JFIF !.%+&8&+/1555$;@;4?.451 4+$+44444444444444444444444444444544444444444444444444";!1AQaq"2BR#br"!1A"QR ?V!4,#J.rrvO( (랣AzRW+bZ9T+4(7r fa2 nָƮlk*42˥^ YWphMG% AȀh0Vl)*JW'-{G9aw#e?QGY՛oe9xigU/1 {oqcmj00W Σ*"!ծ&RqWTea2ʕ Tkj1axl V5yC_%AQCزaZЮ唛кpR4]`ĆuK?wwz}VR03]BK ߷_USannA5d~(Y5 H ]}JqSWg4ӏG7;)@X &P*Vhܪvpu$$)rH^Vau̽s \˦,h #w>.G,Lahg" O(*QHٞ{TaaC% (7rHpO~!RYX c{0jy*\<ktNbNE}zO2<;5ҧHE RiQmcma. `!|iguhLeqmώEl5rX|fCgcCR[F\ĺ`Rbzq 9]ԟPͤuX˞cYڜLpb`62lLY+YXvh۪Rg[eØ%'<Ǡ;yǻG.%*t&t\av鰒? u]8 L]\cؔ 5FilX<@x]|r3qjSژpV;0x;1LZ:)IزC֦Le|yXиZ鼯<yErB@ /\sKuտxVI Ce)*XEg)T: { pւOe-m,I{@ 8aUݫ0I?o .7tjMz+ e.kz8`1̑E&  WX7[aQd{1߬rzqՆl@#p{}UMk#p'GLɷ*q*Yv+U1c>)D;°5aq1HO[m;wBBJu/u]@obӗm={0C G ĕ{Ejӥ&u\!iNZjkp3ufO}x3XicFAw } 6S(ڴʌcum'~f q͏YYbC6,G*{PdH +NϨH=#||.ӔaxAmP}UY C%xּ\S_b:7*u+Ƣsr7PH;tRJnPo>A3aD\/0Iq}sk#V;L6 }VRpxUPcا(-#݄06uGR[{_>Jc K=ß_s~ m:͝`6J^)t㾑3r|lSLLpz} 4qU08=dÚ>m;]ZټOq.fߜաO&#xJ`,K)FSxs'WkQsj/a]H#~Y#˜u8"a_hu+-ҩMEvđ%hɦ!m#;1nvmwji''|#.]v4ו0JYLr*EDyyvW[*\leOU]^g+gT#HOxO[J{@hhSYru|P 0O gHKA5g>2UC齢Jc\ۍ*9Dsn;uEv$(ڱT扔VRs3D1 :z#:Wa:%dǟ'`$e=*DoY7 dL#X/Bxh |Mo \jib0HLmT{k< 3- IIx Huk#bt`]b1c傆j=Lmn?'*5ķTl&I ,8Q^=Lj`U *{&ƽ]4@),ɞcj`lCX ?Ui0<,GE4}Zfjih[gO DKY=P }|;e%El7'aljB@>' $}ǀD6==|+e-" 3}'twPCLDCRXӽecXЅ1%@ϒV/|HXm뿚.xL 8ihdʵѣSdu-Q-Y*LMMa=Vp졣PHJnLJ(JaAS}( ;c%ܭ% <˕QQBvAի)j1+HB wErP)UW} L 9p)ʍFB.^@laqd;vL@tr\qFˣ{Bc50B;#Lk(cDYw[ FA=H E Z' Q\"U9SBm A($۷i^n #XbdDer>)ͨHڽ| #gPqe6&p[gk|V3 NJ&FDu0C ^8jcDq ->Msh;*W0.+RzZyQtH^[=L^W6MT``TN+U$^W> S87JÎ't#:TKbEDu2]Xl3bo@k|mLP.\|ԫ#PxMH1"G&JLE^ * Y%1Fąf+t&UfJ+R#u/`(QJb0B ,mc Q}Q!0% %etW abdullahpasa1noluasm.com - UnknownSec

name : index.html
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>YOZGAT MERKEZ 6 NOLU ASM</title>
<script src="js/jquery-1.2.3.pack.js"></script>
<script src="js/runonload.js"></script>
<script src="js/tutorial.js"></script>
<link href="css/tutorial.css" media="all" type="text/css" rel="stylesheet">
<style type="text/css">
#apDiv1 {
	position:absolute;
	width:502px;
	height:65px;
	z-index:1;
	left: 201px;
	top: 476px;
}
</style>
</head>

<body>
<div id="contact_form">
<CENTER> <h2>YOZGAT MERKEZ 6 NOLU AİLE SAĞLIĞI MERKEZİ <BR /> OBEZİTE BİLDİRİM FORMU</h2><BR /></CENTER> 
  <form name="contact" method="post" action="">
  <fieldset>
  
  <label for="ad" id="ad_label">ADI *</label>
  <input type="text" name="ad" id="ad" size="30" value="" class="text-input" />
  <label class="error" for="ad" id="ad_error">Lütfen Bireyin Adını Giriniz.</label><br />

  <label for="soyad" id="soyad_label">SOYADI *</label>
  <input type="text" name="soyad" id="soyad" size="30" value="" class="text-input" />
  <label class="error" for="soyad" id="soyad_error">Lütfen Bireyin Soyadını Giriniz.</label>   <br />

  <label for="ailehek" id="ailehek_label">AİLE HEKİMİ *</label>
  <select class="text-input" name="ailehek" id="ailehek">
  <option value="0" selected="selected">LİSTEDEN SEÇİNİZ</option>
  

      <option value="DR. MESUT ÖZDEMİR">DR. MESUT ÖZDEMİR</option>
	  







 
 
  </select>
  <label class="error" for="ailehek" id="ailehek_error">Lütfen Bireyin Aile Hekimini Seçiniz.</label> <br />
  
  <label for="telefon" id="telefon_label">TELEFON NO *</label>
  <input type="text" name="telefon" id="telefon" size="30" value="" class="text-input" />
  <label class="error" for="telefon" id="telefon_error">Lütfen Bireyin Telefon Numarasını Giriniz.</label> <br />

  <label for="adres" id="adres_label">ADRES *</label>
  <textarea name="adres" id="adres" cols="25" rows="7" class="text-input"></textarea>
  <label class="error" for="adres" id="adres_error">Lütfen Bireyin Adresini Giriniz.</label>      
   
      	<br />
      <input type="submit" name="submit" class="button" id="submit_btn" value="BİLDİRİMİ GÖNDER" />
     
  </fieldset>   
    
    

   
  </form>

</div>
<div id="apDiv1">
  <p><strong>* Size Ulaşabilmemiz İçin, Lütfen Bilgileri Doğru ve Eksiksiz Doldurunuz.<br />
    * Telefon Numarası ve Adres Size Ulaşabilmemiz İçin Gereklidir.
  </strong></p>
  <p><strong>* Buradaki Bilgilerin Bağlı Bulunduğunuz Aile Hekimine Ulaşabilmesi İçin Lütfen &quot;AİLE HEKİMİ&quot; Listesinden Kayıtlı Olduğunuz Aile Hekimini Seçiniz...</strong></p></div>
</body>
</html>

© 2024 UnknownSec