223 lines
14 KiB
PHP
223 lines
14 KiB
PHP
<section class="content-header">
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<h1>
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<small></small>
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</h1>
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<ol class="breadcrumb">
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<li><a href="<?php echo base_url()?>index.php"><i class="fa fa-dashboard"></i> Dashboard</a></li>
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<li><a href="<?php echo base_url()?>index.php/ps_pasien">Data Pasien</a></li>
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<li class="active"><?php echo $title;?></li>
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</ol>
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</section>
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<section class="content">
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<div class="row">
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<div class="col-xs-12">
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<div class="box">
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<div class="box-header with-border">
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<h3 class="box-title"><?php echo $title; ?></h3>
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</div>
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<div class="box-body">
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<?php if(validation_errors()){ ?>
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<div class="alert alert-danger alert-dismissable">
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<button type="button" class="close" data-dismiss="alert" aria-hidden="true">×</button>
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<h4><i class="icon fa fa-ban"></i> Alert!</h4>
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<?php echo validation_errors() ?>
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</div>
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<?php }
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$setdisabled ="";
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$setidedit ="";
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$settgl_daftar ="";
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$settgl_periksa ="";
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$setbarcode ="";
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$setno_antrian ="";
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$setno_klinik ="";
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$setno_rm ="";
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$setklinik ="";
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$setshift ="";
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$setket_online ="";
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$setket_konsul ="";
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$setket_fasttrack ="";
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$setpembayaran ="";
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if ($actionform=="prosesview"){
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$setdisabled="disabled=''";
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}
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if ($actionform!="prosesadd"){
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$setidedit =$mp->row('pp_id');
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$settgl_daftar =$mp->row('pp_tanggal_datang');
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$settgl_periksa =$mp->row('pp_tanggal_periksa');
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$setbarcode =$mp->row('pp_barcode');
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$setno_antrian =$mp->row('pp_nomor_antrian');
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$setno_klinik =$mp->row('pp_nomor_antrian_klinik');
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$setno_rm =$mp->row('pp_rekamedik');
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$setklinik =$mp->row('pp_klinik_id');
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$setshift =$mp->row('pp_shift');
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$setket_online =$mp->row('pp_pendaftaran_online');
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$setket_konsul =$mp->row('pp_konsul');
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$setket_fasttrack =$mp->row('pp_fasttrack');
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$setpembayaran =$mp->row('pp_pembayaran');
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}
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?>
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<form class="form-horizontal" id="form" action="<?php echo(base_url()); ?>index.php/ps_pasien/<?php echo $actionform; ?>" method="post" autocomplete="off">
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<div class="box-body">
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<div class="form-group">
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<label for="tgldaftar" class="col-sm-2 control-label">Tanggal Daftar</label>
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<div class="col-sm-6">
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<input type="hidden" name="id" value="<?php echo $setidedit;?>"/>
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<input id="tgldaftar" class="form-control" disabled="" name="tgldaftar" type="text" placeholder="Masukan Tanggal Daftar" autocomplete="off" value="<?php echo $settgl_daftar;?>"/>
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</div>
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</div>
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</div>
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<div class="box-body">
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<div class="form-group">
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<label for="tglperiksa" class="col-sm-2 control-label">Tanggal Periksa</label>
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<div class="col-sm-6">
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<input id="tglperiksa" class="form-control" disabled="" name="tglperiksa" type="text" placeholder="Masukan Tanggal Periksa" autocomplete="off" value="<?php echo $settgl_periksa;?>"/>
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</div>
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</div>
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</div>
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<div class="box-body">
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<div class="form-group">
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<label for="nobarcode" class="col-sm-2 control-label">No Barcode</label>
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<div class="col-sm-6">
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<input id="nobarcode" class="form-control" disabled="" name="nobarcode" type="text" placeholder="Masukan Barcode" autocomplete="off" value="<?php echo $setbarcode;?>"/>
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</div>
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</div>
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</div>
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<div class="box-body">
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<div class="form-group">
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<label for="noantrian" class="col-sm-2 control-label">No Antrian</label>
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<div class="col-sm-6">
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<input id="noantrian" class="form-control" disabled="" name="noantrian" type="text" placeholder="Masukan Nomor Antrian" autocomplete="off" value="<?php echo $setno_antrian;?>"/>
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</div>
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</div>
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</div>
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<div class="box-body">
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<div class="form-group">
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<label for="noklinik" class="col-sm-2 control-label">No Klinik</label>
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<div class="col-sm-6">
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<input id="noklinik" class="form-control" disabled="" name="noklinik" type="text" placeholder="Belum Mendapatkan Antrian Klinik" autocomplete="off" value="<?php echo $setno_klinik;?>"/>
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</div>
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</div>
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</div>
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<div class="box-body">
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<div class="form-group">
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<label for="norek" class="col-sm-2 control-label">No Rekamedik</label>
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<div class="col-sm-6">
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<input id="norek" class="form-control" <?php echo $setdisabled; ?> name="norek" type="number" placeholder="Masukan Nomor Rekamedik" autocomplete="off" value="<?php echo $setno_rm;?>"/>
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</div>
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</div>
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</div>
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<div class="box-body">
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<div class="form-group">
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<label for="klinik" class="col-sm-2 control-label">Klinik</label>
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<div class="col-sm-6">
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<select disabled="" <?php //echo $setdisabled; ?> onchange="list_shift()" id="klinik" name="klinik" class="form-control select" >
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<option value="">Pilih Klinik</option>
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<?php
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foreach ($mk as $dat) {
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$select="";
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if($setklinik==$dat->mk_id){$select="selected='selected'";}
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echo "<option value='".$dat->mk_id."'".$select.">".$dat->mk_nama."</option>";
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}
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?>
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</select>
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</div>
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</div>
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</div>
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<script>
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var url_data="<?php echo base_url();?>index.php/";
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function list_shift(a){
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document.getElementById("shift").value = "0";
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var items="";
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var pilih="selected='selected'";
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$("#shift").html("");
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$.ajax({
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type: "POST",
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url: url_data+"ps_pasien/datashift",
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dataType: "json",
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data: "idklinik="+$('#klinik').val(),
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success: function(result) {
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items+="<option value='"+''+"' >"+'Pilih Shift'+"</option>";
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$.each(result, function(index, value) {
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items+=value.datashift;
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});
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$("#shift").html(items);
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}
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});
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}
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</script>
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<div class="box-body">
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<div class="form-group">
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<label for="shift" class="col-sm-2 control-label">Shift</label>
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<div class="col-sm-6">
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<select disabled="" <?php //echo $setdisabled; ?> id="shift" name="shift" class="form-control select">
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<option value=""> Pilih Shift </option>
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<?php
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foreach ($mk as $dat) {
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$select="";
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if($setklinik==$dat->mk_id){
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$jumshift=$dat->mk_shift;
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$jamshift=$dat->mk_jam_shift;
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$pecahjamshift = explode("|",$jamshift);
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$numpecah = 0;
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for($i=1;$i<=$jumshift;$i++){
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if($i==$setshift){$select="selected='selected'";
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}else{$select="";}
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echo "<option value='$i' $select >Shift $i ± Mulai Pukul $pecahjamshift[$numpecah] </option>";
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$numpecah++;
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}
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}
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}
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?>
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</select>
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</div>
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</div>
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</div>
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<div class="box-body">
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<div class="form-group">
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<label class="col-sm-2 control-label">Keterangan</label>
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<div class="col-sm-6">
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<label class="control-label">
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<?php
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$cek=0;
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if ($setket_online){echo "<code>PENDAFTARAN ONLINE</code> ";$cek=1;}
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if ($setket_fasttrack){echo "<code>FASTTRACK</code> ";$cek=1;}
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if ($setket_konsul){echo "<code>KONSUL</code> ";$cek=1;}
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if ($cek==0){echo "<b>TIDAK ADA KETERANGAN</b>";}
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?>
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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="box-body">
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<div class="form-group">
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<label for="pembayaran" class="col-sm-2 control-label">Pembayaran</label>
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<div class="col-sm-6">
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<select disabled="" <?php //echo $setdisabled; ?> id="pembayaran" name="pembayaran" class="form-control select" >
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<option value="">Pilih Pembayaran</option>
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<option value="1" <?php if($setpembayaran==1){echo "selected='selected'";}?> >UMUM / JKMM / SPM / JAMPERSAL / T4</option>
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<option value="2" <?php if($setpembayaran==2){echo "selected='selected'";}?> >JKN</option>
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</select>
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</div>
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</div>
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</div>
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<div class="box-footer">
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<a href="<?php echo base_url();?>index.php/ps_pasien" class="btn btn-default">Cancel</a>
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<?php if ($actionform!="prosesview"){ ?>
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<button type="submit" class="btn btn-warning">Submit</button>
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<?php } ?>
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</div>
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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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</section>
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