-
Notifications
You must be signed in to change notification settings - Fork 4
Expand file tree
/
Copy pathform4.php
More file actions
30 lines (24 loc) · 1.37 KB
/
form4.php
File metadata and controls
30 lines (24 loc) · 1.37 KB
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
<fieldset id="4">
<div class="row">
<div class="col-sm-6">
<div class="form-group">
<label class="" for="pincode">Date</label>
<input type="date" name="date" placeholder="Date" class="f1-google-plus form-control" id="date">
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label class="" for="time">Time Slot</label>
<select class="form-control" name="time" id="time">
<?php $a=0; foreach($time as $key => $value){ ?>
<option value="<?php echo $value['id'];?>"><?php echo $value['ini']." - ".$value['end'];
?></option>
<?php } ?>
</select> </div>
</div>
</div>
<div class="f1-buttons">
<button type="button" class="btn btn-previous" onclick="$('#submit').attr('disabled','disabled');">Previous</button>
<button type="submit" disabled class="btn btn-submit" id="submit">Submit</button>
</div>
</fieldset>