test-form.html 9.9 KB

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  1. <!DOCTYPE HTML>
  2. <html>
  3. <head>
  4. <title>[[*longtitle]] | [[++site_name]]</title>
  5. <meta name="viewport" content="width=device-width, initial-scale=1" />
  6. <meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
  7. <meta name="keywords" content="[[*introtext]]" />
  8. <meta name="description" content="[[*description]]" />
  9. <link href="https://fonts.googleapis.com/css?family=Montserrat" rel="stylesheet">
  10. <link href="https://fonts.googleapis.com/css?family=Muli" rel="stylesheet">
  11. <script src="https://use.fontawesome.com/1e2844bb90.js"></script>
  12. <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script>
  13. <script type="application/x-javascript"> addEventListener("load", function() { setTimeout(hideURLbar, 0); }, false); function hideURLbar(){ window.scrollTo(0,1); } </script>
  14. <link href="client-assets/css/bootstrap.min.css" rel='stylesheet' type='text/css' />
  15. <!-- Custom Theme files -->
  16. <link href="client-assets/css/style.css" rel='stylesheet' type='text/css' />
  17. <!-- Mainly scripts -->
  18. <script src="client-assets/js/jquery.metisMenu.js"></script>
  19. <script src="client-assets/js/jquery.slimscroll.min.js"></script>
  20. <!-- Custom and plugin javascript -->
  21. <link href="client-assets/css/custom.css" rel="stylesheet">
  22. <script src="client-assets/js/custom.js"></script>
  23. <script src="client-assets/js/screenfull.js"></script>
  24. <script>
  25. $(function () {
  26. $('#supported').text('Supported/allowed: ' + !!screenfull.enabled);
  27. if (!screenfull.enabled) {
  28. return false;
  29. }
  30. $('#toggle').click(function () {
  31. screenfull.toggle($('#container')[0]);
  32. });
  33. });
  34. </script>
  35. <!----->
  36. <!--pie-chart--->
  37. <script src="client-assets/js/pie-chart.js" type="text/javascript"></script>
  38. <script type="text/javascript">
  39. $(document).ready(function () {
  40. $('#demo-pie-1').pieChart({
  41. barColor: '#3bb2d0',
  42. trackColor: '#eee',
  43. lineCap: 'round',
  44. lineWidth: 8,
  45. onStep: function (from, to, percent) {
  46. $(this.element).find('.pie-value').text(Math.round(percent) + '%');
  47. }
  48. });
  49. $('#demo-pie-2').pieChart({
  50. barColor: '#fbb03b',
  51. trackColor: '#eee',
  52. lineCap: 'butt',
  53. lineWidth: 8,
  54. onStep: function (from, to, percent) {
  55. $(this.element).find('.pie-value').text(Math.round(percent) + '%');
  56. }
  57. });
  58. $('#demo-pie-3').pieChart({
  59. barColor: '#ed6498',
  60. trackColor: '#eee',
  61. lineCap: 'square',
  62. lineWidth: 8,
  63. onStep: function (from, to, percent) {
  64. $(this.element).find('.pie-value').text(Math.round(percent) + '%');
  65. }
  66. });
  67. });
  68. </script>
  69. <!--skycons-icons-->
  70. <script src="client-assets/js/skycons.js"></script>
  71. <!--//skycons-icons-->
  72. </head>
  73. <body>
  74. <div id="wrapper">
  75. <nav class="navbar-default navbar-static-top" role="navigation">
  76. <div class="navbar-header">
  77. <button type="button" class="navbar-toggle" data-toggle="collapse" data-target=".navbar-collapse">
  78. <span class="sr-only">Toggle navigation</span>
  79. <span class="icon-bar"></span>
  80. <span class="icon-bar"></span>
  81. <span class="icon-bar"></span>
  82. </button>
  83. <h1> <a class="navbar-brand" href="index.html">Minimal</a></h1>
  84. </div>
  85. <div class=" border-bottom">
  86. </nav>
  87. <div id="page-wrapper" class="gray-bg dashbard-1">
  88. <div class="content-main">
  89. <div class="grid-system">
  90. <div class="grid-form1">
  91. <h3 id="forms-example" class="">Plant Test Analysis Report</h3>
  92. <span class="error">* required fields.</span>
  93. <form action="post.php" method="post" >
  94. <div class="col-md-6 form-group">
  95. <label for="Email1">Email address<span class="error">*</span></label>
  96. <input type="email" class="form-control" id="email" placeholder="Email address">
  97. </div>
  98. <div class="col-md-6 form-group">
  99. <label for="Name">Client Name<span class="error">*</span></label>
  100. <input type="text" class="form-control" id="client_name" placeholder="Client Name">
  101. </div>
  102. <div class="col-md-6 form-group">
  103. <label for="Name">Site Address</label>
  104. <input type="text" class="form-control" id="site_address" placeholder="Site Address">
  105. </div>
  106. <div class="col-md-6 form-group">
  107. <label for="Name">State & Postcode</label>
  108. <input type="text" class="form-control" id="state_postcode" placeholder="State & Postcode">
  109. </div>
  110. <div class="col-md-12 form-group">
  111. <label for="selector1">Analysis Type<span class="error">*</span></label>
  112. <div><select name="selector1" id="analysis_type" class="form-control1">
  113. <option>Select the type of Analysis...</option>
  114. <option id="ash">Dry Ash Test</option>
  115. <option id="sap">Sap Analysis</option>
  116. <option id="field">Field Test</option>
  117. </select></div>
  118. </div>
  119. <div class="col-md-4 form-group">
  120. <label for="lab_no">Lab No</label>
  121. <input type="text" class="form-control" id="lab_no" placeholder="Lab No">
  122. </div>
  123. <div class="col-md-4 form-group">
  124. <label for="batch_no">Batch No</label>
  125. <input type="text" class="form-control" id="batch_no" placeholder="Batch No">
  126. </div>
  127. <div class="col-md-4 form-group">
  128. <label for="date_sampled">Date Sampled</label>
  129. <input type="date" class="form-control" id="date_sampled" placeholder="Date Sampled">
  130. </div>
  131. <div class="col-md-4 form-group">
  132. <label for="sample_id">Sample ID<span class="error">*</span></label>
  133. <input type="text" class="form-control" id="sample_id" placeholder="Sample Id">
  134. </div>
  135. <div class="col-md-4 form-group">
  136. <label for="site_id">Site ID</label>
  137. <input type="text" class="form-control" id="site_id" placeholder="Paddock Id">
  138. </div>
  139. <div class="col-md-4 form-group">
  140. <label for="crop_type">Crop Type<span class="error">*</span></label>
  141. <div><select name="selector1" id="crop_type" class="form-control1">
  142. <option>Select the type of Crop...</option>
  143. <option id="pasture">Pasture</option>
  144. <option id="carrots">Carrots</option>
  145. <option id="onions">Onions</option>
  146. </select></div>
  147. </div>
  148. <div class="form-group">
  149. <label class="col-md-12">Analysis Inputs</label>
  150. <div class="row show-grid">
  151. <div class="col-md-2">
  152. <input type="text" class="form-control1 input-sm" id="n" placeholder="N - Nitrogen">
  153. </div>
  154. <div class="col-md-2">
  155. <input type="text" class="form-control1 input-sm" id="p" placeholder="P - Phosphorus">
  156. </div>
  157. <div class="col-md-2">
  158. <input type="text" class="form-control1 input-sm" id="k" placeholder="K - Postassium">
  159. </div>
  160. <div class="col-md-2">
  161. <input type="text" class="form-control1 input-sm" id="s" placeholder="S - Sulphur">
  162. </div>
  163. <div class="col-md-2">
  164. <input type="text" class="form-control1 input-sm" id="mg" placeholder="Mg - Magnesium">
  165. </div>
  166. <div class="col-md-2">
  167. <input type="text" class="form-control1 input-sm" id="ca" placeholder="Ca - Calcium">
  168. </div>
  169. </div>
  170. <div class="row show-grid">
  171. <div class="col-md-2">
  172. <input type="text" class="form-control1 input-sm" id="na" placeholder="Na - Soduim">
  173. </div>
  174. <div class="col-md-2">
  175. <input type="text" class="form-control1 input-sm" id="fe" placeholder="Fe - Iron">
  176. </div>
  177. <div class="col-md-2">
  178. <input type="text" class="form-control1 input-sm" id="mn" placeholder="Mn - Manganese">
  179. </div>
  180. <div class="col-md-2">
  181. <input type="text" class="form-control1 input-sm" id="zn" placeholder="Zn - Zinc">
  182. </div>
  183. <div class="col-md-2">
  184. <input type="text" class="form-control1 input-sm" id="cu" placeholder="Cu - Copper">
  185. </div>
  186. <div class="col-md-2">
  187. <input type="text" class="form-control1 input-sm" id="b" placeholder="B - Boron">
  188. </div>
  189. </div>
  190. <div class="row show-grid">
  191. <div class="col-md-2">
  192. <input type="text" class="form-control1 input-sm" id="m" placeholder="M - Molybdenum">
  193. </div>
  194. <div class="col-md-2">
  195. <input type="text" class="form-control1 input-sm" id="co" placeholder="Co - Cobalt">
  196. </div>
  197. <div class="col-md-2">
  198. <input type="text" class="form-control1 input-sm" id="se" placeholder="Se - Selenium">
  199. </div>
  200. <div class="col-md-2">
  201. <input type="text" class="form-control1 input-sm" id="ch" placeholder="Ch - Chloride">
  202. </div>
  203. </div>
  204. </div>
  205. <button type="submit" class="btn btn-default">Submit</button>
  206. </form>
  207. </div>
  208. </div>
  209. </div><!--div class="content-main" -->
  210. </div> <!--div id="page-wrapper" class="gray-bg dashbard-1" -->
  211. <div class="clearfix"> </div>
  212. </div> <!--div class=" border-bottom" -->
  213. </div> <!--div id="wrapper" -->
  214. </body>
  215. </html>