Advertisement
Guest User

Untitled

a guest
Aug 21st, 2017
73
0
Never
Not a member of Pastebin yet? Sign Up, it unlocks many cool features!
text 3.14 KB | None | 0 0
  1. <form method="post" action="../Clase/RegistroCrud.php">
  2. <div class="container-fluid">
  3. <div class="row">
  4. <div class="col-md-4">
  5. <div class="form-group">
  6. <label for="exampleInputEmail1">Rut</label>
  7. <input type="text" class="form-control" name="TxtRut" value="">
  8. </div>
  9. <div class="form-group">
  10. <label for="exampleInputPassword1">Nombre y Apellido</label>
  11. <input type="text" class="form-control" name="TxtNombre" placeholder="Pedro Gutierrez" value="">
  12. </div>
  13. <div class="form-group">
  14. <label for="exampleInputPassword1">Numero de telefono</label>
  15. <input type="number" class="form-control" name="TxtNumTel" placeholder="+569 123456789" value="">
  16. </div>
  17.  
  18. </div>
  19. <div class="col-md-4">
  20. <div class="form-group">
  21. <label for="exampleInputEmail1">Persona a Quien Visita</label>
  22. <input type="text" class="form-control" name="TxtPersVis" placeholder="Juan Valdez">
  23. </div>
  24. <div class="form-group">
  25. <label for="exampleInputPassword1">Area de visita</label>
  26. <select class="form-control">
  27. <option id="1">1</option>
  28. </select>
  29. </div>
  30.  
  31. </div>
  32. <div class="col-md-4">
  33. <div class="form-group">
  34. <label for="exampleInputEmail1">Hora de entrada</label>
  35. <input type="datetime" class="form-control" name="txtHoraIn" value="<?php echo date('d-m-Y G:i');?>">
  36.  
  37. </div>
  38. <div class="form-group">
  39. <label for="exampleInputPassword1">Hora de salida</label>
  40. <input type="datetime" class="form-control" name="txtHoraOut" value="<?php echo date('d-m-Y G:i');?>">
  41. </div>
  42. </div>
  43. <div class="col-md-4">
  44. <label>¿Entrega Tarjeta?</label>
  45. <div class="radio">
  46. <label><input type="radio" name="rbt" id="S" value="rdbSi" onclick="Show('DivsPrueba')" checked value="S">Si</label>
  47. <label><input type="radio" name="rbt" id="N" value="rdbNo" onclick="hide('DivsPrueba')" value="N">No</label>
  48. </div>
  49.  
  50. </div>
  51. <div class="col-md-4" >
  52. <div class="form-group" id="DivsPrueba" >
  53. <label for="exampleInputEmail1">Numero de tarjeta </label>
  54. <input type="text" class="form-control" name="txtNumTarj" value="">
  55. </div>
  56. </div>
  57. </div>
  58.  
  59. </div>
  60. <input type="submit" class="btn btn-success btn-lg" id="btnGuardar" value="Guardar">
  61. </form>
  62.  
  63. <?php
  64.  
  65. $Rut = $_POST['TxtRut'];
  66. $nombre= $_POST['TxtNombre'];
  67. $PersVis= $_POST["TxtPersVis"];
Advertisement
Add Comment
Please, Sign In to add comment
Advertisement