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<style>
.form-field {
display: inline-block;
margin-right: 20px;
}
.form-field:last-child {
margin-right: 0;
}
</style>
<div class="container-fluid">
<div class="col-xl-12 col-lg-12 col-md-12">
<div class="card o-hidden border-0 shadow-lg my-5">
<div class="card-body ">
<h1 class="h4 text-center text-gray-900 mb-4" style="font-size: 50px;font-weight: bold">Kelola Poli</h1>
<button type="button" class="btn btn-primary fa fa-plus btn-lg" data-toggle="modal" data-target="#addData"> Tambah</button>
<br>
<br>
<table class="table table-bordered" id="dataTable">
<thead>
<tr>
<th style="">NO</th>
<th>Nama Poli</th>
<th>Kode Poli</th>
<th>Deskripsi Poli</th>
<th>Action</th>
</tr>
</thead>
<tbody id="tablepoli" >
</tbody>
</table>
</div>
</div>
</div>
</div>
<!-- Trigger the modal with a button -->
<!-- Modal -->
<div id="addData" class="modal fade" role="dialog">
<div class="modal-dialog">
<!-- Modal content-->
<div class="modal-content">
<div class="modal-header">
<h4 class="modal-title">Tambah Data Poli</h4>
<button type="button" class="close" data-dismiss="modal">×</button>
</div>
<div class="modal-body">
<form id="myForm" >
<div class="form-group">
<label>Nama Poli</label>
<input type="input" id="nama_poli" name="nama_poli" class="form-control" placeholder="Nama Poli" required /></input>
</select>
</div>
<div class="form-group">
<label>Kode Poli</label>
<input type="input" id="kode_poli" name="kode_poli" class="form-control" placeholder="Kode Poli" required /></input>
</div>
<div class="form-group">
<label>Deskripsi Poli</label>
<textarea type="type" id="deskripsi_poli" name="deskripsi_poli" class="form-control" placeholder="Deskripsi Poli" required ></textarea>
</div>
<!-- <div class="form-group ">
<label>Gambar Poli</label>
<input type="file" name="uploadimage" id="uploadimage" class="form-control">
</div> -->
<div class="modal-footer">
<button button type="button" class="btn btn-primary" id="tambah">Add</button>
<button button type="button" class="btn btn-danger" onclick="reset()">Reset</button>
<button type="submit" class="btn btn-default" data-dismiss="modal">Close</button>
</div>
</form>
</div>
</div>
</div>
</div>
<!-- Modal -->
<div id="editData" class="modal fade" role="dialog">
<div class="modal-dialog">
<!-- Modal content-->
<div class="modal-content">
<div class="modal-header">
<h4 class="modal-title">Edit Data Poli</h4>
<button type="button" class="close" data-dismiss="modal">×</button>
</div>
<div class="modal-body">
<form id="myFormEdit" >
<input type="hidden" id="id_poli" class="form-control" /></input>
<!-- <input type="input" id="nama_poli2" class="form-control" /></input> -->
<div class="form-group">
<label>Nama Poli</label>
<input type="input" id="nama_poliEdt" name="nama_poli" class="form-control" placeholder="Nama Poli" required /></input>
</select>
</div>
<div class="form-group">
<label>Kode Poli</label>
<input type="input" id="kode_poliEdt" name="kode_poli" class="form-control" placeholder="Kode Poli" required /></input>
</div>
<div class="form-group">
<label>Deskripsi Poli</label>
<textarea type="type" id="deskripsi_poliEdt" name="deskripsi_poli" class="form-control" placeholder="Deskripsi Poli" required ></textarea>
</div>
<!-- <div class="form-group ">
<label>Gambar Poli</label>
<input type="file" name="uploadimage" id="uploadimage" class="form-control">
</div> -->
<div class="modal-footer">
<button button type="button" class="btn btn-primary" id="edit">Edit</button>
<button button type="button" class="btn btn-danger" onclick="reset()">Reset</button>
<button type="submit" class="btn btn-default" data-dismiss="modal">Close</button>
</div>
</form>
</div>
</div>
</div>
</div>