<%- include('../includes/header') %>

    <!-- Appointment -->
    <section class="section-area account-wraper1">
        <div class="container-fluid">
            <div class="appointment-inner section-sp2"
                style="background-image: url(images/appointment/line-bg.png); background-repeat: no-repeat; background-position: 20px 140px;">
                <div class="container">
                    <div class="row align-items-center">
                        <div class="col-lg-6 offset-lg-3">
                            <div class="appointment-form form-wraper">
                                <h3 class="title">Forgot Password</h3>
                                <form id="forgotPasswordForm">
                                    <div class="row">
                                        <div class="col-lg-12">
                                            <div class="form-group">
                                                <label for="mobilenumber">Mobile Number</label>
                                                <input name="mobile" type="text" class="form-control"
                                                    oninput="this.value = this.value.replace(/[^0-9]/g, '').replace(/(\.*)/g, '');"
                                                    id="mobilenumber" placeholder="Enter Mobile Number">
                                            </div>
                                            <div class="form-group verification d-none">
                                                <label for="verification">Verification Code</label>
                                                <input name="verification_code" type="text" class="form-control"
                                                    oninput="this.value = this.value.replace(/[^0-9]/g, '').replace(/(\.*)/g, '');"
                                                    id="verification" placeholder="Enter Verification Code">
                                            </div>
                                            <div class="forgot-password d-none">
                                                <div class="form-group">
                                                    <label for="password">New Password</label>
                                                    <input name="new_password" type="password" class="form-control"
                                                        id="password" placeholder="Enter New Password">
                                                </div>
                                                <div class="form-group">
                                                    <label for="c_password">Confirm Password</label>
                                                    <input name="conf_password" type="password" class="form-control"
                                                        id="c_password" placeholder="Enter Confirm Password">
                                                </div>
                                            </div>
                                        </div>
                                        <button type="submit" data-type="forgot" class="btn btn-secondary">Forgot
                                            Password</button>
                                    </div </form>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </section>

    </div>
    <button onclick='window.scrollTo({top: 0, behavior: "smooth"});' class="back-to-top fa fa-chevron-up"></button>
    </div>
    <%- include('../includes/footer') %>