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Gusraiii

add pelanggan

Apr 1st, 2020
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  1. <div class="container-fluid">
  2. <ol class="breadcrumb">
  3. <li class="breadcrumb-item">
  4. <a href="#">Pelanggan</a>
  5. </li>
  6. <li class="breadcrumb-item active">Tambah Data Pelanggan</li>
  7. </ol>
  8. <div class="row">
  9. <div class="col-md-12">
  10. <div class="card">
  11. <div class="card-header text-white bg-primary">
  12. Tambah Data Pelanggan
  13. </div>
  14. <?php echo form_open('Pelanggan/tambah') ?>
  15. <div class="card-body">
  16. <div class="form-group">
  17. <label for="nama_bencana">Nama Pelanggan</label>
  18. <input type="text" class="form-control" name="nama_pelanggan" required="">
  19. </div>
  20. <div class="form-group">
  21. <label for="foto">Jenis Kelamin</label>
  22. <select name="kelamin" class="form-control">
  23. <option value="LAKI-LAKI">LAKI-LAKI</option>
  24. <option value="PEREMPUAN">PEREMPUAN</option>
  25. </select>
  26. </div>
  27. <div class="form-group">
  28. <label for="foto">Alamat</label>
  29. <textarea name="alamat" cols="30" rows="10" class="form-control"></textarea>
  30. </div>
  31. <div class="form-group">
  32. <label for="korban jiwa">No Telpon</label>
  33. <input type="number" class="form-control"name="no_telpon" required="">
  34. </div>
  35. </div>
  36. <div class="card-footer bg-transparent">
  37. <button type="submit" name="submit" class="btn btn-primary">
  38. Submit
  39. </button>
  40. <a href="<?php echo site_url('Pelanggan') ?>" class="btn btn-danger">Kembali</a>
  41. </div>
  42. <?php echo form_close() ?>
  43. </div>
  44. </div>
  45. </div>
  46. </div>
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