<div class="panel panel-default">

    <div class="panel-heading">
        <h6 class="panel-title">
            <a href="<?php echo site_url('everbright/individualsms_add'); ?>"><i class="fa fa-align-justify"></i></a> 
            Individual SMS Information | Add
        </h6>
        <a href="<?php echo site_url('everbright/individualsms'); ?>" class="pull-right btn btn-circle btn-xs btn-default"><i class="fa fa-times"></i>Cancel</a>
    </div>

    <div class="panel-body">
        <form action="<?php echo site_url('everbright/individualsms/add'); ?>" method="post" class="form-horizontal validate" role="form"> 

                 
            <div class="row">
                <div class="col-md-6">                   
                    <div class="form-group">
                        <label class="col-sm-4 control-label text-right"><span>Mobile Number<span class="mandatory">*</span></span></label>
                        <div class="col-sm-8">
                            <input type="text" class="required  form-control " placeholder="In English" name="mobile_number">
                        </div>
                    </div> 
                </div>
                

            </div>
			<div class="form-group">
                <label class="control-label col-md-2 text-right">SMS / এস এম এস</label>
                <div class="col-md-10">
                    <textarea type="text" class="form-control" placeholder="SMS" name="sms"></textarea>
                </div>
            </div>
            
            
            
            <div class="form-actions text-right">
                <button type="submit" value="Submit" class="btn btn-primary"><i class="fa fa-check"></i> Submit</button>
            </div>
        </form>
    </div>

</div>
