified_gmt":"2022-09-18T18:52:18","slug":"appointment-form","status":"publish","type":"page","link":"https:\/\/armaghan-med.com\/ar\/appointment-form\/","title":{"rendered":"\u0641\u0631\u0645 \u0648\u0642\u062a \u0645\u0644\u0627\u0642\u0627\u062a"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"686\" class=\"elementor elementor-686\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a9ecbdd elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a9ecbdd\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-db5e03d make-an-appointment\" data-id=\"db5e03d\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-83e542d elementor-widget elementor-widget-rt-title\" data-id=\"83e542d\" data-element_type=\"widget\" data-widget_type=\"rt-title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"rt-el-title section-heading heading-dark heading-layout5 style3\">\n\t<h2 class=\"rtin-title\">\u062f\u0631\u062e\u0648\u0627\u0633\u062a \u0648\u0642\u062a \u0645\u0644\u0627\u0642\u0627\u062a<\/h2>\n<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0dfdc22 elementor-widget elementor-widget-text-editor\" data-id=\"0dfdc22\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u0644\u0648\u0631\u0645 \u0627\u06cc\u067e\u0633\u0648\u0645 \u0645\u062a\u0646 \u0633\u0627\u062e\u062a\u06af\u06cc \u0628\u0627 \u062a\u0648\u0644\u06cc\u062f \u0633\u0627\u062f\u06af\u06cc \u0646\u0627\u0645\u0641\u0647\u0648\u0645 \u0627\u0632 \u0635\u0646\u0639\u062a \u0686\u0627\u067e \u0648 \u0628\u0627 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u0637\u0631\u0627\u062d\u0627\u0646 \u06af\u0631\u0627\u0641\u06cc\u06a9 \u0627\u0633\u062a. \u0686\u0627\u067e\u06af\u0631\u0647\u0627 \u0648 \u0645\u062a\u0648\u0646 \u0628\u0644\u06a9\u0647 \u0631\u0648\u0632\u0646\u0627\u0645\u0647 \u0648 \u0645\u062c\u0644\u0647 \u062f\u0631 \u0633\u062a\u0648\u0646 \u0648 \u0633\u0637\u0631\u0622\u0646\u0686\u0646\u0627\u0646 \u06a9\u0647<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-be62598 elementor-widget elementor-widget-shortcode\" data-id=\"be62598\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f711-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"711\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ar\/wp-json\/wp\/v2\/pages\/686#wpcf7-f711-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/ar\/wp-json\/wp\/v2\/pages\/686#wpcf7-f711-o1\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"711\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f711-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"appointment-box-layout1\">\n\t<div class=\"row gutters-15\">\n\t\t<div class=\"col-12 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"department\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"department\"><option value=\"\u0627\u0646\u062a\u062e\u0627\u0628 \u0628\u062e\u0634\">\u0627\u0646\u062a\u062e\u0627\u0628 \u0628\u062e\u0634<\/option><option value=\"\u0642\u0644\u0628 \u0648 \u0639\u0631\u0648\u0642\">\u0642\u0644\u0628 \u0648 \u0639\u0631\u0648\u0642<\/option><option value=\"\u0627\u0648\u0631\u062a\u0648\u067e\u062f\u06cc\">\u0627\u0648\u0631\u062a\u0648\u067e\u062f\u06cc<\/option><option value=\"\u062f\u0627\u0631\u0648\">\u062f\u0627\u0631\u0648<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646\">\u0633\u0631\u0637\u0627\u0646<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-12 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"doctor\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"doctor\"><option value=\"\u0627\u0646\u062a\u062e\u0627\u0628 \u067e\u0632\u0634\u06a9\">\u0627\u062e\u062a\u064a\u0627\u0631 \u0627\u0644\u0637\u0628\u064a\u0628<\/option><option value=\"\u062f\u06a9\u062a\u0631 \u062d\u06cc\u062f\u0631\u06cc\">\u062f\u06a9\u062a\u0631 \u062d\u06cc\u062f\u0631\u06cc<\/option><option value=\"\u062f\u06a9\u062a\u0631 \u062d\u0633\u0627\u0645\">\u062f\u06a9\u062a\u0631 \u062d\u0633\u0627\u0645<\/option><option value=\"\u062f\u06a9\u062a\u0631 \u0628\u0627\u0642\u0631\u06cc\">\u062f\u06a9\u062a\u0631 \u0628\u0627\u0642\u0631\u06cc<\/option><option value=\"\u062f\u06a9\u062a\u0631 \u0645\u0648\u0633\u0648\u06cc\">\u062f\u06a9\u062a\u0631 \u0645\u0648\u0633\u0648\u06cc<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-12 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"form-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0646\u0627\u0645 \u0628\u06cc\u0645\u0627\u0631\" value=\"\" type=\"text\" name=\"form-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"form-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0634\u0645\u0627\u0631\u0647 \u062a\u0644\u0641\u0646\" value=\"\" type=\"text\" name=\"form-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0628\u0631\u064a\u062f \u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-6 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"datepicker\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u062a\u0627\u0631\u06cc\u062e\" value=\"\" type=\"text\" name=\"date\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-6 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"time\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0633\u0627\u0639\u062a\" value=\"\" type=\"text\" name=\"time\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-12 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea textarea form-control\" aria-invalid=\"false\" placeholder=\"\u062a\u0648\u0636\u06cc\u062d\u0627\u062a\" name=\"message\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-12 form-group\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner item-btn\" type=\"submit\" value=\"\u062f\u0631\u062e\u0648\u0627\u0633\u062a\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"ar\"\/><\/form>\n<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7969598\" data-id=\"7969598\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0a22211 elementor-widget elementor-widget-image\" data-id=\"0a22211\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"http:\/\/new.armaghan-med.ir\/wp-content\/uploads\/2019\/08\/figure2.png\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5c231c67 elementor-section-stretched elementor-section-full_width elementor-section-content-middle elementor-section-height-default elementor-section-height-default\" data-id=\"5c231c67\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-538ad58d\" data-id=\"538ad58d\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7ceaf2dd elementor-widget elementor-widget-rt-cta\" data-id=\"7ceaf2dd\" data-element_type=\"widget\" data-widget_type=\"rt-cta.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"call-to-action-wrap-layout4\">\n    <div class=\"item-img\">\n           <\/div>\n    <div class=\"container\">\n        <div class=\"row\">\n            <div class=\"col-xl-12 col-lg-8 col-md-12 col-12\">\n                <div class=\"call-to-action-box-layout4\">\n                    <h2 class=\"item-title\">\u0628\u0631\u062a\u0631\u06cc\u0646 \u062e\u062f\u0645\u0627\u062a \u067e\u0632\u0634\u06a9\u06cc \u0648 \u062f\u0646\u062f\u0627\u0646 \u067e\u0632\u0634\u06a9\u06cc \u0631\u0627 \u062a\u0646\u0647\u0627 \u0628\u0627 \u06a9\u0644\u06cc\u0646\u06cc\u06a9 \u062a\u062e\u0635\u0635\u06cc \u0645\u0627 \u062a\u062c\u0631\u0628\u0647 \u0646\u0645\u0627\u06cc\u06cc\u062f.<\/h2>\n                    <div class=\"call-to-action-phone\">\n                                                    <a href=\"tel:021-895478\"><i class=\"fas fa-phone\"><\/i>021-895478<\/a>\n                                            <\/div>\n\t\t\t\t\t\t                 \n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>\u062f\u0631\u062e\u0648\u0627\u0633\u062a \u0648\u0642\u062a \u0645\u0644\u0627\u0642\u0627\u062a \u0644\u0648\u0631\u0645 \u0627\u06cc\u067e\u0633\u0648\u0645 \u0645\u062a\u0646 \u0633\u0627\u062e\u062a\u06af\u06cc \u0628\u0627 \u062a\u0648\u0644\u06cc\u062f \u0633\u0627\u062f\u06af\u06cc \u0646\u0627\u0645\u0641\u0647\u0648\u0645 \u0627\u0632 \u0635\u0646\u0639\u062a \u0686\u0627\u067e \u0648 \u0628\u0627 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u0637\u0631\u0627\u062d\u0627\u0646 \u06af\u0631\u0627\u0641\u06cc\u06a9 \u0627\u0633\u062a. \u0686\u0627\u067e\u06af\u0631\u0647\u0627 \u0648 \u0645\u062a\u0648\u0646 \u0628\u0644\u06a9\u0647 \u0631\u0648\u0632\u0646\u0627\u0645\u0647 \u0648 \u0645\u062c\u0644\u0647 \u062f\u0631 \u0633\u062a\u0648\u0646 \u0648 \u0633\u0637\u0631\u0622\u0646\u0686\u0646\u0627\u0646 \u06a9\u0647 \u0628\u0631\u062a\u0631\u06cc\u0646 \u062e\u062f\u0645\u0627\u062a \u067e\u0632\u0634\u06a9\u06cc \u0648 \u062f\u0646\u062f\u0627\u0646 \u067e\u0632\u0634\u06a9\u06cc \u0631\u0627 \u062a\u0646\u0647\u0627 \u0628\u0627 \u06a9\u0644\u06cc\u0646\u06cc\u06a9 \u062a\u062e\u0635\u0635\u06cc \u0645\u0627 \u062a\u062c\u0631\u0628\u0647 \u0646\u0645\u0627\u06cc\u06cc\u062f. 021-895478<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-686","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/armaghan-med.com\/ar\/wp-json\/wp\/v2\/pages\/686","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/armaghan-med.com\/ar\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/armaghan-med.com\/ar\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/armaghan-med.com\/ar\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/armaghan-med.com\/ar\/wp-json\/wp\/v2\/comments?post=686"}],"version-history":[{"count":0,"href":"https:\/\/armaghan-med.com\/ar\/wp-json\/wp\/v2\/pages\/686\/revisions"}],"wp:attachment":[{"href":"https:\/\/armaghan-med.com\/ar\/wp-json\/wp\/v2\/media?parent=686"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}