TIF_E41210004/application/views/admin/modals/modal_tambah_penyakit.php

39 lines
1.9 KiB
PHP

<!-- Modal Tambah -->
<div class="modal fade" id="newPenyakitModal" 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">&times;</span>
</button>
<h5 class="modal-title" id="apasih">Tambah Penyakit</h5>
</div>
<form action="<?= base_url('penyakit/tambahPenyakit'); ?>" 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_penyakit" name="nama_penyakit" placeholder="Nama Penyakit" required>
</div>
<div class="form-group">
<input type="text" class="form-control" id="probabilitas" name="probabilitas" placeholder="Nilai Probabilitas" required>
</div>
<div class="form-group">
<input type="text" class="form-control" id="jumlah_muncul" name="jumlah_muncul" placeholder="Jumlah Muncul" required>
</div>
<div class="form-group">
<textarea name="saran" id="saran" class="resizable_textarea form-control" placeholder="Saran" required></textarea>
</div>
<div class="form-group">
<textarea name="informasi" id="informasi" class="resizable_textarea form-control" placeholder="Info Penyakit" required></textarea>
</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>