87 lines
5.3 KiB
PHP
87 lines
5.3 KiB
PHP
{{-- ----------------------------------------Modal Detail --------------------------------------------- --}}
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<div class="modal fade" id="modal-02" tabindex="-1">
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<div class="modal-dialog modal-dialog-centered modal-md">
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<div class="modal-content text-center">
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<div class="modal-body">
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<button class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
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<h3>Detail</h3>
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<hr>
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<div class="newsletter-wrapper">
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<div class="row">
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<div class="">
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<div id="mc_embed_signup">
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<form class="text-start mb-3">
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<div class="container">
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<div class="row g-2">
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<div class="mb-3 col-md-6">
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<label class="form-label">Nama Jalan</label>
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<div class="form-select-wrapper mb-4">
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<input name="nama_jalan" type="text" class="form-control">
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</div>
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</div>
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<div class="mb-3 col-md-6">
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<label class="form-label">Alamat</label>
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<input name="alamat" type="text" class="form-control">
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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-6">
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<label for="inputPassword4" class="form-label">Lattitude</label>
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<input name="lattitude" type="text" class="form-control">
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</div>
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<div class="mb-3 col-md-6">
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<label for="inputPassword4" class="form-label">Longitude</label>
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<input name="longitude" type="text" class="form-control">
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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-6">
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<label class="form-label">Jam Kecelakaan</label>
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<input class="form-control" type="time" name="jam_kecelakaan">
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</div>
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<div class="mb-3 col-md-6">
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<label for="inputPassword4" class="form-label">Kepadatan</label>
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<input name="kepadatan" type="text" class="form-control">
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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-6">
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<label for="inputPassword4" class="form-label">Intensitas
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Kecelakaan</label>
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<input name="indensitas_kecelakaan" type="text" class="form-control">
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</div>
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<div class="mb-3 col-md-6">
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<label for="inputPassword4" class="form-label">Kondisi
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Korban</label>
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<input name="kondisi_korban" type="text" class="form-control">
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</div>
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</div>
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<hr class="mb-5">
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<div class="row g-2">
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<div class="mb-3 col-md-3">
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<a class="btn btn-primary rounded-pill btn-login w-100 mb-2">Hitung
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Kerawanan</a>
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</div>
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<div class="mb-3 pt-2 col-lg-5 text-end">
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<i class="">Status Kerawanan :</i>
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</div>
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<div class="mb-3 col-md-3">
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<a class="btn btn-red rounded-pill btn-login w-100 mb-2">Sangat
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Rawan</a>
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</div>
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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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</div>
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</div>
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</div>
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