input type="number" name="OtherCharge" placeholder="In Rupees" value="">
        </td>
      </tr>

      <tr class="total">
        <td></td>

        <td>
          <input type="submit" name="submit" value="Generate Bill">
        </td>
      </tr>

    </form>
  </table>
</div>

<!--
   developed By : sumit kumar
   facebook : fb.com/sumit.luv
   youtube : youtube.com/lazycoders
   -->

{% endblock content %}
