102 lines
4.7 KiB
PHP
102 lines
4.7 KiB
PHP
@extends('layouts.dashboard')
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@section('title', 'Edit Data Ibu Hamil')
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@section('content')
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<div class="pagetitle mb-4">
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<h1 style="color: #FF782D; font-weight: 700;">Edit Data Ibu Hamil</h1>
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<nav>
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<ol class="breadcrumb">
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<li class="breadcrumb-item"><a href="{{ route('ibu_hamil.index') }}">Data Ibu Hamil</a></li>
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<li class="breadcrumb-item active">Edit Ibu Hamil</li>
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</ol>
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</nav>
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</div>
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<section class="section">
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<div class="row justify-content-center">
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<div class="col-lg-9">
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<div class="card shadow-sm border-0" style="border-radius: 20px;">
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<div class="card-body p-4">
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<div class="d-flex align-items-center mb-4">
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<div class="icon-box me-3" style="background: #fff5f0; padding: 10px; border-radius: 12px;">
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<i class="bi bi-person-heart" style="color: #FF782D; font-size: 1.5rem;"></i>
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</div>
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<h5 class="card-title mb-0" style="color: #2c3e50; font-weight: 600;">Edit Data Ibu Hamil</h5>
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</div>
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<form action="{{ route('ibu_hamil.update', $ibu_hamil->id) }}" method="POST">
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@csrf
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@method('PUT')
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<div class="row">
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<div class="col-md-6 mb-3">
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<label class="form-label fw-semibold">NIK</label>
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<div class="input-group">
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<span class="input-group-text bg-white border-end-0"><i class="bi bi-card-text text-muted"></i></span>
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<input type="text" class="form-control border-start-0 custom-input" name="nik" value="{{ $ibu_hamil->nik }}">
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</div>
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</div>
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<div class="col-md-6 mb-3">
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<label class="form-label fw-semibold">Nama Lengkap</label>
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<div class="input-group">
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<span class="input-group-text bg-white border-end-0"><i class="bi bi-person text-muted"></i></span>
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<input type="text" class="form-control border-start-0 custom-input" name="nama" id="nama" value="{{ $ibu_hamil->nama }}">
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</div>
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</div>
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<div class="col-md-6 mb-3">
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<label class="form-label fw-semibold">Tanggal Lahir</label>
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<div class="input-group">
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<span class="input-group-text bg-white border-end-0"><i class="bi bi-calendar-event text-muted"></i></span>
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<input type="date" class="form-control border-start-0 custom-input" name="tgl_lahir" value="{{ $ibu_hamil->tgl_lahir }}">
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</div>
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</div>
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<div class="col-md-6 mb-3">
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<label class="form-label fw-semibold">Nomor WhatsApp/HP</label>
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<div class="input-group">
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<span class="input-group-text bg-white border-end-0"><i class="bi bi-whatsapp text-muted"></i></span>
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<input type="text" class="form-control border-start-0 custom-input" name="no_hp" value="{{ $ibu_hamil->no_hp }}">
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</div>
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</div>
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<div class="col-md-12 mb-4">
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<label class="form-label fw-semibold">Alamat Lengkap</label>
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<div class="input-group">
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<span class="input-group-text bg-white border-end-0"><i class="bi bi-geo-alt text-muted"></i></span>
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<textarea class="form-control border-start-0 custom-input" name="alamat" rows="2">{{ old('alamat', $ibu_hamil->alamat) }}</textarea>
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</div>
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</div>
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</div>
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<div class="d-flex justify-content-end gap-2 border-top pt-4">
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<a href="{{ route('ibu_hamil.index') }}" class="btn btn-light px-4" style="border-radius: 10px;">Batal</a>
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<button type="submit" class="btn btn-orange px-4" style="background-color: #FF782D; color: white; border-radius: 10px; font-weight: 600; border: none;">
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<i class="bi bi-save me-2"></i>Simpan Data Ibu Hamil
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</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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</div>
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</section>
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<style>
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.custom-input:focus {
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border-color: #FF782D !important;
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box-shadow: 0 0 0 0.25rem rgba(255, 120, 45, 0.1) !important;
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}
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.input-group-text { border-radius: 10px 0 0 10px !important; }
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.custom-input { border-radius: 0 10px 10px 0 !important; }
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</style>
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@endsection
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