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<div class="container"> <div class="row"> <div class="col col-lg-12"> <div class="login-header"> <!-- <p>Already a Member?</p> <button type="button" class="btn btn-primary header-btn" onclick="window.location.href = 'login.html';">Login </button>--> </div> </div> </div> </div> <div class="container"> <div class="row"> <div class="col-lg-3"></div> <div class="col-lg-6"> <form action="<?=base_url('booking/confirmpaynow')?>" method="POST" enctype="multipart/form-data"> <div class="login-rectangle"> <a href="<?=base_url('booking/confirmation/'.base64_encode($userData['id']))?>" class="backtodash"><i class="fa fa-arrow-left" aria-hidden="true"></i> Back </a> <div class="login-logo"> <img src="<?=base_url('assests/imgs')?>/logo_new.png"> </div> <?php if($_GET['msg']) { ?> <span style="color:red;">This User ID is already registered for covid 19 Vaccine.</span> <?php } ?> <?php if($msg) { ?> <span style="color:red;"><?=$msg?></span> <?php } ?> <div class="user-detail"> <h4>Confirm & Pay Now</h4> <p class="alert alert-danger">Your selected time slot <?=$slotData['title']?> at <?=date('d M Y',$userData['slot_date'])?> will expire in 15 minutes. Please complete the booking within the given timeframe : <span id="countTime"></span> </p> <ul> <li><strong>Order Id:</strong> <?=$userData['order_id']?></li> <li><strong>Name:</strong> <?=$userData['full_name']?></li> <?php if($userData['contact_number']) { ?> <li><strong>Phone:</strong> <?=$userData['contact_number']?></li> <?php } ?> <?php if($userData['email_id']) { ?> <li><strong>Email Id:</strong> <?=$userData['email_id']?></li> <?php } ?> <li><strong>ID Proof Number:</strong> <?=$userData['aadhar_number']?>(<?=$userData['id_proof']?>)</li> <li><strong>Date Of Birth:</strong> XX-XX-<?=date('Y',strtotime($userData['dob']))?></li> <li><strong>Age/Gender:</strong> <?=$userData['age']?> Years/<?=$userData['gender']?></li> <li><strong>Address:</strong> <?=$userData['address']?>-<?=$userData['pincode']?></li> <li><strong>Your Test:</strong> <?=$testData['title']?> </li> <li><strong>Slot Name:</strong> <?=$slotData['title']?></li> <li><strong>Appointment Date:</strong> <?=date('d M Y',$userData['slot_date'])?></li> </ul> </div> <div class="user-detail"> <h4>Selected Does</h4> <ul> <li><strong>Does Type: </strong> <?=$orderData['does_type']=='1' ? '1st' : '2nd' ?> Does</li> <li><strong>Total Amount:</strong> Rs.<?=$testData['price']?></li> <?php if($orderData['does_type']>1) { ?> <li><strong>1st Does Date: </strong> <?=date('d M Y',strtotime($orderData['does_date']))?> </li> <li><strong>1st Does Certificate: </strong> <a href="<?=base_url('attachments/documents/'.$orderData['dose_certificate'])?>"><?=$orderData['dose_certificate']?> </a></li> <?php } ?> </ul> </div> <!-- Payment Gateway Hidden Fields --> <input type="hidden" name="merchant_param1" value="" /> <input type="hidden" name="merchant_param2" value="<?php echo $testData['title'].'-'.$slotData['title']; ?>" /> <input type="hidden" name="merchant_param3" value="<?php echo $userData['order_id']; ?>" /> <input type="hidden" name="merchant_param4" value="Covid19 Vaccination" /> <input type="hidden" name="tid" id="tid" readonly /> <input type="hidden" name="merchant_id" value="160146" /> <input type="hidden" name="order_id" value="<?php echo $userData['order_id']; ?>" readonly /> <input type="hidden" name="redirect_url" value="<?php echo site_url('booking/handle_response'); ?>" readonly /> <input type="hidden" name="cancel_url" value="<?php echo site_url('booking/handle_response'); ?>" readonly /> <input type="hidden" name="amount" value="<?php echo number_format((float)$testData['price'],2,'.','');?>" readonly /> <input type="hidden" name="language" value="EN"/> <input type="hidden" name="customer_identifier" value=""/> <div class="user-detail" style="padding:20px 0 15px 0"> <h4>Select Payment Method</h4> <div class=" alert alert-info"> <label><input type="radio" name="payment_method" value="paytm"> Pay With Paytm</label> </div> <!--<div class=" alert alert-info"> <label><input type="radio" name="payment_method" value="COD"> Cash/Card on Sample Collection (Card Swiping Machine available)</label> <label><input type="radio" name="payment_method" value="Online" > Pay with Credit Card / Debit Card</label> <div id="payment_msg"></div> </div>--> </div> <div class="user-detail"> <label><input type="checkbox" id="terms" name="terms" value="1" Checked> I accept the <a href="https://shardahospital.org/pages/terms-conditions" target="_blank"> Terms & Conditions</a> and <a href="https://shardahospital.org/pages/privacy-policy" target="_blank"> Privacy Policy</a>.</label> <div id="terms_div"></div> </div> <input type="hidden" name="uid" id="uid" value="<?=$userData['id']?>" /> <input type="hidden" name="bid" id="bid" value="<?=$userData['bid']?>" /> <div class="user-detail"> <button type="submit" onclick = "return validatebooking()">Pay Now</button> </div><br /><br /> <div class="login-pin"></div> <div class="login-pin"></div> </div> </form> </div> <div class="col col-lg-3"></div> </div> </div> <script> var countdown = 15 * 60 * 1000; var timerId = setInterval(function(){ countdown -= 1000; var min = Math.floor(countdown / (60 * 1000)); //var sec = Math.floor(countdown - (min * 60 * 1000)); // wrong var sec = Math.floor((countdown - (min * 60 * 1000)) / 1000); //correct if (countdown <= 0) { alert("15 min!"); clearInterval(timerId); //doSomething(); } else { $("#countTime").html(min + "m " + sec + "s"); } }, 1000); function validatebooking() { var payment = $("input[name='payment_method']:checked").val(); payment = (typeof payment === "undefined") ? '' : payment; $("#payments_msg").remove(); $("#checkbox_msg").remove(); var error_flag = 'N'; if(payment=='') { $("<span style='color:red;' id='payments_msg'>Please select payment method.</span>").insertAfter("#payment_msg"); error_flag = 'Y'; } if($("#terms").prop('checked') == false){ $("<span style='color:red;' id='checkbox_msg'>Please accept the Terms & Conditions checkbox.</span>").insertAfter("#terms_div"); error_flag = 'Y'; } if(error_flag == 'Y') { return false; } return true; } </script>