<main class="p-5"> <form action="https://crm.fuka-arvand.com/front/detail" method="post"> <input type="hidden" name="_token" value="ycYHjjYXv5YUy3DKGHGTVNwMIjkd6phQtCAukDws" /> <div class="grid grid-cols-1 md:grid-cols-2 lg:grid-cols-4 gap-2"> <div class="form-control"> <label class="label"> <span class="label-text">شماره سریال</span> </label> <div class="flex space-x-2"> <input placeholder="سریال دستگاه" type="text" name="serial" value="" class="w-full input-bordered input input-sm" /> </div> </div> </div> <div class="grid grid-cols-1 md:grid-cols-2 lg:grid-cols-4 gap-2"> <div class="form-control lg:col-span-2"> <label class="label"> <span class="label-text">لطفا متن درون تصویر را وارد کنید.</span> </label> <div class="flex space-x-2"> <a class="inline-flex items-center text-sm font-medium leading-5 text-gray-500 hover:text-blue-500 focus:outline-none focus:text-gray-700 transition duration-150 ease-in-out" click="changeCaptcha()" title="تصویر جدید"> <svg xmlns="http://www.w3.org/2000/svg" class="h-5 w-5 text-green-500" viewbox="0 0 20 20" fill="currentColor"> <path fill-rule="evenodd" d="M4 2a1 1 0 011 1v2.101a7.002 7.002 0 0111.601 2.566 1 1 0 11-1.885.666A5.002 5.002 0 005.999 7H9a1 1 0 010 2H4a1 1 0 01-1-1V3a1 1 0 011-1zm.008 9.057a1 1 0 011.276.61A5.002 5.002 0 0014.001 13H11a1 1 0 110-2h5a1 1 0 011 1v5a1 1 0 11-2 0v-2.101a7.002 7.002 0 01-11.601-2.566 1 1 0 01.61-1.276z" clip-rule="evenodd"></path> </svg> </a> <img class="rounded mx-1" src="https://crm.fuka-arvand.com/captcha/flat?ytW26OCh" id="captcha" /> <input type="text" name="captcha" value="" class="w-full input-bordered input input-sm" /> </div> </div> </div> <hr class="mt-4 mb-2 border-gray-400" /> <!-- START FIFTH ROW --> <div class="grid grid-cols-3 md:grid-cols-6 gap-2"> <button type="submit" class="btn btn-info font-bold"> بررسی </button> </div> </form> </main>
.jpg)