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formTicket.php
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<!-- The above 3 meta tags *must* come first in the head; any other head content must come *after* these tags -->
<meta name="description" content="">
<meta name="author" content="">
<link rel="icon" href="../../favicon.ico">
<link rel="stylesheet" href="./css/font-awesome.min.css">
<title>Inserisci Ticket</title>
<!-- Bootstrap core CSS -->
<link href="./css/bootstrap.min.css" rel="stylesheet">
<!-- IE10 viewport hack for Surface/desktop Windows 8 bug -->
<link href="./css/ie10-viewport-bug-workaround.css" rel="stylesheet">
<!-- Custom styles for this template -->
<link href="./css/form.css" rel="stylesheet">
<!-- Just for debugging purposes. Don't actually copy these 2 lines! -->
<!--[if lt IE 9]><script src="../../assets/js/ie8-responsive-file-warning.js"></script><![endif]-->
<script src="./js/ie-emulation-modes-warning.js"></script>
<script type="text/javascript" src="./js/jquery-3.2.1.min.js"></script>
<!-- HTML5 shim and Respond.js for IE8 support of HTML5 elements and media queries -->
<!--[if lt IE 9]>
<script src="https://oss.maxcdn.com/html5shiv/3.7.3/html5shiv.min.js"></script>
<script src="https://oss.maxcdn.com/respond/1.4.2/respond.min.js"></script>
<![endif]-->
<!-- Include Date Range Picker -->
<script type="text/javascript" src="./js/bootstrap-datepicker.min.js"></script>
<script type="text/javascript" src="./js/bootstrap-datepicker.it.min.js"></script>
<link rel="stylesheet" href="./css/bootstrap-datepicker3.css"/>
<script type="text/javascript" src="./js/DatePicker.js"></script>
</head>
<body>
<form class="form-horizontal">
<div class="jumbotron">
<h2>Campi obbligatori</h2><br><br>
<div class="container"><div class="row">
<label for="inputName" class="col-md-2 control-label">Nome del ticket:</label>
<div class="col-md-3">
<input type="text" id="inputName" name="nome" class="form-control" placeholder="Nome" required autofocus>
</div>
<label for="inputData" class="col-md-2 control-label">Data prevista:</label>
<div class="col-md-2">
<div class="input-group">
<div class="input-group-addon">
<i class="fa fa-calendar">
</i>
</div>
<input class="form-control" id="inputData" name="date" placeholder="gg/mm/aaaa" type="text" required/>
</div>
</div>
</div>
<div class="row">
<label for="inputNtype" class="col-md-2 control-label">Rinnova ogni:</label>
<div class=" col-md-5 radio">
<label class="radio-inline">
<input type="radio" id="inputNtype" name="radioopt" value="sei" > Sei mesi
</label>
<label class="radio-inline">
<input type="radio" id="inputNtype" name="radioopt" value="uno"> Un anno
</label>
<label class="radio-inline">
<input type="radio" id="inputNtype" name="radioopt" value="mai" checked> Mai
</label>
</div>
</div>
</div></div>
<h2>Campi facoltativi</h2><br><br>
<div class="container">
<div class="row">
<label for="inputDesc" class="col-md-2 control-label">Descrizione:</label>
<div class="col-md-7">
<textarea class="form-control" rows="5" id="inputDesc" name="descrizione"></textarea>
</div>
</div>
<div class="row"><br>
<div class="col-md-offset-8 col-md-4">
<button class="btn btn-primary " type="button" value="insert" onclick="form.submit();">Inserisci</button>
<button class="btn btn-primary " type="button" value="cancel" onclick="form.submit();">Annulla</button>
</div></div>
</div>
</form>
</body>
</html>