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69 lines (61 loc) · 2.72 KB
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<!DOCTYPE html>
<?php include("func.php");?>
<html>
<head>
<title>Members details</title>
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/4.0.0-beta/css/bootstrap.min.css" integrity="sha384-/Y6pD6FV/Vv2HJnA6t+vslU6fwYXjCFtcEpHbNJ0lyAFsXTsjBbfaDjzALeQsN6M" crossorigin="anonymous">
</head>
<body>
<div class="jumbotron" style="background: url('images/2.jpg') no-repeat;background-size: cover;height: 300px;"></div>
<div class="container">
<div class="card">
<div class="card-body" style="background-color:#3498DB;color:#ffffff;">
<div class="row">
<div class="col-md-1">
<a href="admin-panel.php" class="btn btn-light ">Go Back</a>
</div>
<div class="col-md-3"><h3>Payment Details</h3></div>
<div class="col-md-8">
<form class="form-group" action="patient_search.php" method="post">
<div class="row">
</form></div></div></div>
<div class="card-body" style="background-color:#3498DB;color:#ffffff;">
<div class="card-body">
<table class="table table-hover">
<thead>
<tr>
<th>Payment ID </th>
<th>Amount</th>
<th>Payment Type</th>
<th>Customer ID</th>
<th>Customer Name</th>
</tr>
</thead>
<tbody>
<?php get_payment(); ?>
</tbody>
</table>
<div class="card-body" style="background-color:#3498DB;color:FFFFFF;">
<h3>Make new Payment</h3>
</div>
<div class="card-body"></div>
<form class="form-group" action="func.php" method="post">
<label>Payment ID</label>
<input type="text" name="Payment_id" class="form-control"><br>
<label>Amount</label>
<input type="text" name="Amount" class="form-control"><br>
<label>Customer ID</label>
<input type="text" name="customer_id" class="form-control"><br>
<label>Customer Name</label>
<input type="text" name="customer_name" class="form-control"><br>
<label>Payment Type</label>
<input type="text" name="payment_type" class="form-control"><br>
<input type="submit" class="btn btn-primary" name="pay_submit" value="PAY">
</div>
</div>
</div>
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script>
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/4.0.0-beta/js/bootstrap.min.js" integrity="sha384-h0AbiXch4ZDo7tp9hKZ4TsHbi047NrKGLO3SEJAg45jXxnGIfYzk4Si90RDIqNm1" crossorigin="anonymous"></script>
</div>
</body>
</html>