<?php
include ('mode.css');
echo '<head>';
echo '<<meta http-equiv="Refresh" conten="stmik kharisma">';
echo '<frameset rows="20%,*" border="0">';
echo '<frame name="frame_judul" src="judul.php" scrolling="no">';
echo '<frameset cols="25%,60%,15%" border="0" scrolling="0">';
echo '<frame name="frame_menu" src="menu.php" scrolling="no">';
echo '<frame name="frame_isi" src="profil.php" scrolling="no">';
echo '<frame name="frame_plk" src="plk.php" scrolling="no">';
echo '</frameset>';
echo '</frameset>';
echo '</head>'
?>
judul.php
<html>
<head>
<style type="text/css">
body {
color: #000;
font-family : verdana, arial;
font-size :8px;
background: blue; repeat top;
margin:0 auto;
}
</style>
</head>
<body bgcolor = white>
<center>
<font color = lime>
<img src="image/banner.png" width="100%" height="100%" border="0">
</center>
</body>
</html>
<head>
<style type="text/css">
body {
color: #000;
font-family : verdana, arial;
font-size :8px;
background: blue; repeat top;
margin:0 auto;
}
</style>
</head>
<body bgcolor = white>
<center>
<font color = lime>
<img src="image/banner.png" width="100%" height="100%" border="0">
</center>
</body>
</html>
entripasien.php
<html>
<head>
<title>Entri Data Pasien</title>
<meta http-equiv="Conten-Type" conten="text/html; charset=iso-8859-1">
<script language="JavaScript">
<!--
function trim(str)
{
return str.replace(/^\s+|\s+$/g,'');
}
function validasilogin()
{
var cpasien,calamat,cnama,cgol_darah,ckelamin,ctempat,ctanggal,
ctelp,;with(window.document.formpasien)
{
cpasien = textpasien;
cnama = textnama;
calamat = textalamat;
cgol_darah = combodarah;
cjkel = combojk;
ctempat = texttempat;
ctanggal = texttgl_lahir;
ctelp = texttelp;
}
if (trim(cpasien.value) == '')
{
alert('Silahkan Isi dulu Nama dengan lengkap ');
cpasien.focus();
return false;
}
else
if (trim(cnama.value) == '')
{
alert('Silahkan Isi dulu Nama dengan lengkap ');
cnama.focus();
return false;
}
else
if (trim(calamat.value) == '')
{
alert('Alamat Jangan Kosong !');
calamat.focus();
return false;
}
else
if (trim(cgol_darah.value) == '')
{
alert('Isi dulu Golongan Darah Pasien !');
cgol_darah.focus();
return false;
}
else
if (trim(cjkel.value) == '')
{
alert('Isi dulu Jenis Kleamin !');
cjkel.focus();
return false;
}
else
else
if (trim(ctempat.value) == '')
{
alert('Isi dulu Tempat lahir Pasien !');
ctempat.focus();
return false;
}
else
else
if (trim(ctelp.value) == '')
{
alert('Isi dulu nomor Telephon !');
ctelp.focus();
return false;
}
else
{
cpasien.value = trim(cpasien.value);
cnama.value = trim(cnama.value);
calamat.value = trim(calamat.value);
cgol_darah.value = trim(cgol_darah.value);
cjkel.value = trim(cjkel.value);
ctempat.value = trim(ctempat.value);
ctanggal.value = trim(ctanggal.value);
ctelp.value = trim(ctelp.value);
return true;
}
}
//-->
</script>
</head>
<body>
<form action = "simpanpasien.php" onsubmit="return validasipasien();"
METHOD = "POST" name ="formpasien" ENCTYPE="MULTIPART/FORM-DATA">
<font color = "blue"> <h3>ENTRI DATA PASIEN</H3>
<hr>
<table>
<tr><td align="right">Kode Pasien : </td>
<td><input id = "textpasien" name = "textpasien" type = "text"
maxlenght="8" size= "8"></td></tr>
<tr><td align="right">Nama Pasien : </td>
<td><input id = "textnama" name = "textnama" type = "text"
maxlenght="25" size= "15"></td></tr>
<tr><td align="right">Alamat : </td>
<td><input id = "textalamat" name = "textalamat" type = "text"
maxlenght="40" size= "20"></td></tr>
<tr><td align="right">Golongan Darah : </td>
<td><select id = "combodarah" name = "combodarah">
<option value = "A" selected> A </option>
<option value = "B" selected> B </option>
<option value = "AB" selected> AB </option>
<option value = "O" selected> O </option>
</td></tr>
<tr><td align="right">Jenis Kelamin : </td>
<td><select id = "combojk" name = "combojk">
<option value = "L" selected> L </option>
<option value = "P" selected> P </option>
</td></tr>
<tr><td align = "right">
<font size="2" color ="blue">Tempat Lahir :</font>
</td>
<td><input id = "texttempat" name = "texttempat" type = "text"
maxlenght="15" size= "15">
</td></tr>
<tr><td align="right">
<font size="2" color ="blue">Tanggal Lahir :</font>
</td>
<td><input id = "texttgl_lahir" name = "texttgl_lahir" type = "text"
maxlenght="15" size= "15">
</td></tr>
<tr><td align="right">
<font size="2" color ="blue">Nomor Telepon :</font>
</td>
<td><input id = "texttelp" name = "texttelp" type = "text"
maxlenght="15" size= "15">
</td></tr>
</table>
<hr>
<input name = "tombolsimpan" type = "Submit" value = "Simpan">
<hr>
</form>
</body>
</html>
<head>
<title>Entri Data Pasien</title>
<meta http-equiv="Conten-Type" conten="text/html; charset=iso-8859-1">
<script language="JavaScript">
<!--
function trim(str)
{
return str.replace(/^\s+|\s+$/g,'');
}
function validasilogin()
{
var cpasien,calamat,cnama,cgol_darah,ckelamin,ctempat,ctanggal,
ctelp,;with(window.document.formpasien)
{
cpasien = textpasien;
cnama = textnama;
calamat = textalamat;
cgol_darah = combodarah;
cjkel = combojk;
ctempat = texttempat;
ctanggal = texttgl_lahir;
ctelp = texttelp;
}
if (trim(cpasien.value) == '')
{
alert('Silahkan Isi dulu Nama dengan lengkap ');
cpasien.focus();
return false;
}
else
if (trim(cnama.value) == '')
{
alert('Silahkan Isi dulu Nama dengan lengkap ');
cnama.focus();
return false;
}
else
if (trim(calamat.value) == '')
{
alert('Alamat Jangan Kosong !');
calamat.focus();
return false;
}
else
if (trim(cgol_darah.value) == '')
{
alert('Isi dulu Golongan Darah Pasien !');
cgol_darah.focus();
return false;
}
else
if (trim(cjkel.value) == '')
{
alert('Isi dulu Jenis Kleamin !');
cjkel.focus();
return false;
}
else
else
if (trim(ctempat.value) == '')
{
alert('Isi dulu Tempat lahir Pasien !');
ctempat.focus();
return false;
}
else
else
if (trim(ctelp.value) == '')
{
alert('Isi dulu nomor Telephon !');
ctelp.focus();
return false;
}
else
{
cpasien.value = trim(cpasien.value);
cnama.value = trim(cnama.value);
calamat.value = trim(calamat.value);
cgol_darah.value = trim(cgol_darah.value);
cjkel.value = trim(cjkel.value);
ctempat.value = trim(ctempat.value);
ctanggal.value = trim(ctanggal.value);
ctelp.value = trim(ctelp.value);
return true;
}
}
//-->
</script>
</head>
<body>
<form action = "simpanpasien.php" onsubmit="return validasipasien();"
METHOD = "POST" name ="formpasien" ENCTYPE="MULTIPART/FORM-DATA">
<font color = "blue"> <h3>ENTRI DATA PASIEN</H3>
<hr>
<table>
<tr><td align="right">Kode Pasien : </td>
<td><input id = "textpasien" name = "textpasien" type = "text"
maxlenght="8" size= "8"></td></tr>
<tr><td align="right">Nama Pasien : </td>
<td><input id = "textnama" name = "textnama" type = "text"
maxlenght="25" size= "15"></td></tr>
<tr><td align="right">Alamat : </td>
<td><input id = "textalamat" name = "textalamat" type = "text"
maxlenght="40" size= "20"></td></tr>
<tr><td align="right">Golongan Darah : </td>
<td><select id = "combodarah" name = "combodarah">
<option value = "A" selected> A </option>
<option value = "B" selected> B </option>
<option value = "AB" selected> AB </option>
<option value = "O" selected> O </option>
</td></tr>
<tr><td align="right">Jenis Kelamin : </td>
<td><select id = "combojk" name = "combojk">
<option value = "L" selected> L </option>
<option value = "P" selected> P </option>
</td></tr>
<tr><td align = "right">
<font size="2" color ="blue">Tempat Lahir :</font>
</td>
<td><input id = "texttempat" name = "texttempat" type = "text"
maxlenght="15" size= "15">
</td></tr>
<tr><td align="right">
<font size="2" color ="blue">Tanggal Lahir :</font>
</td>
<td><input id = "texttgl_lahir" name = "texttgl_lahir" type = "text"
maxlenght="15" size= "15">
</td></tr>
<tr><td align="right">
<font size="2" color ="blue">Nomor Telepon :</font>
</td>
<td><input id = "texttelp" name = "texttelp" type = "text"
maxlenght="15" size= "15">
</td></tr>
</table>
<hr>
<input name = "tombolsimpan" type = "Submit" value = "Simpan">
<hr>
</form>
</body>
</html>
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