
<?php require('include/header.php');?>

   <?php require('include/sidenav.php');?>

   
    <!-- BEGIN: Content-->
    <div class="app-content content">
      <div class="content-overlay"></div>
      <div class="content-wrapper">
        <div class="content-header row">
          <div class="content-header-left col-md-12 col-12 mb-2 breadcrumb-new">
            <h3 class="content-header-title mb-0 d-inline-block">Address </h3>
            <div class="row breadcrumbs-top d-inline-block">
              <div class="breadcrumb-wrapper col-12">
                <ol class="breadcrumb">
                  <li class="breadcrumb-item"><a href="#">Home</a>
                  </li>
                  <li class="breadcrumb-item"><a href="#">Address</a>
                  </li>
                  <li class="breadcrumb-item active">Address Updation
                  </li>
                </ol>
              </div>
            </div>
          </div>
           
        </div>
        <div class="content-body"><!-- Basic form layout section start -->
<section id="basic-form-layouts">
	



	<div class="row justify-content-md-center">
		<div class="col-md-12">
			<div class="card">
				<div class="card-header">
					<h4 class="card-title" id="basic-layout-form-center">Address Updation</h4>
					<a class="heading-elements-toggle"><i class="la la-ellipsis-v font-medium-3"></i></a>
					<div class="heading-elements">
						<ul class="list-inline mb-0">
							<li><a data-action="collapse"><i class="ft-minus"></i></a></li>
							<li><a data-action="reload"><i class="ft-rotate-cw"></i></a></li>
							<li><a data-action="expand"><i class="ft-maximize"></i></a></li>
							<li><a data-action="close"><i class="ft-x"></i></a></li>
						</ul>
					</div>
				</div>
				<div class="card-content collapse show">
					<div class="card-body">

						 <?php 	foreach($address_view as $key => $data) ?>

						<form class="form" autocomplete="off" action="<?php echo site_url('User/address_update/'.$data['address_id'].'');?>" method="post">
							<div class="row justify-content-md-center">
								<div class="col-md-6">
									<div class="form-body">
										<div class="form-group">
											<label for="eventInput1">Outlet Name</label>
											<input type="text" id="outlet_name" class="form-control"  name="outlet_name" value="<?php echo $data['outlet']; ?>" required>
										</div>
									</div>
								</div>
								<div class="col-md-6">
									<div class="form-body">
										<div class="form-group">
											<label for="eventInput1">Organization Name</label>
											<input type="text" id="org_name" class="form-control"  name="org_name" value="<?php echo $data['org_name']; ?>" required>
										</div>
									</div>
								</div>
								<div class="col-md-6">
									<div class="form-body">
										<div class="form-group">
											<label for="eventInput1">Address1</label>
											<input type="text" id="address1" class="form-control"  name="address1" value="<?php echo $data['address1']; ?>">
										</div>
									</div>
								</div>
								<div class="col-md-6">
									<div class="form-body">
										<div class="form-group">
											<label for="eventInput1">Address2</label>
											<input type="text" id="address2" class="form-control"  name="address2" value="<?php echo $data['address2']; ?>">
										</div>
									</div>
								</div>
								<div class="col-md-6">
									<div class="form-body">
										<div class="form-group">
											<label for="eventInput1">Address3</label>
											<input type="text" id="address3" class="form-control"  name="address3" value="<?php echo $data['address3']; ?>">
										</div>
									</div>
								</div>
								<div class="col-md-6">
									<div class="form-body">
										<div class="form-group">
											<label for="eventInput1">GST No</label>
											<input type="text" id="gst_no" class="form-control"  name="gst_no" value="<?php echo $data['gstin_no']; ?>">
										</div>
									</div>
								</div>
							</div>

							<div class="form-actions text-right">
									<button type="reset" class="btn btn-warning mr-1">
									<i class="ft-x"></i> Reset
								</button>
								<button type="submit" class="btn btn-primary">
									<i class="la la-check-square-o"></i> Save
								</button>
							</div>
						</form>	

					</div>
				</div>
			</div>
		</div>
	</div>

</section>
<!-- // Basic form layout section end -->
        </div>
      </div>
    </div>
    <!-- END: Content-->


   <?php //require('include/theme_customizer.php');?>

   <?php require('include/footer.php');?>
  

  </body>
  <!-- END: Body-->

<!-- Mirrored from pixinvent.com/modern-admin-clean-bootstrap-4-dashboard-html-template/html/ltr/vertical-modern-menu-template/form-layout-basic.html by HTTrack Website Copier/3.x [XR&CO'2014], Mon, 27 Apr 2020 09:38:02 GMT -->
</html>