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193 lines
5.4 KiB
193 lines
5.4 KiB
<!doctype html>
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<html lang="en">
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<!-- 主頁header -->
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<?php
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include "include-header-datetime.php";
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?>
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<!-- * 主頁header -->
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<body class="bg-white">
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<!-- loader -->
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<div id="loader">
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<div class="spinner-border text-primary" role="status"></div>
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</div>
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<!-- * loader -->
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<!-- App Header -->
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<div class="appHeader bg-primary text-light">
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<div class="left">
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<a href="javascript:;" class="headerButton goBack">
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<ion-icon name="chevron-back-outline"></ion-icon>
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</a>
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</div>
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<div class="pageTitle">保養輸入與上傳</div>
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</div>
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<!-- * App Header -->
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<!-- App Capsule -->
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<div id="appCapsule">
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<div class="header-large-title">
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</div>
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<form action="app-maintenance-uploadpaper-success.php">
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<div class="section mt-2">
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<div class="custom-file-upload">
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<input type="file" id="fileuploadInput">
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<label for="fileuploadInput">
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<span>
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<strong>
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<ion-icon name="cloud-upload-outline"></ion-icon>
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<i>點我上傳保養表單</i>
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</strong>
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</span>
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</label>
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</div>
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<div class="form-group boxed">
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<div class="input-wrapper">
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<label class="label" for="name5">星級評價</label>
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<!-- 星級評價 -->
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<?php
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include "include-5starts.php";
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?>
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<!-- *星級評價 -->
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<!--
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<div class="rate-block mb-1">
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<ion-icon name="star" class="active"></ion-icon>
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<ion-icon name="star" class="active"></ion-icon>
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<ion-icon name="star" class="active"></ion-icon>
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<ion-icon name="star" class="active"></ion-icon>
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<ion-icon name="star"></ion-icon>
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</div>
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-->
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</div>
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</div>
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<div class="form-group boxed">
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<div class="input-wrapper">
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<label class="label" for="name5">使用單位(業主)</label>
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<input type="text" class="form-control" id="name1" placeholder="輸入姓名">
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<i class="clear-input">
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<ion-icon name="close-circle"></ion-icon>
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</i>
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</div>
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</div>
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<div class="form-group boxed">
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<div class="input-wrapper">
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<label class="label" for="name5">聯絡電話</label>
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<input type="text" class="form-control" id="phonenumber1" placeholder="電話">
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<i class="clear-input">
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<ion-icon name="close-circle"></ion-icon>
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</i>
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</div>
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</div>
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<div class="form-group boxed">
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<div class="input-wrapper">
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<label class="label" for="signature5">簽名</label>
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<input style="height:200px;" class="form-control card-body" id="signature5" placeholder="請在此處簽名">
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<i class="clear-input">
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<ion-icon name="close-circle"></ion-icon>
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</i>
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</div>
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</div>
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<div class="">
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<button type="submit" class="btn btn-primary btn-block btn-lg">確定</button>
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</div>
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</div>
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</form>
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</div>
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<!-- * App Capsule -->
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<!-- 主頁頁尾 -->
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<?php
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include "include-footer.php";
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?>
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<!-- * 主頁頁尾 -->
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</div>
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<!-- * 主板面的功能 -->
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<!-- 主頁頁尾按鈕 -->
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<?php
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include "include-bottom-menu.php";
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?>
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<!-- * 主頁頁尾按鈕 -->
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<!-- 左邊功能列的功能 -->
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<div class="modal fade panelbox panelbox-left" id="sidebarPanel" tabindex="-1" role="dialog">
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<div class="modal-dialog" role="document">
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<div class="modal-content">
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<div class="modal-body p-0">
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<!-- profile box -->
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<div class="profileBox">
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<div class="image-wrapper">
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<img src="assets/img/sample/avatar/technician-1.jpg" alt="image" class="imaged rounded">
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<!--
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<img src="assets/img/logo.png" alt="icon" class="footer-logo mb-2">
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-->
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</div>
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<div class="in">
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<strong>李大連</strong>
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<div class="text-muted">
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座標<br>
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121.553371, 25.046611
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</div>
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</div>
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<a href="javascript:;" class="close-sidebar-button" data-dismiss="modal">
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<ion-icon name="close"></ion-icon>
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</a>
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</div>
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<!-- * profile box -->
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<!-- 左側功能列 -->
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<?php
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include "include-slidebar.php";
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?>
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<!-- * 左側功能列 -->
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<!-- 左邊功能列最下方的按鈕 -->
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<!--
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<div class="sidebar-buttons">
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<a href="javascript:;" class="button">
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<ion-icon name="person-outline"></ion-icon>
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</a>
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<a href="javascript:;" class="button">
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<ion-icon name="archive-outline"></ion-icon>
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</a>
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<a href="javascript:;" class="button">
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<ion-icon name="settings-outline"></ion-icon>
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</a>
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<a href="javascript:;" class="button">
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<ion-icon name="log-out-outline"></ion-icon>
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</a>
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</div>
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-->
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<!-- * 左邊功能列最下方的按鈕 -->
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</div>
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</div>
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</div>
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<!-- * 左邊功能列的功能 -->
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<!-- ///////////// Js Files //////////////////// -->
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<!-- Jquery -->
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<?php
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include "include-jsfiles.php";
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?>
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</body>
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</html>
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