<div class="container">
	<div class="row"> 
		<div class="col-md-12 col-sm-12 col-lg-12">
			<!-- awal panel-->
			<div class="panel panel-default">
				<div class="panel-heading">
					<h3 class="panel-title"><b>Tambah Data Master Tindakan</b></h3>
				</div>
				<div class="panel-body">
					<?php echo form_open_multipart('master_tindakan/tambah_tindakan');?>
					<table class="table table-striped">
						<tr>
							<th>Kode ICD9</th>
							<th>:</th>
							<th><?php echo form_input(array(
								'name'=>'kode_tindakan', 
								'class'=>'form-control',
								'id'=>'kode_tindakan',
								'autofocus'=>'autofocus',
								'required'=>'required'));?>
							</th>
						</tr>
						<tr>
							<th>Nama Tindakan</th>
							<th>:</th>
							<th><?php echo form_input(array(
								'name'=>'nama_tindakan', 
								'class'=>'form-control',
								'id'=>'nama_tindakan',
								'autofocus'=>'autofocus',
								'required'=>'required'));?>
							</th>
						</tr>
						<tr>
							<th>Biaya</th>
							<th>:</th>
							<th><?php echo form_input(array(
								'name'=>'biaya', 
								'type'=>'number', 
								'class'=>'form-control',
								'id'=>'biaya',
								'autofocus'=>'autofocus',
								'required'=>'required'));?>
							</th>
						</tr>
						<tr>
							<th colspan="3">
								<?php echo form_submit(array(
									'name'=>'submit',
									'id'=>'submit',
									'value'=>'Simpan Data',
									'class'=>'btn btn-success'
									));?>
									<?php echo anchor('master_tindakan','Kembali',array('class'=>'btn btn-danger'));?>
								</th>
							</tr>
					</table>
				</div>
			</div>
  <!--- akhir panel--->
  </div>
	</div>
</div>
