94 lines
5.5 KiB
PHP
94 lines
5.5 KiB
PHP
<!-- Tambah Data -->
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<div id="detail-data" class="modal fade" tabindex="-1" role="dialog" aria-labelledby="fullWidthModalLabel" aria-hidden="true">
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<div class="modal-dialog modal-full-width">
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<div class="modal-content">
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<div class="modal-header">
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<h4 class="modal-title" id="fullWidthModalLabel">Detail Data Lokasi Kecelakaan</h4>
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<button type="button" class="btn-close" data-bs-dismiss="modal" aria-hidden="true"></button>
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</div>
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<div class="modal-body" style="color: black;">
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<div class="row">
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<form method="post" enctype="multipart/form-data">
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<h4 class="header-title pb-2">Waktu Kejadian</h4>
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<div class="row g-2">
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<div class="mb-3 col-md-3">
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<label class="form-label">Tanggal Kejadian</label>
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<input class="form-control" name="tanggal" readonly>
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</div>
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<div class="mb-3 col-md-3">
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<label class="form-label">Waktu Kejadian</label>
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<input class="form-control" type="text" name="waktu_kejadian" readonly>
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</div>
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</div>
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<hr>
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<h4 class="header-title pt-2 pb-2">Lokasi Kejadian</h4>
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<div class="row g-2">
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<div class="mb-3 col-md-3">
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<label class="form-label">Nama Jalan</label>
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<input type="text" class="form-control" name="nama_jalan" readonly>
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</div>
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<div class="mb-3 col-md-3">
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<label class="form-label">Tkp/dusun</label>
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<input type="text" class="form-control" name="tkp_dusun" readonly>
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</div>
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<div class="mb-3 col-md-3">
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<label class="form-label">Dusun/Desa</label>
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<input type="text" class="form-control" name="desa" readonly>
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</div>
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</div>
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<div class="row g-2">
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<div class="mb-3 col-md-3">
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<label class="form-label">Kecamatan</label>
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<input type="text" class="form-control" name="kecamatan" readonly>
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</div>
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<div class="mb-3 col-md-3">
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<label class="form-label">Kabupaten</label>
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<input type="text" class="form-control" name="kabupaten" readonly>
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</div>
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<div class="mb-3 col-md-3">
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<label class="form-label">Latitude</label>
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<input type="text" class="form-control" name="latitude" readonly>
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</div>
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<div class="mb-3 col-md-3">
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<label class="form-label">Longitude</label>
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<input type="text" class="form-control" name="longitude" readonly>
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</div>
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</div>
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<hr>
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<h4 class="header-title pt-2 pb-2">Kondisi Korban</h4>
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<div class="row g-2">
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<div class="mb-3 col-md-4">
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<label class="form-label">Meninggal Dunia</label>
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<input type="text" class="form-control" name="korban_md" readonly>
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</div>
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<div class="mb-3 col-md-4">
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<label class="form-label">Luka Berat</label>
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<input type="text" class="form-control" name="korban_lb" readonly>
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</div>
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<div class="mb-3 col-md-4">
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<label class="form-label">Luka Ringan</label>
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<input type="text" class="form-control" name="korban_lr" readonly>
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</div>
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</div>
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<h4 class="header-title pt-2 pb-2">Informasi Lingkungan</h4>
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<div class="row g-2">
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<div class="mb-3 col-md-3">
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<label class="form-label">Kondisi Kecelakaan</label>
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<input type="text" class="form-control" name="kondisi_kecelakaan" readonly>
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</div>
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<div class="mb-3 col-md-3">
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<label class="form-label">Kondisi Cahaya</label>
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<input type="text" class="form-control" name="kondisi_cahaya" readonly>
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</div>
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<div class="mb-3 col-md-3">
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<label class="form-label">Bentuk Geometri</label>
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<input type="text" class="form-control" name="bentuk_geometri" readonly>
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</div>
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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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</div>
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