73 lines
4.0 KiB
PHP
73 lines
4.0 KiB
PHP
<x-app-layout>
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<x-slot name="header">
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<h2 class="font-semibold text-xl text-gray-800 leading-tight">
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{{ __('Tambah Catatan Kesehatan') }}
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</h2>
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</x-slot>
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<div class="py-12">
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<div class="max-w-2xl mx-auto sm:px-6 lg:px-8">
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<div class="bg-white overflow-hidden shadow-xl sm:rounded-2xl">
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<div class="p-8">
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<h2 class="text-2xl font-bold text-gray-800 mb-4">Form Catatan Kesehatan</h2>
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<form action="{{ route('catatan_kesehatans.store') }}" method="POST">
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@csrf
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{{-- Santri --}}
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<div class="mb-4">
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<label class="block text-sm font-medium text-gray-700 mb-1">Santri</label>
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<select name="santri_id" required class="w-full border-gray-300 rounded">
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<option value="">Pilih Santri</option>
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@foreach ($santris as $s)
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<option value="{{ $s->id }}" {{ old('santri_id') == $s->id ? 'selected' : '' }}>{{ $s->nama }}</option>
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@endforeach
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</select>
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@error('santri_id') <small class="text-red-600">{{ $message }}</small> @enderror
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</div>
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{{-- Kelas --}}
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<div class="mb-4">
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<label class="block text-sm font-medium text-gray-700 mb-1">Kelas</label>
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<select name="kelas_id" required class="w-full border-gray-300 rounded">
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<option value="">Pilih Kelas</option>
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@foreach ($kelas as $k)
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<option value="{{ $k->id }}" {{ old('kelas_id') == $k->id ? 'selected' : '' }}>{{ $k->nama_kelas }}</option>
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@endforeach
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</select>
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@error('kelas_id') <small class="text-red-600">{{ $message }}</small> @enderror
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</div>
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{{-- Keluhan --}}
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<div class="mb-4">
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<label class="block text-sm font-medium text-gray-700 mb-1">Keluhan</label>
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<textarea name="keluhan" required rows="2" class="w-full border-gray-300 rounded">{{ old('keluhan') }}</textarea>
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@error('keluhan') <small class="text-red-600">{{ $message }}</small> @enderror
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</div>
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{{-- Diagnosis --}}
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<div class="mb-4">
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<label class="block text-sm font-medium text-gray-700 mb-1">Diagnosis</label>
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<textarea name="diagnosis" required rows="2" class="w-full border-gray-300 rounded">{{ old('diagnosis') }}</textarea>
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@error('diagnosis') <small class="text-red-600">{{ $message }}</small> @enderror
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</div>
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{{-- Saran (optional) --}}
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<div class="mb-6">
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<label class="block text-sm font-medium text-gray-700 mb-1">Saran</label>
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<textarea name="saran" rows="2" class="w-full border-gray-300 rounded">{{ old('saran') }}</textarea>
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@error('saran') <small class="text-red-600">{{ $message }}</small> @enderror
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</div>
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{{-- Tombol --}}
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<div class="flex justify-end gap-3 border-t pt-4">
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<a href="{{ route('catatan_kesehatans.index') }}" class="px-4 py-2 bg-gray-100 hover:bg-gray-200 rounded text-sm">Kembali</a>
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<button type="submit" class="px-4 py-2 bg-emerald-600 hover:bg-emerald-700 text-white rounded text-sm">Simpan</button>
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</div>
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</form>
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</div>
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</div>
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</div>
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</div>
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</x-app-layout>
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