From fd470e7687ad507486d6b5a31c40228216dfd2ff Mon Sep 17 00:00:00 2001 From: renaldybrada Date: Fri, 6 Mar 2026 12:53:01 +0700 Subject: [PATCH] init --- index.php | 727 ++++++++++++++++++++++++++++++++++++++++++++++++++++++ 1 file changed, 727 insertions(+) create mode 100644 index.php diff --git a/index.php b/index.php new file mode 100644 index 0000000..2863698 --- /dev/null +++ b/index.php @@ -0,0 +1,727 @@ + "28-01-2026 14:18:59", + "operator" => "dr.SYAIFULLAH AMISRAGANI, Sp.OT", + "status" => "Tervalidasi" + ], + [ + "tanggal" => "28-01-2026 14:18:59", + "operator" => "dr.PRADANA NURHADI,Sp.U", + "status" => "Belum Validasi" + ] +]; + +if ($_SERVER['REQUEST_METHOD'] == "POST") { + echo "
";
+    print_r($_POST);
+    echo "
"; +} + +?> + + + + + + + Laporan Operasi + + + + + + + + + +
+ +

FORM LAPORAN OPERASI

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Tindakan Operatif
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Uraian Operasi
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Jenis & Jumlah Darah Masuk
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*Format: JPG, PNG | Maks: 1MB

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*Format: JPG, PNG | Maks: 1MB

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Daftar Implant
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MerekNama ImplantStikerPendampingAksi
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Specimen / Jaringan dikirim ke
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Daftar Riwayat Operasi
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NoTanggal SimpanDPJP OperatorPreviewStatusAksi
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+ + + + + + \ No newline at end of file