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V_Edit.php
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V_Edit.php
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<!-- MAIN -->
<div class="main">
<!-- MAIN CONTENT -->
<div class="main-content">
<div class="container-fluid">
<h3 class="page-title">Input Pegawai</h3>
<div class="row">
<div class="col-md-12">
<!-- INPUTS -->
<div class="panel">
<div class="panel-heading">
</div>
<div class="panel-body">
<form action="<?php echo base_url('Admin/updatePegawai'); ?>" method="POST">
<input type="hidden" value="<?php echo $id_dok; ?>" name="id_dok">
<div class="col-md-6">
<?php
if($list){
foreach ($list as $value) {
?>
<div class="form-group">
<label for="nama-dokter"></label>
<input id="nama-dokter" name="nama-dokter" type="text" value="<?php echo $value['nama_dokter']; ?>" class="form-control" placeholder="Nama Dokter" required="">
</div>
<div class="form-group">
<label for="tempat-lahir">Tempat Lahir</label>
<input id="tempat-lahir" value="<?php echo $value['tempat_lahir']; ?>" name="tempat-lahir" type="text" class="form-control" placeholder="Tempat Lahir" required="">
</div>
<div class="form-group">
<label for="tanggal-lahir">Tanggal Lahir</label>
<input id="tanggal-lahir" name="tanggal-lahir" type="text" class="form-control tanggal-lahir" placeholder="Tanggal Lahir" value="<?php echo $value['tanggal_lahir']; ?>" required="">
</div>
<div class="form-group">
<label for="alamat">Alamat</label>
<textarea id="alamat" name="alamat" class="form-control" placeholder="Alamat" required=""><?php echo $value['alamat']; ?>
</textarea>
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label for="jenis-kelamin">Jenis Kelamin</label>
<label class="fancy-radio">
<input name="jenis-kelamin" value="male" type="radio" required="">
<span><i></i>Laki - Laki</span>
</label>
<label class="fancy-radio">
<input name="jenis-kelamin" value="female" type="radio" required="">
<span><i></i>Perempuan</span>
</label>
</div>
<div class="form-group">
<label for="status">Status</label>
<input id="status" value="<?php echo $value['status']; ?>" name="status" type="text" class="form-control" placeholder="Status" required="">
</div>
<div class="form-group">
<label for="pendidikan">Pendidikan Terakhir </label>
<select name="pendidikan" class="form-control" placeholder="Pendidikan Terakhir" required="">
<option value="<?php echo $value['pendidikan_akhir']; ?>"><?php echo $value['pendidikan_akhir']; ?></option>
<option value="Doktor">Doktor (S3)</option>
<option value="Magister">Magister (S2)</option>
<option value="Sarjana">Sarjana (S1)</option>
<option value="Diploma 3">Diploma 3</option>
<option value="Diploma 2">Diploma 2</option>
<option value="Diploma 1">Diploma 1</option>
<option value="SMA">SMA</option>
<option value="SMK">SMK</option>
<option value="SMP">SMP</option>
<option value="SD">SD</option>
</select>
</div>
<div class="form-group">
<label for="layanan">Layanan </label>
<select name="layanan" class="form-control" placeholder="Layanan" required="">
<option disabled="" readonly>Layanan</option>
<option value=1>OBAT</option>
</select>
</div>
</div>
<?php
}
}
?>
<div class="col-md-12">
<input class="btn btn-success btn-lg" type="submit" value="Input">
</div>
</div>
</div>
<!-- END INPUTS -->
</div>
</div>
</div>
</div>
<!-- END MAIN CONTENT -->
</div>
<!-- END MAIN -->