@extends('layouts.adminmonevpkam')

@section('content')
<!-- Content Wrapper. Contains page content -->
  <div class="content-wrapper">
    <!-- Content Header (Page header) -->
    <section class="content-header">
       <h1>PROVINSI<br>
        <small>data provinsi yang masuk dalam pengelolaan anda</small>
      </h1>
      <ol class="breadcrumb">
        <li><a href="{{ url('home') }}"><i class="fa fa-dashboard"></i> Home</a></li>
        <li><a href="{{ url('/admin/puskesmas') }}">Data Provinsi</a></li>
        <li class="active">Data Provinsi</li>
      </ol>
    </section>

    <!-- Main content -->
    <section class="content">

      <!-- /.row (main row) -->
      <div class='row'>
      <div class='col-md-12'>
            <!-- Box -->
            <div class="box box-primary" >
                <div class="box-header with-border">
                    <h3 class="box-title">Data Provinsi</h3>
                </div>
                {!! Form::model($puskesmas, ['class'=>'form-horizontal'])!!}
                <div class="box-body">
                           
                            <div class="form-group">
                                {!! Form::label('namaprovinsi', 'Nama Provinsi', ['class'=>'col-md-2 control-label']) !!}
                                <div class="col-md-4">
                                    {!! Form::text('namaprovinsi', null, ['class'=>'form-control', 'readonly']) !!}
                                </div>
                            </div>

                            <div class="form-group">
                                {!! Form::label('kodeprovinsi', 'Kode Provinsi', ['class'=>'col-md-2 control-label']) !!}
                                <div class="col-md-4">
                                    {!! Form::text('kodeprovinsi', null, ['class'=>'form-control','readonly']) !!}
                                </div>
                            </div>

                            <div class="form-group">
                                {!! Form::label('jumlahkabupaten', 'Jumlah Kabupaten', ['class'=>'col-md-2 control-label']) !!}
                                <div class="col-md-4">
                                    {!! Form::text('jumlahkabupaten', null, ['class'=>'form-control','readonly']) !!}
                                </div>
                            </div>

							 <div class="form-group">
                                {!! Form::label('jumlahkecamatan', 'Jumlah Kecamatan', ['class'=>'col-md-2 control-label']) !!}
                                <div class="col-md-4">
                                    {!! Form::text('jumlahkecamatan', null, ['class'=>'form-control','readonly']) !!}
                                </div>
                            </div>

							<div class="form-group">
                                {!! Form::label('jumlahkelurahan', 'Jumlah Kelurahan', ['class'=>'col-md-2 control-label']) !!}
                                <div class="col-md-4">
                                    {!! Form::text('jumlahkelurahan', null, ['class'=>'form-control','readonly']) !!}
                                </div>
                            </div>

							<div class="form-group">
                                {!! Form::label('jumlahkk', 'Jumlah KK', ['class'=>'col-md-2 control-label']) !!}
                                <div class="col-md-4">
                                    {!! Form::text('jumlahkk', null, ['class'=>'form-control','readonly']) !!}
                                </div>
                            </div>

		
                            </div>
                </div><!-- /.box-body -->
                <div class="box-footer">
                    <input type="button" name="cancel" value="Kembali" onClick="window.location='{{ url('/admin/provinsi') }}';" class="btn btn-primary" />
                </div><!-- /.box-footer-->
                {!! Form::close() !!}
            </div><!-- /.box -->
      </div>
     </div><!-- /.row -->
    </section>
    <!-- /.content -->
  </div>
  <!-- /.content-wrapper -->
@endsection