<div class="modal fade" id="tracking-modal" tabindex="-1" role="dialog" aria-labelledby="exampleModalLabel" aria-hidden="true"> <div class="modal-dialog" role="document"> <div class="modal-content"> <div class="modal-header"> <h5 class="modal-title">Upload Logistic Detail</h5> <button type="button" class="close" data-dismiss="modal" aria-label="Close"> <span aria-hidden="true">&times;</span> </button> </div> <form method="post" id="uploadTracking"> <div class="modal-body"> <div class="alert alert-success" role="alert" style="display:none"></div> <div class="row"> <div class="col-md-8"> <div class="form-group"> <label for="exampleInputCity1">Logistic Partner<span styl="color:red">*</span></label> <input type="hidden" name="orderId" id="orderId"/> <input type="hidden" name="receiptid" id="receiptid"/> <input type="text" class="form-control" name="logistic_partner" value="" placeholder="Logistic Partner" required=""> </div> </div> <div class="col-md-4"> <div class="form-group"> <label for="exampleInputCity1">No. Of Packate <span styl="color:red">*</span></label> <input type="text" class="form-control" name="packet" placeholder="No. of packet" required=""> </div> </div> <div class="col-md-12"> <div class="form-group"> <label for="exampleInputCity1">Remark</label> <textarea class="form-control" name="remark" placeholder="Remark"></textarea> </div> </div> </div> </div> <div class="modal-footer"> <button type="button" class="btn btn-secondary" data-dismiss="modal">Close</button> <button type="submit" class="btn btn-primary">Save changes</button> </div> </form> </div> </div> </div>