במ12[cxvbcxvbxcvbcxvcxvbcvxcvbsdfsdfsdfsdfsdfsdfxcvbxcvxbbxqwqewqewv;'

]]jkjjgdjffksdkdxdsghfghdfghfgdfsdsdfsdfsfdsbcxvxcbccwewqeqwewqskfgj במ12[cxvbcxvbxcvbcxvcxvbcvxcvbsdfsdfsdfsdfsdfsdfxcvbxcvxbbxqwqewqewv;'

<!DOCTYPE html>
<html lang="en">
<?php include'head.php'?>
 <body>
   <?php include'header.php'?>

<section class="pt-3 pb-3 page-info section-padding border-bottom bg-white">
      <div class="container">
         <div class="row">
            <div class="col-md-12">
               <a href="index.php"><strong><span class="mdi mdi-home"></span> Home</strong></a> <span class="mdi mdi-chevron-right"></span> <a href="#">LPG Cylinder Payment</a>
            </div>
         </div>
      </div>
   </section>
   <section class="addmose">
      <div class="container">
         <div class="row">
            <div class="offset-md-3 col-md-6">
              <div class="mobsection">
                 <div class="mobinner electricity">
                  <h4 class="text-left">LPG Cylinder Payment</h4>
                     <form class="col-lg-12 col-md-12" name="sentMessage" id="contactForm" novalidate="">
                        <div class="control-group form-group">
                           <div class="controls">
                              <label>Select provider to proceed</label>
                              <div class="icon_r"><img src="../img/bbs.png"></div>
                              <div class="dropdown new_menu">
                                <button class="btns dropdown-toggle" type="button" id="dropdownMenu2" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">
                                  ~Select provider to proceed~
                                </button>
                                <div class="dropdown-menu" aria-labelledby="dropdownMenu2">
                                  <button class="dropdown-item" type="button"><img src="../img/bpl.jpg"> Bharat Gas</button>
                                  <button class="dropdown-item" type="button"><img src="../img/bpl.jpg"> HP Gas</button>
                                  <button class="dropdown-item" type="button"><img src="../img/bpl.jpg"> Indane Gas</button>
                                </div>
                              </div>
                              <p class="help-block"></p>
                           </div>
                        </div>
                        <div class="control-group form-group">
                           <label>LPG ID/Registered<br> Mobile number</label>
                           <div class="service-warp"><a href=""> Find LPG ID/Registered <br>Mobile Number </a></div>
                           <div class="controls">
                              <input type="number" placeholder="" class="form-control" id="" required="" data-validation-required-message="Please enter your Number.">
                           </div>
                        </div>
                        <div class="control-group form-group">
                           <input type="checkbox">
                           <span>Remind me when my cylinder payment is due</span>
                        </div>
                        <div id="success"></div>
                        <button type="submit" class="btn btn-success mx-auto w-10s">Fetch Bill</button>
                        <p class="mt-2">Amazon only handles the payment processing while booking a gas cylinder. Delivery/and or subsidy will continue to be handled by your distributor or agency.</p>
                     </form>
                     <br>

<div class="rechcent mt-4">
                        <h5  class="reh5">
                           Recent LPG Bookings
                        </h5>
                        <div class="recboxc">
                           <div class="rectab">
                              <img src="../img/tata.png">
                              <div class="revmob">
                                 <p>
                                    60021090570 - HP Gas
                                 </p>
                                 <span>
                                   Last paid on 5 Nov 2022
                                 </span>
                              </div>
                           </div>
                           <div class="repayb">
                              <span class="rebtnpay">Pay</span>
                           </div>
                        </div>

</div>
                 </div>
                 <div class="offer_electricity">
                     <div class="img_off">
                        <img src="../img/offer.png">
                        <p>Offers</p>
                     </div>
                     <div class="off_content">
                        <p><a href="" class="w1">Details </a></p>
                        <p><a href="" class="w1">Details </a></p>
                        <p><strong>Win Scratch Cards Daily</strong> Pay bills and Earn Cashback or Offers as Rewards Daily <a href="" class="w1">Details </a></p>
                        <p><strong>Unlimited 2% cashback</strong> Pay with Amazon Pay ICICI Bank credit card, get unlimited 2% cashback. <a href="" class="w1">Details </a></p>
                        <p><strong>Earn up to Rs. 20 back</strong> On recharge/bill payment using Amazon Pay UPI before 01 Nov. Valid once per user. <a href="" class="w1">Details </a></p>
                     </div>
                 </div>
                 <div class="help">
                  <a href="">Help & FAQ</a>
                 </div>
              </div>
            </div>
         </div>
      </div>
   </section>
      
   <?php include'footer.php'?>

<div class="modal fade" id="exampleModalCenter" tabindex="-1" role="dialog" aria-labelledby="exampleModalCenterTitle" aria-hidden="true">
  <div class="modal-dialog seopc-pop modal-dialog-centered" role="document">
    <div class="modal-content">
      <div class="modal-header">
        <h5 class="modal-title" id="exampleModalLongTitle">Select Operator & Circle</h5>
        <button type="button" class="close" data-dismiss="modal" aria-label="Close">
          <span aria-hidden="true">&times;</span>
        </button>
      </div>
      <div class="modal-body">
        <div id="exTab2" class="container">
           <div class="panel panel-default"> 
             <div class="panel-heading">
               <div class="panel-title">
                 <ul class="nav nav-tabs">
                   <li class="active">
                     <a href="#1" data-toggle="tab">Operator</a>
                   </li>
                   <li><a href="#2" data-toggle="tab">Cricle</a>
                   </li>
                   
                 </ul>
               </div>
             </div>
             
             <div class="panel-body">
               <div class="tab-content ">
                 <div class="tab-pane active" id="1">
                   <div class="tabinnr">
                      <div class=" ">
                       <input type="radio" id="Airtel" name="fav_language" value="Airtel">
                         <label for="Airtel">Airtel</label>
                     </div>
                     <div class="">
                        <input type="radio" id="BSNL" name="fav_language" value="BSNL">
                         <label for="BSNL">BSNL</label>
                     </div>
                     <div class="">
                        <input type="radio" id="Jio" name="fav_language" value="Jio">
                         <label for="Jio">Jio</label>
                     </div>
                     <div class="">
                        <input type="radio" id="VI" name="fav_language" value="VI">
                         <label for="VI">VI</label>
                     </div>
                   </div>
                 </div>
                 <div class="tab-pane" id="2">
                  <div class="tabinnr tavcricl">
                      <div class=" ">
                       <input type="radio" id="Andhra" name="fav_language" value="Andhra">
                         <label for="Andhra">Andhra Pradesh & Telangana</label>
                     </div>
                     <div class="">
                        <input type="radio" id="Assam" name="fav_language" value="Assam">
                         <label for="Assam">Assam</label>
                     </div>
                     <div class="">
                        <input type="radio" id="Bihar" name="fav_language" value="Bihar">
                         <label for="Bihar">Bihar & Jharkhand</label>
                     </div>
                     <div class="">
                        <input type="radio" id="Chennai" name="fav_language" value="Chennai">
                         <label for="Chennai">Chennai</label>
                     </div>
                     <div class="">
                        <input type="radio" id="Delhi NCR" name="fav_language" value="Delhi NCR">
                         <label for="Delhi NCR">Delhi NCR</label>
                     </div>
                     <div class="">
                        <input type="radio" id="Gujarat" name="fav_language" value="Gujarat">
                         <label for="Gujarat">Gujarat</label>
                     </div>
                     <div class="">
                        <input type="radio" id="Haryana" name="fav_language" value="Haryana">
                         <label for="Haryana">Haryana</label>
                     </div>
                     <div class=""> 
                        <input type="radio" id="Himachal Pradesh" name="fav_language" value="Himachal Pradesh">
                         <label for="Himachal Pradesh">Himachal Pradesh</label>
                     </div>
                     <div class="">
                        <input type="radio" id="Jammu Kashmir" name="fav_language" value="Jammu Kashmir">
                         <label for="Jammu Kashmir">Jammu Kashmir</label>
                     </div>
                     <div class="">
                        <input type="radio" id="Karnataka" name="fav_language" value="Karnataka">
                         <label for="Karnataka">Karnataka</label>
                     </div>
                     <div class="">
                        <input type="radio" id="Kerala" name="fav_language" value="Kerala">
                         <label for="Kerala">Kerala</label>
                     </div>
                     <div class="">
                        <input type="radio" id="Kolkata" name="fav_language" value="Kolkata">
                         <label for="Kolkata">Kolkata</label>
                     </div>
                     <div class="">
                        <input type="radio" id="Madhya Pradesh & Chhattisgarh" name="fav_language" value="Madhya Pradesh & Chhattisgarh">
                         <label for="Madhya Pradesh & Chhattisgarh">Madhya Pradesh & Chhattisgarh</label>
                     </div>
                     <div class="">
                        <input type="radio" id="Maharashtra & Goa" name="fav_language" value="Maharashtra & Goa">
                         <label for="Maharashtra & Goa">Maharashtra & Goa</label>
                     </div>
                     <div class="">
                        <input type="radio" id="Mumbai" name="fav_language" value="Mumbai">
                         <label for="Mumbai">Mumbai</label>
                     </div>
                     <div class="">
                        <input type="radio" id="North East" name="fav_language" value="North East">
                         <label for="North East">North East</label>
                     </div>
                     <div class="">
                        <input type="radio" id="Odisha" name="fav_language" value="Odisha">
                         <label for="Odisha">Odisha</label>
                     </div>
                     <div class="">
                        <input type="radio" id="Punjab" name="fav_language" value="Punjab">
                         <label for="Punjab">Punjab</label>
                     </div>
                     <div class="">
                        <input type="radio" id="Rajasthan" name="fav_language" value="Rajasthan">
                         <label for="Rajasthan">Rajasthan</label>
                     </div>
                     <div class="">
                        <input type="radio" id="Tamilnadu" name="fav_language" value="Tamilnadu">
                         <label for="Tamilnadu">Tamilnadu</label>
                     </div>
                     <div class="">
                        <input type="radio" id="UP East" name="fav_language" value="UP East">
                         <label for="UP East">UP East</label>
                     </div>
                     <div class="">
                        <input type="radio" id="UP West & Uttaranchal" name="fav_language" value="UP West & Uttaranchal">
                         <label for="UP West & Uttaranchal">UP West & Uttaranchal</label>
                     </div>
                     <div class="">
                        <input type="radio" id="West Bengal & Andaman Nicobar" name="fav_language" value="West Bengal & Andaman Nicobar">
                         <label for="West Bengal & Andaman Nicobar">West Bengal & Andaman Nicobar</label>
                     </div>

</div>
                 </div>
               
               </div>
             </div>
           </div>
         </div>
      </div>
      
    </div>
  </div>
</div>

</style>
   </body>
</html>