<div class="my_cf7form">
  <div class="form-group col-md-12 no-padding">
    [text* your-name class:form-control placeholder "Ad Soyad"]
  </div>
  <div class="form-group col-md-12 no-padding">
    [tel* your-phone class:form-control placeholder "Telefon Numaranız"]
  </div>
  [date* form-date placeholder "Tarih"]
  <div class="form-group input-group col-md-12 no-padding appointment-options">
    <div class="row">
      <div class="col-md-6 col-sm-6 col-xs-6 ">
        [select* your-time "Saat" "08:00" "08:30" "09:00" "09:30" "10:00" "10:30" "11:00" "11:30" "13:00" "13:30"
        "14:00" "14:30" "15:00" "15:30" "16:00" "16:30"]
      </div>
      <div class="col-md-6 col-sm-6 col-xs-6">
        [select* form-select "Bölüm" "Kadın Hastalıkları ve Doğum" "Çocuk Sağlığı ve Hastalıkları" "İç Hastalıkları"
        "Genel Cerrahi" "Göz Hastalıkları" "Anestezi ve Reanimasyon" "Radyoloji"]
      </div>
    </div>
  </div>
  <div class="form-group col-md-12 col-sm-12 col-xs-12 no-padding">
    [textarea* your-message class:form-control rows:4 placeholder "Varsa Notlarınız"]
  </div>
  [submit class:form-submit "Gönder"]
</div>