Template
166 lines
7.5 KiB
PHP
166 lines
7.5 KiB
PHP
@extends('layouts.admin_master')
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@section('content')
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<main>
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<div class="container">
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<div class="row justify-content-center">
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<div class="col-lg-7">
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<div class="card shadow-lg border-0 rounded-lg mt-5">
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<div class="card-header">
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<h1 class="text-center font-weight-light my-4"><b>Pasien Baru</b></h1>
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</div>
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<div class="card-body">
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<form id="myForm">
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<div class="form-row">
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<div class="col-md-12">
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<div class="form-group">
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<label class="small mb-1" for="inputFirstName">Tipe Pasien</label>
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<div class="form-check">
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<input checked class="form-check-input" type="radio" onclick="javascript:yesnoCheck();" name="tipe_pasien" id="yesCheck">
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<label class="form-check-label" for="flexRadioDefault1">
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Pasien Lama
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</label>
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</div>
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<div class="form-check">
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<input class="form-check-input" type="radio" onclick="javascript:yesnoCheck();" name="tipe_pasien" id="noCheck">
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<label class="form-check-label" for="flexRadioDefault2">
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Pasien Baru
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</label>
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</div>
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</div>
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</div>
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<div class="col-md-12" id="ifYes" style="visibility:hidden">
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<div class="form-group">
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<label class="small mb-1" for="inputFirstName">Nomor Rekam Medis</label>
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<select class="mySelect2" name="no_rekam_medis" style="width: 100%;" name="state">
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</select>
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</div>
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</div>
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<div class="col-md-12">
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<div class="form-group">
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<label class="small mb-1" for="inputFirstName">Nama Pasien</label>
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<input class="form-control py-4" name="nama" type="text" placeholder="" />
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</div>
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</div>
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<div class="col-md-12">
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<div class="form-group">
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<label class="small mb-1" for="inputLastName">Nomor Telepon</label>
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<input class="form-control py-4" name="telp" type="text" placeholder="" />
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</div>
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</div>
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<div class="col-md-12">
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<div class="form-group">
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<label class="small mb-1" for="inputLastName">Alamat</label>
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<input class="form-control py-4" name="alamat" type="text" placeholder="" />
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</div>
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</div>
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<div class="col-md-12">
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<div class="form-group">
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<label class="small mb-1" for="inputFirstName">Nomor BPJS</label>
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<input class="form-control py-4" name="nomor_bpjs" type="text" placeholder="" />
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</div>
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</div>
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<div class="col-md-12">
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<div class="form-group">
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<label class="small mb-1" for="Poliklinik">Poli Klinik</label>
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<select class="form-control py-4" name="poliklinik" id="poliklinik">
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</select>
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</div>
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</div>
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<div class="col-md-12">
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<div class="form-group">
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<label class="small mb-1" for="Dokter">Dokter</label>
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<select class="form-control py-4" name="dokter" id="dokter">
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</select>
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</div>
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</div>
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</div>
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<div class="form-group mt-4 mb-0"><button id="daftar" type="submit" class="btn btn-primary btn-block">Submit</button></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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</div>
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</main>
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<script>
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$(document).ready(function() {
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$('#myForm').on('submit', function (e) {
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e.preventDefault();
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$.ajax({
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type: "POST",
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url: "http://10.10.123.135:8083/api/v1/visit",
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data: $("#myForm").serialize(),
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success: function(response) {
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console.log(response);
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}
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});
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});
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$('.mySelect2').select2({
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// ajax: {
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// url: 'https://api.github.com/orgs/select2/repos',
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// data: function (params) {
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// var query = {
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// search: params.term,
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// type: 'public'
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// }
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// // Query parameters will be ?search=[term]&type=public
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// return query;
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// }
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// }
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});
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$.ajax({
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url: "http://10.10.123.135:8083/api/v1/healthcare",
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type: 'GET',
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dataType: 'json', // added data type
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success: function(res) {
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let data = res.data
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$.each(data, function(index) {
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$('#poliklinik')
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.append("<option value='" + data[index].id + "'>" + data[index].name + "</option>");
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});
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}
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});
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function selectDokter(id) {
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$.ajax({
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url: "http://10.10.123.135:8083/api/v1/doctor?poli=" + id,
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type: 'GET',
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dataType: 'json', // added data type
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success: function(res) {
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let data = res.data
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$.each(data, function(index) {
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$('#dokter').append($('<option>', {
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value: data[index].id
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}).text(data[index].name));
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});
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}
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});
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}
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$('#poliklinik').on('change', function() {
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selectDokter(this.value);
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// alert(this.value)
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});
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function yesnoCheck() {
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if (document.getElementById('yesCheck').checked) {
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document.getElementById('ifYes').style.visibility = 'visible';
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} else document.getElementById('ifYes').style.visibility = 'hidden';
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}
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yesnoCheck();
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});
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</script>
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@endsection |