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68 lines
3.8 KiB
68 lines
3.8 KiB
@extends('layouts.main') |
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@section('content') |
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<div class="card shadow mb-4"> |
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<div class="card-header py-3"> |
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<div class="row"> |
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<div class="col-6"> |
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<h5 class="m-0 font-weight-bold text-primary mt-2">Tambah Customer</h5> |
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</div> |
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</div> |
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</div> |
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<div class="card-body"> |
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<form action="{{ route('dashboard.customer.store') }}" method="POST" enctype="multipart/form-data"> |
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@csrf |
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<div class="form-group"> |
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<label for="name" class="col-form-label">Nama Customer:</label> |
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<input class="form-control" name="name" type="text" id="name" value="{{ old('name') }}" |
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placeholder="Masukan nama customer" required> |
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<label for="code_customer" class="col-form-label">Kode Customer:</label> |
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<input class="form-control" name="code_customer" type="text" id="code_customer" |
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value="{{ old('code_customer') }}" placeholder="Masukan kode customer" required> |
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<label for="lot_no" class="col-form-label">Lot Number:</label> |
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<input class="form-control" name="lot_no" type="text" id="lot_no" value="{{ old('lot_no') }}" |
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placeholder="Masukan lot number" required> |
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<label for="nip" class="col-form-label">NIP Customer:</label> |
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<input class="form-control" name="nip" type="text" id="nip" value="{{ old('nip') }}" |
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placeholder="Masukan NIP customer" required> |
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<label for="no_hp" class="col-form-label">No. HP Customer:</label> |
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<input class="form-control" name="no_hp" type="text" id="no_hp" value="{{ old('no_hp') }}" |
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placeholder="Masukan Nomor Handphone customer" required> |
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<label for="tgl_lahir" class="col-form-label">Tanggal Lahir Customer:</label> |
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<input class="form-control" name="tgl_lahir" type="date" id="tgl_lahir" |
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value="{{ old('tgl_lahir') }}" required> |
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<label for="jenis_kelamin" class="col-form-label">Jenis Kelamin Customer:</label> |
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<select class="form-control" name="jenis_kelamin" id="jenis_kelamin" required> |
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<option disabled selected>Pilih Jenis Kelamin Customer</option> |
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<option value="Laki-Laki">Laki-Laki</option> |
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<option value="Perempuan">Perempuan</option> |
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</select> |
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<label for="agama" class="col-form-label">Agama Customer:</label> |
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<select class="form-control" name="agama" id="agama" required> |
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<option disabled selected>Pilih Agama Customer</option> |
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<option value="Islam">Islam</option> |
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<option value="Kristen">Kristen</option> |
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<option value="Katolik">Katolik</option> |
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<option value="Hindu">Hindu</option> |
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<option value="Buddha">Buddha</option> |
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<option value="Konghucu">Konghucu</option> |
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<option value="Lainnya">Lainnya</option> |
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</select> |
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<label for="address" class="col-form-label">Alamat Customer:</label> |
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<textarea class="form-control" name="address" id="address" placeholder="Masukkan alamat customer" required></textarea> |
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</div> |
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<div class="modal-footer d-flex justify-content-center"> |
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<a href="{{ route('dashboard.customer.index') }}" class="btn btn-secondary">Kembali</a> |
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<button type="submit" class="btn btn-primary">Simpan</button> |
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</div> |
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</form> |
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</div> |
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</div> |
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@endsection
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