33 lines
1.6 KiB
PHP
33 lines
1.6 KiB
PHP
<!-- Modal Tambah -->
|
|
<div class="modal fade" id="newGrafikModal" tabindex="-1" role="dialog" aria-labelledby="forModalLabel"
|
|
aria-hidden="true">
|
|
<div class="modal-dialog" role="document">
|
|
<div class="modal-content">
|
|
<div class="modal-header">
|
|
<button type="button" class="close" data-dismiss="modal" aria-label="Close">
|
|
<span aria-hidden="true">×</span>
|
|
</button>
|
|
<h5 class="modal-title" id="apasih">Tambah Data Stunting</h5>
|
|
</div>
|
|
<form action="<?= base_url('grafik/tambahGrafik'); ?>" method="post">
|
|
<div class="modal-body">
|
|
<div class="form-group">
|
|
<input type="text" class="form-control" id="kode" name="kode" value="<?= $kode; ?>" readonly>
|
|
</div>
|
|
<div class="form-group">
|
|
<input type="text" class="form-control" id="nama_kecamatan" name="nama_kecamatan"
|
|
placeholder="Nama Kecamatan" required>
|
|
</div>
|
|
<div class="form-group">
|
|
<input type="text" class="form-control" id="jumlah" name="jumlah"
|
|
placeholder="Jumlah Prevalensi" required>
|
|
</div>
|
|
</div>
|
|
<div class="modal-footer">
|
|
<button type="button" class="btn btn-secondary" data-dismiss="modal">Tutup</button>
|
|
<button type="submit" class="btn btn-primary">Tambah</button>
|
|
</div>
|
|
</form>
|
|
</div>
|
|
</div>
|
|
</div> |