editpasien.php

?html>

?head>

?title> Edit Data Pasien?/title>

?meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">

?script language="JavaScript">

?!--



function trim(str)

{

return str.replace(/^\s+|\s+$/g,'');

}



function validasipasien()

{

var cpasien, cnama, calamat, cgol_darah, cjkel, ctempat, ctanggal, ctelp;

with (window.document.formpasien)

{

cpasien = textpasien;

cnama = textnama;

calamat = textalamat;

cgol_darah = combodarah;

cjkel = combojkel;

ctempat = texttempat;

ctanggal = texttgl_lahir;

ctelp = texttelp;

}

if (trim(cpasien.value) =='')

{

alert ('silahkan isi dulu kode 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 ('silahkan isi dulu alamat dengan lengkap');

calamat.focus();

return false;

}

else

if (trim(cgol_darah.value) =='')

{

alert ('silahkan isi dulu kode darah pasien');

cgol_darah.focus();

return false;

}

else

if (trim(cjkel.value) =='')

{

alert ('silahkan isi dulu jenis kelamin pasien');

cjkel.focus();

return false;

}

else

if (trim(ctempat.value) =='')

{

alert ('silahkan isi dulu tempat lahir pasien');

ctempat.focus();

return false;

}

else

if (trim(ctelp.value) =='')

{

alert ('silahkan isi dulu nomor telepon pasien');

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>

??php

include("koneksi.php");

mysql_select_db("db_klinikduta");

$query = mysql_query("select * from pasien where kd_pasien = '$_POST[combocaripasien]'")

or die(mysql_error());

$jmlpasien = mysql_num_rows($query);

$baris_data = mysql_fetch_array ($query);





?>



?form action = "simpanperbaikanpasien.php" onsubmit= "return validasipasien();" method= "post" name= "formpasien" enctype= "multipart/form-data">



?font color = "blue"> ?h3> Edit Data Pasien ?/h3>

?hr>

?table>



??php



echo "?tr>?td align='right'> Kode Pasien: ?/td>";

echo"?td>?input id = 'textpasien' name= 'textpasien' type = 'text' maxlength='8' size='8' value= $baris_data[kd_pasien] >?/td>";

echo"?/tr>";





echo "?tr>?td align='right'> Nama Pasien: ?/td>";

echo "?td>?Input id = 'textnama' name= 'textnama' type = 'text' maxlength='25' size='15' value= $baris_data[nama]>?/td>";



echo "?/tr>";





echo"?tr>?td align='right'> alamat Pasien: ?/td>";

echo"?td>?Input id = 'textalamat' name= 'textalamat' type = 'text' maxlength='8' size='8' value= $baris_data[alamat]>?/td>";



echo"?/tr>";

?>



?tr>?td align="right"> Golongan Darah: ?/td>

?td>?Select id = "combodarah" name= "combodarah">



?option value = "A" selected > A ?/option>

?option value = "B" > B ?/option>

?option value = "AB" > AB ?/option>

?option value = "O" > O ?/option>

?/td>

?/tr>



?tr>?td align="right"> Jenis Kelamin: ?/td>

?td>?Select id = "combojk" name= "combojkel">



?option value = "L" > L ?/option>

?option value = "P" > P ?/option>



?/td>

?/tr>

??php

echo"?tr>?td align='right' font size='2' color='blue'> Tempat Lahir :?/td>";

echo"?td>?input id ='texttempat' name='texttempat' type='text' maxlenght='15' size='15' value= $baris_data[tp_lahir]>?/td>";



echo"?/tr>";



echo"?tr>?td align='right' font size='2' color='blue'> Tanggal Lahir :?/td>";

echo"?td>?input id ='texttgl_lahir' name='texttgl_lahir' type='text' maxlenght='15' size='15' value= $baris_data[tgl_lahir]>?/td>";

echo"?/tr>";



echo"?tr>?td align='right'font size='2' color='blue'> Nomor Telepon:?/td>";



echo"?td>?input id ='texttelp' name='texttelp' type='text' maxlenght='15' size='15' value= $baris_data[telp]>?/td>";

echo"?/tr>";

?>

?/table>



?hr>



?input name ="tombolsimpan" type="submit" value="simpan">

?hr>

?/form>

?/body>

?/html>