210 lines
12 KiB
Plaintext
210 lines
12 KiB
Plaintext
<div class="window">
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<div class="titlebar">
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<div class="title">
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Add New Ticket
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</div>
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</div>
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<div class="innerWindow">
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<div class="content withmenubar withstatusbar">
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<!-- form -->
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<div id="Tracker_from" >
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<form action="get">
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<table border="0" cellspacing="0" cellpadding="0" width="100%">
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@*<tr>
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<th class="tableCelltitle" colspan="2">Talbe heading</th>
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</tr>*@
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<tr>
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<td class="paddding_Zero">
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<table width="100%" cellspacing="0" cellpadding="0" border="0" class="Inner_ListTbl">
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<tbody>
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<tr>
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<th class="tableCelltitle" colspan="2">Agent Info</th>
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</tr>
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</tbody>
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<tbody class="structure">
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<tr>
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<td>Language</td>
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<td align="right">
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<select id="agent_language">
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<option>Select</option>
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<option>English</option>
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<option>Hindi</option>
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<option>Gujarati</option>
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<option>Punjabi</option>
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<option>Malayalam</option>
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</select>
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</td>
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</tr>
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<tr>
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<td>Region</td>
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<td align="right">
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<select id="agent_region">
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<option>Select</option>
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<option>East India</option>
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<option>Northern India</option>
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<option>Northeast India</option>
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<option>South India</option>
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<option>Western India</option>
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</select>
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</td>
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</tr>
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<tr>
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<td>State</td>
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<td align="right">
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<select id="agent_state">
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<option>Select</option>
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<option>Rajasthan</option>
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<option>Gujarat</option>
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<option>Kerala</option>
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<option>Maharashtra</option>
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<option>Punjab</option>
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<option>Tamil Nadu</option>
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</select>
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</td>
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</tr>
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<tr>
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<td>City</td>
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<td align="right">
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<select id="agent_city">
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<option>Select</option>
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<option>Jaipur</option>
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<option>Jodhpur</option>
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<option>Ajmer</option>
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<option>Kota</option>
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<option>Udaipur</option>
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<option>Alwar</option>
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</select>
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</td>
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</tr>
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</tbody>
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</table>
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</td>
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</tr>
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<tr>
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<td class="paddding_Zero">
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<table style="margin-top: 5px;" width="100%" cellspacing="0" cellpadding="0" border="0" class="Inner_ListTbl">
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<tbody>
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<tr>
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<th style="border-top: 1px solid #c5c5c5;" colspan="2" class="tableCelltitle">Driver/Caller Info 12</th>
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</tr>
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</tbody>
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<tbody class="structure">
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<tr>
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<td width="120" class="">Name</td>
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<td class=" ">
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<input type="text" id="driver_name" />
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</td>
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</tr>
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<tr>
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<td width="120" class="">Contact</td>
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<td class=" ">''
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<input type="text" id="driver_contact_no" onchange="chkDriverval();" />
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</td>
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</tr>
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</tbody>
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</table>
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</td>
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</tr>
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<tr>
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<td class="paddding_Zero">
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<table style="margin-top: 5px;" width="100%" cellspacing="0" cellpadding="0" border="0" class="Inner_ListTbl">
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<tbody>
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<tr>
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<th style="border-top: 1px solid #c5c5c5;" colspan="2" class="tableCelltitle">Vehicle Info</th>
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</tr>
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</tbody>
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<tbody class="structure">
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<tr>
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<td class="">Name</td>
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<td class="">
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<input type="text" id="vehicle_owner_name" />
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</td>
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</tr>
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<tr>
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<td class="">Contact no</td>
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<td class="">
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<input type="text" id="vehicle_owner_contact_no" />
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</td>
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</tr>
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<tr>
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<td class="">Location</td>
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<td class="">
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<input type="text" id="vehicle_owner_location" />
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</td>
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</tr>
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<tr>
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<td class="">Registration no</td>
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<td class="">
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<input type="text" id="vehicle_registration" />
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</td>
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</tr>
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<tr>
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<td class="">Vechicle model 123</td>
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<td class="">
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<input type="text" id="vehicle_model" />
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</td>
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</tr>
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<tr>
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<td class="">Product varient</td>
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<td class="">
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<input type="text" id="vehicle_product_varient" />
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</td>
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</tr>
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<tr>
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<td style="vertical-align: top;" class=" ">EOS exact location</td>
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<td colspan="1" class=" ">
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<textarea rows="20" cols="20" id="eos_exact_location" disabled></textarea>
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</td>
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@*<td class=" ">Direction of vechicle(moving toward)</td>
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<td class=" ">
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<input type="text" />
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</td>*@
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</tr>
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<tr>
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<td class=" ">Type of load carrying</td>
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<td class=" ">
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<input type="text" id="vehicle_type_of_load_carrying" />
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</td>
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</tr>
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<tr>
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<td class=" ">Direction of vechicle</td>
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<td class=" ">
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<input type="text" id="vehicle_direction_of_moving" />
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</td>
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</tr>
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<tr>
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<td style="vertical-align: top;" class=" ">Nature of problem 1234</td>
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<td colspan="1" class=" ">
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<textarea rows="35" cols="20" id="nature_of_problem"></textarea>
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</td>
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</tr>
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</tbody>
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</table>
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</td>
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</tr>
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</table>
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</form>
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</div>
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<!-- end of form -->
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</div>
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<div class="statusbar" id="TicketList_Statusbar">
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@*<div id="TicketList_Tbl_BtnWrp">
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<input type="submit" value="Cancel" onclick="" class="Report_Btn" style="margin: auto;" />
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<input type="submit" value="Get All Vans" onclick="" class="Report_Btn" style="margin: auto;" />
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</div>*@
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<div id="Tracker_from_BtnWrp">
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<input id="ReturnToList" type="submit" value="Cancel" onclick="" class="Report_Btn" style="margin: auto;" />
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<input type="submit" value="Get All Vans" onclick="calculateDistances()" class="Report_Btn" style="margin: auto;" />
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</div>
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</div>
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</div>
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</div>
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