forked from pankajsbisht143/YourPharmacy
-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathedit.html
74 lines (58 loc) · 2.93 KB
/
edit.html
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
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Edit</title>
<link rel="stylesheet" href="./styles/edit.css">
</head>
<body>
<!-- -----------------------Navbar Container-------------------- -->
<div id="Edit_v_Navbar"></div>
<div id="main_containerDIV">
<div id="address_mainDIV">
<form id="address_form">
<label for="contact details">CONTACT DETAILS</label>
<input type="text" id="fName" placeholder="First Name" value="" required/>
<input type="text" id="lName" placeholder="Last Name" required />
<input type="number" id="number" placeholder="Mobile Number" value="" required />
<label for="address">ADDRESS</label>
<input type="text" id="pincode" placeholder="Pin Code*" value="" required/>
<input type="text" id="address" placeholder="Address(House No.,Building,Street,Area)*" value="" required/>
<input type="text" id="locality" placeholder="Locality/Town*" value="" required />
<input type="text" id="city" placeholder="City/District*" value="" required/>
<input type="text" id="state" placeholder="State*" value="" required />
<input type="submit" id="change_btn" style="color: aliceblue ; background-color:rgb(0, 81, 92);" placeholder="Save Changes" value="Save Changes" />
</form>
</div>
<div id="payment_DIV">
<!-- <h2>DELIVERY ESTIMATES</h2>
<div id="tp_div">
<p >Total MRP</p>
<p style="color:lightslategray">0</p>
</div>
<div id="tp_div1">
<p>Discount on MRP</p>
<p style="color:lightslategray">0</p>
</div>
<div id="tp_div2">
<p>Convenience Fee</p>
<p style="text-decoration: line-through; color:lightslategray">99</p>
</div>
<hr>
<div id="tp_div3">
<p>Total Amount</p>
<p style="color:lightslategray">0</p>
</div>
<button id="payment_btn">Pay Now</button> -->
<img src="./images/doc-image.jpg"
alt="image">
</div>
</div>
<!-- -------------------------Footer Container---------------------- -->
<div id="Edit_v_Footer"></div>
</body>
</html>
<script src="./script/edit.js" type="module"></script>
<script type="module" src="https://unpkg.com/ionicons@7.1.0/dist/ionicons/ionicons.esm.js"></script>
<script nomodule src="https://unpkg.com/ionicons@7.1.0/dist/ionicons/ionicons.js"></script>