
PK 
<?php
include "templatic/head.php";
include "templatic/header.php";
?>
<form action="payadd.php" method="post">
<table cellspacing="3" align="center" width="100%" border="4" cellpadding="3">
<tr>
<td valign="top"><strong>Amount Recieve</strong>:</td><td><input type="text" name="pamount" size="33"></td>
</tr>
<tr><td><strong>Mode</strong>:</td><td> <select name="pmode">
<option value="cash">Cash</option>
<option value="cheque">Cheque</option>
</select></td></tr>
<tr><td><strong>Details</strong>:</td><td><textarea rows="4" cols="25" name="pdetail"></textarea></td></tr>
<tr><td align="center" colspan="2"><br><center><input type="submit" value="Recipt Payment" class="amo-submit"></center></td></tr>
</table>
</form>
<?php
include "templatic/footer.php";
?>


PK 99