MIF_E31210565/resources/views/admin/pasien/create.blade.php

58 lines
2.4 KiB
PHP

<div class="row">
<div class="col-md-6">
<div class="card">
<div class="card-body">
@isset($gejala)
<form action="/admin/gejala/{{ $gejala->id }}" method="POST">
@method('PUT')
@else
<form action="/admin/gejala" method="POST">
@endisset
@csrf
<div class="form-group">
<label for="">Kode Gejala</label>
<input type="text" class="form-control @error('kode_gejala') is-invalid @enderror" name="kode_gejala" placeholder="Kode Gejala" value="{{ isset($gejala) ? $gejala->kode_gejala : old('kode_gejala') }}">
@error('kode_gejala')
<div class="invalid-feedback">
{{ $message }}
</div>
@enderror
</div>
<div class="form-group">
<label for="">Nama Gejala</label>
<input type="text" class="form-control @error('name') is-invalid @enderror " name="name" placeholder="Nama Gejala" value="{{ isset($gejala) ? $gejala->name : old('name') }}">
@error('name')
<div class="invalid-feedback">
{{ $message }}
</div>
@enderror
</div>
<div class="form-group">
<label for="">Nilai CF</label>
<input type="text" class="form-control @error('nilai_cf') is-invalid @enderror" name="nilai_cf" placeholder="Nilai CF" value="{{ isset($gejala) ? $gejala->nilai_cf : old('nilai_cf') }}">
@error('nilai_cf')
<div class="invalid-feedback">
{{ $message }}
</div>
@enderror
</div>
<a href="/admin/gejala" class="btn btn-info"><i class="fas fa-arrow-left"></i> Kembali</a>
<button type="submit" class="btn btn-primary"><i class="fas fa-save"></i> Simpan</button>
</form>
</div>
</div>
</div>
</div>