f_surat_sppd

<?php
$mode       = $this->uri->segment(3);

if ($mode == "edt" || $mode == "act_edt") {
    $act        = "act_edt";
    $idp        = $datpil->id;
    $nomor      = $datpil->nomor;
    $pemberi_perintah= $datpil->pemberi_perintah;
    $penerima_perintah      = $datpil->penerima_perintah;
    $tujuan     = $datpil->tujuan;
    $angkutan   = $datpil->angkutan;
    $tmp_berangkat  = $datpil->tmp_berangkat;
    $tmp_tujuan     = $datpil->tmp_tujuan;
    $p_jawab        = $datpil->p_jawab;
    $biaya      = $datpil->biaya;
    $tgl_berangkat      = $datpil->tgl_berangkat;
    $tgl_kembali        = $datpil->tgl_kembali;
    $l_perjalanan       = $datpil->l_perjalanan;
    $ket        = $datpil->ket;
    $kpa        = $datpil->kpa;

} else {
    $act        = "act_add";
    $idp        = "";
    $nomor  = "";
    $pemberi_perintah="";
    $penerima_perintah      = "";
    $tujuan     = "";
    $angkutan   = "";
    $tmp_berangkat  = "";
    $tmp_tujuan     = "";
    $p_jawab        = "";
    $biaya      = "";
    $tgl_berangkat      = "";
    $tgl_kembali        = "";
    $l_perjalanan       = "";
    $ket        = "";
    $kpa        = "";
}
?>
<div class="navbar navbar-inverse">
    <div class="container">
        <div class="navbar-header">
            <span class="navbar-brand" href="#">SPPD</span>
        </div>
    </div><!-- /.container -->
</div><!-- /.navbar -->


    <form action="<?=base_URL()?>admin/surat_sppd/<?php echo $act; ?>" method="post" accept-charset="utf-8" enctype="multipart/form-data">

    <input type="hidden" name="idp" value="<?php echo $idp; ?>">


    <div class="row-fluid well" style="overflow: hidden">

    <div class="col-lg-6">
        <table  class="table-form">
        <tr><td width="30%">No. Urut.</td><td><b><input type="text" name="nomor"  value="<?php echo $nomor; ?>" style="width: 100px" class="form-control"></b></td></tr>
        <tr><td width="30%">Pemberi Perintah</td><td><b><input type="text" name="pemberi_perintah"  value="<?php echo $pemberi_perintah; ?>" id="dari" style="width: 400px" class="form-control"></b></td></tr>
        <tr><td width="30%">Yang diperintahkan</td><td><b><input type="text" name="penerima_perintah"  value="<?php echo $penerima_perintah; ?>" style="width: 300px" class="form-control"></td></tr>
        <tr><td width="30%">Maksud Perjalanan Dinas</td><td><b><textarea name="tujuan"  style="width: 400px; height: 90px" class="form-control"><?php echo $tujuan; ?></textarea></b></td></tr>
        <tr><td width="30%">Angkutan</td><td><b><input type="text" name="angkutan"  value="<?php echo $angkutan; ?>" style="width: 300px" class="form-control"></td></tr>
        <tr><td width="30%">Tempat Berangkat</td><td><b><input type="text" name="tmp_berangkat"  value="<?php echo $tmp_berangkat; ?>" style="width: 300px" class="form-control"></td></tr>
        <tr><td width="30%">Tempat Tujuan</td><td><b><input type="text" name="tmp_tujuan"  value="<?php echo $tmp_tujuan; ?>" style="width: 300px" class="form-control"></td></tr>
        <!-- <tr><td width="20%">Penanggung Jawab</td><td><b><input type="text" name="p_jawab" required value="<?php echo $p_jawab; ?>" id="kode_penanggung_jawab" style="width: 300px" class="form-control"></b></td></tr> -->
        <tr><td width="20%">Penanggung Jawab</td><td>
            <select name='p_jawab'  class='form-control'  style='width: 200px'><option  value=""> - Penanggung Jawab - </option>
                <?php
                $data = $this->db->get('t_data_penanggung_jawab')->result(); // -> query database
                $p_jawab = form_dropdown('nama', $data,'');
                echo $p_jawab;
                ?>
            </select>
        </td></tr>

        </table>
    </div>

    <div class="col-lg-6">
        <table  class="table-form">
        <tr><td width="20%">Pangkat/Golongan</td><td>
        <select name="level" class="form-control" style="width: 200px" >
        <option value="-"> - Pilih Golongan - </option>
        <option value="1"> 1 </option>
        <option value="2"> 2 </option>
        </select>
        </td></tr>
        <tr><td width="20%">Jabatan/Instansi</td><td>
        <select name="level" class="form-control" style="width: 200px" >
        <option value="-"> - Pilih Jabatan - </option>
        <option value="1"> 1 </option>
        <option value="2"> 2 </option>
        </select>
        </td></tr>
        <tr><td width="20%">Biaya</td><td><b><input type="text" name="biaya"  value="<?php echo $biaya; ?>" style="width: 300px" class="form-control"></b></td></tr>
        <tr><td width="20%">Tanggal Berangkat</td><td><b><input type="text" name="tgl_berangkat"  value="<?php echo $tgl_berangkat; ?>" id="tgl_surat" style="width: 100px" class="form-control"></b></td></tr>
        <tr><td width="20%">Tanggal Kembali</td><td><b><input type="text" name="tgl_kembali"  value="<?php echo $tgl_kembali; ?>" id="tgl_kembali" style="width: 100px" class="form-control"></b></td></tr>
        <tr><td width="20%">Lama Perjalanan</td><td><b><input type="text" name="l_perjalanan"  value="<?php echo $l_perjalanan; ?>" style="width: 100px" class="form-control"></b></td></tr>
        <tr><td width="20%">File Surat (Scan)</td><td><b><input type="file" name="file_surat" class="form-control" style="width: 200px"></b></td></tr>
        <tr><td width="20%">Keterangan Lain-lain</td><td><b><input type="text" name="ket"  value="<?php echo $ket; ?>" style="width: 400px" class="form-control"></b></td></tr>
        <tr><td width="30%">KPA</td><td>
        <select name="kpa" class="form-control" style="width: 200px" >
        <option value="-"> - Pilih KPA - </option>
        <option value="1"> 1 </option>
        <option value="2"> 2 </option>
        </select>
        </td></tr>
        <tr><td colspan="2">
        <br><button type="submit" class="btn btn-primary">Simpan</button>
        <a href="<?=base_URL()?>admin/surat_sppd" class="btn btn-success">Kembali</a>
        </td></tr>
        </table>
    </div>

    <div class"col-lg-6">

    </div>
    </div>

    </form>