{"id":27,"date":"2026-11-14T23:18:14","date_gmt":"2026-11-14T23:18:14","guid":{"rendered":"https:\/\/eyesurgery.pk\/?page_id=27"},"modified":"2026-11-14T23:18:14","modified_gmt":"2026-11-14T23:18:14","slug":"appointment","status":"publish","type":"page","link":"https:\/\/eyesurgery.pk\/?page_id=27","title":{"rendered":"Appointment"},"content":{"rendered":"    <form id=\"eyecare-appointment-form\" class=\"eyecare-form\" method=\"post\" action=\"https:\/\/eyesurgery.pk\/wp-admin\/admin-ajax.php\">\n        <input type=\"hidden\" id=\"eyecare_nonce\" name=\"eyecare_nonce\" value=\"7fc6c6fc10\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F27\" \/>        <input type=\"hidden\" name=\"action\" value=\"eyecare_appointment\">\n        <p>\n            <label for=\"eyecare-name\">Patient name *<\/label>\n            <input type=\"text\" id=\"eyecare-name\" name=\"patient_name\" required>\n        <\/p>\n        <p>\n            <label for=\"eyecare-phone\">Phone *<\/label>\n            <input type=\"tel\" id=\"eyecare-phone\" name=\"patient_phone\" required>\n        <\/p>\n        <p>\n            <label for=\"eyecare-service\">Department \/ Service<\/label>\n            <select id=\"eyecare-service\" name=\"service\">\n                <option value=\"\">\u2014 Select a service \u2014<\/option>\n                                    <option value=\"Cataract Surgery (DEMO)\" >Cataract Surgery (DEMO)<\/option>\n                                    <option value=\"Complete Eye Examination (DEMO)\" >Complete Eye Examination (DEMO)<\/option>\n                                    <option value=\"Diabetic Eye Care (DEMO)\" >Diabetic Eye Care (DEMO)<\/option>\n                                    <option value=\"Glaucoma Care (DEMO)\" >Glaucoma Care (DEMO)<\/option>\n                                    <option value=\"LASIK &amp; Refractive Surgery (DEMO)\" >LASIK &amp; Refractive Surgery (DEMO)<\/option>\n                                    <option value=\"Retina &amp; Vitreous (DEMO)\" >Retina &amp; Vitreous (DEMO)<\/option>\n                            <\/select>\n        <\/p>\n        <p>\n            <label for=\"eyecare-doctor\">Doctor (optional)<\/label>\n            <select id=\"eyecare-doctor\" name=\"doctor\">\n                <option value=\"\">\u2014 Any doctor \u2014<\/option>\n                                    <option value=\"Dr. Demo A (DEMO)\" >Dr. Demo A (DEMO)<\/option>\n                                    <option value=\"Dr. Demo B (DEMO)\" >Dr. Demo B (DEMO)<\/option>\n                                    <option value=\"Dr. Demo C (DEMO)\" >Dr. Demo C (DEMO)<\/option>\n                            <\/select>\n        <\/p>\n        <p>\n            <label for=\"eyecare-date\">Preferred date<\/label>\n            <input type=\"date\" id=\"eyecare-date\" name=\"preferred_date\">\n        <\/p>\n        <p>\n            <label for=\"eyecare-message\">Message<\/label>\n            <textarea id=\"eyecare-message\" name=\"message\" rows=\"4\"><\/textarea>\n        <\/p>\n        <p>\n            <button type=\"submit\" class=\"eyecare-button\">Request Appointment<\/button>\n        <\/p>\n        <p class=\"eyecare-form-response\" role=\"status\" aria-live=\"polite\"><\/p>\n                <p><a class=\"eyecare-button eyecare-button-whatsapp\" href=\"https:\/\/wa.me\/923214289026?text=Hello%21%20I%20would%20like%20to%20book%20an%20eye%20appointment.\" target=\"_blank\" rel=\"noopener\">Send on WhatsApp<\/a><\/p>\n            <\/form>\n    \n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-appointment.php","meta":{"footnotes":""},"class_list":["post-27","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/eyesurgery.pk\/index.php?rest_route=\/wp\/v2\/pages\/27","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eyesurgery.pk\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/eyesurgery.pk\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/eyesurgery.pk\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/eyesurgery.pk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=27"}],"version-history":[{"count":0,"href":"https:\/\/eyesurgery.pk\/index.php?rest_route=\/wp\/v2\/pages\/27\/revisions"}],"wp:attachment":[{"href":"https:\/\/eyesurgery.pk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}