Files
IPA/ipa-customer/pages/edit-profile.php
diptimhabadi351 1cf6f290de IPA
2024-06-18 13:31:13 +05:30

81 lines
4.1 KiB
PHP

<?php $currentPage = "dashboard" ?>
<?php include('../components/header-after-login.php') ?>
<div class="main_content">
<div class="row">
<div class="col-md-3">
<?php include('../components/sidebar.php') ?>
</div>
<div class="col-md-9">
<div class="inner_contents">
<h2 class="h2_heading">Edit Profile</h2>
<div class="form_sec card-shadow">
<form action="">
<div class="row">
<div class="col-md-12 main_prof">
<div class="profile_edit" id="upload-container">
<p>
<svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="feather feather-edit-3">
<path d="M12 20h9"></path>
<path d="M16.5 3.5a2.121 2.121 0 0 1 3 3L7 19l-4 1 1-4L16.5 3.5z"></path>
</svg>
</p>
<input type="file" id="file-input" accept="image/*">
<div id="preview">
<img loading="lazy" src="../assets/images/profile.svg" alt="profile">
</div>
</div>
<input type="text" class="h5_heading" value="Anil Varma" />
</div>
<div class="col-md-6">
<div class="label_input">
<label for="" class="form-label">
Phone Number</label>
<input type="number" class="form-control" id="" value="919855487466" />
</div>
</div>
<div class="col-md-6">
<div class="label_input">
<label for="" class="form-label">
Email Address</label>
<input type="email" class="form-control" id="" value="anilvarma@gmail.com">
</div>
</div>
<div class="col-md-6">
<div class="label_input">
<label for="" class="form-label">
DOB</label>
<input type="date" class="form-control" id="" value="1996-03-12">
</div>
</div>
<div class="col-md-6">
<div class="label_input">
<label for="" class="form-label">
State & City</label>
<select name="" id="" class="form-select">
<option value="">Select state & city</option>
<option value="">UP</option>
<option value="" selected>Maharashtra, Mumbai</option>
<option value="">Chennai</option>
<option value="">Hariyana</option>
</select>
</div>
</div>
<div class="col-md-12 view_more">
<a href="">Save</a>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
<?php include('../components/footer.php') ?>