29 lines
998 B
PHP
29 lines
998 B
PHP
@extends('layouts.app')
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@section('title', 'Tambah Pasien')
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@section('content')
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<div class="container">
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<h1>Tambah Pasien</h1>
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<form action="{{ route('ms_pasien.store') }}" method="POST">@csrf
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<div class="mb-3">
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<label>Nama Pasien</label>
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<input type="text" name="NamaPasien" class="form-control" required>
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</div>
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<div class="mb-3">
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<label>Tanggal Lahir</label>
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<input type="date" name="TanggalLahir" class="form-control" required>
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</div>
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<div class="mb-3">
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<label>Jenis Kelamin</label>
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<select name="JenisKelamin" class="form-control" required>
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<option value="L">Laki-laki</option>
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<option value="P">Perempuan</option>
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</select>
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</div>
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<button type="submit" class="btn btn-success">Simpan</button>
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<a href="{{ route('ms_pasien.index') }}" class="btn btn-secondary">Kembali</a>
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</form>
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</div>
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@endsection
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