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

36 lines
1.7 KiB
PHP

<!-- Modal Tambah -->
<?php foreach ($dftr_konsul as $p) : ?>
<div class="modal fade" id="newPengobatanModal<?= $p['id']; ?>" 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">Edit Saran Pengobatan</h5>
<form action="<?= base_url('konsultasi/tambahSaran'); ?>" method="post">
</div>
<div class="modal-body">
<input type="hidden" name="id" value="<?= $p['id']; ?>">
<div class="form-group">
<input type="text" class="form-control" id="gejala" name="gejala" value="<?= $p['gejala']; ?>">
</div>
<div class="form-group">
<input type="text" class="form-control" id="diagnosis" name="diagnosis"
value="<?= $p['diagnosis']; ?>">
</div>
<div class="form-group">
<input type="text" class="form-control" id="pengobatan" name="pengobatan"
value="<?= $p['pengobatan']; ?>">
</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">Edit</button>
</div>
</form>
</div>
</div>
</div>
<?php endforeach; ?>