myMedisys/tomcatfiles/mymedisys-frontend/WEB-INF/classes/templates/page/payment/topup-approval.html
2023-09-06 05:56:42 +05:30

33 lines
1.3 KiB
HTML

<p class="m-3"></p>
<th:block th:if="${wpsApproval}">
<input type="hidden" th:field="*{paymentRefNo}">
<div class="bd-example mb-2">
<h4 class="card-title" th:text="#{lbl.otp.vrfy}">Verify</h4>
<div class="row">
<div class="col-12">
<th:block th:if="${wpsStatus != null}">
<div class="form-group">
<div class="form-check-radio form-check-inline" th:each="status : ${wpsStatus}" th:if="${status.display == 1}">
<label class="form-check-label">
<input class="form-check-input" type="radio" required="required"
th:field="*{status}" th:value="${status.statusCd}" th:text="${status.statusDesc}">
<span class="circle"><span class="check"></span> </span>
</label>
</div>
</div>
<label class="col-12 text-danger" id="lblStatusRequired" style="display: none" th:text="#{lbl.topup.apr.req}" ></label>
</th:block>
</div>
</div>
<div class="row">
<div class="col-12">
<div class="form">
<label th:text="#{lbl.remarks}"></label>
<textarea id="remarks" class="form-control valid " th:field="*{remarks}" placeholder="" aria-invalid="false" rows="3"></textarea>
<label class="text-danger" id="lblRemarksRequired" style="display: none" th:text="#{lbl.field.req}" />
</div>
</div>
</div>
</div>
</th:block>