Files
operify/app/components/SampleForm/CustomerInfoSection.jsx
2025-06-16 15:53:12 +05:30

179 lines
7.0 KiB
JavaScript

import React from 'react';
const CustomerInfoSection = ({ formData, onInputChange }) => {
const handleChange = (field, value) => {
onInputChange('customer', field, value);
};
return (
<div className="bg-white mx-6 mt-6 p-6 rounded-lg">
<h2 className="text-teal-600 text-lg font-semibold mb-6 border-b-2 border-teal-600 pb-1">
Customer Information
</h2>
<div className="space-y-4">
<div className="grid grid-cols-1 md:grid-cols-2 gap-4">
<div>
<label className="block mb-2 font-semibold text-sm text-gray-600">
Principal Investigator <span className="text-red-500">*</span>
</label>
<input
type="text"
value={formData.Principal_Investigator}
onChange={(e) => handleChange('Principal_Investigator', e.target.value)}
style={{ color: '#555555' }}
className="w-full p-2 border border-gray-300 rounded text-sm font-arial h-10 box-border"
required
/>
</div>
<div>
<label className="block mb-2 font-semibold text-sm text-gray-600">
Email <span className="text-red-500">*</span>
</label>
<input
type="email"
value={formData.Email}
onChange={(e) => handleChange('Email', e.target.value)}
style={{ color: '#555555' }}
className="w-full p-2 border border-gray-300 rounded text-sm font-arial h-10 box-border"
required
/>
</div>
</div>
<div className="grid grid-cols-1 md:grid-cols-2 gap-4">
<div>
<label className="block mb-2 font-semibold text-sm text-gray-600">
Company/Institution <span className="text-red-500">*</span>
</label>
<input
type="text"
value={formData.Company_Institution}
onChange={(e) => handleChange('Company_Institution', e.target.value)}
style={{ color: '#555555' }}
className="w-full p-2 border border-gray-300 rounded text-sm font-arial h-10 box-border"
required
/>
</div>
<div>
<label className="block mb-2 font-semibold text-sm text-gray-600">
Contact Number <span className="text-red-500">*</span>
</label>
<input
type="tel"
value={formData.Contact_Number}
onChange={(e) => handleChange('Contact_Number', e.target.value)}
style={{ color: '#555555' }}
className="w-full p-2 border border-gray-300 rounded text-sm font-arial h-10 box-border"
required
/>
</div>
</div>
<div>
<label className="block mb-2 font-semibold text-sm text-gray-600">
Address <span className="text-red-500">*</span>
</label>
<input
type="text"
value={formData.Address}
onChange={(e) => handleChange('Address', e.target.value)}
style={{ color: '#555555' }}
className="w-full p-2 border border-gray-300 rounded text-sm font-arial h-10 box-border"
required
/>
</div>
<div className="grid grid-cols-1 md:grid-cols-3 gap-4">
<div>
<label className="block mb-2 font-semibold text-sm text-gray-600">
City <span className="text-red-500">*</span>
</label>
<input
type="text"
value={formData.City}
onChange={(e) => handleChange('City', e.target.value)}
style={{ color: '#555555' }}
className="w-full p-2 border border-gray-300 rounded text-sm font-arial h-10 box-border"
required
/>
</div>
<div>
<label className="block mb-2 font-semibold text-sm text-gray-600">
State <span className="text-red-500">*</span>
</label>
<input
type="text"
value={formData.State}
onChange={(e) => handleChange('State', e.target.value)}
style={{ color: '#555555' }}
className="w-full p-2 border border-gray-300 rounded text-sm font-arial h-10 box-border"
required
/>
</div>
<div>
<label className="block mb-2 font-semibold text-sm text-gray-600">
Pin <span className="text-red-500">*</span>
</label>
<input
type="text"
value={formData.Pin}
onChange={(e) => handleChange('Pin', e.target.value)}
style={{ color: '#555555' }}
className="w-full p-2 border border-gray-300 rounded text-sm font-arial h-10 box-border"
required
/>
</div>
</div>
<div className="grid grid-cols-1 md:grid-cols-2 gap-4">
<div>
<label className="block mb-2 font-semibold text-sm text-gray-600">Secondary Contact</label>
<input
type="text"
value={formData.Secondary_Contact}
onChange={(e) => handleChange('Secondary_Contact', e.target.value)}
style={{ color: '#555555' }}
className="w-full p-2 border border-gray-300 rounded text-sm font-arial h-10 box-border"
/>
</div>
<div>
<label className="block mb-2 font-semibold text-sm text-gray-600">Email</label>
<input
type="email"
value={formData.Secondary_Email}
onChange={(e) => handleChange('Secondary_Email', e.target.value)}
style={{ color: '#555555' }}
className="w-full p-2 border border-gray-300 rounded text-sm font-arial h-10 box-border"
/>
</div>
</div>
<div className="grid grid-cols-1 md:grid-cols-2 gap-4">
<div>
<label className="block mb-2 font-semibold text-sm text-gray-600">Company/Institution</label>
<input
type="text"
value={formData.Secondary_Company_Institution}
onChange={(e) => handleChange('Secondary_Company_Institution', e.target.value)}
style={{ color: '#555555' }}
className="w-full p-2 border border-gray-300 rounded text-sm font-arial h-10 box-border"
/>
</div>
<div>
<label className="block mb-2 font-semibold text-sm text-gray-600">Contact Number</label>
<input
type="tel"
value={formData.Secondary_Contact_Number}
onChange={(e) => handleChange('Secondary_Contact_Number', e.target.value)}
style={{ color: '#555555' }}
className="w-full p-2 border border-gray-300 rounded text-sm font-arial h-10 box-border"
/>
</div>
</div>
</div>
</div>
);
};
export default CustomerInfoSection;