31 lines
1.2 KiB
PHP
31 lines
1.2 KiB
PHP
@extends('layouts.app')
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@section('title', 'Edit Pasien')
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@section('content')
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<div class="container">
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<h1>Edit Pasien</h1>
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<form action="{{ route('ms_pasien.update', $pasien) }}" method="POST">
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@csrf
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@method('PUT')
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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" value="{{ $pasien->NamaPasien }}" 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" value="{{ $pasien->TanggalLahir }}" 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" {{ $pasien->JenisKelamin == 'L' ? 'selected' : '' }}>Laki-laki</option>
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<option value="P" {{ $pasien->JenisKelamin == 'P' ? 'selected' : '' }}>Perempuan</option>
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</select>
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</div>
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<button type="submit" class="btn btn-primary">Update</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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