31 lines
1.5 KiB
PHP
31 lines
1.5 KiB
PHP
<!-- Begin Page Content -->
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<div class="container-fluid">
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<div class="row">
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<div class="col-12 col-md-6">
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<div class="card">
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<div class="card-header">
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<h4 class="text-gray-800">Form Data Gejala</h4>
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</div>
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<div class="card-body">
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<form enctype="multipart/form-data" method="post" action="">
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<input type="hidden" name="id" value="<?php echo $id; ?>" />
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<div class="form-group row">
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<label for="" class="col-sm-3 col-form-label">Nama Gejala</label>
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<div class="col-sm-9">
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<input required type="text" name="nama_gejala" class="form-control" id="" placeholder="" value="<?php echo $fetch['nama_gejala']; ?>">
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</div>
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</div>
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<div class="form-group row">
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<label for="" class="col-sm-3 col-form-label"></label>
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<div class="col-sm-9">
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<button class="btn btn-md btn-warning">Simpan</button>
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<a href="<?php echo base_url(); ?>dashboard/daftar_gejala" class="btn btn-md btn-danger">Batal</a>
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</div>
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</div>
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</form>
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</div>
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</div>
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</div>
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</div>
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</div>
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<!-- /.container-fluid --> |