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<?php include "header2.php";?><head>
<link rel="icon" href="idilogo.png">
<style type="text/css">
<!--
-->
.merah {
color: red;
}
#button-blue{
font-family: 'Montserrat', Arial, Helvetica, sans-serif;
float:left;
width: 50%;
border: #fbfbfb solid 4px;
cursor:pointer;
background-color: #3498db;
color:white;
font-size:18px;
padding:5px;
-webkit-transition: all 0.3s;
-moz-transition: all 0.3s;
transition: all 0.3s;
margin-top:-4px;
margin-left:5px;
font-weight:700;
}
#button-blue:hover{
background-color: rgba(0,0,0,0);
color: #0493bd;
}
.submit:hover {
color: #3498db;
}
.tengah {
background-image: linear-gradient(to right, #4682B4, #00FFFF, #00FA9A);
background:url(image/tdoc.jpg) no-repeat;
padding-left:5px;
padding-right:5px;
padding-top:5px;
padding-bottom:5px;
width: 950px;
float: left;
margin-top:5px;
margin-left: 100px;
-moz-border-radius: 7px;
-webkit-border-radius: 7px;
}
@media only screen and (max-width: 580px) {
.tengah{
left: 3%;
margin-right: 3%;
width: 88%;
margin-left: 3%;
padding-left: 3%;
padding-right: 3%;
font-size: 14px;
}
}
</style>
<link rel="stylesheet" href="//code.jquery.com/ui/1.12.1/themes/base/jquery-ui.css">
<script type="text/javascript">
function show(str){
document.getElementById('sh2').style.display = 'none';
document.getElementById('sh1').style.display = 'block';
}
function show2(sign){
document.getElementById('sh2').style.display = 'block';
document.getElementById('sh1').style.display = 'none';
}
</script>
</head>
<title>Ikatan Dokter Indonesia</title>
<body id="page-top">
<body>
<div class="tengah">
<strong>
<title>
<center><h4><strong>chek Persiapan Dokumen Rekomendasi</strong></h4>
</center>
</title>
</strong>
<div class="card-body">
<div class="row">
<div class="col-md-6">
<div class="form-group ">
<form action="<?php echo $_SERVER["PHP_SELF"];?>" method="post">
<strong>Pilih Status Anggota :</strong><br>
<input type="radio" name="anggota" value="internsip" checked> Internsip <br>
<br>
<strong>Status Kota :</strong><br>
<!-- <input type="checkbox" name="kota" value="bandung"> Kota Bandung<br>
<input type="checkbox" name="kota" value="luar_kota"> Luar Kota Bandung<br>-->
<input type="radio" name="kota" value="bandung" checked > Kota Bandung <br>
<input type="radio" name="kota" value="luar_kota"> Luar Kota Bandung<br>
<br>
<strong>Keahlian : </strong><br>
<input type="radio" name="ahli" value="dokter_umum" checked> Dokter Umum <br>
<input type="radio" name="ahli" value="spesialis"> Dokter Spesialis<br>
<br>
<strong>Status Pengajuan :</strong><br>
<input type="radio" name="status" value="rekom_baru" checked > Pengajuan Baru <br>
<input type="radio" name="status" value="rekom_tambah_praktek"> Penambahan Praktek <br>
<input type="radio" name="status" value="rekom_revisi_praktek"> Revisi Praktek<br>
<br>
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<strong> Jenis Pengajuan Rekomendasi :</strong><br>
<input type="radio" name="perihal" onChange="show(this.value)" value="rekomendasi_internsip" checked> Rekomendasi Internsip<br>
<br>
<div id="sh1">
<strong>Tempat Praktek Sarana Kesehatan :</strong><br>
<input type="checkbox" name="rs" value="rumah_sakit"> Rumah Sakit<br>
<input type="checkbox" name="klinik" value="klinik"> Klinik<br>
<input type="checkbox" name="puskesmas" value="puskesmas"> Puskesmas<br>
<input type="checkbox" name="pribadi" value="pribadi"> Pribadi<br>
<br>
</div>
<p> </p>
<div id="sh2" style="display:none;">Dengan sarana !!
<br>
<strong>Tempat Praktek Sarana Kesehatan :</strong><br>
<input type="checkbox" name="rs" value="rumah_sakit"> Rumah Sakit<br>
<input type="checkbox" name="klinik" value="klinik"> Klinik<br>
<input type="checkbox" name="puskesmas" value="puskesmas"> Puskesmas<br>
<input type="checkbox" name="pribadi" value="pribadi"> Pribadi<br>
<br>
</div>
</div>
</div>
</div>
<?php $npm=$_GET['npm']; ?>
<p class="name"><input name="npm" readonly type="hidden" value="<?php echo $npm ?>" />
<br>
<br>
<input type="submit" id="button-blue" name="pilih" value="Proses">
</form>
<?php
if($_SERVER['REQUEST_METHOD']=='POST'){
// cara satu satu
if (isset($_POST['pilih'])) {
// $nama = $_POST['hobi'];
$rs = isset($_POST['rs']) ? $_POST['rs'] : null;
$klinik = isset($_POST['klinik']) ? $_POST['klinik'] : null;
$puskesmas = isset($_POST['puskesmas']) ? $_POST['puskesmas'] : null;
$pribadi = isset($_POST['pribadi']) ? $_POST['pribadi'] : null;
//$kota = isset($_POST['kota']) ? $_POST['kota'] : null;
$npm = $_POST['npm'] ;
// $rs= $_POST['rs'];
// $klinik= $_POST['klinik'];
// $puskesmas= $_POST['puskesmas'];
// $pribadi= $_POST['pribadi'];
$perihal = $_POST['perihal'];
$kota = $_POST['kota'];
$anggota = $_POST['anggota'];
$ahli = $_POST['ahli'];
$status = $_POST['status'];
// $hobi = implode(",", $_POST['hobi']);
// $query=mysql_query("INSERT INTO siswa(nama, hobi) VALUES('$nama','$hobi')");
mysqli_query($konek, "DELETE FROM peserta WHERE npm='$npm' AND data='syarat' ");
mysqli_query($konek, "DELETE FROM h_registrasi WHERE npm='$npm' AND data='syarat' ");
mysqli_query($konek,"INSERT into peserta(rs,klinik,puskesmas,pribadi,anggota,kota,perihal,npm,ahli,status,validasi,data) VALUES('".$rs."','".$klinik."','".$puskesmas."','".$pribadi."','".$anggota."','".$kota."','".$perihal."','$npm','$ahli','$status','proses','syarat')");
header("location:syarat_rekomnon.php?npm=$npm");
}
}
?>
<br>
</div>
</div>
</div>
</div>
<br> <br>
<!-- jQuery first, then Popper.js, then Bootstrap JS -->
</body>
<!-- proses edit data -->