MIF_E31222756/resources/views/complaints/create.blade.php

89 lines
4.9 KiB
PHP

@extends('Dashboard.layouts.main')
@section('title', 'Tambah Keluhan Baru')
@section('content')
<div class="content">
<div class="container-fluid">
<div class="row">
<div class="col-12">
<div class="page-title-box">
<div class="page-title-right">
<ol class="breadcrumb m-0">
<li class="breadcrumb-item"><a href="{{ route('dashboard') }}">Dashboard</a></li>
<li class="breadcrumb-item"><a href="{{ route('complaints.index') }}">Keluhan</a></li>
<li class="breadcrumb-item active">Tambah Baru</li>
</ol>
</div>
<h4 class="page-title">Tambah Keluhan Baru</h4>
</div>
</div>
</div>
<div class="row">
<div class="col-12">
<div class="card">
<div class="card-body">
<form action="{{ route('complaints.store') }}" method="POST">
@csrf
@if ($errors->any())
<div class="alert alert-danger">
<ul>
@foreach ($errors->all() as $error)
<li>{{ $error }}</li>
@endforeach
</ul>
</div>
@endif
<div class="form-group">
<label for="jenis_layanan">Jenis Layanan <span class="text-danger">*</span></label>
<select class="form-control @error('jenis_layanan') is-invalid @enderror" id="jenis_layanan" name="jenis_layanan" required>
<option value="">Pilih Jenis Layanan</option>
<option value="Pengujian Kualitas Air" {{ old('jenis_layanan') == 'Pengujian Kualitas Air' ? 'selected' : '' }}>Pengujian Kualitas Air</option>
<option value="Pengambilan Contoh Uji" {{ old('jenis_layanan') == 'Pengambilan Contoh Uji' ? 'selected' : '' }}>Pengambilan Contoh Uji</option>
</select>
@error('jenis_layanan')
<div class="invalid-feedback">{{ $message }}</div>
@enderror
</div>
<div class="form-group">
<label for="tanggal_keluhan">Tanggal Kejadian <span class="text-danger">*</span></label>
<input type="date" class="form-control @error('tanggal_keluhan') is-invalid @enderror" id="tanggal_keluhan" name="tanggal_keluhan" value="{{ old('tanggal_keluhan') }}" required>
@error('tanggal_keluhan')
<div class="invalid-feedback">{{ $message }}</div>
@enderror
</div>
<div class="form-group">
<label for="uraian_keluhan">Uraian Keluhan <span class="text-danger">*</span></label>
<textarea class="form-control @error('uraian_keluhan') is-invalid @enderror" id="uraian_keluhan" name="uraian_keluhan" rows="4" required>{{ old('uraian_keluhan') }}</textarea>
<small class="form-text text-muted">Jelaskan keluhan Anda secara detail</small>
@error('uraian_keluhan')
<div class="invalid-feedback">{{ $message }}</div>
@enderror
</div>
<div class="form-group">
<label for="saran">Saran <span class="text-danger">*</span></label>
<textarea class="form-control @error('saran') is-invalid @enderror" id="saran" name="saran" rows="4" required>{{ old('saran') }}</textarea>
<small class="form-text text-muted">Berikan saran atau masukan untuk perbaikan layanan</small>
@error('saran')
<div class="invalid-feedback">{{ $message }}</div>
@enderror
</div>
<div class="mt-3 text-right">
<a href="{{ route('complaints.index') }}" class="btn btn-secondary mr-2">Batal</a>
<button type="submit" class="btn btn-primary">Kirim Keluhan</button>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
</div>
@endsection