165 lines
10 KiB
PHP
165 lines
10 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>Setting</li>
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<li><a href="<?php echo base_url()?>index.php/ps_loket">Master Loket</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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$setidedit ="";
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$setnama ="";
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$setpelayanan ="";
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$setquotabangku ="";
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$statuspelayanan ="";
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$pembayaran ="";
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$online ="";
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if ($actionform=="prosesview"){
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$setdisabled="disabled=''";
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}
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if ($actionform!="prosesadd"){
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$setidedit =$ml->row('ml_id');
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$setnama =$ml->row('ml_nama');
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$setpelayanan =$ml->row('ml_pelayanan');
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$setquotabangku =$ml->row('ml_quota_bangku');
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$statuspelayanan =$ml->row('ml_statuspelayanan');
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$pembayaran =$ml->row('ml_pembayaran');
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$online =$ml->row('ml_online');
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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_loket/<?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="nama" class="col-sm-2 control-label">Nama</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="nama" class="form-control" <?php echo $setdisabled; ?> name="nama" type="text" placeholder="Masukan Nama Loket" autocomplete="off" value="<?php echo $setnama;?>"/>
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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="quota" class="col-sm-2 control-label">Quota Bangku</label>
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<div class="col-sm-6">
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<input id="quota" class="form-control" <?php echo $setdisabled; ?> name="quota" type="number" placeholder="Masukan Quota Bangku" autocomplete="off" value="<?php echo $setquotabangku;?>"/>
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</div>
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</div>
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</div>
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<div class="box-body">
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<div class="form-group">
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<label for="statuspelayanan" class="col-sm-2 control-label">Status Pelayanan</label>
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<div class="col-sm-6">
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<select id="statuspelayanan" name="statuspelayanan" class="form-control select">
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<option value=""> Pilih Status Pelayanan </option>
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<option <?php if($statuspelayanan=="1"){echo "selected=''";} ?> value="1"> RAWAT JALAN</option>
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<option <?php if($statuspelayanan=="2"){echo "selected=''";} ?> value="2"> RAWAT INAP </option>
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</select>
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</div>
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</div>
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</div>
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<div class="box-body">
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<div class="form-group">
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<label for="pembayaran" class="col-sm-2 control-label">Pembayaran</label>
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<div class="col-sm-6">
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<select id="pembayaran" name="pembayaran" class="form-control select">
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<option value="0"> Pilih Pembayaran </option>
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<option <?php if($pembayaran=="1"){echo "selected=''";} ?> value="1"> UMUM / SPM / JKMM / JAMPERSAL / T4 / KARYAWAN</option>
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<option <?php if($pembayaran=="2"){echo "selected=''";} ?> value="2"> JKN </option>
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</select>
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</div>
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</div>
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</div>
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<div class="box-body">
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<div class="form-group">
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<label for="online" class="col-sm-2 control-label">Keterangan</label>
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<div class="col-sm-6">
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<select id="online" name="online" class="form-control select">
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<option value="0"> Pilih Keterangan </option>
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<option <?php if($online=="1"){echo "selected=''";} ?> value="1"> OFFLINE</option>
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<option <?php if($online=="2"){echo "selected=''";} ?> value="2"> ONLINE</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-body">
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<div class="form-group">
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<label for="pelayanan" class="col-sm-2 control-label">Pelayanan</label>
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<div class="col-sm-6">
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<!--input id="pelayanan" class="form-control" <?php echo $setdisabled; ?> name="pelayanan" type="text" placeholder="Masukan Pelayanan" autocomplete="off" value="<?php echo $setpelayanan;?>"/-->
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<table class="table table-bordered">
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<tr>
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<th style="width: 10px">#</th>
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<th>Kode</th>
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<th>Klinik</th>
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<th style="width: 40px">Pilih</th>
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</tr>
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<?php
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$setcek="";
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$no=0;
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foreach ($mk as $masterklinik) {
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$no++;
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if ($actionform!="prosesadd"){
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$pedat_pelayanan = explode(",",$setpelayanan);
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$jumrow = (count($pedat_pelayanan))-1;
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for($x=0;$x<=$jumrow;$x++){
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if(isset($pedat_pelayanan[$x])){
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if($pedat_pelayanan[$x]==$masterklinik->mk_id){
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$setcek="checked";
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}
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}
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}
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}
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echo ("
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<tr>
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<td>$no.</td>
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<td>".$masterklinik->mk_kode."</td>
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<td>".$masterklinik->mk_nama."</td>
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<td>
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<label>
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<input id='klinik' name='klinik[]' type='checkbox' value='".$masterklinik->mk_id."' $setcek class='flat-red' $setdisabled />
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</label>
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</td>
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</tr>
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");
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$setcek="";
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}
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?>
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</table>
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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_loket" 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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</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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