429 lines
10 KiB
PHP
429 lines
10 KiB
PHP
<!DOCTYPE html>
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<html lang="id">
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<head>
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<meta charset="UTF-8">
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<title>Form Permintaan Pasien Ambulans</title>
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<link href="https://cdn.jsdelivr.net/npm/[email protected]/dist/css/bootstrap.min.css" rel="stylesheet">
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<style>
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/* ================= GLOBAL ================= */
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body {
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font-size: 11px;
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background: #e9ecef;
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font-family: Arial, sans-serif;
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margin: 0;
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padding: 20px;
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color: #212529;
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}
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/* ================= A4 CONTAINER LOOK ================= */
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.container-a4 {
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width: 210mm;
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min-height: 297mm;
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margin: auto;
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background: #fff;
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padding: 12mm;
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border: 1px solid #000;
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box-shadow: 0 0 10px rgba(0,0,0,0.15);
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}
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/* ================= SECTION TITLE ================= */
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.section-title {
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background: #dee2e6;
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padding: 6px 10px;
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font-weight: bold;
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margin-top: 12px;
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margin-bottom: 8px;
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border-radius: 4px;
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border: 1px solid #ccc;
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}
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/* ================= BOX KIRI-TENGAH-KANAN ================= */
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.border {
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border: 1px solid #000 !important;
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padding: 8px;
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border-radius: 4px;
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height: 100%;
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}
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/* isi box lebih rapi */
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.border div {
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margin-bottom: 4px;
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line-height: 1.3;
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}
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/* ================= ROW SPACING RAPAT ================= */
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.row {
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margin-left: 0;
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margin-right: 0;
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}
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.row > div {
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padding: 4px;
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}
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/* ================= BUTTON ================= */
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.center-box {
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display: flex;
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justify-content: center;
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margin-top: 25px;
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}
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.blink {
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animation: blinkAnim 1s infinite;
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font-weight: bold;
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padding: 10px 18px;
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border-radius: 6px;
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}
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@keyframes blinkAnim {
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0% { opacity: 1; }
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50% { opacity: 0.4; }
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100% { opacity: 1; }
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}
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/* ================= PRINT SETTING ================= */
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@media print {
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@page {
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size: A4;
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margin: 8mm;
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}
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body {
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background: #fff !important;
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padding: 0 !important;
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}
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.no-print {
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display: none !important;
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}
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.container-a4 {
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width: 100%;
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min-height: auto;
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box-shadow: none;
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border: none;
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padding: 0;
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}
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.blink {
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animation: none !important;
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}
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}
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/* ================= TEXT CONSISTENCY ================= */
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b {
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font-weight: 600;
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}
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</style>
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</head>
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<body>
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<div class="container-a4">
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<div class="no-print mb-3 d-flex justify-content-end gap-2">
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<button class="btn btn-secondary" onclick="history.back()">⬅️ Kembali</button>
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<button class="btn btn-warning">✏️ Edit</button>
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<button onclick="window.print()" class="btn btn-primary">🖨️ Cetak</button>
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</div>
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<h4 class="text-center mb-4">
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📄 FORM PERMINTAAN PASIEN AMBULANS 119
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</h4>
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<?php if (!$pasien): ?>
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<div class="alert alert-danger">Data tidak ditemukan</div>
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<?php else: ?>
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<div class="row mb-3">
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<!-- ================= KIRI ================= -->
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<div class="col-md-4">
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<div class="border p-2 h-100">
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<h6 class="fw-bold">👤 IDENTITAS PASIEN</h6>
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<div>
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<b>Nama:</b>
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<?= trim(($pasien['atribut'] ?? '') . ' ' . ($pasien['nama'] ?? '')) ?>
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</div>
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<div><b>Tgl Lahir:</b> <?= $pasien['tgl_lahir'] ?? '-' ?></div>
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<div><b>Usia:</b> <?= esc($pasien['umur'] ?? '-') ?></div>
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<div><b>Jenis Kelamin:</b> <?= $pasien['gender'] ?? '-' ?></div>
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<div><b>Alamat:</b> <?= $pasien['alamat'] ?? '-' ?></div>
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</div>
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</div>
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<!-- ================= TENGAH ================= -->
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<div class="col-md-4">
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<div class="border p-2 h-100">
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<h6 class="fw-bold">📋 REGISTRASI</h6>
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<div><b>No RM:</b> <?= $pasien['rm'] ?? '-' ?></div>
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<div><b>Register Ambulans:</b> <?= $pasien['register'] ?? '-' ?></div>
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<div><b>Nama Penelpon:</b> <?= $pasien['nama_penelpon'] ?? '-' ?></div>
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<div><b>No Penelpon:</b> <?= $pasien['no_penelpon'] ?? '-' ?></div>
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</div>
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</div>
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<!-- ================= KANAN ================= -->
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<div class="col-md-4">
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<div class="border p-2 h-100">
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<h6 class="fw-bold">🚑 STATUS ORDER</h6>
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<div>
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<b>Tanggal & Jam Order:</b><br>
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<?= !empty($pasien['created_at'])
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? date('d-m-Y H:i', strtotime($pasien['created_at']))
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: '-' ?>
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</div>
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<div class="mt-2">
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<b>Status Order:</b><br>
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<?php
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$type = $pasien['order_type'] ?? 'Pending Order';
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if ($type == 'True Emergency') {
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echo '🔴 True Emergency';
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} elseif ($type == 'Non Emergency') {
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echo '🟡 Non Emergency';
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} else {
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echo '🟢 Pending Order';
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}
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?>
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</div>
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<div class="mt-2">
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<b>Status Fase Ambulans:</b><br>
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<?php
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$fase = $pasien['fase'] ?? 1;
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if ($fase == 1) {
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echo 'Predispatch';
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} elseif ($fase == 2) {
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echo 'On Scene';
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} elseif ($fase == 3) {
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echo 'Transport';
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} elseif ($fase == 4) {
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echo 'Arrival RS';
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} elseif ($fase == 5) {
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echo 'Handover';
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} elseif ($fase >= 6) {
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echo 'Selesai';
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} else {
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echo 'Predispatch';
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}
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?>
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</div>
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</div>
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</div>
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<!-- ================= PRE DISPATCH ================= -->
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<div class="section-title">Kondisi Awal Pasien (Pre Dispatch)</div>
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<?php
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$nafas = json_decode($order['pernafasan'] ?? '', true);
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$pos = json_decode($order['posisi'] ?? '{}', true);
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$nyeri = json_decode($order['nyeri'] ?? '', true);
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$bahaya = json_decode($order['bahaya'] ?? '', true);
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$kat = $order['kategori'] ?? '-';
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?>
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<style>
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.kv {
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display: flex;
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align-items: flex-start;
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gap: 4px;
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margin-bottom: 2px;
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font-size: 11px;
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line-height: 1.2;
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}
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.kv b {
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min-width: 120px; /* cukup untuk rata */
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display: inline-block;
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}
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.kv span {
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display: inline-block;
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}
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</style>
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<div class="kv">
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<b>Keluhan Utama:</b>
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<span><?= $order['keluhan_utama'] ?? '-' ?></span>
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</div>
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<div class="col-4">
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<div class="kv"><b>Kesadaran</b>: <span><?= $order['kesadaran'] ?? '-' ?></span></div>
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<div class="kv">
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<b>Pernafasan</b>:
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<span><?= ($nafas['sesak'] ?? '-') . ' / ' . ($nafas['batuk'] ?? '-') ?></span>
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</div>
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<div class="kv">
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<b>Posisi Pasien Ditemukan</b>:
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<span>
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<?= is_array($pos['lokasi'] ?? null) ? implode(', ', $pos['lokasi']) : '-' ?>
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<?= !empty($pos['lainnya']) ? ' - ' . $pos['lainnya'] : '' ?>
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</span>
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</div>
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</div>
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<div class="col-4">
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<div class="kv"><b>Keterbatasan</b>: <span><?= $order['keterbatasan'] ?? '-' ?></span></div>
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<div class="kv"><b>Nyeri</b>: <span><?= $nyeri['status'] ?? '-' ?></span></div>
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<div class="kv">
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<b>Lokasi Nyeri</b>:
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<span>
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<?= isset($nyeri['lokasi']) && is_array($nyeri['lokasi'])
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? implode(', ', $nyeri['lokasi'])
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: '-' ?>
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</span>
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</div>
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</div>
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<div class="col-4">
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<div class="kv">
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<b>Kategori</b>:
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<span>
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<?php
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if ($kat == 'Trauma') echo 'Trauma';
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elseif ($kat == 'Non Trauma') echo 'Non Trauma';
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else echo '-';
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?>
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</span>
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</div>
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<div class="kv"><b>Suhu</b>: <span><?= $order['suhu'] ?? '-' ?></span></div>
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<div class="kv">
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<b>Bahaya</b>:
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<span>
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<?= $bahaya['status'] ?? '-' ?>
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<?= !empty($bahaya['detail']) ? ' - ' . $bahaya['detail'] : '' ?>
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</span>
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</div>
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<div class="kv"><b>BB</b>: <span><?= $order['berat_badan'] ?? '-' ?> Kg</span></div>
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</div>
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<?php
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$tujuanList = [
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'RFDK' => 'Rumah ke Faskes Dalam Kota',
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'F-FDK' => 'Fasilitas Umum ke Faskes Dalam Kota',
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'AFDK' => 'Antar Faskes Dalam Kota',
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'AFLK' => 'Antar Faskes Luar Kota',
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'PDK' => 'Pulang Dalam Kota',
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'PLK' => 'Pulang Luar Kota',
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];
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$tujuan = $order['tujuan'] ?? '-';
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?>
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<!-- ================= Tujuan dan Biaya ================= -->
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<div class="section-title">Tujuan dan Biaya</div>
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<!-- ================= KIRI ================= -->
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<div class="col-md-6">
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<div class="kv">
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<b>Tujuan</b>
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<span>: <?= $tujuanList[$tujuan] ?? $tujuan ?></span>
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</div>
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<div class="kv">
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<b>Detail Tujuan</b>
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<span>: <?= $order['tujuan_detail'] ?? '-' ?></span>
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</div>
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</div>
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<!-- ================= KANAN ================= -->
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<div class="col-md-6">
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<div class="kv">
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<b>Persetujuan Biaya</b>
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<span>: <?= $order['persetujuan'] ?? '-' ?></span>
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</div>
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<div class="kv">
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<b>KIE Estimasi Biaya</b>
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<span>:
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Rp <?= !empty($order['biaya'])
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? number_format($order['biaya'],0,',','.')
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: '-' ?>
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</span>
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</div>
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</div>
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<!-- ================= VALIDASI + PETUGAS ================= -->
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<div class="section-title">Validasi & Petugas</div>
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<div class="col-md-6">
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<div class="kv">
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<b>Validasi Pelayanan</b>
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<span>: <?= $order['validasi'] ?? '-' ?></span>
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</div>
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</div>
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<div class="col-md-6">
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<div class="kv">
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<b>Petugas Predispatch</b>
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<span>: <?= $order['petugas_nama'] ?? $order['petugas_id'] ?? '-' ?></span>
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</div>
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</div>
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</div>
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<!-- ================= TANDA TANGAN ================= -->
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<div class="row mb-2"> </div>
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<div class="ttd-box no-print-break">
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<div class="ttd-title">________________</div>
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<div class="ttd-colon">tanda tangan</div>
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<div class="ttd-row">
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<div class="ttd-label">Nama Pemesan :</div>
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<div class="ttd-line"></div>
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</div>
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<div class="ttd-row">
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<div class="ttd-label">Nomor WA:</div>
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<div class="ttd-line"></div>
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</div>
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</div>
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<!-- ================= BUTTON ================= -->
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<div class="center-box">
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<button class="btn btn-success blink"
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onclick="terimaOrder(<?= $pasien['id'] ?>)">
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✅ Terima Order & Lanjut Dispatch
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</button>
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</div>
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<?php endif; ?>
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<script>
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function terimaOrder(id){
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fetch("<?= base_url('pasien/next') ?>/" + id)
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.then(() => {
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window.location.href = "<?= base_url('pasien/aktif') ?>";
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});
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}
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</script>
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</body>
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</html>
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