<!DOCTYPE html>
<html lang="en">

<head>
  <meta charset="UTF-8">
  <meta http-equiv="X-UA-Compatible" content="IE=edge">
  <meta name="viewport" content="width=device-width, initial-scale=1.0">
  <title>Keluhan dan Pemeriksaan Pasien</title>
  <!-- Favicon -->
  <link rel="shortcut icon" href="<?php echo e(url('design/img/svg/Logo_Original.png')); ?>">
  <!-- Bootstrap -->
  <link href="https://cdn.jsdelivr.net/npm/bootstrap@5.0.2/dist/css/bootstrap.min.css" rel="stylesheet" integrity="sha384-EVSTQN3/azprG1Anm3QDgpJLIm9Nao0Yz1ztcQTwFspd3yD65VohhpuuCOmLASjC" crossorigin="anonymous">
  <!-- Fontawesome -->
  <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/5.15.3/css/all.min.css" integrity="sha512-iBBXm8fW90+nuLcSKlbmrPcLa0OT92xO1BIsZ+ywDWZCvqsWgccV3gFoRBv0z+8dLJgyAHIhR35VZc2oM/gI1w==" crossorigin="anonymous" referrerpolicy="no-referrer" />
  <!-- Custom styles -->
  <link rel="stylesheet" href="<?php echo e(url('design/css/style.min.css')); ?>">
  <link rel="stylesheet" href="<?php echo e(url('design/fonts/stylesheet.css')); ?>">
  <!-- Froala -->
  <link href="https://cdn.jsdelivr.net/npm/froala-editor@latest/css/froala_editor.pkgd.min.css" rel="stylesheet" type="text/css" />
  <!-- Project Style -->
  <link rel="stylesheet" href="<?php echo e(url('design/css/project-style.css')); ?>">

</head>

<body>
  <div class="layer"></div>
  <!-- ! Body -->
  <div class="page-flex">
    <!-- ! Sidebar -->
    <?php echo $__env->make('component.sidebar', \Illuminate\Support\Arr::except(get_defined_vars(), ['__data', '__path']))->render(); ?>
    <div class="main-wrapper">
      <!-- ! Main nav -->
      <?php echo $__env->make('component.navbar', \Illuminate\Support\Arr::except(get_defined_vars(), ['__data', '__path']))->render(); ?>
      <!-- ! Main -->
      <main class="main users chart-page">
        <div class="container">
          <h2 class="main-title">Keluhan dan Pemeriksaan Pasien atau pendaftaran antrian</h2>
          <div class="row">
            <div class="col-lg-4">
              <div class="white-block data_pasien">
                <p class="stat-cards-info__num mb-3" style="font-size: 22px;">Data Pasien</p>
                <div class="mb-3">
                  <p>No. Rekam Medis</p>
                  <h5><?php echo e($dataAntrian->pasien->dp_no_rm); ?></h5>
                </div>
                <div class="mb-3">
                  <p>No. KTP</p>
                  <h5><?php echo e($dataAntrian->pasien->dp_no_ktp); ?></h5>
                </div>
                <div class="mb-3">
                  <p>No. BPJS</p>
                  <h5><?php echo e($dataAntrian->pasien->dp_no_bpjs); ?></h5>
                </div>
                <div class="mb-3">
                  <p>Nama</p>
                  <h5><?php echo e($dataAntrian->pasien->dp_nama); ?></h5>
                </div>
                <div class="mb-3">
                  <p>Umur</p>
                  <h5>
                    <?php
                    $tgl_lahir = date_create($dataAntrian->pasien->dp_tgl_lahir);
                    $today = new DateTime;
                    $usia = $today->diff($tgl_lahir);
                    echo $usia->format('%y Tahun, %m Bulan, %d Hari');
                    ?>
                  </h5>
                </div>
                <div class="mb-3">
                  <p>Jenis Kelamin</p>
                  <h5><?php echo e($dataAntrian->pasien->dp_jenis_kelamin); ?></h5>
                </div>
                <div class="mb-3">
                  <p>Nomor Handphone</p>
                  <h5><?php echo e($dataAntrian->pasien->dp_no_hp); ?></h5>
                </div>
                <div class="mb-3">
                  <p>Alamat</p>
                  <h5><?php echo $dataAntrian->pasien->dp_alamat ?></h5>
                </div>
              </div>
            </div>
            <div class="col-lg-8">
              <div class="white-block">
                <p class="stat-cards-info__num mb-3" style="font-size: 22px;">Data Lanjutan</p>
                <form action="<?php echo e(url('pendaftaran/antrian/pasien/'. $dataAntrian->a_id)); ?>" method="post">
                  <?php echo method_field('PUT'); ?>
                  <?php echo csrf_field(); ?>
                  <div class="form-group mb-2">
                    <label class="form-label">Alergi Obat</label>
                    <textarea class="alergi" name="a_alergi" required></textarea>
                    <h>Note : Beri tanda (-) jika tidak ada alergi</h>
                  </div>
                  <div class="form-group mb-2">
                    <label class="form-label">Anamnesa</label>
                    <textarea class="anamnesa" name="a_anamnesa" required></textarea>
                  </div>
                  <div class="form-group mb-2">
                    <label class="form-label">Pemeriksaan Fisik</label>
                    <textarea class="pemeriksaan_fisik" name="a_pemeriksaan_fisik" required>
                    <p>TD :  mmHg</p>
                    <p>N :</p>
                    <p>Suhu : </p>
                    </textarea>
                  </div>
                  <div class="form-group mb-2">
                    <label class="form-label">Diagnosa</label>
                    <textarea class="diagnosa" name="a_diagnosa"></textarea>
                  </div>
                  <button class="primary-default-btn transparent-btn float-end">Simpan</button>
                </form>
              </div>
            </div>
          </div>
        </div>
      </main>
      <!-- ! Footer -->
      <footer class="footer">
        <div class="container footer--flex">
          <div class="footer-start">
            <p>2021 © Elegant Dashboard</p>
          </div>
        </div>
      </footer>
    </div>
  </div>
  <!-- jQuery -->
  <script src="https://cdnjs.cloudflare.com/ajax/libs/jquery/3.6.0/jquery.min.js" integrity="sha512-894YE6QWD5I59HgZOGReFYm4dnWc1Qt5NtvYSaNcOP+u1T9qYdvdihz0PPSiiqn/+/3e7Jo4EaG7TubfWGUrMQ==" crossorigin="anonymous" referrerpolicy="no-referrer"></script>
  <script src="https://code.jquery.com/ui/1.11.4/jquery-ui.js" integrity="sha256-DI6NdAhhFRnO2k51mumYeDShet3I8AKCQf/tf7ARNhI=" crossorigin="anonymous"></script>
  <!-- JavaScript Bundle with Popper -->
  <script src="https://cdn.jsdelivr.net/npm/bootstrap@5.0.2/dist/js/bootstrap.bundle.min.js" integrity="sha384-MrcW6ZMFYlzcLA8Nl+NtUVF0sA7MsXsP1UyJoMp4YLEuNSfAP+JcXn/tWtIaxVXM" crossorigin="anonymous"></script>
  <!-- Chart library -->
  <script src="<?php echo e(url('design/plugins/chart.min.js')); ?>"></script>
  <!-- Icons library -->
  <script src="<?php echo e(url('design/plugins/feather.min.js')); ?>"></script>
  <!-- Custom scripts -->
  <script src="<?php echo e(url('design/js/script.js')); ?>"></script>
  <!-- Flatpicker -->
  <script src="https://cdn.jsdelivr.net/npm/flatpickr"></script>
  <!-- Froala -->
  <script type="text/javascript" src="https://cdn.jsdelivr.net/npm/froala-editor@latest/js/froala_editor.pkgd.min.js"></script>
  <!-- Notiflix -->
  <script src="https://cdn.jsdelivr.net/npm/notiflix@3.0.1/dist/notiflix-aio-3.0.1.min.js"></script>

  <script>
    $("#pendaftaran").addClass("active");

    new FroalaEditor('textarea.alergi', {
      quickInsertEnabled: false,
      attribution: false,
      placeholderText: false,
      height: 150,
      fontSizeDefaultSelection: '18',
      toolbarButtons: [
        ['bold', 'italic', 'underline'],
        ['alignLeft', 'alignCenter', 'formatOLSimple', 'alignRight', 'alignJustify', 'lineHeight', 'outdent', 'indent'],
        ['undo', 'redo', 'print', 'getPDF']
      ]
    });
    new FroalaEditor('textarea.anamnesa', {
      quickInsertEnabled: false,
      attribution: false,
      placeholderText: false,
      height: 150,
      fontSizeDefaultSelection: '18',
      toolbarButtons: [
        ['bold', 'italic', 'underline'],
        ['alignLeft', 'alignCenter', 'formatOLSimple', 'alignRight', 'alignJustify', 'lineHeight', 'outdent', 'indent'],
        ['undo', 'redo', 'print', 'getPDF']
      ]
    });
    new FroalaEditor('textarea.pemeriksaan_fisik', {
      quickInsertEnabled: false,
      attribution: false,
      placeholderText: false,
      height: 150,
      fontSizeDefaultSelection: '18',
      toolbarButtons: [
        ['bold', 'italic', 'underline'],
        ['alignLeft', 'alignCenter', 'formatOLSimple', 'alignRight', 'alignJustify', 'lineHeight', 'outdent', 'indent'],
        ['undo', 'redo', 'print', 'getPDF']
      ]
    });
    new FroalaEditor('textarea.diagnosa', {
      quickInsertEnabled: false,
      attribution: false,
      placeholderText: false,
      height: 150,
      fontSizeDefaultSelection: '18',
      toolbarButtons: [
        ['bold', 'italic', 'underline'],
        ['alignLeft', 'alignCenter', 'formatOLSimple', 'alignRight', 'alignJustify', 'lineHeight', 'outdent', 'indent'],
        ['undo', 'redo', 'print', 'getPDF']
      ]
    });
  </script>

  <?php echo $__env->make('component.notif', \Illuminate\Support\Arr::except(get_defined_vars(), ['__data', '__path']))->render(); ?>

</body>

</html><?php /**PATH D:\website-dokter-budi-master\resources\views\daftar_antrian_pasien\keluhan_dan_pemeriksaan_pasien.blade.php ENDPATH**/ ?>