56 lines
3.4 KiB
PHP
56 lines
3.4 KiB
PHP
@include('components.theme.pages.header')
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<section>
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<!-- basic table -->
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<div class="row">
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<div class="col-12">
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<div class="card">
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<div class="card-body">
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{{ Form::open(['route' => 'penyakit.store']) }}
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@csrf
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@if(session()->has('success'))
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<div class="alert alert-success">
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{{ session()->get('success') }}
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</div>
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@else
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@if(session()->has('error'))
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<div class="alert alert-danger">
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{{ session()->get('error') }}
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</div>
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@endif
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@endif
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<div class="row">
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<div class="col-md-12 form-group mb-3">
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<label for="exampleEmail1">Nama Penyakit</label>
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<input type="text" class="form-control form-control-user {{ $errors->has('penyakit') ? 'is-invalid' : '' }}" id="email" name="penyakit" aria-describedby="emailHelp" placeholder="Enter Penyakit." value="<?= old('penyakit') ?>">
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@if($errors->has('penyakit'))<span class="small text-danger mt-2">{{ $errors->first('penyakit') }}</span>@endif
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</div>
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</div>
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<div class="form-group mb-3">
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<label for="exampleEmail1">Kode Penyakit</label>
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<input type="text" class="form-control form-control-user {{ $errors->has('kode_penyakit') ? 'is-invalid' : '' }}" id="email" name="kode_penyakit" aria-describedby="emailHelp" placeholder="Enter Kode Penyakit." value="<?= old('kode_penyakit') ?>">
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@if($errors->has('kode_penyakit'))<span class="small text-danger mt-2">{{ $errors->first('kode_penyakit') }}</span>@endif
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</div>
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<div class="form-group mb-3">
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<label for="exampleEmail1">Penjelasan</label>
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<textarea class="form-control {{ $errors->has('penjelasan') ? 'is-invalid' : '' }}" id="email" name="penjelasan">{{ old('penjelasan') }}</textarea>
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@if($errors->has('penjelasan'))<span class="small text-danger mt-2">{{ $errors->first('penjelasan') }}</span>@endif
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</div>
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<div class="form-group mb-3">
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<label for="exampleEmail1">Penanganan</label>
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<textarea class="form-control {{ $errors->has('penanganan') ? 'is-invalid' : '' }}" id="email" name="penanganan">{{ old('penanganan') }}</textarea>
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@if($errors->has('penanganan'))<span class="small text-danger mt-2">{{ $errors->first('penanganan') }}</span>@endif
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</div>
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<div class="form-group mb-0">
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<button type="submit" class="btn btn-primary">Simpan</button>
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<a href="{{ route('penyakit') }}" class="btn btn-light btn-light">Kembali</a>
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</div>
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{{ Form::close() }}
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</div>
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</div>
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</div>
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</div>
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</section>
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@include('components.theme.pages.footer')
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