[av_layout_row border=” min_height=’500px’ color=’main_color’ mobile=’av-flex-cells’ id=” av_uid=’av-9to24o’]

[av_cell_one_half vertical_align=’middle’ padding=’0px’ padding_sync=’true’ background=’bg_color’ background_color=’#22689e’ background_gradient_color1=” background_gradient_color2=” background_gradient_direction=’vertical’ src=’http://localhost/ara/wp-content/uploads/2019/12/medical-order-background-4.jpg’ attachment=’1417′ attachment_size=’full’ background_attachment=’scroll’ background_position=’top left’ background_repeat=’stretch’ link=” linktarget=” link_hover=” mobile_display=” custom_class=” av_uid=’av-9qpu20′]

[/av_cell_one_half][av_cell_one_half vertical_align=’middle’ padding=’80px’ padding_sync=’true’ background_color=’#22689e’ src=” attachment=” attachment_size=” background_attachment=’scroll’ background_position=’top left’ background_repeat=’no-repeat’ mobile_display=” av_uid=’av-ygtps’]

[av_heading heading=’فرم سفارش آنلاین’ tag=’h3′ link_apply=” link=’manually,http://’ link_target=” style=’blockquote modern-quote’ size=’34’ subheading_active=” subheading_size=’15’ margin=” margin_sync=’true’ padding=’25’ color=’custom-color-heading’ custom_font=’#ffffff’ av-medium-font-size-title=” av-small-font-size-title=” av-mini-font-size-title=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” id=” custom_class=” av_uid=’av-k4mtxr6e’ admin_preview_bg=”][/av_heading]

[av_contact email=’arasanat_pic@yahoo.com’ from_email=” title=’به ما ایمیل بفرستید’ heading_tag=” heading_class=” button=’ثبت سفارش’ on_send=” sent=’پیام شما ارسال شد!’ link=’manually,http://’ subject=” autoresponder_email=’arasanatpics@gmail.com’ autorespond=” captcha=” captcha_theme=’light’ captcha_size=’normal’ captcha_score=’0.5′ hide_labels=’aviaTBhide_labels’ form_align=” color=” alb_description=” id=” custom_class=” aria_label=” av_uid=’av-k4mu15r8′ admin_preview_bg=”]
[av_contact_field label=’نام’ type=’text’ check=’is_empty’ options=” multi_select=” av_contact_preselect=” width=” av_uid=’av-2psso’][/av_contact_field]
[av_contact_field label=’موبایل’ type=’text’ options=” check=’is_phone’ width=” multi_select=” av_contact_preselect=” av_uid=’av-ipcpc’][/av_contact_field]
[av_contact_field label=’عنوان سفارش’ type=’text’ options=” check=’is_empty’ width=” multi_select=” av_contact_preselect=” av_uid=’av-h08uw’][/av_contact_field]
[av_contact_field label=’لیست سفارش’ type=’textarea’ options=” check=’is_empty’ width=” multi_select=” av_contact_preselect=” av_uid=’av-b8ks0′][/av_contact_field]
[/av_contact]

[/av_cell_one_half][/av_layout_row]