echo $form->error($orderbaru, 'ID_PASIEN');
?>
</span>
</div>
<div class="col-xs-4">
<h2 class="invoice-title uppercase">Tanggal</h2>
<input name="tanggal" id="tanggal" type="text" class="form-control" value="<?php
echo MyFormatter::formatTanggal(date('Y-m-d'));
?>
" disabled="true">
</div>
<div class="col-xs-4">
<h2 class="invoice-title uppercase">Biaya Registrasi</h2>
<!-- <p class="invoice-desc inv-address">5000</p> -->
<?php
echo $form->dropDownList($orderbaru, 'ID_LAYANAN', Layanan::getLayananAndBiaya(), array('class' => 'form-control', 'prompt' => '- Pilih Layanan -', 'onchange' => 'getBiaya(this.value)'));
?>
<?php
echo $form->hiddenField($orderbaru, 'BIAYA_REGISTRASI', array('type' => 'hidden', 'value' => ''));
?>
<span id="name-error" class="help-block help-block-error"><?php
echo $form->error($orderbaru, 'ID_LAYANAN');
?>
</span>
</div>
</div>
<div class="row invoice-body">
<div class="col-xs-8 table-responsive">
<div class="portlet mt-element-ribbon light portlet-fit bordered">
<div class="ribbon ribbon-vertical-right ribbon-shadow ribbon-color-primary uppercase">
<div class="ribbon-sub ribbon-bookmark"></div>
