PHP dropDownGolonganDarah Examples

Example #1

File: view_reg_poli.php Project: arbudt/semar_server

                                    <i data-time-icon="icon-time" data-date-icon="icon-calendar"></i>
                                </span>
                            </div>
                        </td>
                    </tr>
                    <tr>
                        <td class="labelField">Jenis Kelamin</td>
                        <td><?php 
dropDownJeniskelamin('name="jenisKelamin" id="jenisKelamin" class="jenisKelamin" readonly');
?>
</td>
                    </tr>
                    <tr>
                        <td class="labelField">Golongan Darah</td>
                        <td><?php 
dropDownGolonganDarah('name="golonganDarah" id="golonganDarah" class="golonganDarah" readonly');
?>
</td>
                    </tr>
                    <tr>
                        <td class="labelField">Alergi</td>
                        <td><textarea name="alergi" id="alergi" class="alergi uraian" readonly></textarea></td>
                    </tr>
                </table>
            </div>
            <div class="span6">
                <table>
                    <tr>
                        <td class="labelField">No Anritan</td>
                        <td><input type="text" name="noAntrian" id="noAntrian" value="" class="noAntrian" readonly/></td>
                    </tr>

Example #2

File: view_reg_pasien.php Project: arbudt/semar_server

                        <td><?php 
dropDownStatusKawin('name="statusKawin" id="statusKawin" class="statusKawin" ');
?>
</td>
                    </tr>
                    <tr>
                        <td class="labelField">Agama</td>
                        <td><?php 
dropDownAgama('name="agama" id="agama" class="agama" ');
?>
</td>
                    </tr>
                    <tr>
                        <td class="labelField">Golongan Darah</td>
                        <td><?php 
dropDownGolonganDarah('name="golonganDarah" id="golonganDarah" class="golonganDarah" ');
?>
</td>
                    </tr>
                    <tr>
                        <td class="labelField">No Telp</td>
                        <td><input type="text" name="noTelepon" id="noTelepon" value="" class="noTelepon" data-rule-number required /></td>
                    </tr>
                    <tr>
                        <td class="labelField">No Identitas</td>
                        <td><input type="text" name="noIdentitas" id="noIdentitas" class="noIdentitas" value="" required/></td>
                    </tr>
                </table>
            </div>
            <div class="span6">
                <table>

Example #3

File: view_reg_pasien.php Project: arbudt/semar_client

                        <td><?php 
dropDownStatusKawin('name="statusKawin" id="statusKawin" class="statusKawin" required');
?>
</td>
                    </tr>
                    <tr>
                        <td class="labelField">Agama</td>
                        <td><?php 
dropDownAgama('name="agama" id="agama" class="agama" required');
?>
</td>
                    </tr>
                    <tr>
                        <td class="labelField">Golongan Darah</td>
                        <td><?php 
dropDownGolonganDarah('name="golonganDarah" id="golonganDarah" class="golonganDarah" required');
?>
</td>
                    </tr>
                    <tr>
                        <td class="labelField">No Telp</td>
                        <td><input type="text" name="noTelepon" id="noTelepon" value="" class="noTelepon" data-rule-number required /></td>
                    </tr>
                    <tr>
                        <td class="labelField">No Identitas</td>
                        <td><input type="text" name="noIdentitas" id="noIdentitas" class="noIdentitas" value="" required/></td>
                    </tr>
                </table>
            </div>
            <div class="span6">
                <table>