<div id="container">
	<div id="card" class="card text-center col-sm-12" style="width: 35%">
        <div class="card-header" style="background-color:#146fa8;color:white;text-align:center;padding: .75rem 1.25rem;line-height: 1.5;">(FA) Claim Declined</div>
        <div class="card-body" style="padding: 1.25rem">
            <table width="100%" cellpadding="0" cellspacing="0" style="text-align: left">
                <tbody>
                    <tr><td>Claim Name:</td><td><?php echo $claimname;?></td></tr>
                    <tr><td>Distributor:</td><td><?php echo $distributor;?></td></tr>
                    <tr><td>Ticket No:</td><td><?php echo $ticketno;?></td></tr>
                    <tr><td>Date:</td><td><?php echo $date;?></td></tr>
                    <tr><td>Status:</td><td><?php echo '(FA) Application Declined: '.$remark;?></td></tr>
                </tbody>
                <div class="form-group col-sm-12" style="padding-top:15px">
                    <a href="<?=base_url()?><?=$link?>"><button type="button" class="btn btn-primary" style="color: #fff;background-color: #146fa8;border-color: #146fa8;">View Report</button></a>
                </div>
            </table>
        </div>
        <div class="card-footer text-muted"></div>
    </div>
</div>