File: /var/www/html/sarvodayahospital/public/mapp/paymentgatway/payment_vaccine.php
<html>
<head>
<script>
window.onload = function() {
var d = new Date().getTime();
document.getElementById("tid").value = d;
};
</script>
</head>
<body>
<form method="POST" name="customerData" action="ccavRequestHandler.php">
<table width="40%" height="100" border='1' align="center"><caption><font size="4" color="blue"><b>Integration Kit</b></font></caption></table>
<table width="50%" height="100" border='1' align="center">
<tr>
<td>Parameter Name:</td><td>Parameter Value:</td>
</tr>
<tr>
<td colspan="2"> Compulsory information</td>
</tr>
<tr>
<td>TID :</td><td><input type="text" name="tid" id="tid" readonly /></td>
</tr>
<tr>
<td>Merchant Id :</td><td><input type="text" name="merchant_id" value="224898"/></td>
</tr>
<tr>
<td>Order Id :</td><td><input type="text" name="order_id" value="123654789"/></td>
</tr>
<tr>
<td>Amount :</td><td><input type="text" name="amount" value="10.00"/></td>
</tr>
<tr>
<td>Currency :</td><td><input type="text" name="currency" value="INR"/></td>
</tr>
<tr>
<td>Redirect URL :</td><td><input type="text" name="redirect_url" value="http://localhost/ccavResponseHandler.php"/></td>
</tr>
<tr>
<td>Cancel URL :</td><td><input type="text" name="cancel_url" value="http://localhost/ccavResponseHandler.php"/></td>
</tr>
<tr>
<td>Language :</td><td><input type="text" name="language" value="EN"/></td>
</tr>
<tr>
<td></td><td><INPUT TYPE="submit" value="CheckOut"></td>
</tr>
</table>
</form>
</body>
</html>