<?php include "layouts/menu.php"; ?> <div class="right_col" role="main">
          
            <div class="row">
                <div class="col-lg-12">
                    <!-- Form Elements -->
                    <div class="panel panel-default">
                        <div class="panel-heading">
                            Transfer - Customer
                        </div>
                        <div class="panel-body">
                            <div class="row">

   <form name="form1" class="form-horizontal" method="post" action="" enctype="multipart/form-data">
   <div class="form-group">
    <label for="inputPassword3" class="col-sm-2 control-label">Packet No</label>
    <div class="col-sm-4">
      <input type="text" class="form-control" id="inputPassword3" name="debit" value="" placeholder="" required>
    </div>
  </div>
  <div class="form-group">
    <label for="inputPassword3" class="col-sm-2 control-label">Stock Point Name</label>
    <div class="col-sm-4">
         <input type="text" class="form-control" id="inputPassword3" name="debit" value="" placeholder="" required>
    </div>
  </div>


  <div class="form-group">
    <div class="col-sm-offset-2 col-sm-10">
      <button type="submit" class="btn btn-default" name="s1">Save This</button>
    </div>
  </div>
      <div class="alert alert-success">
	<?php
							if(isset($_POST['s1']))
							{
								extract($_POST);
							//	$insert=mysqli_query($conn, "insert into debit(mfin,scode,debit,date,details)
										//	 values('$mfin','$scode','$debit','$date','$details')");
								
								if($insert)
								{
									
									echo "Registered Successfully";
									
								}
								else
								{
									echo "Failure";
								}
							}
?>
	  </div>
</form>
</div>

					                  		
                                </div><!-- /.box-body -->
                            </div><!-- /.box -->
 
 
</div>
</div></div>
</div></div></div> <?php include "layouts/footer.php"; ?></body></html>