127 lines
7.2 KiB
PHP
127 lines
7.2 KiB
PHP
@extends('layouts.main')
|
|
|
|
@section('title', $title = 'Edit Data Pasien')
|
|
|
|
@section('content')
|
|
<div class="container pt-5 mb-5">
|
|
<div class="row gy-4 shadow mb-4 bg-body-tertiary rounded">
|
|
<h3 class="mb-0">Data Pasien</h3>
|
|
<p class="text-success mt-0">Edit Data Pasien / {{ $pasien->nama }}</p>
|
|
</div>
|
|
<div class="row gy-4">
|
|
<div class="pt-3 card">
|
|
<div class="row">
|
|
<div class="col-sm-12 pb-3 pt-3">
|
|
<a href="{{ route('pasien.index') }}" class="font-sm btn btn-warning text-white"><i class='bx bx-chevron-left'></i> Kembali</a>
|
|
</div>
|
|
</div>
|
|
<form action="{{ route('pasien.update', $pasien) }}" method="POST">
|
|
@csrf
|
|
<div class="row">
|
|
<div class="col-md-6">
|
|
<div class="form-group">
|
|
<label for="nama">Nama</label>
|
|
<input type="text" class="form-control @error('nama') is-invalid @enderror" id="nama" name="nama" value="{{ old('nama', $pasien->nama) }}">
|
|
@error('nama')
|
|
<span class="invalid-feedback" role="alert">
|
|
{{ $message }}
|
|
</span>
|
|
@enderror
|
|
</div>
|
|
<div class="form-group">
|
|
<label for="jenis_kelamin_id">Jenis Kelamin</label>
|
|
<select class="form-select @error('jenis_kelamin_id') is-invalid @enderror" name="jenis_kelamin_id" id="jenis_kelamin_id">
|
|
@foreach ($jenis_kelamin as $key => $value)
|
|
<option value="{{ $value->id }}" {{ old('jenis_kelamin_id', $pasien->jenis_kelamin_id) == $value->id ? 'selected' : '' }}>{{ $value->jenis_kelamin }}</option>
|
|
@endforeach
|
|
</select>
|
|
@error('jenis_kelamin_id')
|
|
<span class="invalid-feedback" role="alert">
|
|
{{ $message }}
|
|
</span>
|
|
@enderror
|
|
</div>
|
|
<div class="form-group">
|
|
<label for="umur">Umur</label>
|
|
<input type="text" class="form-control @error('umur') is-invalid @enderror" name="umur" id="umur" value="{{ old('umur', $pasien->umur) }}">
|
|
@error('umur')
|
|
<span class="invalid-feedback" role="alert">
|
|
{{ $message }}
|
|
</span>
|
|
@enderror
|
|
</div>
|
|
<div class="form-group">
|
|
<label for="berat">Berat Badan (Kg)</label>
|
|
<input type="text" class="form-control @error('berat') is-invalid @enderror" id="berat" name="berat" value="{{ old('berat', $pasien->berat) }}">
|
|
@error('berat')
|
|
<span class="invalid-feedback" role="alert">
|
|
{{ $message }}
|
|
</span>
|
|
@enderror
|
|
</div>
|
|
</div>
|
|
<div class="col-md-6">
|
|
<div class="form-group">
|
|
<label for="tinggi">Tinggi Badan (Cm)</label>
|
|
<input type="text" class="form-control @error('tinggi') is-invalid @enderror" id="tinggi" name="tinggi" value="{{ old('tinggi', $pasien->tinggi) }}">
|
|
@error('tinggi')
|
|
<span class="invalid-feedback" role="alert">
|
|
{{ $message }}
|
|
</span>
|
|
@enderror
|
|
</div>
|
|
<div class="form-group">
|
|
<label for="aktivitas">Aktivitas</label>
|
|
<select class="form-select @error('aktivitas_id') is-invalid @enderror" name="aktivitas_id" id="aktivitas_id">
|
|
@foreach ($aktivitas as $key => $value)
|
|
<option value="{{ $value->id }}" {{ old('aktivitas_id', $pasien->aktivitas_id) == $value->id ? 'selected' : '' }}>{{ $value->nama }}</option>
|
|
@endforeach
|
|
</select>
|
|
@error('aktivitas_id')
|
|
<span class="invalid-feedback" role="alert">
|
|
{{ $message }}
|
|
</span>
|
|
@enderror
|
|
</div>
|
|
<div class="form-group">
|
|
<label for="kadar_gula">Kadar Gula Darah (mg/dl)</label>
|
|
<select class="form-select @error('kadar_gula_id') is-invalid @enderror" name="kadar_gula_id" id="kadar_gula_id">
|
|
@foreach ($kadar_gula as $key => $value)
|
|
<option value="{{ $value->id }}" {{ old('kadar_gula_id', $pasien->kadar_gula_id) == $value->id ? 'selected' : '' }}>{{ $value->kadar_gula }}</option>
|
|
@endforeach
|
|
</select>
|
|
@error('kadar_gula_id')
|
|
<span class="invalid-feedback" role="alert">
|
|
{{ $message }}
|
|
</span>
|
|
@enderror
|
|
</div>
|
|
<div class="form-group">
|
|
<label for="kebutuhan_kalori">Kebutuhan Kalori</label>
|
|
<select class="form-select @error('kebutuhan_kalori_id') is-invalid @enderror" name="kebutuhan_kalori_id" id="kebutuhan_kalori_id">
|
|
@foreach ($kebutuhan_kalori as $key => $value)
|
|
<option value="{{ $value->id }}" {{ old('kebutuhan_kalori_id', $pasien->kebutuhan_kalori_id) == $value->id ? 'selected' : '' }}>{{ $value->kebutuhan_kalori }}</option>
|
|
@endforeach
|
|
</select>
|
|
@error('kebutuhan_kalori_id')
|
|
<span class="invalid-feedback" role="alert">
|
|
{{ $message }}
|
|
</span>
|
|
@enderror
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="row mb-3">
|
|
<div class="text-end"> <!-- Menambahkan kelas text-end di sini -->
|
|
<button type="submit" class="btn btn-success"><i class='bx bx-save'></i>
|
|
Simpan</button>
|
|
<a href="{{ route('pasien.index') }}" class="btn btn-danger"><i class='bx bx-x'></i>
|
|
Batal</a>
|
|
</div>
|
|
</div>
|
|
</form>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
@endsection
|