34 lines
1.3 KiB
PHP
34 lines
1.3 KiB
PHP
<!-- Modal -->
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<div class="modal fade" id="modalActionApproveBillingOrder" tabindex="-1" aria-hidden="true">
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<div class="modal-dialog modal-lg modal-dialog-centered">
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<div class="modal-content">
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<!-- Modal Header -->
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<div class="modal-header">
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<h5 class="modal-title fs-5">Apakah kamu yakin melakukan persetujuan pada order ini ? <strong id="confirmActionApproveBillingOrder"></strong> </h1>
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<button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
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</div>
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<!-- Modal Form -->
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<form method="POST" id="formActionApproveBillingOrder" enctype="multipart/form-data">
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@csrf
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@method('put')
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<div class="modal-body">
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<div class="mb-3">
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<label for="exampleInputEmail1" class="form-label">Upload Dokumen</label>
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<input type="file" class="form-control" name="evidence_medical_record" >
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<div class="form-text">Upload dokumen pendukung persetujuan order via billing.</div>
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</div>
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</div>
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<!-- Modal Footer -->
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<div class="modal-footer">
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<button type="button" class="btn btn-secondary" data-bs-dismiss="modal">Tutup</button>
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<button type="submit" class="btn btn-primary">Setujui</button>
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</div>
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</form>
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</div>
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</div>
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</div>
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