<style>
input::-webkit-outer-spin-button,
input::-webkit-inner-spin-button {
  -webkit-appearance: none;
  margin: 0;
}

</style>


  <hr>
  <hr>
  <hr>
  <hr>
 
    <section class="breadcrumb_part breadcrumb_bg">
        <div class="container">
            <div class="row">
                <div class="col-lg-12">
                    <div class="breadcrumb_iner">
                        <div class="breadcrumb_iner_item">
                            <h2>Registrasi</h2>
                            <h2>Pasien</h2>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </section>
    <!-- breadcrumb start-->

         
    <div class="container">
        <div class="card" >
            <div class="card-header">
                    <h2> Silahkan Isi No Rekam Medis</h2>
                    </div>
                <div class="card-body">
        
                <form id="myForm">
                    <input type="hidden" id="iInput"  class="form-control" /></input>

                    <div class="form-group">
                        <label> <h5>No Rekam Medis</h5></label><br>
                        <input type="number" id="no_rekam_medis" placeholder="No Rekam Medis"  class="form-control" max="999999999999999" maxlength="8" ></input>                    
                    </div>
                    
                    <!-- <div class="form-group">
                        <label> <h5>No Induk Kependudukan (NIK)</h5></label><br>
                        <input type="number" id="ktp" placeholder="No Induk Kependudukan (NIK)"  class="form-control"max="9999999999999999" maxlength="16" ></input>                    
                    </div> -->
                    <p class="card-text" style="display:inline">Jika belum mempunyai no rekam medis, </p>
                    <a class="card-text" href="<?php echo $this->basePath('queue/daftarpasien') ?>" style="display:inline">Klik disini !</a>
                </form>
            </div>
                <div class="card-footer" >
                     <p class="card-text"></p>
                        <button type="button"  class="btn btn-primary" id="cekdata" style="float: right;">Daftar Antrian</button>
                </div>    
        
        </div>
    </div> 
    <br>









