<div class="row clearfix">
<!-- Task Info -->
<div class="col-xs-12 col-sm-12 col-md-12">
<div class="card">
<div class="header">
<a href="{{ route('konsultasi.index') }}" class="btn btn-warning">Kembali</a>
</div>
<div class="body">
<div class="input-group">
<div class="form-line">
<label for="nama_pelanggan">Nama Pelanggan <span class="required text-danger">*</span></label>
<input type="text" id="nama_pelanggan" name="nama_pelanggan" class="form-control "
placeholder="Masukkan Nama Pelanggan!" required>
</div>
</div>
<div class="input-group">
<div class="form-line">
<label for="telp_pelanggan">Nomor WA Pelanggan<span class="required text-danger">*</span></label>
<input type="number" id="telp_pelanggan" class="form-control " placeholder="Masukkan Nomor WA Pelanggan!"
name="telp_pelanggan" required>
<small class="text-secondary">*Masukkan nomor dengan awalan "08" dan pastikan nomor WA dapat
dihubungi!</small>
</div>
</div>
<div class="form-group form-float">
<div class="form-line">
<div class="form-line">
<label for="kecamatan_pelanggan">Kota/Kecamatan</label>
<select class="form-control selectpicker" id="kecamatan_pelanggan" name="kota_kecamatan_pelanggan" data-live-search="true" required>
@if (isset($data))
<option value="{{ $data->kecamantan_pelanggan }}">{{ $data->kecamatan_pelanggan }}</option>
@endif
</select>
</div>
</div>
</div>
<div class="input-group">
<div class="form-line">
<label for="alamat_pelanggan">Alamat <span class="required text-danger">*</span></label>
<input type="text" id="alamat_pelanggan" class="form-control " placeholder="Masukkan Alamat Anda!"
name="alamat_pelanggan" required>
</div>
</div>
<div class="form-group form-float">
<div class="form-line">
<label for="merk">Merk <span class="required text-danger">*</span></label>
<select class="form-control " name="merk_hp" id="merk" required>
<option value="" selected disabled>- Pilih Merk -</option>
@foreach ($merk as $item)
<option value="{{ $item->nama_merk }}">{{ $item->nama_merk }}</option>
@endforeach
</select>
</div>
</div>
<div class="input-group">
<div class="form-line">
<label for="tipe_hp">Tipe HP <span class="required text-danger">*</span></label>
<input type="text" id="tipe_hp" class="form-control " name="tipe_hp"
placeholder="Masukkan Tipe HP Anda!" required>
</div>
</div>
<div class="input-group">
<div class="form-line">
<label for="keluhan">Masalah Yang Dihadapi <span class="required text-danger">*</span></label>
<textarea class="form-control " name="keluhan" id="keluhan" rows="5"
placeholder="Jelaskan masalah yang Anda hadapi..." required></textarea>
</div>
</div>
</div>
</div>
</div>
<!-- #END# Task Info -->
</div>
<div class="row" style="margin-bottom: 50px;">
<div class="col-md-12" style="text-align: right;">
<button type="submit" class="btn btn-success">Simpan</button>
</div>
</div>
@push('scripts')
<script>
$(document).ready(function() {
$(document).on('keyup', '.bs-searchbox input', function(e) {
var searchData = e.target.value;
$.ajax({
type: 'GET',
url: '{{ url("/api/wilayah/kecamatan?keyword=") }}' + searchData,
success: function(data) {
// $('.kecamatan-wrapper select #kecamatan_pelanggan').empty();
var uniqueKecamatan = [];
var uniqueKabkota = [];
var uniqueProvinsi = [];
for (var i = 0; i < data.result.length; i++) {
var kecamatan = data.result[i].kecamatan;
var kabkota = data.result[i].kabkota;
var provinsi = data.result[i].provinsi;
if (uniqueKecamatan.indexOf(kecamatan.trim()) === -1) {
uniqueKecamatan.push(kecamatan);
uniqueProvinsi.push(provinsi);
uniqueKabkota.push(kabkota);
}
}
$('#kecamatan_pelanggan').empty();
for (var j = 0; j < uniqueKecamatan.length; j++) {
$('#kecamatan_pelanggan').append('<option value="' +
uniqueKecamatan[
j] + '">' + uniqueProvinsi[j] + ' , ' + uniqueKabkota[
j] + ' , ' + uniqueKecamatan[j] + '</option>');
}
$('#kecamatan_pelanggan').selectpicker('refresh');
},
error: function(error) {
console.log(error);
}
});
});
});
</script>
@endpush
Anons79 File Manager Version 1.0, Coded By Anons79
Email: [email protected]