MIF_E31210039/resources/views/konsultasi/diagnosa.blade.php

134 lines
6.7 KiB
PHP

@extends('layouts.master')
@section('title', 'konsultasi')
@section('konten')
<div class="container-fluid p-0 m-0 my-5">
<div class="col-xxl-5">
<!-- Header text content-->
<div class="text-center text-xxl-start">
<div class="badge bg-gradient-primary-to-secondary text-black mb-4" @style("font-size:20pt")><div class="text-uppercase"> PILIH GEJALA</div></div>
</div>
</div>
<div class="card kartu-custom">
<div class="card-header bg-gradient-primary-to-secondary text-white fw-bold">
Konsultasi Gejala
</div>
<div class="card-body">
<form action="{{ URL::to('diagnosa') }}" method="post">
@csrf
<div class="mb-3 row">
<label for="nama" class="col-sm-2 col-form-label text-custom">Nama Pengunjung</label>
<div class="col-sm-10">
<input type="text" class="form-control @error('nama') is-invalid @enderror" id="nama" name="nama"
value="{{ old('nama') }}">
@error('nama')
<div class="invalid-feedback">
{{ $message }}
</div>
@enderror
</div>
</div>
<div class="mb-3 row">
<label for="alamat" class="col-sm-2 col-form-label text-custom">Alamat</label>
<div class="col-sm-10">
<textarea class="form-control @error('alamat') is-invalid @enderror" id="alamat" name="alamat"
rows="3">{{ old('alamat') }}</textarea>
@error('alamat')
<div class="invalid-feedback">
{{ $message }}
</div>
@enderror
</div>
</div>
<div class="mb-3 row">
<label for="jenis_sapi" class="col-sm-2 col-form-label text-custom">Jenis Sapi</label>
<div class="col-sm-10">
<input type="text" class="form-control @error('jenis_sapi') is-invalid @enderror"
id="jenis_sapi" name="jenis_sapi" value="{{ old('jenis_sapi') }}">
@error('jenis_sapi')
<div class="invalid-feedback">
{{ $message }}
</div>
@enderror
</div>
</div>
@if (session()->has('error'))
<svg xmlns="http://www.w3.org/2000/svg" style="display: none;">
<symbol id="check-circle-fill" fill="currentColor" viewBox="0 0 16 16">
<path
d="M16 8A8 8 0 1 1 0 8a8 8 0 0 1 16 0zm-3.97-3.03a.75.75 0 0 0-1.08.022L7.477 9.417 5.384 7.323a.75.75 0 0 0-1.06 1.06L6.97 11.03a.75.75 0 0 0 1.079-.02l3.992-4.99a.75.75 0 0 0-.01-1.05z" />
</symbol>
<symbol id="info-fill" fill="currentColor" viewBox="0 0 16 16">
<path
d="M8 16A8 8 0 1 0 8 0a8 8 0 0 0 0 16zm.93-9.412-1 4.705c-.07.34.029.533.304.533.194 0 .487-.07.686-.246l-.088.416c-.287.346-.92.598-1.465.598-.703 0-1.002-.422-.808-1.319l.738-3.468c.064-.293.006-.399-.287-.47l-.451-.081.082-.381 2.29-.287zM8 5.5a1 1 0 1 1 0-2 1 1 0 0 1 0 2z" />
</symbol>
<symbol id="exclamation-triangle-fill" fill="currentColor" viewBox="0 0 16 16">
<path
d="M8.982 1.566a1.13 1.13 0 0 0-1.96 0L.165 13.233c-.457.778.091 1.767.98 1.767h13.713c.889 0 1.438-.99.98-1.767L8.982 1.566zM8 5c.535 0 .954.462.9.995l-.35 3.507a.552.552 0 0 1-1.1 0L7.1 5.995A.905.905 0 0 1 8 5zm.002 6a1 1 0 1 1 0 2 1 1 0 0 1 0-2z" />
</symbol>
</svg>
<div class="alert alert-danger alert-dismissible fade show d-flex align-items-center" role="alert">
<svg class="bi flex-shrink-0 me-2" width="24" height="24" role="img" aria-label="Danger:">
<use xlink:href="#exclamation-triangle-fill" />
</svg>
<div>
{{ session('error') }}
</div>
<button type="button" class="btn-close" data-bs-dismiss="alert"
aria-label="Close"></button>
</div>
@endif
<table class="table table-bordered custom-table" style="width: 100%">
<colgroup>
<col span="1" style="width: 3%;">
<col span="1" style="width: 12%;">
<col span="1" style="width: 80%;">
<col span="1" style="width: 5%;">
</colgroup>
<thead>
<tr class="text-center">
<th>No.</th>
<th>Kode Gejala</th>
<th>Nama Gejala</th>
<th></th>
</tr>
</thead>
<tbody>
@php
$i = 1;
@endphp
@foreach ($dataGejala as $gejala)
<tr>
<td class="text-center">{{ $i }}</td>
<td class="text-center">{{ $gejala['kode_gejala'] }}</td>
<td>{{ $gejala['gejala'] }}</td>
<td class="text-center">
<input type="checkbox" class="form-check-input" name="resultGejala[]"
value="{{ $gejala['kode_gejala'] }}"
@if (is_array(old('resultGejala')) && in_array($gejala['kode_gejala'], old('resultGejala'))) checked @endif>
</td>
</tr>
@php
$i++;
@endphp
@endforeach
</tbody>
</table>
<div class="d-grid gap-2 d-md-flex justify-content-md-end">
<button class="btn btn-sm btn-info text-whitefw-bold" type="submit"><i class="fa-solid fa-floppy-disk me-1"></i>
Hitung
</button>
<button class="btn btn-sm btn-danger fw-bold" type="reset"><i class="fa-solid fa-ban me-1"></i>
Cancel
</button>
</div>
</form>
</div>
<div class="card-footer"></div>
</div>
</div>
@endsection