source: db_tsh/Views/Home/Travel.cshtml@ 705d6f5

@model db_tsh.Models.Osi
@{
    ViewData["Title"] = "Travel Health Policy";
}

<div class="container mt-5">
    <div class="row justify-content-center">
        <div class="col-md-6">
            <div class="card">
                <div class="card-header bg-primary text-white">
                    <h3 class="card-title">Buy Travel Health Policy</h3>
                </div>
                <div class="card-body">
                    <form asp-action="Travel" method="post">
                        <div class="form-group">
                            <label for="OEmbg">OEmbg</label>
                            <input type="text" class="form-control" id="OEmbg" name="OEmbg" placeholder="Enter your id" required>
                        </div>
                        <div class="form-group">
                            <label for="name">Name</label>
                            <input type="text" class="form-control" id="name" name="name" placeholder="Enter your name" required>
                        </div>
                        <div class="form-group">
                            <label for="surname">Surname</label>
                            <input type="text" class="form-control" id="surname" name="surname" placeholder="Enter your surname" required>
                        </div>
                        <div class="form-group">
                            <label for="birthdate">Birthdate</label>
                            <input type="date" class="form-control" id="birthdate" name="birthdate" required>
                        </div>
                        <div class="form-group">
                            <label for="kontakt">Contact</label>
                            <input type="text" class="form-control" id="kontakt" name="kontakt" placeholder="Enter your contact information" required>
                        </div>
                        <div class="form-group">
                            <label for="startDate">Start Date</label>
                            <input type="date" class="form-control" id="startDate" name="startDate" required>
                        </div>
                        <div class="form-group">
                            <label for="numberOfDays">Number of Days</label>
                            <input type="number" class="form-control" id="numberOfDays" name="numberOfDays" placeholder="Enter the number of days" required>
                        </div>
                        <div class="form-group">
                            <label for="package">Package</label>
                            <select class="form-control" id="package" name="package" required>
                                <option value="">Select Package</option>
                                @if (ViewBag.Packages != null)
                                {
                                    foreach (var package in ViewBag.Packages)
                                    {
                                        <option value="@package.Code">@package.Title</option>
                                    }
                                }
                            </select>
                        </div>
                        <button type="submit" class="btn btn-primary btn-block">Submit</button>
                    </form>
                </div>
            </div>
        </div>
    </div>
</div>