<?php
?>

<img src=<?php echo 'hippo_sample_image.php'; ?> >

<form name=chinese_cert method=post action=check.php>
  <TABLE width="100" border="1" cellspacing="0">
      <tr bordercolor = "Pink">
        <td width="100%">
          <font size="2">
          <INPUT name=input_code type="text"><br>
          </font>
        </td>
      </tr>
      <tr bordercolor="Red">
        <td colspan="2">
          <center>
          <INPUT name=input_submit type="submit" value="Send">
          </center>
        </td>
      </tr>
  </TABLE>
</form>

<?php
?>