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<?php
ob_start();
include('headMain.php');
/**
* Created by PhpStorm.
* User: adisa
* Date: 2016-03-24
* Time: 05:58 PM
*/
?>
<table width="100%" cellspacing="5" cellpadding="3">
<tr>
<td><form id="form1" name="form1" method="post" action="reprint_process.php" role="form">
<fieldset>
<legend>
<div class="row">
<div class="col-lg-3"></div>
<div class="col-lg-6">
<div class="panel panel-default">
<div class="panel-heading">
Other Payment Reprint(<?php echo $_SESSION['matNo'] ;?>)
</div>
<div class="panel-body">
<div class="row">
<div class="col-lg-12">
<form role="form">
<table width="100%" cellspacing="5" cellpadding="3">
<tr>
<td>ID No. (Matric No./Staff No)</td>
<td> </td>
<td><label for="idNo"></label>
<input type="text" name="idNo" id="txtRound" required="required" class="form-control" /></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td><label for="password"></label></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td><input type="submit" name="button" id="button" value="View Payment" class="btn btn-primary" /></td>
</tr>
</table>
</fieldset>
</form></td>
</tr>
</table>
<?php
include('footmain.php');
ob_end_flush();
?>