EVOLUTION-NINJA

Edit File: add_planning_orderpre.php

<?php //include("menu.php");  ?>

<style>
    .control-label { font-size: 11.5px;  }
</style>

<h3 class="page-title"> Planning Order </h3>
        <div class="page-bar">
            <ul class="page-breadcrumb">
                <li> <i class="fa fa-home"></i> <a href="dashboard.php">Home</a> <i class="fa fa-angle-right"></i> Planning Order</li>
            </ul>
        </div>

</div>
                                <div class="row">

<div class="md-radio-inline">
                                                        <div class="md-radio">
                                                            <input type="radio" id="radio6" name="radio2" class="md-radiobtn">
                                                            <label for="radio6">
                                                                <span class="inc"></span>
                                                                <span class="check"></span>
                                                                <span class="box"></span>
                                                                OSL </label>
                                                        </div>
                                                        <div class="md-radio">
                                                            <input type="radio" id="radio7" name="radio2" class="md-radiobtn" >
                                                            <label for="radio7">
                                                                <span class="inc"></span>
                                                                <span class="check"></span>
                                                                <span class="box"></span>
                                                                SD </label>
                                                        </div>
                                                        <div class="md-radio">
                                                            <input type="radio" id="radio8" name="radio2" class="md-radiobtn">
                                                            <label for="radio8">
                                                                <span></span>
                                                                <span class="check"></span>
                                                                <span class="box"></span>
                                                                Stock </label>
                                                        </div>
                                                        <div class="md-radio">
                                                            <input type="radio" id="radio9" name="radio2" class="md-radiobtn">
                                                            <label for="radio9">
                                                                <span></span>
                                                                <span class="check"></span>
                                                                <span class="box"></span>
                                                                RH </label>
                                                        </div>
                                                        <div class="md-radio">
                                                            <input type="radio" id="radio8" name="radio2" class="md-radiobtn">
                                                            <label for="radio8">
                                                                <span></span>
                                                                <span class="check"></span>
                                                                <span class="box"></span>
                                                                JW </label>
                                                        </div>
                                                    </div>
                                                </div>  
                                            </div>
                                        </div>

</div>

</div>
                            </div>

</div>
                                <div class="row">
                                    <div class="col-md-12">

<div class="row">
                                            <div class="col-md-4">
                                                <div class="form-group">
                                                    <label class="control-label col-md-4">OSL No:</label>
                                                    <div class="col-md-8">
                                                        <input type="text" class="form-control" readonly="readonly">
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <label class="control-label col-md-4">File No:</label>
                                                    <div class="col-md-8">
                                                        <div class="input-group">
                                                            <div class="input-group-btn">
                                                                <select name="qbweights" class="form-control" style="width: 40px;">
                                                                    <option value="$">A</option>
                                                                    <option value="YARDS">B</option>
                                                                </select>
                                                            </div>
                                                            <select name="qbweights" class="form-control">
                                                                <option value="$">Select</option>

</select>

</div>
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <label class="control-label col-md-4">Party name:</label>
                                                    <div class="col-md-8">
                                                        <input type="text" class="form-control" readonly="readonly">
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <label class="control-label col-md-4">Forecast No:</label>
                                                    <div class="col-md-8">
                                                        <select name="qbweights" class="form-control">
                                                            <option value="$">Select</option>
                                                            <option value="YARDS"></option>
                                                        </select>
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <label class="control-label col-md-4">Mode of Order:</label>
                                                    <div class="col-md-8">
                                                        <input type="text" class="form-control">
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <label class="control-label col-md-4">Party Order No:</label>
                                                    <div class="col-md-8">
                                                        <input type="text" class="form-control">
                                                    </div>
                                                </div>

</div>

<div class="col-md-4">
                                                <div class="form-group">
                                                    <label class="control-label col-md-4">Party Ref:</label>
                                                    <div class="col-md-8">
                                                        <input type="text" class="form-control">
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <label class="control-label col-md-4">Order Date:</label>
                                                    <div class="col-md-8">
                                                        <div class="input-group">
                                                            <input type="text" class="form-control"  data-provide="datepicker">
                                                            <span class="input-group-addon"> <i class="fa fa-calendar"></i> </span> </div>
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <label class="control-label col-md-4">Order Rec Date:</label>
                                                    <div class="col-md-8">
                                                        <div class="input-group">
                                                            <input type="text" class="form-control"  data-provide="datepicker">
                                                            <span class="input-group-addon"> <i class="fa fa-calendar"></i> </span> </div>
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <label class="control-label col-md-4">Delivery Date:</label>
                                                    <div class="col-md-8">
                                                        <div class="input-group">
                                                            <input type="text" class="form-control"  data-provide="datepicker">
                                                            <span class="input-group-addon"> <i class="fa fa-calendar"></i> </span> </div>
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <label class="control-label col-md-4">Banker Name:</label>
                                                    <div class="col-md-8">
                                                        <input type="text" class="form-control" readonly="readonly">
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <label class="control-label col-md-4">Agent Name:</label>
                                                    <div class="col-md-8">
                                                        <input type="text" class="form-control" readonly="readonly">
                                                    </div>
                                                </div>
                                            </div>

<div class="col-md-4">
                                                <div class="form-group">
                                                    <label class="control-label col-md-4">Commision%:</label>
                                                    <div class="col-md-8">
                                                        <input type="text" class="form-control" readonly="readonly">
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <label class="control-label col-md-4">Validity Date:</label>
                                                    <div class="col-md-8">
                                                        <input type="text" class="form-control" readonly="readonly">
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <label class="control-label col-md-4">Currency Name:</label>
                                                    <div class="col-md-8">
                                                        <select name="qbweights" class="form-control">
                                                            <option value="$">Select</option>
                                                            <option value="YARDS"></option>
                                                        </select>
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <label class="control-label col-md-4">Ex Rate:</label>
                                                    <div class="col-md-8">
                                                        <input type="text" class="form-control">
                                                    </div>
                                                </div>

</div>

</div>
                            </div>

</div>
                                <div class="row">
                                    <div class="col-md-3">
                                        <div class="form-group">
                                            <label class="control-label col-md-4">Sub Code:</label>
                                            <div class="col-md-8">
                                                <input type="text" class="form-control" readonly="readonly">
                                            </div>
                                        </div>
                                    </div>

<div class="col-md-3">
                                        <div class="form-group">
                                            <label class="control-label col-md-7">Order Confirmation:</label>
                                            <div class="col-md-3">
                                                <div class="md-checkbox">
                                                    <input type="checkbox" id="checkbox1" class="md-check">
                                                    <label for="checkbox1">
                                                        <span class="inc"></span>
                                                        <span class="check"></span>
                                                        <span class="box"></span>
                                                    </label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>

<div class="col-md-3">
                                        <div class="form-group">
                                            <label class="control-label col-md-4">Confirm Date:</label>
                                            <div class="col-md-8">
                                                <div class="input-group">
                                                    <input type="text" class="form-control"  data-provide="datepicker">
                                                    <span class="input-group-addon"> <i class="fa fa-calendar"></i> </span> </div>
                                            </div>
                                        </div>
                                    </div>

<div class="col-md-3">
                                        <div class="form-group">
                                            <label class="control-label col-md-4">Person:</label>
                                            <div class="col-md-8">
                                                <input type="text" class="form-control">
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>

<div class="portlet-body" >
                                            <ul class="nav nav-tabs">
                                                <li class="active">
                                                    <a href="#tab_1_1" data-toggle="tab" aria-expanded="true">
                                                        Product Description </a>
                                                </li>
                                                <li class="">
                                                    <a href="#tab_1_2" data-toggle="tab" aria-expanded="false">
                                                        Delivery Terms </a>
                                                </li>
                                                <li class="dropdown">
                                                    <a href="#tab_1_3" data-toggle="tab" aria-expanded="false">
                                                        Packing and Insp Terms 
                                                    </a>

</li>
                                                <li class="dropdown">
                                                    <a href="#tab_1_4" data-toggle="tab" aria-expanded="false">
                                                        LC Terms 
                                                    </a>

</li>
                                            </ul>
                                            <div class="tab-content" >
                                                <div class="tab-pane fade active in" id="tab_1_1">
                                                    <div class="row">

<div class="col-md-4">
                                                            <fieldset style="background: #fff; padding:20px 20px 0 10px;">
                                                                <div class="form-group">
                                                                    <label class="control-label col-md-4">Order Type:</label>
                                                                    <div class="col-md-7">
                                                                        <select name="qbweights" class="form-control" style="height: 25px;">
                                                                            <option value="$">Select</option>
                                                                            <option value="YARDS"></option>
                                                                        </select>

</div>
                                                                </div>
                                                                <div class="form-group">
                                                                    <label class="control-label col-md-4">Units:</label>
                                                                    <div class="col-md-7">
                                                                        <select name="qbweights" class="form-control" style="height: 25px;">
                                                                            <option value="$">Select</option>
                                                                            <option value="YARDS"></option>
                                                                        </select>
                                                                    </div>
                                                                </div>
                                                                <div class="form-group">
                                                                    <label class="control-label col-md-4">Article No:</label>
                                                                    <div class="col-md-7">
                                                                        <select name="qbweights" class="form-control" style="height: 25px;">
                                                                            <option value="$">Select</option>
                                                                            <option value="YARDS"></option>
                                                                        </select>
                                                                    </div>
                                                                </div>
                                                                <div class="form-group">
                                                                    <label class="control-label col-md-4">Design:</label>
                                                                    <div class="col-md-7">
                                                                        <input type="text" class="form-control" style="height: 25px;" readonly="readonly">
                                                                    </div>
                                                                </div>
                                                                <div class="form-group">
                                                                    <label class="control-label col-md-4">Quality:</label>
                                                                    <div class="col-md-7">
                                                                        <input type="text" class="form-control" style="height: 25px;" readonly="readonly">
                                                                    </div>
                                                                </div>
                                                                <div class="form-group">
                                                                    <label class="control-label col-md-4">Width:</label>
                                                                    <div class="col-md-7">
                                                                        <input type="text" class="form-control" style="height: 25px;">
                                                                    </div>
                                                                </div>
                                                                <div class="form-group">
                                                                    <label class="control-label col-md-4">Description:</label>
                                                                    <div class="col-md-7">
                                                                        <input type="text" class="form-control" style="height: 25px;">
                                                                    </div>
                                                                </div>
                                                                <div class="form-group">
                                                                    <label class="control-label col-md-4">Payment Terms:</label>
                                                                    <div class="col-md-7">
                                                                        <select name="qbweights" class="form-control" style="height: 25px;">
                                                                            <option value="$">Select</option>
                                                                            <option value="YARDS"></option>
                                                                        </select>
                                                                    </div>
                                                                </div>
                                                                <div class="form-group">
                                                                    <label class="control-label col-md-4">Contract Type:</label>
                                                                    <div class="col-md-7">
                                                                        <select name="qbweights" class="form-control" style="height: 25px;">
                                                                            <option value="$">Select</option>
                                                                            <option value="YARDS"></option>
                                                                        </select>
                                                                    </div>
                                                                </div>
                                                            </fieldset>
                                                        </div>

<div class="row">
                                                                <div class="col-md-12">
                                                                    <div class="portlet-body">
                                                                        <div class="table-scrollable" style="height: 300px;">
                                                                            <table class="table table-striped table-bordered table-hover">
                                                                                <thead>
                                                                                    <tr>
                                                                                        <th scope="col" style="width:450px !important">
                                                                                            Our Shades
                                                                                        </th>
                                                                                        <th scope="col">
                                                                                            Buyer Shades
                                                                                        </th>
                                                                                        <th scope="col">
                                                                                            Quantity
                                                                                        </th>
                                                                                        <th scope="col">
                                                                                            Unit Price
                                                                                        </th>
                                                                                        <th scope="col">
                                                                                            Foreign Value
                                                                                        </th>
                                                                                        <th scope="col">
                                                                                            Delivery Date
                                                                                        </th>
                                                                                        <th scope="col">
                                                                                            SKU No.
                                                                                        </th>

</tr>
                                                                                </thead>
                                                                                <tbody style="background: #fff;">

</tr>

</tbody>
                                                                            </table>
                                                                        </div>
                                                                    </div>
                                                                </div>
                                                            </div>
                                                            <div class="row">
                                                                <div class="col-md-2">
                                                                    <div class="form-group">
                                                                        <div class="col-md-12">
                                                                            <label class="control-label">Total Qty:</label>
                                                                            <input type="text" class="form-control" style="height: 25px;">
                                                                        </div>
                                                                    </div>
                                                                </div>
                                                                <div class="col-md-2">
                                                                    <div class="form-group">
                                                                        <div class="col-md-12">
                                                                            <label class="control-label">Total Value:</label>
                                                                            <input type="text" class="form-control" style="height: 25px;">
                                                                        </div>
                                                                    </div>
                                                                </div>
                                                                <div class="col-md-2">
                                                                    <div class="form-group">
                                                                        <div class="col-md-12">
                                                                            <label class="control-label">Discount(%):</label>
                                                                            <input type="text" class="form-control" style="height: 25px;">
                                                                        </div>
                                                                    </div>
                                                                </div>
                                                                <div class="col-md-3">
                                                                    <div class="form-group">
                                                                        <div class="col-md-12">
                                                                            <label class="control-label">Net Value:</label>
                                                                            <input type="text" class="form-control" style="height: 25px;">
                                                                        </div>
                                                                    </div>
                                                                </div>
                                                                <div class="col-md-3">
                                                                    <div class="form-group">
                                                                        <div class="col-md-12">
                                                                            <label class="control-label">Indian Value:</label>
                                                                            <input type="text" class="form-control" style="height: 25px;">
                                                                        </div>
                                                                    </div>
                                                                </div>
                                                            </div>

</div>
                                                    </div>
                                                </div>
                                                <div class="tab-pane fade" id="tab_1_2">
                                                    <div class="row">
                                                        <div class="col-md-1"></div>
                                                        <div class="col-md-8"><br>
                                                            <div class="form-group">
                                                                <label class="control-label col-md-4">Freight Forwarder:</label>
                                                                <div class="col-md-6">
                                                                    <input type="text" class="form-control" style="height: 25px;">
                                                                </div>
                                                            </div>
                                                            <div class="form-group">
                                                                <label class="control-label col-md-4">Freight Type:</label>
                                                                <div class="col-md-6">
                                                                    <select name="qbweights" class="form-control" style="height: 25px;">
                                                                        <option value="$">Select</option>
                                                                        <option value="YARDS"></option>
                                                                    </select>
                                                                </div>
                                                            </div>
                                                            <div class="form-group">
                                                                <label class="control-label col-md-4">Delivery Mode:</label>
                                                                <div class="col-md-6">
                                                                    <select name="qbweights" class="form-control" style="height: 25px;">
                                                                        <option value="$">Select</option>
                                                                        <option value="YARDS"></option>
                                                                    </select>
                                                                </div>
                                                            </div>
                                                            <div class="form-group">
                                                                <label class="control-label col-md-4">Delivery Point:</label>
                                                                <div class="col-md-6">
                                                                    <input type="text" class="form-control" style="height: 25px;">
                                                                </div>
                                                            </div>
                                                        </div>
                                                        <div class="col-md-2"></div>	
                                                    </div>
                                                </div>
                                                <div class="tab-pane fade" id="tab_1_3">
                                                    <div class="row">
                                                        <div class="col-md-6"><br>
                                                            <fieldset style="background: #fff;">
                                                                <legend>Packing Instruction</legend>
                                                                <div class="form-group">
                                                                    <label class="control-label col-md-4">Type:</label>
                                                                    <div class="col-md-6">
                                                                        <select name="qbweights" class="form-control">
                                                                            <option value="$">Select</option>
                                                                            <option value="YARDS"></option>
                                                                        </select>
                                                                    </div>
                                                                </div>
                                                                <div class="form-group">
                                                                    <label class="control-label col-md-4">Label Terms:</label>
                                                                    <div class="col-md-6">
                                                                        <input type="text" class="form-control">
                                                                    </div>
                                                                </div>
                                                                <div class="form-group">
                                                                    <label class="control-label col-md-4">Instructions:</label>
                                                                    <div class="col-md-6">
                                                                        <input type="text" class="form-control">
                                                                    </div>
                                                                </div>
                                                            </fieldset>

</div>
                                                        <div class="col-md-6"><br>
                                                            <fieldset style="background: #fff;">
                                                                <legend>Inspection Instruction</legend>
                                                                <div class="form-group">
                                                                    <label class="control-label col-md-4">Date:</label>
                                                                    <div class="col-md-6">
                                                                        <div class="input-group">
                                                                            <input type="text" class="form-control"  data-provide="datepicker">
                                                                            <span class="input-group-addon"> <i class="fa fa-calendar"></i> </span> </div>
                                                                    </div>
                                                                </div>
                                                                <div class="form-group">
                                                                    <label class="control-label col-md-4">Agency Address:</label>
                                                                    <div class="col-md-6">
                                                                        <textarea class="form-control"></textarea>
                                                                    </div>
                                                                </div>
                                                            </fieldset>

</div>

</div>
                                                </div>
                                                <div class="tab-pane fade" id="tab_1_4">
                                                    <div class="row">
                                                        <div class="col-md-1"></div>
                                                        <div class="col-md-8"><br>
                                                            <div class="form-group">
                                                                <label class="control-label col-md-4">LC No:</label>
                                                                <div class="col-md-6">
                                                                    <input type="text" class="form-control">
                                                                </div>
                                                            </div>
                                                            <div class="form-group">
                                                                <label class="control-label col-md-4">LC Date:</label>
                                                                <div class="col-md-6">
                                                                    <div class="input-group">
                                                                        <input type="text" class="form-control"  data-provide="datepicker">
                                                                        <span class="input-group-addon"> <i class="fa fa-calendar"></i> </span> </div>
                                                                </div>
                                                            </div>
                                                            <div class="form-group">
                                                                <label class="control-label col-md-4">Expiry Date:</label>
                                                                <div class="col-md-6">
                                                                    <div class="input-group">
                                                                        <input type="text" class="form-control"  data-provide="datepicker">
                                                                        <span class="input-group-addon"> <i class="fa fa-calendar"></i> </span> </div>
                                                                </div>
                                                            </div>
                                                            <div class="form-group">
                                                                <label class="control-label col-md-4">Days Credit:</label>
                                                                <div class="col-md-6">
                                                                    <input type="text" class="form-control" >
                                                                </div>
                                                            </div>
                                                            <div class="form-group">
                                                                <label class="control-label col-md-4">Bank:</label>
                                                                <div class="col-md-6">
                                                                    <input type="text" class="form-control" >
                                                                </div>
                                                            </div>
                                                            <div class="form-group">
                                                                <label class="control-label col-md-4">Amount:</label>
                                                                <div class="col-md-6">
                                                                    <input type="text" class="form-control" >
                                                                </div>
                                                            </div>
                                                        </div>
                                                        <div class="col-md-2"></div>	
                                                    </div>
                                                </div>
                                            </div>
                                            <div class="clearfix margin-bottom-20">
                                            </div>

</div>
                                    </div>

<div class="form-actions" >
                                        <div class="row"  >
                                            <div class="col-md-8" >
                                                <div class="row">
                                                    <div class="col-md-offset-1 col-md-9">
                                                        <button type="submit" class="btn" style=" color:#FFFFFF; background:#485b7f;">Submit</button>
                                                        <button type="button" class="btn default" style=" width:20%;">Cancel</button>
                                                    </div>
                                                </div>
                                            </div>
                                        </div>
                                    </div>

</div>

</div>
                    </div>

</div>
            </form>
            
        </div>

</div>

</div>
</div>
</div>

<div class="form-body">
                    <h3 class="form-section">Customer Details</h3>
                    <div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Customer Name :</label>

<div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Product Type :</label>
                                <div class="col-md-6">
                                    <span id="productType"></span>
                                </div>
                            </div>
                        </div>
                         
                    </div>

<div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">customer id :</label>

</div>
                        </div>

</div>
                    
                    <div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Customer Address :</label>

<div class="col-md-6">
                                    <span id="customerAddress"></span>
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Country :</label>

<div class="col-md-6">
                                    <span id="country"></span>
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Banker Name :</label>

<div class="col-md-6">
                                    <span id="bankerName"></span>
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Banker Address :</label>
                                <div class="col-md-6">
                                    <span id="bankerAddress"></span>
                                </div>
                            </div>
                        </div>
                    </div>

<div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Notes</label>

<h3 class="form-section">Contact Person</h3>
                    <div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Department :</label>
                                <div class="col-md-6">
                                    <span id="department"></span>
                                </div>
                            </div>
                        </div>
                    </div>

<div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Mobile No :</label>
                                <div class="col-md-6">
                                    <span id="mobileno"></span>
                                </div>
                            </div>
                        </div>
                    </div>

<div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Phone No :</label>
                                <div class="col-md-6">
                                    <span id="phoneno"></span>
                                </div>
                            </div>
                        </div>
                    </div>

<div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Website:</label>
                                <div class="col-md-6">
                                    <span id="website"></span>
                                </div>
                            </div>
                        </div>
                    </div>

<h3 class="form-section">Consignee Details</h3>
                    <div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Consignee Name :</label>
                                <div class="col-md-6">
                                    <span id="consigneename"></span>
                                </div>

</div>
                        </div>
                    </div>
                    
                    <div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Consignee Address :</label>

</div>
                        </div>
                    </div>

<div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Agent Name :</label>

</div>
                        </div>
                    </div>

<div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Agent Address :</label>

<div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Agent Contact person :</label>

</div>
                        </div>
                    </div>

<div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Mobile No :</label>
                                <div class="col-md-6">
                                    <span id="agentmobile"></span>
                                </div>
                            </div>
                        </div>
                    </div>

<div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Phone No :</label>
                                <div class="col-md-6">
                                    <span id="agentphone"></span>
                                </div>
                            </div>
                        </div>
                    </div>

<div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Website:</label>
                                <div class="col-md-6">
                                    <span id="agentwebsite"></span>
                                </div>
                            </div>
                        </div>
                    </div>

<div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Agent Commission(%) :</label>

<div class="row">
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label col-md-3">Agency From date :</label>

</div>
                        </div>
                    </div>
                </div>

</div>

<br>
            <div class="form-actions">
                <div class="row">
                    <div class="col-md-8">
                        <div class="row">
                            <div class="col-md-offset-3 col-md-9">

<input type="submit" name="submitcustomer"  value="Add New Customer" class="btn" style=" width:50%; color:#FFFFFF; background:#485b7f;">
                                <a href="<?php echo base_url(); ?>dashboard/customer_master_details" class="btn default" style=" width:20%;">Cancel</a>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
</div>
</span>

</div>