112 lines
3.9 KiB
PHP
112 lines
3.9 KiB
PHP
<x-app-layout>
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<x-slot name="header">
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<h2 class="font-semibold text-xl text-gray-800 leading-tight">
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{{ __('Input Data Baru') }}
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</h2>
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</x-slot>
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<div class="py-12">
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<div class="max-w-7xl mx-auto sm:px-6 lg:px-8">
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<div class="bg-white overflow-hidden shadow-sm sm:rounded-lg">
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<div class="p-6 bg-white border-b border-red-200">
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<!-- Validation Errors -->
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<x-auth-validation-errors class="mb-4" :errors="$errors" />
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@if (Auth::user()->role->role == 'ORANG_TUA')
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<form method="POST" enctype="multipart/form-data" action="{{ route('input-anak-orang-tua') }}">
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@endif
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@if (Auth::user()->role->role == 'KADER_POSYANDU')
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<form method="POST" enctype="multipart/form-data" action="{{ route('input-anak-orang-tua') }}">
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@endif
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@csrf
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<!-- Name -->
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<div>
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<x-label for="nama" :value="__('Nama')" />
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<x-input id="nama" class="block mt-1 w-full" type="text" name="nama" :value="old('nama')" required
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autofocus />
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</div>
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<div>
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<x-label for="panggilan" :value="__('Panggilan')" />
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<x-input id="panggilan" class="block mt-1 w-full" type="text" name="panggilan" :value="old('panggilan')"
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autofocus />
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</div>
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<div>
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<x-label for="tanggal_lahir" :value="__('Tanggal Lahir')" />
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<x-input id="tanggal_lahir" class="block mt-1 w-full" type="date" name="tanggal_lahir" :value="old('tanggal_lahir')"
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required autofocus />
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</div>
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<div>
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<x-label for="tinggi" :value="__('Tinggi')" />
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<x-input id="tinggi" class="block mt-1 w-full" type="text" name="tinggi" :value="old('tinggi')"
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autofocus />
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</div>
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<div>
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<x-label for="berat" :value="__('Berat')" />
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<x-input id="berat" class="block mt-1 w-full" type="text" name="berat" :value="old('berat')"
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autofocus />
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</div>
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<div>
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<x-label for="lingkar_kepala" :value="__('Lingkar Kepala')" />
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<x-input id="lingkar_kepala" class="block mt-1 w-full" type="text" name="lingkar_kepala"
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:value="old('lingkar_kepala')" autofocus />
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</div>
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@if (Auth::user()->role->role == 'KADER_POSYANDU')
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<div>
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<x-label for="nama_orang_tua" :value="__('Nama Orang Tua')" />
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<x-input id="nama_orang_tua" class="block mt-1 w-full" type="text" name="nama_orang_tua"
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:value="old('nama_orang_tua')" required autofocus />
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</div>
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<div>
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<x-label for="alamat" :value="__('Alamat')" />
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<x-input id="alamat" class="block mt-1 w-full" type="text" name="alamat" :value="old('alamat')"
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autofocus />
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</div>
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@endif
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<div>
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<x-label for="gender" :value="__('Jenis Kelamin')" />
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<select id="gender" name="gender"
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class="rounded-md shadow-sm border-gray-300 focus:border-red-300 focus:ring focus:ring-red-200 focus:ring-opacity-50"
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required autofocus>
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<option value="LAKI_LAKI">Laki Laki</option>
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<option value="PEREMPUAN">Perempuan</option>
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</select>
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</div>
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<div>
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<x-label for="image" :value="__('Foto')" />
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<input
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class="rounded-md shadow-sm border-gray-300 focus:border-red-300 focus:ring focus:ring-red-200 focus:ring-opacity-50"
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id="image" type="file">
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</div>
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<div class="flex items-center justify-end mt-4">
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<x-button class="ml-4">
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{{ __('Tambahkan Anak') }}
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</x-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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</div>
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</x-app-layout>
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