TIF_E41201027/resources/views/frontend/tuliskonsultasi.blade.php

193 lines
11 KiB
PHP

<?php
// Start the session
session_start();
if (!isset($_SESSION["username"])) {
header("location:daftar_artikel.php?pesan=gagal");
}
?>
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Dokternak.id</title>
<meta name="description" content="">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="manifest" href="site.webmanifest">
<link rel="shortcut icon" type="image/x-icon" href="assets/img/favicon.ico">
<!-- CSS here -->
<link rel="stylesheet" href="{{ asset('Frontend/assets/css/bootstrap.min.css')}}">
<link rel="stylesheet" href="{{ asset('Frontend/assets/css/owl.carousel.min.css')}}">
<link rel="stylesheet" href="{{ asset('Frontend/assets/css/flaticon.css')}}">
<link rel="stylesheet" href="{{ asset('Frontend/assets/css/price_rangs.css')}}">
<link rel="stylesheet" href="{{ asset('Frontend/assets/css/slicknav.css')}}">
<link rel="stylesheet" href="{{ asset('Frontend/assets/css/animate.min.css')}}">
<link rel="stylesheet" href="{{ asset('Frontend/assets/css/magnific-popup.css')}}">
<link rel="stylesheet" href="{{ asset('Frontend/assets/css/fontawesome-all.min.css')}}">
<link rel="stylesheet" href="{{ asset('Frontend/assets/css/themify-icons.css')}}">
<link rel="stylesheet" href="{{ asset('Frontend/assets/css/slick.css')}}">
<link rel="stylesheet" href="{{ asset('Frontend/assets/css/nice-select.css')}}">
<link rel="stylesheet" href="{{ asset('Frontend/assets/css/style.css')}}">
</head>
<body>
@include('frontend/layouts.navbar');
<h2>
<center><b>Tulis Konsultasi</b></center>
</h2>
<div class="container">
{{-- Alert --}}
@if ($message = Session::get('success'))
<div class="alert alert-success" role="alert">
{{ $message }}
<button type="button" class="close" data-dismiss="alert" aria-label="Close">
<span aria-hidden="true">&times;</span>
</button>
</div>
@endif
<div class="slider-active">
<div class="section-top-border">
<div class="kotak">
<div class="row">
<div class="col-lg-12 ">
<form method="POST" action="{{ route('tuliskonsultasi.store') }}">
{!! csrf_field() !!}
<!-- <div class="mt-30"> -->
<input type="hidden" name="id_peternak" value=" {{ Auth::user()->id }}" required class="single-input">
<input type="hidden" name="tanggal" value="{{ date('Y-m-d') }}">
<input type="hidden" name="status_kirim" value="norespon">
<!-- </div> -->
<div class="single-element-widget mt-10">
<h5 class="mb-15">Kepada</h5>
<div class="form-select">
<select name="id_dokter" class="form-select" id="default-select">
<option disabled selected> Pilih </option>
@foreach ($petugas as $datapetugas)
<option value="{{ $datapetugas->id_dokter }}" selected>{{ $datapetugas->nama_dokter}}</option>
@endforeach
</select>
{{-- <input list="dokter" class="form-control {{ $errors->has('dokter') ? 'is-invalid' : ''}}" placeholder='Masukkan Dokter Tujuan' name="id_d" >
@if ( $errors->has('id_dokter'))
<span class="text-danger small">
<p>{{ $errors->first('dokter') }}</p>
</span>
@endif
<datalist id="dokter" name="id_dokter">
@foreach ($petugas as $data_petugas)
<option value="{{ $data_petugas->nama_dokter }}" ></option>
@endforeach
</datalist> --}}
</div>
</div>
<div class="single-element-widget mt-10">
<h5 class="mb-15">Kategori Hewan</h5>
<div class="form-select">
<select name="id_kategori" class="form-select" id="default-select">
<option disabled selected> Pilih </option>
@foreach ($kategori_hewan as $datakathewan)
<option value="{{ $datakathewan->id_kategori }}" selected>{{ $datakathewan->kategori_hewan}}</option>
@endforeach
</select>
</div>
</div>
<div class="single-element-widget mt-10">
<h5 class="mb-15">Jenis Hewan</h5>
<div class="form-select">
{{-- <select name="id_ktg" class="form-select" id="default-select">
@foreach ($kategori_artikel as $datajenishewan)
<option value="{{ $datajenishewan->id_ktg }}" selected>{{ $datajenishewan->kategori_artikel}}</option>
@endforeach
</select> --}}
<input list="id_ktg" class="form-control {{ $errors->has('id_ktg') ? 'is-invalid' : ''}}" placeholder='Masukkan Jenis Hewan' name="id_ktg" >
@if ( $errors->has('id_ktg'))
<span class="text-danger small">
<p>{{ $errors->first('id_ktg') }}</p>
</span>
@endif
<datalist id="id_ktg" name="id_ktg">
@foreach ($kategori_artikel as $data_jenis_hewan)
<option value="{{ $data_jenis_hewan->kategori_artikel }}" ></option>
@endforeach
</datalist>
</div>
</div>
<div class="mt-30">
<h5 class="mb-15">Nama Hewan</h5>
<input type="text" name="nama_hewan" placeholder="Masukkan Nama Hewan"
onfocus="this.placeholder = ''" onblur="this.placeholder = 'Masukkan Nama Hewan'" class="form-control {{ $errors->has('nama_hewan') ? 'is-invalid' : ''}}" required class="single-input-primary">
@if ( $errors->has('nama_hewan'))
<span class="text-danger small">
<p>{{ $errors->first('nama_hewan') }}</p>
</span>
@endif
</div>
<div class="mt-30">
<h5 class="mb-15">Keluhan</h5>
<div>
<textarea name="keluhan" placeholder="Tulis Keluhan" {{ $errors->has('keluhan') ? 'is-invalid' : ''}}" required class="single-input-primary"></textarea>
@if ( $errors->has('keluhan'))
<span class="text-danger small">
<p>{{ $errors->first('keluhan') }}</p>
</span>
@endif
</div>
<br/>
<div id="container_btn">
<input type="submit" name="tombol" class="genric-btn primary" value="KIRIM">
<a href="/konsultasi" class="genric-btn default">BATAL</button>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<section>
@include('frontend/layouts.footer');
</section>
<!-- All JS Custom Plugins Link Here here -->
<script src="{{ asset('Petugas/assets/js/vendor/modernizr-3.5.0.min.js') }}"></script>
<!-- Jquery, Popper, Bootstrap -->
<script src="{{ asset('Petugas/assets/js/vendor/jquery-1.12.4.min.js') }}"></script>
<script src="{{ asset('Petugas/assets/js/popper.min.js') }}"></script>
<script src="{{ asset('Petugas/assets/js/bootstrap.min.js') }}"></script>
<!-- Jquery Mobile Menu -->
<script src="{{ asset('Petugas/assets/js/jquery.slicknav.min.js') }}"></script>
<!-- Jquery Slick , Owl-Carousel Plugins -->
<script src="{{ asset('Petugas/assets/js/owl.carousel.min.js') }}"></script>
<script src="{{ asset('Petugas/assets/js/slick.min.js') }}"></script>
<script src="{{ asset('Petugas/assets/js/price_rangs.js') }}"></script>
<!-- One Page, Animated-HeadLin -->
<script src="{{ asset('Petugas/assets/js/wow.min.js') }}"></script>
<script src="{{ asset('Petugas/assets/js/animated.headline.js') }}"></script>
<script src="{{ asset('Petugas/assets/js/jquery.magnific-popup.js') }}"></script>
<!-- Scrollup, nice-select, sticky -->
<script src="{{ asset('Petugas/assets/js/jquery.scrollUp.min.js') }}"></script>
<script src="{{ asset('Petugas/assets/js/jquery.nice-select.min.js') }}"></script>
<script src="{{ asset('Petugas/assets/js/jquery.sticky.js') }}"></script>
<!-- contact js -->
<script src="{{ asset('Petugas/assets/js/contact.js') }}"></script>
<script src="{{ asset('Petugas/assets/js/jquery.form.js') }}"></script>
<script src="{{ asset('Petugas/assets/js/jquery.validate.min.js') }}"></script>
<script src="{{ asset('Petugas/assets/js/mail-script.js') }}"></script>
<script src="{{ asset('Petugas/assets/js/jquery.ajaxchimp.min.js') }}"></script>
<!-- Jquery Plugins, main Jquery -->
<script src="{{ asset('Petugas/assets/js/plugins.js') }}"></script>
<script src="{{ asset('Petugas/assets/js/main.js') }}"></script>
<!-- Link Js CkEditor -->
<script type="text/javascript" src="{{ asset('ckeditor/ckeditor.js')}}"></script>
</body>
</html>