<html>
<head>
<script src="calendar.js"></script>
<style>
input {border:1px solid #ABABAB}
</style>
</head>
<body>
<?php
$t=$_GET['to'];
if ($t=="m")
//if "email" is filled out, send email
{
$t="to@mail.com";
}
else
//if "email" is not filled out, display the form
{
$t="your@mail.com";
}
?>
<form method='post' action='mailform.php'>
<input name='to' type='hidden' value='<?php echo $t; ?>' />
Email:
<input name='email' type='text' /><br />
Subject: <input name='subject' type='text' /><br />
Date :
<input name='todate' onclick="event.cancelBubble=true;this.select();lcs(this)" onfocus="this.select();lcs(this)" type="text" value="dd/mm/yy" /><br />
Message:<br />
<textarea name='message' rows='15' cols='40'>
</textarea><br />
<input type='submit' />
</form>
</body>
</html>
mailform.php
<?php
$to = $_REQUEST['to'];
$subject = "New Appointment on ".$_REQUEST['todate'];
$message = $_REQUEST['message'];
$from = $_REQUEST['email'];
$headers = "From: $from";
mail($to,$subject,$message,$headers);
echo "Mail Sent to the concerned doctor.";
?>
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