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issue_challan.html
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issue_challan.html
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<div class="wrapper">
<link rel="stylesheet" href="issue_challan.css">
<div class="title">
Issue Challan
</div>
<div class="form">
<div class="inputfield">
<label>Liscense Number</label>
<input type="text" class="input">
</div>
<div class="inputfield">
<label>Name</label>
<input type="text" class="input">
</div>
<div class="inputfield">
<label>Challan Number</label>
<input type="Challan Number" class="input">
</div>
<div class="inputfield">
<label>Place</label>
<input type="Place" class="input">
</div>
<div class="inputfield">
<label>Date</label>
<input type="Date" class="input">
</div>
<div class="inputfield">
<label>Time</label>
<input type="Time" class="input">
</div>
<div class="inputfield">
<label>Rule Broken</label>
<div class="custom_select">
<select>
<option value="">Select</option>
<option value="male">Rule Broken</option>
<option value="female">Rule Not Broken</option>
</select>
</div>
</div>
<div class="inputfield">
<label>Total Amount</label>
<input type="Total Amount" class="input">
</div>
<div class="inputfield">
<br><input type="submit" value="Issue" class="btn"><br>
<br><input type="submit" value="Back" class="btn">
</div>
</div>
</div>