Abizrh
38 lines
1.1 KiB
Vue
38 lines
1.1 KiB
Vue
<script setup lang="ts">
|
|
import Block from '~/components/pub/form/block.vue'
|
|
import FieldGroup from '~/components/pub/form/field-group.vue'
|
|
import Field from '~/components/pub/form/field.vue'
|
|
import Label from '~/components/pub/form/label.vue'
|
|
</script>
|
|
|
|
<template>
|
|
<form id="entry-form">
|
|
<div class="mb-5 border-b border-b-slate-300 pb-3 text-lg xl:text-xl">
|
|
<Icon name="i-lucide-user" class="me-2" />
|
|
<span class="font-semibold">Tambah</span> Pasien
|
|
</div>
|
|
|
|
<div class="mb-5 border-b border-b-slate-300 pb-3 text-lg xl:text-xl">
|
|
<div>
|
|
<Block>
|
|
<FieldGroup :column="2">
|
|
<Label>Nama</Label>
|
|
<Field name="name">
|
|
<Input type="text" name="name" />
|
|
</Field>
|
|
</FieldGroup>
|
|
<FieldGroup :column="2">
|
|
<Label>Nomor RM</Label>
|
|
<Field name="name">
|
|
<Input type="text" name="name" />
|
|
</Field>
|
|
</FieldGroup>
|
|
</Block>
|
|
</div>
|
|
</div>
|
|
<div class="my-2 flex justify-end py-2">
|
|
<PubNavFooterCsd />
|
|
</div>
|
|
</form>
|
|
</template>
|