<!DOCTYPE html>
<html>
<head>
<title>Customer Payment Entry</title>
<link rel="stylesheet" href="style.css">
</head>
<body>
<div class="container">


<!-- QR Code Section -->
<div class="qr">
<img src="qr.png" alt="Scan & Pay QR">
<p><b>Scan QR & Pay</b></p>
</div>


<h2>Customer Entry Form</h2>


<?php if(isset($_GET['success'])){ ?>
<p style="color:green; text-align:center; font-weight:bold;">✅ Successfully Submitted</p>
<?php } ?>


<form action="submit.php" method="POST" enctype="multipart/form-data">
<input type="text" name="name" placeholder="Customer Name" required>
<input type="text" name="mobile" placeholder="Mobile Number" required>
<input type="text" name="txn" placeholder="Transaction ID" required>
<input type="file" name="screenshot" required>
<button type="submit">Submit</button>
</form>
</div>
</body>
</html>
```php
<!DOCTYPE html>
<html>
<head>
<title>Customer Payment Entry</title>
<link rel="stylesheet" href="style.css">
</head>
<body>
<div class="container">
<div class="qr">
<img src="qr.png" alt="QR Code">
<p>Scan & Pay</p>
</div>


<h2>Customer Entry Form</h2>
<form action="submit.php" method="POST" enctype="multipart/form-data">
<input type="text" name="name" placeholder="Customer Name" required>
<input type="text" name="mobile" placeholder="Mobile Number" required>
<input type="text" name="txn" placeholder="Transaction ID" required>
<input type="file" name="screenshot" required>
<button type="submit">Submit</button>
</form>
</div>
</body>
</html>