$dbpasienlama

This document contains the code for a web application for Rumah Sakit ESA Medika. It includes the HTML markup for the header, navigation menu, footer, and main content section. The main content section contains a form for entering patient information and a table to display a list of existing patients retrieved from a database.

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$dbpasienlama

Uploaded by

Larva Hiro

We take content rights seriously. If you suspect this is your content, claim it here.

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Download as PDF, TXT or read online on Scribd

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1 <!

doctype html>
2 <html lang="en">
3 <head>
4 
5 <meta charset="utf-8">
6 <meta name="viewport" content="width=device-width, initial-scale=1,
shrink-to-fit=no">
7
8 
9 <link rel="stylesheet"
href="https://stackpath.bootstrapcdn.com/bootstrap/4.3.1/css/bootstrap.min.css"
integrity="sha384-ggOyR0iXCbMQv3Xipma34MD+dH/1fQ784/j6cY/iJTQUOhcWr7x9JvoRxT2MZw1T"
crossorigin="anonymous">
10 <link rel="stylesheet" href="css/style.css">
11 <link rel="icon" href="img/portfolio/rawat jalan.png"/>
12 <title>APLIKASI RS ESA MEDIKA</title>
13 </head>
14 <body>
15
16 
17 <div class="jumbotron text-center">
18 <right><nav class="nav fixed-top-end">
19 <a class="nav-item nav-link btn btn-outline-primary" href="akunuser.php?logoutSubmit=1"
class="logout">Logout</a>
20 </nav></right>
21 <img src="img/index1.png" class="img-circle">
22 <h2> RUMAH SAKIT ESA MEDIKA</h2>
23 mutu pelayanan adalah keselamatan
24 <nav class="nav nav-pills nav-justified">
25 <a class="nav-item nav-link btn btn-outline-primary" href="PELAYANAN MEDIK
ADMIN.php">Pelayanan</a>
26 <a class="nav-item nav-link btn btn-outline-primary" href="pencarian
status.php">Status Pasien</a>
27 </nav>
28 </div>
29 
30 
31 <section class="about" id="about">
32 <div class="container">
33 <div class="row">
34 <div class="col-sm-12">
35 <h2 class="text-center">Form Pasien Lama</h2>
36 <hr>
37 </div>
38 </div>
39 <div class="row">
40 <div class="col-sm-6">
41 <form method="post" action="simpan7.php">
42 <input type="hidden" value="<?php echo $dbpasienlama['id']; ?>">
43 <div class="form-group">
44 <table border="0" align="center">
45 <tr>
46 <td colspan="3" align="center"></td>
47 </tr>
48 <tr>
49 <td>Nama</td>
50 <td>:</td>
51 <td><input type="text" name="Nama" required /></td>
52 </tr>
53 <tr>
54 <td>TTL</td>
55 <td>:</td>
56 <td><input type="date" name="TTL" /></td>
57 </tr>
58 <tr>
59 <td>Alamat</td>
60 <td>:</td>
61 <td><input type="text" name="Alamat" /></td>
62 </tr>
63 <tr>
64 <td>NoHP</td>
65 <td>:</td>
66 <td><input type="text" name="NoHP" /></td>
67 </tr>
68 <tr>
69 <td>PoliTujuan</td>
70 <td>:</td>
71 <td><input type="text" name="PoliTujuan" /></td>
72 </tr>
73 <tr>
74 <td>JenisPembayaran</td>
75 <td>:</td>
76 <td><input type="text" name="JenisPembayaran" /></td>
77 </tr>
78 <td><input type="submit" name="simpan">
79 <input type="reset" value="Reset"/></td>
80 </table>
81 </div>
82 </form>
83 </div>
84 <div class="col-sm-6">
85 <?php
86 // koneksi ke database
87 $conn = mysqli_connect("localhost","root","","pasienlama");
88
89
90 // cek dulu tombol submit
91 if (isset($_POST['submit'])) {
92 $cari=$_POST['cari'];
93 $result = mysqli_query($conn, "SELECT * FROM dbpasienlama WHERE NoRM LIKE '$cari%'");
94 } else{
95 $result = mysqli_query($conn, "SELECT * FROM dbpasienlama");
96 }
97
98 // ambil data dari table daftar pasien/query daftar pasien
99
100 // ambil data dari object result
101
102 ?>
103 <!DOCTYPE html>
104
105 <h1>daftar pasien</h1>
106 <table border="1" cellpadding="10" cellspacing="0">
107
108
109 <tr>
110 <th>No Rekam Medis</th>
111 <th>aksi</th>
112 <th>Nama</th>
113 <th>TTL</th>
114 <th>Alamat</th>
115 <th>NoHP</th>
116 <th>PoliTujuan</th>
117 <th>JenisPembayaran</th>
118 </tr>
119 <?php $i = 990001234; ?>
120 <?php while ($row = mysqli_fetch_assoc($result) ) : ?>
121 <tr>
122 <td><?= $i; ?></td>
123 <td>
124 <a href="hapus4.php?id=<?php echo $row['id'] ?>">delete</a>
125 <td><?= $row["Nama"]; ?></td>
126 <td><?= $row["TTL"]; ?></td>
127 <td><?= $row["Alamat"]; ?></td>
128 <td><?= $row["NoHP"]; ?></td>
129 <td><?= $row["PoliTujuan"]; ?></td>
130 <td><?= $row["JenisPembayaran"]; ?></td>
131 </td>
132
133 </tr>
134 <?php $i++; ?>
135 <?php endwhile; ?>
136 </table>
137
138 </div>
139 </div>
140 </div>
141 </section>
142 
143
144 
145 <footer>
146 <div class="container">
147 <div class="row">
148 <div class="col-sm-12 text-center">
149 <p>&copy 2019 | built by. <a
href="https://www.esaunggul.ac.id/esa-medhika-clinic/?lang=en"></a></p>
150 </div>
151 </div>
152 </div>
153 </footer>
154 
155
156 
157 
158 <script src="https://code.jquery.com/jquery-3.3.1.slim.min.js"
integrity="sha384-q8i/X+965DzO0rT7abK41JStQIAqVgRVzpbzo5smXKp4YfRvH+8abtTE1Pi6jizo"
crossorigin="anonymous"></script>
159 <script
src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.14.7/umd/popper.min.js"
integrity="sha384-UO2eT0CpHqdSJQ6hJty5KVphtPhzWj9WO1clHTMGa3JDZwrnQq4sF86dIHNDz0W1"
crossorigin="anonymous"></script>
160 <script
src="https://stackpath.bootstrapcdn.com/bootstrap/4.3.1/js/bootstrap.min.js"
integrity="sha384-JjSmVgyd0p3pXB1rRibZUAYoIIy6OrQ6VrjIEaFf/nJGzIxFDsf4x0xIM+B07jRM"
crossorigin="anonymous"></script>
161 </body>
162 </html>