vivid-invoice.vividinfomedia.com Open in urlscan Pro
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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">Invoice Details</h5>
      <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="text" name="invoice_date" id="date" required="" class="form-control hasDatepicker">
      </div>
    </div>
    <div class="col-md-8">
      <h5 class="text-dark">Customer Details</h5>
      <div class="form-group">
        <label>Name</label>
        <input type="text" name="cname" required="" class="form-control">
      </div>
      <div class="form-group">
        <label>Address</label>
        <input type="text" name="caddress" required="" class="form-control">
      </div>
      <div class="form-group">
        <label>City</label>
        <input type="text" name="ccity" required="" class="form-control">
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-md-12">
      <h5 class="text-dark">Product Details</h5>
      <table class="table table-bordered">
        <thead>
          <tr>
            <th>Product</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-danger btn-sm btn-row-remove"> </td>
          </tr>
        </tbody>
        <tfoot>
          <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">Total</td>
            <td><input type="text" name="grand_total" id="grand_total" class="form-control" required=""></td>
          </tr>
        </tfoot>
      </table>
      <input type="submit" name="submit" value="Save Invoice" class="btn btn-success float-right">
    </div>
  </div>
</form>

Text Content

INVOICE

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INVOICE DETAILS

Invoice No
Invoice Date

CUSTOMER DETAILS

Name
Address
City

PRODUCT DETAILS

Product Price Qty Total Action Total