vividinfomedia-invoice.vividinfomedia.com Open in urlscan Pro
2a02:4780:11:1046:0:1946:8b09:2  Public Scan

Form analysis
1 forms found in the DOM

POST index_action.php

<form method="post" action="index_action.php" autocomplete="off">
  <div class="row">
    <div class="col-md-4">
      <h5 class="text-dark detail">Invoice Details</h5><br>
      <!--<div class='form-group'>-->
      <!--  <label>Invoice No</label>-->
      <!--  <input type='text' name='invoice_no' required class='form-control'>-->
      <!--</div>-->
      <div class="form-group">
        <label>Invoice Date</label>
        <input type="date" name="invoice_date" required="" class="form-control-1">
      </div>
      <div class="form-group">
        <label>Due Date</label>
        <input type="date" name="due_date" required="" class="form-control-1">
      </div>
    </div>
    <div class="col-md-6">
      <h5 class="text-dark detail">Customer Details</h5><br>
      <div class="form-group">
        <label>Name</label>
        <input type="text" name="cname" required="" class="form-control-1">
      </div>
      <div class="form-group">
        <label>Address</label>
        <input type="text" name="caddress" required="" class="form-control-1">
      </div>
      <div class="form-group">
        <label>GSTIN</label>
        <input type="text" name="gst" class="form-control-1">
      </div>
    </div>
    <!--                    <div class="col-md-2">-->
    <!--    <a href="estimation/index.php" class="button-1">Bill Estimation</a>-->
    <!--</div>-->
    <div class="col-md-2">
      <a href="without-gst/index.php" class="button">Without GST</a>
    </div>
  </div>
  <div class="row">
    <h5 class="text-dark detail heading">Product Details</h5>
    <div class="col-md-12 overflow-x">
      <table class="table table-bordered">
        <thead>
          <tr>
            <th>Description</th>
            <th>Price</th>
            <th>Qty</th>
            <th>Total</th>
            <th>Action</th>
          </tr>
        </thead>
        <tbody id="product_tbody">
          <tr>
            <td><input type="text" required="" name="pname[]" class="form-control"></td>
            <td><input type="text" required="" name="price[]" class="form-control price"></td>
            <td><input type="text" required="" name="qty[]" class="form-control qty"></td>
            <td><input type="text" required="" name="total[]" class="form-control total"></td>
            <td><input type="button" value="X" class="btn btn-remove btn-danger btn-sm btn-row-remove"> </td>
          </tr>
        </tbody>
        <tfoot>
          <tr>
            <td colspan="3" class="text-right">Total</td>
            <td><input type="text" name="all-total" id="all-total" class="form-control" required=""></td>
          </tr>
          <tr>
            <td colspan="3" class="text-right">GST</td>
            <td><input type="text" name="gst1" id="gst" class="form-control" value="18%" required="" readonly=""></td>
          </tr>
          <tr>
            <td colspan="3" class="text-right">CGST(9%)</td>
            <td><input type="text" name="cgst" id="cgst" class="form-control" required=""></td>
          </tr>
          <tr>
            <td colspan="3" class="text-right">SGST(9%)</td>
            <td><input type="text" name="sgst" id="sgst" class="form-control" required=""></td>
          </tr>
          <tr>
            <td><input type="button" value="+ Add Row" class="btn btn-primary btn-sm" id="btn-add-row"></td>
            <td colspan="2" class="text-right">Grand Total</td>
            <td><input type="text" name="grand_total" id="grand_total" class="form-control" required=""></td>
          </tr>
        </tfoot>
      </table>
    </div>
    <input type="submit" name="submit" value="SAVE INVOICE" class="btn btn-save btn-success float-right">
  </div>
</form>

Text Content

INVOICE

--------------------------------------------------------------------------------

INVOICE DETAILS


Invoice Date
Due Date

CUSTOMER DETAILS


Name
Address
GSTIN
Without GST

PRODUCT DETAILS

Description Price Qty Total Action Total GST CGST(9%) SGST(9%) Grand Total