tambah folder modul
This commit is contained in:
182
FOLDER/Permintaan Layanan/page/permintaan_layanan.html
Normal file
182
FOLDER/Permintaan Layanan/page/permintaan_layanan.html
Normal file
@@ -0,0 +1,182 @@
|
||||
<!DOCTYPE html>
|
||||
<html lang="id">
|
||||
<head>
|
||||
<meta charset="UTF-8">
|
||||
<meta name="viewport" content="width=device-width, initial-scale=1.0">
|
||||
<title>Form Permintaan Layanan - Lab Lingkungan</title>
|
||||
<style>
|
||||
* {
|
||||
box-sizing: border-box;
|
||||
margin: 0;
|
||||
padding: 0;
|
||||
}
|
||||
|
||||
body {
|
||||
font-family: Arial, sans-serif;
|
||||
line-height: 1.6;
|
||||
background-color: #f4f4f4;
|
||||
padding: 20px;
|
||||
}
|
||||
|
||||
.container {
|
||||
max-width: 1000px;
|
||||
margin: 0 auto;
|
||||
background: white;
|
||||
padding: 20px;
|
||||
border-radius: 8px;
|
||||
box-shadow: 0 0 10px rgba(0,0,0,0.1);
|
||||
}
|
||||
|
||||
.form-header {
|
||||
text-align: center;
|
||||
margin-bottom: 30px;
|
||||
}
|
||||
|
||||
.form-section {
|
||||
margin-bottom: 30px;
|
||||
padding: 20px;
|
||||
border: 1px solid #ddd;
|
||||
border-radius: 4px;
|
||||
}
|
||||
|
||||
.form-group {
|
||||
margin-bottom: 15px;
|
||||
}
|
||||
|
||||
label {
|
||||
display: block;
|
||||
margin-bottom: 5px;
|
||||
font-weight: bold;
|
||||
}
|
||||
|
||||
input[type="text"],
|
||||
input[type="date"],
|
||||
input[type="number"],
|
||||
select,
|
||||
textarea {
|
||||
width: 100%;
|
||||
padding: 8px;
|
||||
border: 1px solid #ddd;
|
||||
border-radius: 4px;
|
||||
font-size: 16px;
|
||||
}
|
||||
|
||||
.parameter-list {
|
||||
margin-top: 20px;
|
||||
}
|
||||
|
||||
.parameter-item {
|
||||
display: flex;
|
||||
align-items: center;
|
||||
padding: 10px;
|
||||
border: 1px solid #ddd;
|
||||
margin-bottom: 10px;
|
||||
border-radius: 4px;
|
||||
}
|
||||
|
||||
.parameter-item label {
|
||||
margin: 0;
|
||||
margin-left: 10px;
|
||||
}
|
||||
|
||||
.price-summary {
|
||||
background: #f8f9fa;
|
||||
padding: 20px;
|
||||
border-radius: 4px;
|
||||
margin-top: 20px;
|
||||
}
|
||||
|
||||
.btn {
|
||||
background-color: #4CAF50;
|
||||
color: white;
|
||||
padding: 10px 20px;
|
||||
border: none;
|
||||
border-radius: 4px;
|
||||
cursor: pointer;
|
||||
font-size: 16px;
|
||||
}
|
||||
|
||||
.btn:hover {
|
||||
background-color: #45a049;
|
||||
}
|
||||
|
||||
.btn-secondary {
|
||||
background-color: #6c757d;
|
||||
}
|
||||
|
||||
.actions {
|
||||
display: flex;
|
||||
justify-content: space-between;
|
||||
margin-top: 20px;
|
||||
}
|
||||
</style>
|
||||
</head>
|
||||
<body>
|
||||
<div class="container">
|
||||
<div class="form-header">
|
||||
<h1>Form Permintaan Layanan Analisis</h1>
|
||||
<p>Silakan lengkapi informasi di bawah ini</p>
|
||||
</div>
|
||||
|
||||
<form id="serviceRequestForm">
|
||||
<div class="form-section">
|
||||
<h3>Informasi Umum</h3>
|
||||
<div class="form-group">
|
||||
<label for="requestType">Jenis Layanan</label>
|
||||
<select id="requestType" name="requestType" required>
|
||||
<option value="">Pilih Jenis Layanan</option>
|
||||
<option value="sampling_analysis">Sampling & Analisis</option>
|
||||
<option value="analysis_only">Analisis Saja</option>
|
||||
</select>
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
<label for="samplingDate">Tanggal Sampling</label>
|
||||
<input type="date" id="samplingDate" name="samplingDate">
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
<label for="samplingLocation">Lokasi Sampling</label>
|
||||
<textarea id="samplingLocation" name="samplingLocation" rows="3"></textarea>
|
||||
</div>
|
||||
</div>
|
||||
|
||||
<div class="form-section">
|
||||
<h3>Parameter Analisis</h3>
|
||||
<div class="parameter-list">
|
||||
<div class="parameter-item">
|
||||
<input type="checkbox" id="param1" name="parameters[]" value="1">
|
||||
<label for="param1">BOD (Biochemical Oxygen Demand) - Rp 250.000</label>
|
||||
</div>
|
||||
<div class="parameter-item">
|
||||
<input type="checkbox" id="param2" name="parameters[]" value="2">
|
||||
<label for="param2">COD (Chemical Oxygen Demand) - Rp 200.000</label>
|
||||
</div>
|
||||
<div class="parameter-item">
|
||||
<input type="checkbox" id="param3" name="parameters[]" value="3">
|
||||
<label for="param3">TSS (Total Suspended Solid) - Rp 150.000</label>
|
||||
</div>
|
||||
<div class="parameter-item">
|
||||
<input type="checkbox" id="param4" name="parameters[]" value="4">
|
||||
<label for="param4">pH - Rp 100.000</label>
|
||||
</div>
|
||||
</div>
|
||||
</div>
|
||||
|
||||
<div class="form-section">
|
||||
<h3>Ringkasan Biaya</h3>
|
||||
<div class="price-summary">
|
||||
<p>Subtotal: Rp 0</p>
|
||||
<p>PPN (11%): Rp 0</p>
|
||||
<p><strong>Total: Rp 0</strong></p>
|
||||
</div>
|
||||
</div>
|
||||
|
||||
<div class="actions">
|
||||
<button type="button" class="btn btn-secondary">Simpan Draft</button>
|
||||
<button type="submit" class="btn">Kirim Permintaan</button>
|
||||
</div>
|
||||
</form>
|
||||
</div>
|
||||
</body>
|
||||
</html>
|
||||
Reference in New Issue
Block a user