Location: PHPKode > scripts > M-Ariza Maintenance Follow-up Web Application > m-ariza-maintenance-follow-up-web-application/mariza/admin/newrecord.php
<?
session_start();
include "../inc/logincheck.php";
include "../inc/conn.php";
include "../inc/head.php";
?>
<body>
<form action="addrecord.php" method="POST" id="form1" name="form1">
<table width="770" border="0" align="center" cellpadding="0" cellspacing="0">
	<tr><td colspan="2"><img src="../images/logo.gif" width="215" height="72"></td></tr>
	<tr><td height="10" colspan="2" bgcolor="#BBBBBB">&nbsp;</td></tr>
	<tr>
		<td width="107" height="379" align="center" valign="top" bgcolor="#DAD3FE">
			<?include"../inc/menu.php"?>
		</td>
		<td width="836" valign="top">
			<table width="500" border="0" cellpadding="0" cellspacing="0" align="left">
				<tr align="center" bgcolor="#DDDDDD">
					<td height="25" colspan="3"><span>Maintenance Follow-up Product Entrance</span></td>
				</tr>
				<tr>
					<td width="160" align="right" class="nice">Company Name :</td>
					<td width="16">&nbsp;</td>
					<td width="324"><input name="firma" type="text" size="32"></td>
				</tr>
				<tr>
					<td align="right" class="nice">Delivered By :</td>
					<td>&nbsp;</td>
					<td><input name="teslimeden" type="text" size="32"></td>
				</tr>
				<tr>
					<td width="160" align="right" class="nice" >Serial No:</td>
					<td width="16">&nbsp;</td>
					<td width="324"><input name="serino" type="text" id="SeriNo" size="32"></td>
				</tr>
				<tr>
					<td align="right" class="nice">Token No :</td>
					<td>&nbsp;</td>
					<td><input name="fisno" type="text" id="FisNo" size="32"></td>
				</tr>
				<tr>
					<td align="right" class="nice">Product Name :</td>
					<td>&nbsp;</td>
					<td>
						<select id="select1" name="urunadi"><?	
							if($urunlerqu = mysql_query("SELECT * FROM urunler ORDER BY urunadi")){
								if (mysql_num_rows($urunlerqu) > 0){
									while ($urun = mysql_fetch_array($urunlerqu)){
										echo "\r\t\t\t\t\t\t<Option value=\"{$urun['urunadi']}\">{$urun['urunadi']}</option>";
									}
								}
							}
							?>
						</select>
					</td>
				</tr>
				<tr>
					<td align="right" class="nice">Trademark & Model : </td>
					<td>&nbsp;</td>
					<td><input name="markamodel" type="text" id="markamodel" size="32"></td>
				</tr>
				<tr>
					<td align="right" class="nice">Arrive Date :</td>
					<td>&nbsp;</td>
					<td  class="nice"><input name="gelistarihi" type="text" id="GelisTarihi" size="32" value=<?echo $bugun=date("d.m.Y");?>>&nbsp;(dd.mm.yyyy)</td>
				</tr>
				<tr>
					<td align="right" valign="top" class="nice">Comment : </td>
					<td>&nbsp;</td>
					<td><textarea name="aciklama" cols="30" rows="5" id="Aciklama"></textarea></td>
				</tr>
				<tr>
					<td align="right" class="nice">Related by / Phone :</td>
					<td>&nbsp;</td>
					<td><input name="ilgili" type="text" size="15"> / <input name="telefon" type="text" size="11"></td>
				</tr>
				<tr>
					<td>&nbsp;</td>
					<td>&nbsp;</td>
					<td><br><input type="submit" name="Submit" value="Add Record">&nbsp;<input name="button" type="button" value=" Cancel " onClick=JavaScript:history.back()></td>
				</tr>
			</table>
		</td>	
	</tr>
	<tr>
		<td height="10" colspan="2" bgcolor="#BBBBBB">&nbsp;</td>
	</tr>
</table>
</form>
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