| Şuanki Dizin: /home/wwwdreamtechnolo/public_html/kitchenfoodrecipes.com/disha/disha-foundation/ |
| Şuanki Dosya : /home/wwwdreamtechnolo/public_html/kitchenfoodrecipes.com/disha/disha-foundation/blank_page1.php |
<?php
date_default_timezone_set("Asia/Kolkata");
require_once("lib/function.php");
$db = new login_function();
?>
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Print Admission Form</title>
<link rel="stylesheet" href="D:\style.css">
<style type="text/css">
body
{
font-family: Cambria;
font-size: 19px;
}
/* text-transform: uppercase; !important; */
width: 400px;
font-size: 15px;
margin-top: -18px;
}
/* .text_1{
margin-left:10px;
} */
.strikethough {
width:70%;
text-align:left;
border-bottom: 1px solid #bcbcbc;
overflow: inherit;
margin:0px 0 30px;
font-size: 16px;
color:#757575;
}
.strikethough span {
background:#fff;
padding:0 20px 0px 0px;
position: relative;
top: 10px;
}
.strikethough_1{
width:500%;
text-align:left;
border-bottom: 1px solid #bcbcbc;
overflow: inherit;
margin:0px 0 30px;
font-size: 16px;
}
.strikethough_2{
width:100%;
text-align:left;
border-bottom: 1px solid #bcbcbc;
overflow: inherit;
margin:0px 0 30px;
font-size: 16px;
}
.strikethough_3{
width:50%;
text-align:left;
border-bottom: 1px solid #bcbcbc;
overflow: inherit;
margin:0px 0 30px;
font-size: 16px;
}
.strikethough_4{
width:70%;
text-align:left;
border-bottom: 1px solid #bcbcbc;
overflow: inherit;
margin:0px 0 30px;
font-size: 16px;
}
.strikethough_5{
width:70%;
text-align:left;
border-bottom: 1px solid #bcbcbc;
overflow: inherit;
margin:0px 0 30px;
font-size: 16px;
}
.strikethough_6{
width:20%;
text-align:left;
border-bottom: 1px solid #bcbcbc;
overflow: inherit;
margin:0px 0 30px;
font-size: 16px;
}
.strikethough_7{
width:20%;
text-align:left;
border-bottom: 1px solid #bcbcbc;
overflow: inherit;
margin:0px 0 30px;
font-size: 16px;
}
.strikethough_8{
width:20%;
text-align:left;
border-bottom: 1px solid #bcbcbc;
overflow: inherit;
margin:0px 0 30px;
font-size: 16px;
}
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width:20%;
text-align:left;
border-bottom: 1px solid #bcbcbc;
overflow: inherit;
margin:0px 0 30px;
font-size: 16px;
}
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width:20%;
text-align:left;
border-bottom: 1px solid #bcbcbc;
overflow: inherit;
margin:0px 0 30px;
font-size: 16px;
}
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width:20%;
text-align:left;
border-bottom: 1px solid #bcbcbc;
overflow: inherit;
margin:0px 0 30px;
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width:20%;
text-align:left;
border-bottom: 1px solid #bcbcbc;
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width:20%;
text-align:left;
border-bottom: 1px solid #bcbcbc;
overflow: inherit;
margin:0px 0 30px;
font-size: 16px;
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width:100%;
text-align:left;
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margin:0px 0 30px;
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width:100%;
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overflow: inherit;
margin:0px 0 30px;
font-size: 16px;
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width:100%;
text-align:left;
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margin:0px 0 30px;
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.bottom-textbox{
border:none;
margin-left:20px;
border-bottom:1px solid black;
outline:none;
}
.bottom-border-textbox:focus{
border-bottom-color:blue;
}
.past_his
{
}
/* .table-container {
display: flex;
justify-content: center;
}
table {
width: 60%;
border-collapse: collapse;
}
th, td {
border: 1px solid #dddddd;
text-align: left;
padding: 8px;
} */
/* th {
background-color: #f2f2f2;
}
.last_tbl th {
border: 1px solid #000;
text-align: left;
padding: 8px;
font-size: 16px;
}
.last_tbl td {
border: 1px solid #000;
text-align: left;
padding: 8px;
font-size: 16px;
}
/* U{
text-decoration-thickness: 2px;
} */
input {
color: black;
font-weight: 700;
font-size: 18px;
border: none;
border-bottom: 1px solid #000;
}
input:focus {
border-bottom: 1px solid #000;
}
</style>
</head>
<body>
<div class="container">
<div style="width:1050px; height:1000%;border:1px solid #DFDFDF; margin:auto; padding: 15px;">
<div style="text-align: center;">
<div style="float:right; font-size:14px; position: relative; width: 250px; text-align: center;">
रजि. नं. महा / ५९३/२०२० ता. २२/१२/२०२० <br /> नोंदणी क्र. एफ- ३०८३४ (सोलापूर)
</div>
<center>
<div style="position: relative; width: 500px;">
<div class="" style="position: relative; right:80%; top:160px;">
<img src="logo\logooo.jpg" alt="" height="100px" width="170px">
</div>
<h1 style="margin: 0px; margin-top: 20px; font-weight: 1000;">दिशा फाऊंडेशन</h1>
<h4 style="margin: 0px;">व्यसनमुक्ती व पुनर्वसन केंद्र</h4>
</div>
</center>
--------------------------------------------------------------------------------------------------------------<br />
दारु व आम्लीय पदार्थ * शारीरीक व मानसिक उत्कृष्ठ अध्यात्मिक मार्गदर्शन <br />
--------------------------------------------------------------------------------------------------------------<br />
<div style="font-weight:bold; line-height: 25px;">
सोलापूर - पुणे हायवे रोड, मु. पो. केगांव, ता. उ. सोलापूर <br />
<span style="font-size:18px;">मो. 8999973160, 9359781303, 9284797403 * सेंटर -7620848123</span>
</div>
</div>
<hr style="border: none; height: 2px; background-color: black;margin-top: 10px">
<div class="text_1" style= " position:absolute; bottom:10px; display:flex; gap:600px;">
<div class="first_line">
<h4> Signature of the Patient </h4>
</div>
<div ><h4>
<?php
echo date("Y-m-d "); // e.g., 2024-06-08 15:23:45
?>
<br>
<label for="relative_signature">Signature of the Relative</label><br>
</div>
</body>
</html>
Linux 65-254-81-4.cprapid.com 5.14.0-284.11.1.el9_2.x86_64 #1 SMP PREEMPT_DYNAMIC Tue May 9 05:49:00 EDT 2023 x86_64
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