Created
August 12, 2018 05:55
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<form action="insert.php" method="post" autocomplete="on"> | |
<div class="row"> | |
<div class="form-group col-3"> | |
<label for="folio"><strong>Folio:</strong></label> | |
<input type="text" class="form-control" value="" name="folio" id="folio" readonly> | |
</div> | |
<div class="form-group col-3"> | |
<label for="date"><strong>Seleccione Fecha:</strong></label> | |
<input type="date" class="form-control" name="fecha" step="1" id="today" min="2018-08-06" value="" required> | |
</div> | |
<div class="form-group col-3"> | |
<label for="time"><strong>Seleccione Hora:</strong> (formato 24hrs)</label> | |
<input type="time" class="form-control" name="hora" step="1" id="hora" value="" required> | |
</div> | |
<div class="form-group col-3"> | |
<label for="puerta"><strong>Ingrese número de puerta:</strong></label> | |
<input type="number" class="form-control" name="puerta" id="puerta" value="" min="1" max="50" required> | |
</div> | |
</div> | |
<div class="row"> | |
<div class="form-group col-6"> | |
<label for="nombre"><strong>Guardia:</strong></label> | |
<input type="text" class="form-control" placeholder="" name="guardia" id="guardia" required> | |
</div> | |
<div class="form-group col-6"> | |
<label for="id"><strong>Ingrese su ID:</strong></label> | |
<input type="text" class="form-control" placeholder="Ingrese su ID" name="id" id="id" required> | |
</div> | |
</div> | |
<div class="form-check"> | |
<label for="tipo"><strong>Seleccione el Tipo de Viaje:</strong></label><br> | |
<label class="form-check-label"> | |
<input type="radio" onclick="javascript:yesnoCheck();" name="yesno" id="noCheck" class="form-check-input" value="individual" required>Individual | |
</label><br> | |
<label class="form-check-label"> | |
<input type="radio" onclick="javascript:yesnoCheck();" name="yesno" id="yesCheck" class="form-check-input" value="compartido">Compartido | |
</label> | |
<div id="ifYes" style="display:none"> | |
<div class="row"> | |
<div class="form-group col-4 border-warning1"> | |
<label for="pasajero"><strong>Ingrese Nombre Pasajero Extra 1:</strong></label> | |
<input type="text" class="form-control" name="pas1" id="pas1" required> | |
<label for="id1"><strong>Ingrese su ID:</strong></label> | |
<input type="text" class="form-control" name="id1" id="id1" required> | |
<br> | |
</div> | |
<div class="form-group col-4 pasa2 border-success1"> | |
<label for="pasajero"><strong>Ingrese Nombre Pasajero Extra 2:</strong></label> | |
<input type="text" class="form-control" name="pas2" id="pas2"> | |
<label for="id2"><strong>Ingrese su ID:</strong></label> | |
<input type="text" class="form-control" name="id2" id="id2"> | |
</div> | |
<div class="form-group col-4 border-info1"> | |
<label for="pasajero"><strong>Ingrese Nombre Pasajero Extra 3:</strong></label> | |
<input type="text" class="form-control" name="pas3" id="pas3"> | |
<label for="id3"><strong>Ingrese su ID:</strong></label> | |
<input type="text" class="form-control" name="id3" id="id3"> | |
</div> | |
</div> | |
</div></div> | |
<div class="row"> | |
<div class="form-group col-4"> | |
<label for="trabajador"><strong>Nombre:</strong></label> | |
<input type="text" class="form-control" name="trabajador" id="trabajador" required> | |
</div> | |
<div class="form-group col-4"> | |
<label for="jefe"><strong>Autoriza:</strong></label> | |
<input type="text" class="form-control" name="jefe" id="jefe" required> | |
</div> | |
<div class="form-group col-4"> | |
<label for="destino"><strong>Destino:</strong></label> | |
<input type="text" class="form-control" name="destino" id="destino" required> | |
</div> | |
<div class="form-group col-6"> | |
<label for="tax"><strong>Placas de Taxi:</strong></label> | |
<input type="text" class="form-control" name="tax" id="tax" required> | |
</div> | |
<div class="form-group col-6"> | |
<label for="motivo"><strong>Motivo:</strong></label> | |
<input type="text" class="form-control" name="motivo" id="motivo" required> | |
</div> | |
</div> | |
<!--<div class="container-fluid">--> | |
<div class="row"> | |
<p class="text-center col-4"><a href="#" onclick="history.go(-1);" class="btn btn-info btn-lg">Atrás</a></p> | |
<div class="text-center col-4"> | |
<button class="btn btn-success btn-lg" type="submit" value="submit">Enviar</button> | |
</div> | |
<div class="text-center col-4"> | |
<input type="reset" value="Limpiar" class="btn btn-outline-warning btn-lg"> | |
</div> | |
</div> | |
<!--</div>--> | |
</form> |
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