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<html>
<head>
<body style="background-color: lightgrey; margin-top: 40px;">
<h2 style="text-align: center; background-color: aliceblue;padding: 20px;">BIHAR STATE POWER GENERATION COMPANY LIMITED <br><br>ELECTRICITY BILL</h2>
<fieldset>
<legend style="text-align: center;"><strong>Customer Datails</strong></legend>
<form>
<label>Bill Id</label> <input type="text" value="000000005"><br><br>
<label>Customer Id</label> <input type="text">
<label>meter Number</label> <input type="text"><br><br>
<label>Customer Name</label> <input type="text">
<label>Mobile Number</label> <input type="text"><br><br>
<label>Customer Address</label> <input type="text" size="70"><br><br>
<label>Area Type</label> <input type="text">
<label>Bill date</label> <input type="text"><br><br>
<label>Connection type</label> <input type="text">
<label>Billed Days</label> <input type="text">
</form>
</fieldset>
<fieldset>
<tr>
<td>
<strong>Reading Details</strong></legend>
<label>Previous Reading</label> <input type="text" style="text-box:center;"><br>
<label>Current Reading</label> <input type="text"><br>
<label>Consumption</label> <input type="text">
</td>
</tr>
<tr>/
<td>
<strong>Arrear Details</strong></legend>
<label>Payment on Account</label> <input type="text">
<label>Energy Dues</label> <input type="text">
<label>Arrears DPS</label> <input type="text">
<label>Sub Total (A)</label> <input type="text">
</td>
</tr>
</fieldset>
<br>
<button class="font-size:30px;">Submit</button>
</body>
</head>
</html>