29 lines
1.0 KiB
PHP
29 lines
1.0 KiB
PHP
<div class="row">
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<div class="col-md-6">
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<div class="card">
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<div class="card-body">
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<form action="/admin/diagnosa/create-pasien" method="post">
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@csrf
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<div class="form-group">
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<label for="">Nama</label>
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<input type="text" class="form-control" required name="name" placeholder="Nama">
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</div>
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<div class="form-group">
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<label for="">Alamat</label>
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<input type="text" class="form-control" required name="alamat" placeholder="Alamat">
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</div>
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<button type="submit" class="btn btn-primary"> Diagnosa <i class="fas fa-arrow-right"></i></button>
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{{-- <a href="/admin/diagnosa/pilih-gejala" class="btn btn-primary"> Diagnosa <i class="fas fa-arrow-right"></i></a> --}}
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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> |