MIF_E31231313/Website/s_gizi/resources/views/admin/children/create.blade.php

36 lines
1.6 KiB
PHP

<x-admin-layout :title="'Tambah Data Anak'">
<div class="mb-3">
<h4 class="mb-1">Tambah Data Anak</h4>
<div class="text-muted">Data ini diperlukan untuk perhitungan umur berdasarkan tanggal lahir.</div>
</div>
<div class="card shadow-sm">
<div class="card-body">
<form method="post" action="{{ route('admin.children.store') }}">
@csrf
<div class="mb-3">
<label class="form-label">Nama</label>
<input class="form-control" name="nama" value="{{ old('nama') }}" required>
</div>
<div class="mb-3">
<label class="form-label">Tanggal Lahir</label>
<input type="date" class="form-control" name="tanggal_lahir" value="{{ old('tanggal_lahir') }}" required>
</div>
<div class="mb-3">
<label class="form-label">Jenis Kelamin</label>
<select class="form-select" name="jenis_kelamin" required>
<option value="">Pilih...</option>
<option value="L" @selected(old('jenis_kelamin') === 'L')>Laki-laki (L)</option>
<option value="P" @selected(old('jenis_kelamin') === 'P')>Perempuan (P)</option>
</select>
</div>
<div class="d-flex gap-2">
<button class="btn btn-primary">Simpan</button>
<a class="btn btn-outline-secondary" href="{{ route('admin.children.index') }}">Kembali</a>
</div>
</form>
</div>
</div>
</x-admin-layout>