2025-04-27 22:31:11 +07:00

33 lines
1.4 KiB
PHP

<div class="modal fade" tabindex="-1" role="dialog" id="edit_modal">
<div class="modal-dialog modal-dialog-centered" role="document">
<div class="modal-content">
<div class="modal-header">
<h5 class="modal-title">Edit Data</h5>
<button type="button" class="close" data-dismiss="modal" aria-label="Close">
<span aria-hidden="true">&times;</span>
</button>
</div>
<form method="post" id="edit_data_form">
@csrf
@method('PUT')
<div class="modal-body">
<div class="form-group">
<label for="exampleInputEmail1">Nama Pelayanan</label>
<input type="text" class="form-control" name="name" id="edit_name" aria-describedby="emailHelp" placeholder="Enter name">
</div>
<div class="form-group">
<label for="exampleInputEmail1">Tarif</label>
<input type="text" class="form-control tarif-input" name="tarif" id="edit_tarif" aria-describedby="emailHelp" placeholder="Enter name">
</div>
</div>
<div class="modal-footer bg-whitesmoke br">
<button type="button" class="btn btn-secondary" data-dismiss="modal">Close</button>
<button type="submit" class="btn btn-primary">Save changes</button>
</div>
</form>
</div>
</div>
</div>