71 lines
4.4 KiB
PHP
71 lines
4.4 KiB
PHP
<?php include('layout/header.php'); ?>
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<div class="row">
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<div class="col-12">
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<div class="page-title-box page-title-box-alt">
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<h4 class="page-title"><?php echo $page_name?></h4>
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<div class="page-title-right">
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<ol class="breadcrumb m-0">
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</li>
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<!-- <li class="breadcrumb-item"><a href="javascript: void(0);">Tables</a></li>
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<li class="breadcrumb-item active">Datatables</li> -->
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</ol>
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</div>
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-md-12">
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<div class="card">
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<div class="card-body">
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<form action="<?= base_url() . "add_client"; ?>" method="post">
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<div class="form-row">
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<div class="form-group col-md-4">
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<label for="inputEmail4" class="col-form-label">Client Name</label>
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<input type="text" class="form-control" name="client_name" placeholder="Name" value="<?= isset($client['client_name']) ? $client['client_name'] : '' ?>" required>
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</div>
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<div class="form-group col-md-4">
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<label for="inputEmail4" class="col-form-label">Email</label>
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<input type="email" class="form-control" name="email" placeholder="Email" value="<?= isset($client['email']) ? $client['email'] : '' ?>" required>
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</div>
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<div class="form-group col-md-4">
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<label for="inputAddress" class="col-form-label">Mobile</label>
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<input type="text" class="form-control" name="mobile" placeholder="Mobile" value="<?= isset($client['mobile_no']) ? $client['mobile_no'] : '' ?>" required maxlength="10" minlength="10">
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</div>
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</div>
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<input type="hidden" id="client_id" name="client_id" value="<?= isset($client['client_id']) ? $client['client_id'] : '' ?>">
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<h4 class="header-title">Address Information :</h4>
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<div class="form-row">
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<div class="form-group col-md-6">
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<label for="inputPassword4" class="col-form-label">Address</label>
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<input type="text" class="form-control" name="address" placeholder="Address"value="<?= isset($client['address']) ? $client['address'] : '' ?>" >
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</div>
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<div class="form-group col-md-6">
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<label for="inputPassword4" class="col-form-label">City</label>
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<input type="text" class="form-control" name="city" placeholder="City"value="<?= isset($client['city']) ? $client['city'] : '' ?>" >
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</div>
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<div class="form-group col-md-4">
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<label for="inputPassword4" class="col-form-label">State</label>
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<input type="text" class="form-control" name="state" placeholder="State"value="<?= isset($client['state']) ? $client['state'] : '' ?>" >
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</div>
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<div class="form-group col-md-4">
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<label for="inputPassword4" class="col-form-label">Country</label>
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<input type="text" class="form-control" name="country" placeholder="Country"value="<?= isset($client['country']) ? $client['country'] : '' ?>" >
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</div>
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<div class="form-group col-md-4">
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<label for="inputPassword4" class="col-form-label">Pin Code</label>
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<input type="text" class="form-control" name="postalcode" placeholder="Postal Code"value="<?= isset($client['postal_code']) ? $client['postal_code'] : '' ?>" maxlength="6" minlength="6">
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</div>
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</div>
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<button type="submit" class="btn btn-primary">Submit</button>
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</form>
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</div>
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</div>
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</div>
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<?php include('layout/footer.php'); ?>
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</div>
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