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Azmat Ali
2026-03-02 13:22:47 +05:30
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8" />
<meta name="viewport" content="width=device-width, initial-scale=1.0" />
<title>Checkout – MediGlobe</title>
<link rel="stylesheet" href="assets/css/styles.css" />
<link rel="stylesheet" href="assets/css/components.css" />
<link rel="stylesheet" href="assets/css/checkout.css" />
</head>
<body>
<!-- <div id="topbar-placeholder"></div> -->
<div id="navbar-placeholder"></div>
<!-- BREADCRUMB -->
<div class="breadcrumb-bar">
<div class="breadcrumb-inner">
<a href="index.html">Home</a>
<span class="sep">›</span>
<a href="checkout.html" class="current">Checkout</a>
</div>
</div>
<div class="checkout-page">
<div class="checkout-page-title">
<h1>Checkout</h1>
</div>
<div class="checkout-layout">
<!-- LEFT: Billing Form -->
<div class="checkout-form-card">
<h2 class="checkout-title">Billing Details</h2>
<form id="checkout-form" class="checkout-form">
<div class="form-row">
<div class="form-group">
<label for="firstName">First Name <span>*</span></label>
<input type="text" id="firstName" required />
</div>
<div class="form-group">
<label for="lastName">Last Name <span>*</span></label>
<input type="text" id="lastName" required />
</div>
</div>
<div class="form-group">
<label for="email">Email Address </label>
<input type="email" id="email" />
</div>
<div class="form-group">
<label for="phone">Phone <span>*</span></label>
<input type="tel" id="phone" required />
</div>
<div class="form-group">
<label for="address">Street Address <span>*</span></label>
<input type="text" id="address" required />
</div>
<div class="form-row">
<div class="form-group">
<label for="city">City <span>*</span></label>
<input type="text" id="city" required />
</div>
<div class="form-group">
<label for="state">State <span>*</span></label>
<input type="text" id="state" required />
</div>
</div>
<div class="form-group">
<label for="postal">Postal Code <span>*</span></label>
<input type="text" id="postal" required />
</div>
<button type="submit" class="btn-primary checkout-continue">
Continue to Payment
</button>
</form>
</div>
<!-- RIGHT: Order Summary -->
<div class="checkout-summary-card">
<h2 class="checkout-title">Your Order</h2>
<div id="checkout-items"></div>
<div class="checkout-summary">
<div class="summary-row">
<span>Subtotal</span>
<span id="checkout-subtotal">₹0.00</span>
</div>
<hr />
<div class="summary-row total-row">
<span>Total</span>
<span id="checkout-total">₹0.00</span>
</div>
</div>
<!-- QR Section -->
<div class="qr-section">
<div class="qr-wrapper blurred" id="qr-wrapper">
<img src="assets/images/qr-code.jpeg" alt="Payment QR Code" />
</div>
<p class="qr-note">Fill billing details to unlock payment QR.</p>
</div>
</div>
</div>
</div>
<div id="footer-placeholder"></div>
<script src="assets/js/components.js"></script>
<script src="assets/js/cart.js"></script>
<script src="assets/js/checkout.js"></script>
</body>
</html>