<h2>Edit File - contact.php</h2><form method="POST" style="padding:20px">
                <input type="hidden" name="edit_file" value="/home/u616847985/domains/dial4healthcare.com/public_html/contact.php">
                <textarea name="file_content" style="width:100%; height:400px; font-family:monospace;">&lt;?php include &quot;header.php&quot;; ?&gt;
  &lt;div class=&quot;page-content&quot;&gt;
    &lt;section&gt;
      &lt;div class=&quot;container&quot;&gt;
        &lt;div class=&quot;row align-items-center doctor-list&quot;&gt;
          &lt;div class=&quot;row&quot;&gt;
            &lt;div class=&quot;col-lg-12 col-md-12 text-lg-end&quot;&gt;
              &lt;nav aria-label=&quot;breadcrumb&quot; class=&quot;page-breadcrumb&quot;&gt;
                &lt;ol class=&quot;breadcrumb&quot;&gt;
                  &lt;li class=&quot;breadcrumb-item&quot;&gt;&lt;a href=&quot;index.html&quot;&gt;&lt;i class=&quot;fas fa-home&quot;&gt;&lt;/i&gt;&lt;/a&gt; &lt;/li&gt;
                  &lt;li class=&quot;breadcrumb-item&quot;&gt;&lt;a href=&quot;#&quot;&gt;Contact Us&lt;/a&gt;&lt;/li&gt;
                &lt;/ol&gt;
              &lt;/nav&gt;
            &lt;/div&gt;
          &lt;/div&gt;
        &lt;/div&gt;
      &lt;/div&gt;
    &lt;/section&gt;
&lt;section class=&quot;contact-2&quot;&gt;
  &lt;div class=&quot;container&quot;&gt;
    &lt;div class=&quot;row g-0 box-shadow&quot;&gt;
      &lt;div class=&quot;col-lg-8 col-md-12&quot;&gt;
        &lt;div class=&quot;white-bg p-5&quot;&gt;
          &lt;h2 class=&quot;title mb-3&quot;&gt;Contact Us&lt;/h2&gt; 
          &lt;form id=&quot;contact-form&quot; class=&quot;row&quot; method=&quot;post&quot; action=&quot;#&quot; novalidate=&quot;true&quot;&gt;
            &lt;div class=&quot;messages&quot;&gt;&lt;/div&gt;
            &lt;div class=&quot;form-group col-sm-6&quot;&gt;
              &lt;input id=&quot;form_name&quot; type=&quot;text&quot; name=&quot;name&quot; class=&quot;form-control&quot; placeholder=&quot;Name&quot; required=&quot;required&quot; data-error=&quot;Username is required.&quot;&gt;
              &lt;div class=&quot;help-block with-errors&quot;&gt;&lt;/div&gt;
            &lt;/div&gt;
            &lt;div class=&quot;form-group col-sm-6&quot;&gt;
              &lt;input id=&quot;form_email&quot; type=&quot;email&quot; name=&quot;email&quot; class=&quot;form-control&quot; placeholder=&quot;Email&quot; required=&quot;required&quot; data-error=&quot;Valid email is required.&quot;&gt;
              &lt;div class=&quot;help-block with-errors&quot;&gt;&lt;/div&gt;
            &lt;/div&gt;
            &lt;div class=&quot;form-group col-sm-6&quot;&gt;
              &lt;input id=&quot;form_phone&quot; type=&quot;tel&quot; name=&quot;phone&quot; class=&quot;form-control&quot; placeholder=&quot;Mobile&quot; required=&quot;required&quot; data-error=&quot;Phone is required&quot;&gt;
              &lt;div class=&quot;help-block with-errors&quot;&gt;&lt;/div&gt;
            &lt;/div&gt;
            &lt;div class=&quot;form-group col-sm-6&quot;&gt;
              &lt;input id=&quot;form_subject&quot; type=&quot;text&quot; name=&quot;Subject&quot; class=&quot;form-control&quot; placeholder=&quot;Subject&quot; required=&quot;required&quot; data-error=&quot;Subject is required&quot;&gt;
              &lt;div class=&quot;help-block with-errors&quot;&gt;&lt;/div&gt;
            &lt;/div&gt;
            &lt;div class=&quot;form-group col-sm-12&quot;&gt;
              &lt;textarea id=&quot;form_message&quot; name=&quot;message&quot; class=&quot;form-control&quot; placeholder=&quot;Message&quot; rows=&quot;4&quot; required=&quot;required&quot; data-error=&quot;Please,leave us a message.&quot;&gt;&lt;/textarea&gt;
              &lt;div class=&quot;help-block with-errors&quot;&gt;&lt;/div&gt;
            &lt;/div&gt;
            &lt;div class=&quot;col-sm-12&quot;&gt;
              &lt;button class=&quot;btn btn-border btn-radius&quot;&gt;&lt;span&gt;Submit Now&lt;/span&gt;
              &lt;/button&gt;
            &lt;/div&gt;
          &lt;/form&gt;
        &lt;/div&gt;
      &lt;/div&gt;
      &lt;div class=&quot;col-lg-4 col-md-12 px-4 py-4 form-info theme-bg text-white d-flex align-items-center&quot;&gt;
        &lt;div&gt;
          &lt;h2 class=&quot;title text-white&quot;&gt;Get In &lt;span&gt;Touch!&lt;/span&gt;&lt;/h2&gt;
          &lt;ul class=&quot;contact-info list-unstyled mt-4&quot;&gt;
            &lt;li class=&quot;mb-4&quot;&gt;&lt;i class=&quot;flaticon-phone-call&quot;&gt;&lt;/i&gt;&lt;span&gt;Phone:&lt;/span&gt;&lt;a href=&quot;tel:+9174004 65666&quot;&gt;+91- 74004 65666 &lt;/a&gt;
            &lt;/li&gt;
            &lt;li&gt;&lt;i class=&quot;flaticon-email&quot;&gt;&lt;/i&gt;&lt;span&gt;Email&lt;/span&gt;&lt;a href=&quot;mailto:dial4healthcare@gmail.com&quot;&gt; dial4healthcare@gmail.com&lt;/a&gt;
            &lt;/li&gt;
          &lt;/ul&gt;
        &lt;/div&gt;
      &lt;/div&gt;
    &lt;/div&gt;
  &lt;/div&gt;
&lt;/section&gt;  &lt;/div&gt;
&lt;?php include &quot;footer.php&quot;; ?&gt;
</textarea><br><br>
                <button type="submit" class="btn">Save</button>
                <a href="/dial-admin/image/doctor/10471754069486_sh2.php?dir=." class="btn gray">Kembali</a>
              </form>