125 lines
6.7 KiB
PHP
125 lines
6.7 KiB
PHP
@extends('layouts.app')
|
|
|
|
@section('title', 'Advanced Forms')
|
|
|
|
@push('style')
|
|
<!-- CSS Libraries -->
|
|
<link rel="stylesheet" href="{{ asset('library/bootstrap-daterangepicker/daterangepicker.css') }}">
|
|
<link rel="stylesheet" href="{{ asset('library/bootstrap-colorpicker/dist/css/bootstrap-colorpicker.min.css') }}">
|
|
<link rel="stylesheet" href="{{ asset('library/select2/dist/css/select2.min.css') }}">
|
|
<link rel="stylesheet" href="{{ asset('library/selectric/public/selectric.css') }}">
|
|
<link rel="stylesheet" href="{{ asset('library/bootstrap-timepicker/css/bootstrap-timepicker.min.css') }}">
|
|
<link rel="stylesheet" href="{{ asset('library/bootstrap-tagsinput/dist/bootstrap-tagsinput.css') }}">
|
|
@endpush
|
|
|
|
@section('main')
|
|
<div class="main-content">
|
|
<section class="section">
|
|
<div class="section-header">
|
|
<h1>Tambah Data Balita</h1>
|
|
{{-- <div class="section-header-breadcrumb">
|
|
<div class="breadcrumb-item active"><a href="#">Dashboard</a></div>
|
|
<div class="breadcrumb-item"><a href="#">Forms</a></div>
|
|
<div class="breadcrumb-item">Users</div>
|
|
</div> --}}
|
|
</div>
|
|
|
|
<div class="section-body">
|
|
<div class="card">
|
|
<form action="{{ route('balita.store') }}" method="POST">
|
|
{{-- <form action="#" method="POST"> --}}
|
|
@csrf
|
|
<div class="card-body">
|
|
<div class="form-group">
|
|
<label class="form-label">Nama Orang Tua</label>
|
|
<input type="hidden" value="{{$orangtua->id}}" name="orang_tua_id">
|
|
<input type="text" value="{{$orangtua->user->name}}" class="form-control" readonly>
|
|
</div>
|
|
<div class="form-group">
|
|
<label>Nama</label>
|
|
<input type="text" class="form-control" name="name">
|
|
@if ($errors->has('name'))
|
|
<span class="text-danger lowercase text-sm"> *
|
|
{{ $errors->first('name') }}</span>
|
|
@endif
|
|
</div>
|
|
<div class="form-group">
|
|
<label>Tanggal Lahir</label>
|
|
<input type="date" class="form-control"name="tanggal_lahir"
|
|
value="{{ old('tanggal_lahir') }}">
|
|
@if ($errors->has('tanggal_lahir'))
|
|
<span class="text-danger lowercase text-sm"> *
|
|
{{ $errors->first('tanggal_lahir') }}</span>
|
|
@endif
|
|
</div>
|
|
|
|
{{-- jenis kelamin --}}
|
|
<div class="form-group">
|
|
<label class="form-label">Jenis Kelamin</label>
|
|
<select class="form-control selectric @error('jenis_kelamin') is-invalid @enderror"
|
|
name="jenis_kelamin">
|
|
<option value="" disabled selected>-- Pilih Jenis Kelamin --</option>
|
|
<option value="L">Laki-laki</option>
|
|
<option value="P">Perempuan</option>
|
|
</select>
|
|
</div>
|
|
|
|
{{-- bb & pb --}}
|
|
<div class="row">
|
|
<div class="col-md-6">
|
|
<div class="form-group">
|
|
<label>Berat Badan Lahir (Kg)</label>
|
|
<input type="number|decimal" class="form-control @error('bb_lahir') is-invalid @enderror"
|
|
name="bb_lahir">
|
|
@if ($errors->has('bb_lahir'))
|
|
<span class="text-danger lowercase text-sm"> *
|
|
{{ $errors->first('bb_lahir') }}</span>
|
|
@endif
|
|
</div>
|
|
</div>
|
|
|
|
<div class="col-md-6">
|
|
<div class="form-group">
|
|
<label>Tinggi Badan Lahir (Cm)</label>
|
|
<input type="number|decimal" class="form-control @error('tb_lahir') is-invalid @enderror"
|
|
name="tb_lahir">
|
|
@if ($errors->has('tb_lahir'))
|
|
<span class="text-danger lowercase text-sm"> *
|
|
{{ $errors->first('tb_lahir') }}</span>
|
|
@endif
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
{{-- posyandu --}}
|
|
<div class="form-group">
|
|
<label class="form-label">Posyandu</label>
|
|
<select class="form-control selectric @error('posyandu_id') is-invalid @enderror"
|
|
name="posyandu_id">
|
|
<option value="" disabled selected id="psydtest">-- Pilih Posyandu --</option>
|
|
@forelse ($posyandu as $data)
|
|
<option value="{{ $data->id }}">{{ $data->name }}</option>
|
|
@empty
|
|
<option value="">~ belum ada data posyandu ~</option>
|
|
<script>
|
|
document.getElementById('psydtest').remove();
|
|
</script>
|
|
@endforelse
|
|
</select>
|
|
</div>
|
|
</div>
|
|
<div class="card-footer text-right">
|
|
<button class="btn btn-primary">Submit</button>
|
|
</div>
|
|
</form>
|
|
</div>
|
|
|
|
</div>
|
|
</section>
|
|
</div>
|
|
@endsection
|
|
|
|
@push('scripts')
|
|
<script src="{{ asset('library/bootstrap-daterangepicker/daterangepicker.js') }}"></script>
|
|
@endpush
|