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payment.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Medical|home</title>
<!-- pure css -->
<link rel="stylesheet" href="../css/style.css">
<!-- font-awesome -->
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/5.15.3/css/all.min.css" integrity="sha512-iBBXm8fW90+nuLcSKlbmrPcLa0OT92xO1BIsZ+ywDWZCvqsWgccV3gFoRBv0z+8dLJgyAHIhR35VZc2oM/gI1w==" crossorigin="anonymous" referrerpolicy="no-referrer" />
<!-- bootstrap -->
<link href="https://cdn.jsdelivr.net/npm/bootstrap@5.1.3/dist/css/bootstrap.min.css" rel="stylesheet" integrity="sha384-1BmE4kWBq78iYhFldvKuhfTAU6auU8tT94WrHftjDbrCEXSU1oBoqyl2QvZ6jIW3" crossorigin="anonymous">
<!-- js -->
<script src="https://cdn.jsdelivr.net/npm/bootstrap@5.1.3/dist/js/bootstrap.bundle.min.js" integrity="sha384-ka7Sk0Gln4gmtz2MlQnikT1wXgYsOg+OMhuP+IlRH9sENBO0LRn5q+8nbTov4+1p" crossorigin="anonymous"></script>
</head>
<body>
<!-- navbar -->
<nav class="navbar navbar-expand-lg navbar-dark ">
<div class="container">
<h2>Apmedico</h2>
<button class="navbar-toggler" type="button" data-bs-toggle="collapse" data-bs-target="#navbarSupportedContent" aria-controls="navbarSupportedContent" aria-expanded="false" aria-label="Toggle navigation">
<span class="navbar-toggler-icon"></span>
</button>
<div class="collapse navbar-collapse" id="navbarSupportedContent">
<ul class="navbar-nav me-auto mb-2 mb-lg-0">
<li class="nav-item">
<a class="nav-link active" aria-current="" href="indexnew.html">Home</a>
</li>
<li class="nav-item">
<a class="nav-link active" href="about.html">About</a>
</li>
<!-- <li class="nav-item">
<a class="nav-link active" href="#">Product</a>
</li> -->
<li class="nav-item">
<a class="nav-link active" href="contact.html">Contact</a>
</li>
<!-- <li class="nav-item">
<a class="nav-link active" href="#">Cart</a>
</li> -->
<li class="nav-item">
<a class="nav-link active" href="wholesale.html">wholesale</a>
</li>
<!-- <li class="nav-item dropdown">
<a class="nav-link dropdown-toggle" href="#" id="navbarDropdown" role="button" data-bs-toggle="dropdown" aria-expanded="false">
Products
</a>
<ul class="dropdown-menu" aria-labelledby="navbarDropdown">
<li><a class="dropdown-item" href="#">Action</a></li>
<li><a class="dropdown-item" href="#">Another action</a></li>
<li><hr class="dropdown-divider"></li>
<li><a class="dropdown-item" href="#">Something else here</a></li>
</ul>
</li> -->
<!-- <li class="nav-item">
<a class="nav-link">Login</a>
</li> -->
<!-- <li class="nav-item">
<a class="nav-link">Blog</a>
</li> -->
</ul>
<form class="d-flex">
<div class="sb-example-1">
<div class="search">
<button type="submit" class="searchButton">
<i class="fa fa-search"></i>
</button>
<input type="text" class="searchTerm" placeholder="Seacrch..">
</div>
</div>
</form>
</div>
</div>
</nav>
<!-- navbar -->
<div class="payhead">
<div class="container">
<h1 class="heading-info">Please fillup the details of the shop</h1>
</div>
</div>
<div class="info-mainform">
<div class="container">
<div class="">
<h4 class="mb-5 "> <span class="fent-text">Total Amount :</span> Rs.800</h4>
<div class="detail-form">
<div class="input-form">
<div>
<label for="">Buyer Name</label>
</div>
<div>
<input type="text">
</div>
</div>
<div class="input-form ml-3">
<div>
<label for="">Shop Name</label>
</div>
<div>
<input type="text">
</div>
</div>
</div>
<div class="detail-form mt-3">
<div class="input-form">
<div>
<label for="">Mobile No.</label>
</div>
<div>
<input type="text">
</div>
</div>
<div class="input-form ml-3">
<div>
<label for="">Email Id</label>
</div>
<div>
<input type="text">
</div>
</div>
</div>
<div class="detail-form mt-3">
<div class="input-form">
<div>
<label for="">Address</label>
</div>
<div>
<input type="text" height="100px" width=100px>
</div>
</div>
<div class="input-form ml-3">
<div>
<label for="">State</label>
</div>
<div>
<input type="text">
</div>
</div>
</div>
<div class="detail-form mt-3">
<div class="input-form">
<div>
<label for="">Pin Code</label>
</div>
<div>
<input type="text">
</div>
</div>
<div class="input-form ml-3">
<div>
<label for="">GSTIN</label>
</div>
<div>
<input type="text">
</div>
</div>
</div>
<a href="paymentdetail.html" class="next-btn text-center">Next</a>
</div>
</div>
</div>
<!-- Footer -->
<div class="footer">
<div class="footer-grid">
<div class="footer-heading">
<div class="leoshine">
<span class="brand-text">Apmedico</span>
<p class="footer-para">Scelerisque sit et bibendum molestie duis in velit dis. Ac viverra nunc nulla sed dui. Et faucibus lobortis ultrices fermentum luctus feugiat semper. </p>
</div>
</div>
<div class="footer-about">
<ul>
<li>About Us</li>
<li>Shop</li>
<li>Term</li>
<li>Services</li>
<li>Contact Us</li>
</ul>
</div>
<div class="footer-contact">
<span>Contact Us</span>
<div class="contact-felx">
<div class="icon">
<i class="fa fa-envelope" aria-hidden="true"></i>
</div>
<div class="">
<span>apmedico@gmail.com</span>
</div>
</div>
<div class="contact-felx">
<div class="icon">
<i class="fa fa-phone" aria-hidden="true"></i>
</div>
<div class="">
<span>9876543210</span>
</div>
</div>
<div class="contact-felx">
<div class="icon">
<i class="fa fa-map-marker-alt" aria-hidden="true"></i>
</div>
<div class="">
<span>2118 Thornridge cir.syracuse, connecticut 35624</span>
</div>
</div>
</div>
<div class="singup">
<span> Sing up for Update</span>
<input type="text" name="" id="" placeholder="Email"><br>
<input type="submit" value="Submit" class="btn btn-dark">
</div>
</div>
</div>
<script src="../js/jquery.js"></script>
<script src="../js/myjs.js"></script>
</body>
</html>