ok
Mini Shell
<?php include 'header.php'; ?>
<div class="page-wrapper">
<div class="page-content">
<div class="row">
<div class="col-lg-12">
<div class="card">
<div class="card-body">
<div class="row g-3">
<div class="col-12 col-lg-12">
<b style="font-weight: bolder;font-size: 17px;">Add Customer</b>
<hr>
</div>
<div class="col-12 col-lg-3">
<label for="FisrtName" class="form-label required">Customer FisrtName</label>
<input type="text" class="form-control" id="buyer_mobile_no" name="buyer_mobile_no" placeholder="FisrtName">
</div>
<div class="col-12 col-lg-3">
<label for="Last Name" class="form-label required">Customer Last Name</label>
<input type="text" class="form-control" id="buyer_mobile_no" name="buyer_mobile_no" placeholder="Last Name">
</div>
<div class="col-12 col-lg-3">
<div class="mb-3">
<label class="form-label required">Email</label>
<input type="email" class="form-control" placeholder="Email ID">
</div>
</div>
<div class="col-12 col-lg-3">
<div class="mb-3">
<label class="form-label required">Customer Phone</label>
<input type="tel" class="form-control" placeholder="Mobile No">
</div>
</div>
</div>
</div>
</div>
<div class="card">
<div class="card-body">
<div class="row g-3">
<div class="col-12 col-lg-3">
<label for="Address" class="form-label required">Address Line 1</label>
<input type="text" class="form-control" id="buyer_mobile_no" name="buyer_mobile_no" placeholder="Address 1">
</div>
<div class="col-12 col-lg-3">
<label for="Address" class="form-label required">City</label>
<input type="text" class="form-control" id="buyer_mobile_no" name="buyer_mobile_no" placeholder="City">
</div>
<div class="col-12 col-lg-3">
<label for="Address" class="form-label required">State</label>
<select class="form-select form-select-sm mb-3" aria-label=".form-select-sm example">
<option selected="">Please select state</option>
<option label="Andaman and Nicobar Islands">Andaman and Nicobar Islands</option>
<option label="Andhra Pradesh">Andhra Pradesh</option>
<option label="Arunachal Pradesh" >Arunachal Pradesh</option>
<option label="Assam" >Assam</option>
<option label="Bihar" >Bihar</option>
<option label="Chandigarh" >Chandigarh</option>
<option label="Dadra and Nagar Haveli" >Dadra and Nagar Haveli</option>
<option label="Daman and Diu" >Daman and Diu</option>
<option label="Delhi" >Delhi</option>
<option label="Goa" >Goa</option>
<option label="Gujarat" >Gujarat</option>
<option label="Haryana">Haryana</option>
<option label="Himachal Pradesh" >Himachal Pradesh</option>
<option label="Jammu and Kashmir">Jammu and Kashmir</option>
<option label="Karnataka" >Karnataka</option>
<option label="Kerala" >Kerala</option>
<option label="Lakshadweep Islands" >Lakshadweep Islands</option>
<option label="Madhya Pradesh" >Madhya Pradesh</option>
<option label="Maharashtra" >Maharashtra</option>
<option label="Manipur" >Manipur</option>
<option label="Meghalaya" >Meghalaya</option>
<option label="Mizoram">Mizoram</option>
<option label="Nagaland">Nagaland</option>
<option label="Odisha" >Odisha</option>
<option label="Pondicherry" >Pondicherry</option>
<option label="Punjab" >Punjab</option>
<option label="Rajasthan">Rajasthan</option>
<option label="Sikkim" >Sikkim</option>
<option label="Tamil Nadu" >Tamil Nadu</option>
<option label="Tripura" >Tripura</option>
<option label="Uttar Pradesh">Uttar Pradesh</option>
<option label="West Bengal" >West Bengal</option>
<option label="Jharkhand" >Jharkhand</option>
<option label="Uttarakhand" >Uttarakhand</option>
<option label="Chhattisgarh" >Chhattisgarh</option>
<option label="Telangana" >Telangana</option>
<option label="Ladakh" >Ladakh</option>
</select>
</div>
</div>
<div class="row g-3">
<div class="col-12 col-lg-3">
<label for="Address Line 2" class="form-label required">Address Line 2</label>
<input type="text" class="form-control" id="buyer_mobile_no" name="buyer_mobile_no" placeholder="Address 2">
</div>
<div class="col-12 col-lg-3">
<label for="Country" class="form-label required">Country</label>
<select class="form-select form-select-sm mb-3" aria-label=".form-select-sm example">
<option selected="">Open this select menu</option>
<option label="Afghanistan" value="1">Afghanistan</option>
<option label="Albania" value="2">Albania</option>
<option label="Algeria" value="3">Algeria</option>
<option label="American Samoa" value="4">American Samoa</option>
<option label="Andorra" value="5">Andorra</option>
<option label="Angola" value="6">Angola</option>
<option label="Anguilla" value="7">Anguilla</option>
<option label="Antarctica" value="8">Antarctica</option>
<option label="Antigua and Barbuda" value="9">Antigua and Barbuda</option>
<option label="Argentina" value="10">Argentina</option>
<option label="Armenia" value="11">Armenia</option>
<option label="Aruba" value="12">Aruba</option>
<option label="Australia" value="13">Australia</option>
<option label="Austria" value="14">Austria</option>
<option label="Azerbaijan" value="15">Azerbaijan</option>
<option label="Bahamas" value="16">Bahamas</option>
<option label="Bahrain" value="17">Bahrain</option>
<option label="Bangladesh" value="18">Bangladesh</option>
<option label="Barbados" value="19">Barbados</option>
<option label="Belarus" value="20">Belarus</option>
<option label="Belgium" value="21">Belgium</option>
<option label="Belize" value="22">Belize</option>
<option label="Benin" value="23">Benin</option>
<option label="Bermuda" value="24">Bermuda</option>
<option label="Bhutan" value="25">Bhutan</option>
<option label="Bolivia" value="26">Bolivia</option>
<option label="Bosnia and Herzegowina" value="27">Bosnia and Herzegowina</option>
<option label="Botswana" value="28">Botswana</option>
<option label="Bouvet Island" value="29">Bouvet Island</option>
<option label="Brazil" value="30">Brazil</option>
<option label="British Indian Ocean Territory" value="31">British Indian Ocean Territory</option>
<option label="Brunei Darussalam" value="32">Brunei Darussalam</option>
<option label="Bulgaria" value="33">Bulgaria</option>
<option label="Burkina Faso" value="34">Burkina Faso</option>
<option label="Burundi" value="35">Burundi</option>
<option label="Cambodia" value="36">Cambodia</option>
<option label="Cameroon" value="37">Cameroon</option>
<option label="Canada" value="38">Canada</option>
<option label="Cape Verde" value="39">Cape Verde</option>
<option label="Cayman Islands" value="40">Cayman Islands</option>
<option label="Central African Republic" value="41">Central African Republic</option>
<option label="Chad" value="42">Chad</option>
<option label="Chile" value="43">Chile</option>
<option label="China" value="44">China</option>
<option label="Christmas Island" value="45">Christmas Island</option>
<option label="Cocos (Keeling) Islands" value="46">Cocos (Keeling) Islands</option>
<option label="Colombia" value="47">Colombia</option>
<option label="Comoros" value="48">Comoros</option>
<option label="Congo" value="49">Congo</option>
<option label="Cook Islands" value="50">Cook Islands</option>
<option label="Costa Rica" value="51">Costa Rica</option>
<option label="Cote D'Ivoire" value="52">Cote D'Ivoire</option>
<option label="Croatia" value="53">Croatia</option>
<option label="Cuba" value="54">Cuba</option>
<option label="Cyprus" value="55">Cyprus</option>
<option label="Czech Republic" value="56">Czech Republic</option>
<option label="Denmark" value="57">Denmark</option>
<option label="Djibouti" value="58">Djibouti</option>
<option label="Dominica" value="59">Dominica</option>
<option label="Dominican Republic" value="60">Dominican Republic</option>
<option label="East Timor" value="61">East Timor</option>
<option label="Ecuador" value="62">Ecuador</option>
<option label="Egypt" value="63">Egypt</option>
<option label="El Salvador" value="64">El Salvador</option>
<option label="Equatorial Guinea" value="65">Equatorial Guinea</option>
<option label="Eritrea" value="66">Eritrea</option>
<option label="Estonia" value="67">Estonia</option>
<option label="Ethiopia" value="68">Ethiopia</option>
<option label="Falkland Islands (Malvinas)" value="69">Falkland Islands (Malvinas)</option>
<option label="Faroe Islands" value="70">Faroe Islands</option>
<option label="Fiji" value="71">Fiji</option>
<option label="Finland" value="72">Finland</option>
<option label="France" value="73">France</option>
<option label="France, Metropolitan" value="74">France, Metropolitan</option>
<option label="French Guiana" value="75">French Guiana</option>
<option label="French Polynesia" value="76">French Polynesia</option>
<option label="French Southern Territories" value="77">French Southern Territories</option>
<option label="Gabon" value="78">Gabon</option>
<option label="Gambia" value="79">Gambia</option>
<option label="Georgia" value="80">Georgia</option>
<option label="Germany" value="81">Germany</option>
<option label="Ghana" value="82">Ghana</option>
<option label="Gibraltar" value="83">Gibraltar</option>
<option label="Greece" value="84">Greece</option>
<option label="Greenland" value="85">Greenland</option>
<option label="Grenada" value="86">Grenada</option>
<option label="Guadeloupe" value="87">Guadeloupe</option>
<option label="Guam" value="88">Guam</option>
<option label="Guatemala" value="89">Guatemala</option>
<option label="Guinea" value="90">Guinea</option>
<option label="Guinea-bissau" value="91">Guinea-bissau</option>
<option label="Guyana" value="92">Guyana</option>
<option label="Haiti" value="93">Haiti</option>
<option label="Heard and Mc Donald Islands" value="94">Heard and Mc Donald Islands</option>
<option label="Honduras" value="95">Honduras</option>
<option label="Hong Kong" value="96">Hong Kong</option>
<option label="Hungary" value="97">Hungary</option>
<option label="Iceland" value="98">Iceland</option>
<option label="India" value="99" selected="selected">India</option>
<option label="Indonesia" value="100">Indonesia</option>
<option label="Iran (Islamic Republic of)" value="101">Iran (Islamic Republic of)</option>
<option label="Iraq" value="102">Iraq</option>
<option label="Ireland" value="103">Ireland</option>
<option label="Israel" value="104">Israel</option>
<option label="Italy" value="105">Italy</option>
<option label="Jamaica" value="106">Jamaica</option>
<option label="Japan" value="107">Japan</option>
<option label="Jordan" value="108">Jordan</option>
<option label="Kazakhstan" value="109">Kazakhstan</option>
<option label="Kenya" value="110">Kenya</option>
<option label="Kiribati" value="111">Kiribati</option>
<option label="North Korea" value="112">North Korea</option>
<option label="South Korea" value="113">South Korea</option>
<option label="Kuwait" value="114">Kuwait</option>
<option label="Kyrgyzstan" value="115">Kyrgyzstan</option>
<option label="Lao People's Democratic Republic" value="116">Lao People's Democratic Republic</option>
<option label="Latvia" value="117">Latvia</option>
<option label="Lebanon" value="118">Lebanon</option>
<option label="Lesotho" value="119">Lesotho</option>
<option label="Liberia" value="120">Liberia</option>
<option label="Libyan Arab Jamahiriya" value="121">Libyan Arab Jamahiriya</option>
<option label="Liechtenstein" value="122">Liechtenstein</option>
<option label="Lithuania" value="123">Lithuania</option>
<option label="Luxembourg" value="124">Luxembourg</option>
<option label="Macau" value="125">Macau</option>
<option label="Macedonia" value="126">Macedonia</option>
<option label="Madagascar" value="127">Madagascar</option>
<option label="Malawi" value="128">Malawi</option>
<option label="Malaysia" value="129">Malaysia</option>
<option label="Maldives" value="130">Maldives</option>
<option label="Mali" value="131">Mali</option>
<option label="Malta" value="132">Malta</option>
<option label="Marshall Islands" value="133">Marshall Islands</option>
<option label="Martinique" value="134">Martinique</option>
<option label="Mauritania" value="135">Mauritania</option>
<option label="Mauritius" value="136">Mauritius</option>
<option label="Mayotte" value="137">Mayotte</option>
<option label="Mexico" value="138">Mexico</option>
<option label="Micronesia, Federated States of" value="139">Micronesia, Federated States of</option>
<option label="Moldova, Republic of" value="140">Moldova, Republic of</option>
<option label="Monaco" value="141">Monaco</option>
<option label="Mongolia" value="142">Mongolia</option>
<option label="Montserrat" value="143">Montserrat</option>
<option label="Morocco" value="144">Morocco</option>
<option label="Mozambique" value="145">Mozambique</option>
<option label="Myanmar" value="146">Myanmar</option>
<option label="Namibia" value="147">Namibia</option>
<option label="Nauru" value="148">Nauru</option>
<option label="Nepal" value="149">Nepal</option>
<option label="Netherlands" value="150">Netherlands</option>
<option label="Netherlands Antilles" value="151">Netherlands Antilles</option>
<option label="New Caledonia" value="152">New Caledonia</option>
<option label="New Zealand" value="153">New Zealand</option>
<option label="Nicaragua" value="154">Nicaragua</option>
<option label="Niger" value="155">Niger</option>
<option label="Nigeria" value="156">Nigeria</option>
<option label="Niue" value="157">Niue</option>
<option label="Norfolk Island" value="158">Norfolk Island</option>
<option label="Northern Mariana Islands" value="159">Northern Mariana Islands</option>
<option label="Norway" value="160">Norway</option>
<option label="Oman" value="161">Oman</option>
<option label="Pakistan" value="162">Pakistan</option>
<option label="Palau" value="163">Palau</option>
<option label="Panama" value="164">Panama</option>
<option label="Papua New Guinea" value="165">Papua New Guinea</option>
<option label="Paraguay" value="166">Paraguay</option>
<option label="Peru" value="167">Peru</option>
<option label="Philippines" value="168">Philippines</option>
<option label="Pitcairn" value="169">Pitcairn</option>
<option label="Poland" value="170">Poland</option>
<option label="Portugal" value="171">Portugal</option>
<option label="Puerto Rico" value="172">Puerto Rico</option>
<option label="Qatar" value="173">Qatar</option>
<option label="Reunion" value="174">Reunion</option>
<option label="Romania" value="175">Romania</option>
<option label="Russian Federation" value="176">Russian Federation</option>
<option label="Rwanda" value="177">Rwanda</option>
<option label="Saint Kitts and Nevis" value="178">Saint Kitts and Nevis</option>
<option label="Saint Lucia" value="179">Saint Lucia</option>
<option label="Saint Vincent and the Grenadines" value="180">Saint Vincent and the Grenadines</option>
<option label="Samoa" value="181">Samoa</option>
<option label="San Marino" value="182">San Marino</option>
<option label="Sao Tome and Principe" value="183">Sao Tome and Principe</option>
<option label="Saudi Arabia" value="184">Saudi Arabia</option>
<option label="Senegal" value="185">Senegal</option>
<option label="Seychelles" value="186">Seychelles</option>
<option label="Sierra Leone" value="187">Sierra Leone</option>
<option label="Singapore" value="188">Singapore</option>
<option label="Slovak Republic" value="189">Slovak Republic</option>
<option label="Slovenia" value="190">Slovenia</option>
<option label="Solomon Islands" value="191">Solomon Islands</option>
<option label="Somalia" value="192">Somalia</option>
<option label="South Africa" value="193">South Africa</option>
<option label="South Georgia &amp; South Sandwich Islands" value="194">South Georgia &amp; South Sandwich Islands</option>
<option label="Spain" value="195">Spain</option>
<option label="Sri Lanka" value="196">Sri Lanka</option>
<option label="St. Helena" value="197">St. Helena</option>
<option label="St. Pierre and Miquelon" value="198">St. Pierre and Miquelon</option>
<option label="Sudan" value="199">Sudan</option>
<option label="Suriname" value="200">Suriname</option>
<option label="Svalbard and Jan Mayen Islands" value="201">Svalbard and Jan Mayen Islands</option>
<option label="Swaziland" value="202">Swaziland</option>
<option label="Sweden" value="203">Sweden</option>
<option label="Switzerland" value="204">Switzerland</option>
<option label="Syrian Arab Republic" value="205">Syrian Arab Republic</option>
<option label="Taiwan" value="206">Taiwan</option>
<option label="Tajikistan" value="207">Tajikistan</option>
<option label="Tanzania, United Republic of" value="208">Tanzania, United Republic of</option>
<option label="Thailand" value="209">Thailand</option><option label="Togo" value="210">Togo</option>
<option label="Tokelau" value="211">Tokelau</option>
<option label="Tonga" value="212">Tonga</option>
<option label="Trinidad and Tobago" value="213">Trinidad and Tobago</option>
<option label="Tunisia" value="214">Tunisia</option>
<option label="Turkey" value="215">Turkey</option>
<option label="Turkmenistan" value="216">Turkmenistan</option>
<option label="Turks and Caicos Islands" value="217">Turks and Caicos Islands</option>
<option label="Tuvalu" value="218">Tuvalu</option>
<option label="Uganda" value="219">Uganda</option>
<option label="Ukraine" value="220">Ukraine</option>
<option label="United Arab Emirates" value="221">United Arab Emirates</option>
<option label="United Kingdom" value="222">United Kingdom</option>
<option label="United States" value="223">United States</option>
<option label="United States Minor Outlying Islands" value="224">United States Minor Outlying Islands</option>
<option label="Uruguay" value="225">Uruguay</option>
<option label="Uzbekistan" value="226">Uzbekistan</option>
<option label="Vanuatu" value="227">Vanuatu</option>
<option label="Vatican City State (Holy See)" value="228">Vatican City State (Holy See)</option>
<option label="Venezuela" value="229">Venezuela</option>
<option label="Viet Nam" value="230">Viet Nam</option>
<option label="Virgin Islands (British)" value="231">Virgin Islands (British)</option>
<option label="Virgin Islands (U.S.)" value="232">Virgin Islands (U.S.)</option>
<option label="Wallis and Futuna Islands" value="233">Wallis and Futuna Islands</option>
<option label="Western Sahara" value="234">Western Sahara</option>
<option label="Yemen" value="235">Yemen</option>
<option label="Yugoslavia" value="236">Yugoslavia</option>
<option label="Democratic Republic of Congo" value="237">Democratic Republic of Congo</option>
<option label="Zambia" value="238">Zambia</option>
<option label="Zimbabwe" value="239">Zimbabwe</option>
<option label="Aland Islands" value="240">Aland Islands</option>
<option label="St Barthelemy" value="241">St Barthelemy</option>
<option label="Guernsey" value="242">Guernsey</option>
<option label="Isle of Man" value="243">Isle of Man</option>
<option label="Jersey" value="244">Jersey</option>
<option label="Montenegro" value="245">Montenegro</option>
<option label="St Martin (French part)" value="246">St Martin (French part)</option>
<option label="Serbia" value="247">Serbia</option>
<option label="South Sudan" value="248">South Sudan</option>
</select>
</div>
<div class="col-12 col-lg-3">
<label for="Pincode" class="form-label required">Pincode</label>
<input type="text" class="form-control" id="buyer_mobile_no" name="buyer_mobile_no" placeholder="Pincode">
</div>
</div>
</div>
</div>
<div class="col">
<button type="button" class="btn btn-primary px-5">Save Details</button>
</div>
</div>
</div>
</div>
</div>
<?php include 'footer.php'; ?>
Zerion Mini Shell 1.0