Anons79 Mini Shell

Directory : /home/aplikasiposinfo/www/cobafixmatepersonal.fixmate.id/resources/views/Konsultasi/
Upload File :
Current File : /home/aplikasiposinfo/www/cobafixmatepersonal.fixmate.id/resources/views/Konsultasi/form.blade.php

<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

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