49 lines
1.2 KiB
PHP
49 lines
1.2 KiB
PHP
@extends('layouts.app')
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@section('content')
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<div class="container">
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<div class="card shadow">
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<div class="card-header text-white" style="background: linear-gradient(90deg,#4f46e5,#6366f1)">
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<h5>Formulir Pengaduan Online</h5>
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</div>
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<div class="card-body">
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<form action="{{ route('user.layanan.store') }}" method="POST" enctype="multipart/form-data">
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@csrf
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<div class="form-group">
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<label>Kategori Pengaduan</label>
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<select name="kategori_masalah" class="form-control" required>
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<option value="">Pilih Kategori</option>
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<option value="kebersihan">Kebersihan</option>
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<option value="keamanan">Keamanan</option>
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<option value="fasilitas">Fasilitas</option>
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</select>
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</div>
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<div class="form-group">
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<label>Deskripsi Masalah</label>
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<textarea name="deskripsi" class="form-control" rows="4" placeholder="Jelaskan masalah..." required></textarea>
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</div>
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<div class="form-group">
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<label>Upload Gambar (Opsional)</label>
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<input type="file" name="foto" class="form-control" onchange="previewImage(event)">
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<img id="preview" width="100" class="mt-2"/>
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</div>
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<div class="d-flex justify-content-end">
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<button type="reset" class="btn btn-secondary mr-2">Reset</button>
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<button class="btn btn-primary">Kirim Pengaduan</button>
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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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@endsection
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