80 lines
3.1 KiB
PHP
80 lines
3.1 KiB
PHP
<!DOCTYPE html>
|
|
<html lang="en">
|
|
<head>
|
|
<meta charset="utf-8"/>
|
|
<meta http-equiv="X-UA-Compatible" content="IE=edge"/>
|
|
<meta name="viewport" content="width=device-width, initial-scale=1"/>
|
|
<title>Program Sistem Pakar Diagnosa</title>
|
|
<link href="assets/css/yeti-bootstrap.min.css" rel="stylesheet"/>
|
|
<link href="assets/css/general.css" rel="stylesheet"/>
|
|
<link href="assets/css/select2.min.css" rel="stylesheet"/>
|
|
<script src="assets/js/jquery.min.js"></script>
|
|
<script src="assets/js/bootstrap.min.js"></script>
|
|
<script src="assets/js/select2.min.js"></script>
|
|
<style type="text/css">
|
|
.hi {
|
|
background-image: linear-gradient(rgba(0, 0, 0, 0.5),rgba(0, 0, 0, 0.5)), url('vitaminbg.png');
|
|
background-size: cover;
|
|
background-position: center center;
|
|
background-repeat: no-repeat;
|
|
background-attachment: fixed;
|
|
}
|
|
.dark {
|
|
background-color: #000;
|
|
color: #fff;
|
|
}
|
|
</style>
|
|
</head>
|
|
<body class="dark hi">
|
|
<div class="container">
|
|
<div class="page-header">
|
|
<h1>Registrasi</h1>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-md-4">
|
|
<?php if ($_POST) include 'aksi.php'; ?>
|
|
<form method="post">
|
|
<div class="form-group">
|
|
<label for="username">Username</label>
|
|
<input type="text" class="form-control" placeholder="Username" name="user" autofocus />
|
|
</div>
|
|
<div class="form-group">
|
|
<label for="password">Password</label>
|
|
<input type="password" id="inputPassword" class="form-control" placeholder="Password" name="pass" />
|
|
</div>
|
|
<div class="form-group">
|
|
<label for="nama">Nama</label>
|
|
<input type="text" class="form-control" placeholder="Nama" name="nama" />
|
|
</div>
|
|
<div class="form-group">
|
|
<label for="email">Email</label>
|
|
<input type="text" class="form-control" placeholder="Email" name="email" />
|
|
</div>
|
|
<div class="form-group">
|
|
<label for="no_hp">No. Hp</label>
|
|
<input type="text" class="form-control" placeholder="No. Hp" name="no_hp" />
|
|
</div>
|
|
<div class="form-group">
|
|
<label for="jk">Jenis Kelamin</label><br>
|
|
<input type="radio" name="jk" value="Laki - Laki"> Laki - Laki
|
|
<input type="radio" name="jk" value="Perempuan"> Perempuan
|
|
</div>
|
|
<div class="form-group">
|
|
<label for="usia">Usia</label>
|
|
<input type="text" class="form-control" placeholder="Usia" name="usia" />
|
|
</div>
|
|
<div class="form-group">
|
|
<label for="alamat">Alamat</label>
|
|
<input type="text" class="form-control" placeholder="Alamat" name="alamat" />
|
|
</div>
|
|
<div class="form-group">
|
|
<button class="btn edit" type="submit">Registrasi</button>
|
|
<a class="btn edit" href="?m=login"><span class="glyphicon glyphicon-arrow-left"></span> Kembali</a>
|
|
</div>
|
|
</form>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</body>
|
|
</html>
|