@model BAVRANI_MEDICAL_PVT.Models.Contectus.Query

@{
    ViewBag.Title = "Contectus";
}


<style>
    body {
        overflow-x: hidden;
    }

    .form-group.col {
    }
</style>
<h1 style="text-align:center">Book Trained Attendant Services At Home Enquire Now</h1>
<p>@ViewBag.succes</p>
<p>@ViewBag.errorquer </p>

@using (Html.BeginForm())
{

    <div class="form-horizonta">

        <hr />
        @Html.ValidationSummary(true, "", new { @class = "text-danger" })
        <div class="form-group" style="margin-left: 150px">
            @Html.LabelFor(model => model.fullname, htmlAttributes: new { @class = "control-label col-md-2" })
            <div class="col">
                @Html.EditorFor(model => model.fullname, new { htmlAttributes = new { @class = "form-control" } })
                @Html.ValidationMessageFor(model => model.fullname, "", new { @class = "text-danger" })
            </div>
        </div>

        <div class="form-group" style="margin-left: 150px">
            @Html.LabelFor(model => model.phonenumber, htmlAttributes: new { @class = "control-label col-md-2" })
            <div class="col-md-10">
                @Html.EditorFor(model => model.phonenumber, new { htmlAttributes = new { @class = "form-control" } })
                @Html.ValidationMessageFor(model => model.phonenumber, "", new { @class = "text-danger" })
            </div>
        </div>

        <div class="form-group" style="margin-left: 150px">
            @Html.LabelFor(model => model.patient_condition, htmlAttributes: new { @class = "control-label col-md-2" })
            <div class="col-md-10">
                @Html.DropDownListFor(model => model.patient_condition, ViewBag.droppataientconditaon as SelectList, "--Select Conditaion--", new { @class = "form-control" })


                @*@Html.ValidationMessageFor(model => model.patient_condition, "", new { @class = "text-danger" })*@
            </div>
        </div>

        <div class="form-group" style="margin-left: 150px">
            @Html.LabelFor(model => model.location, htmlAttributes: new { @class = "control-label col-md-2" })
            <div class="col-md-10">
                @Html.DropDownListFor(model => model.location, ViewBag.patientlocation as SelectList, "--Select Location--", new { @class = "form-control" })


                @*@Html.ValidationMessageFor(model => model.location, "", new { @class = "text-danger" })*@
            </div>
        </div>

        <div class="form-group" style="margin-left:150px">
            @Html.LabelFor(model => model.message, htmlAttributes: new { @class = "control-label col-md-2" })
            <div class="col-md-10">
                @Html.TextAreaFor(model => model.message, new { htmlAttributes = new { @class = "form-control" } })
                @Html.ValidationMessageFor(model => model.message, "", new { @class = "text-danger" })
            </div>
        </div>
        <br />
        <div class="form-group" style="margin-left:150px">
            <div class="col-md-offset-2 col-md-10">
                <input type="submit" value="SEND ENQUIRE" class="btn btn-success" />
            </div>
        </div>
    </div>


}