01.<form class="form-horizontal" method="post" id="form1" action="transprocess.php">
02. <div class="form-group">
03. <label class="col-sm-2 control-label">Date</span></label>
04. <div class="col-sm-5">
05. <input type="text" name="date" id="date" class="form-control" placeholder="yy/mm/dd" readonly>
06. </div>
07. </div>
08. <div class="form-group">
09. <label class="col-sm-2 control-label">TEXT</label>
10. <div class="col-sm-7">
11. <input type="text" class="form-control" name="scan" id="scan" placeholder="scan" >
12. </div>
13. </div>
14. <input type="hidden" name="user" value="<?php echo $user; ?>">
15. </div>
16. <div class="box-footer">
17.
18. <!-- <button type="submit" id="submit" name="submit" class="btn btn-success pull-right" onclick="return chk_unit()"><i class="fa fa-save"></i>Transfer</button> -->
19.
20. </div>
21. </form>
