<?php $this->load->view('top');
$topbrand = $this->db->query("SELECT category_id, category_name_p, friendly_url FROM wps_categories WHERE status = '1' AND parent_id!='0'")->result_array();
?>

<section class="banner_category" style="background-image: url('<?=theme_url();?>img/about-banner.jpg');">
    <div class="container">
        <div class="banner_subtitle">Hakim Hari Kishan Lal- Sexologist Dawakhana Clinic</div>
        <div class="banner_title">Online Payments Through PayPal</div>
    </div>
</section>
<div class="page_breadcrumbs">
    <div class="container">
        <ul>
            <li><a href="index.php">Home</a></li>
            <li>Pay Online</li>
        </ul>
    </div>
</div>
<div class="clearfix"></div>
        <div class="pay-online contact_area bg-grey">
             <div class="container">
            <div class="section-title style-2">
                <h1>Online Payments Through PayPal</h1>
            </div>
            
            <div class="contact-message">
                    <p id="status_res"></p>
                    <form id="" method="post" class="contact-form">
                        <div class="row">
                            <div class="col-lg-6 col-md-6 col-sm-6">
                                <div class="form-group">
                                    <label class="input_label">
                                        <input class="form_input" name="" id="" placeholder="Enter Amount Rs." pattern="" type="text" required="" >
                                    </label>
                                </div>
                            </div>
                            <div class="contact-btn">
                                <button class="contact_btn hover_btn" id="contact_sub" name="contact_sub" type="submit" fdprocessedid="z1f5ql">Pay Now</button>
                            </div>
                            </div>
                </form>
                </div>
            <p>Enter Amount to pay, e.g. to pay Rs. 150, Enter 150 in box above.</p>
        </div>
    </div>


<?php $this->load->view('bottom'); ?>
