@extends('layouts.container')
        <!-- if there are creation errors, they will show here -->
@section('title', 'Rumah Sakit')
@section('title_description', 'Add New')
@section('css')
    <link href="{{asset('/engine/multiSelect/css/multi-select.css') }}" media="screen" rel="stylesheet" type="text/css">
    <link href="{{asset('/engine/adminLTE/dist/css/AdminLTE.min.css') }}" rel="stylesheet" type="text/css" />
    <!-- AdminLTE Skins. Choose a skin from the css/skins
         folder instead of downloading all of them to reduce the load. -->
    <link href="{{asset('/engine/adminLTE/dist/css/skins/skin-green.min.css') }}" rel="stylesheet" type="text/css" />
    <!-- iCheck -->
    <link href="{{asset('/engine/iCheck/flat/green.css') }}" rel="stylesheet" type="text/css" />
@stop
@section('body-class', 'skin-green')
@section('content')
    @if ($errors->any())
    <div class="alert alert-danger">
      <ul>
          @foreach ($errors->all() as $error)
            <li>{{ $error }}</li>
          @endforeach
      </ul>
    </div>
    @endif

    {{ Form::open(array('route' => 'rumahsakit-create-data','role' => 'form','method' => 'PUT')) }}

    <div class="form-group">
        {{ Form::label('kode_rumah_sakit', 'Kode Rumah Sakit') }}
        {{ Form::text('kode_rumah_sakit', old('kode_rumah_sakit'), array('class' => 'form-control')) }}
    </div>
    <div class="form-group">
        {{ Form::label('nama_rumah_sakit', 'Nama Rumah Sakit') }}
        {{ Form::text('nama_rumah_sakit', old('nama_rumah_sakit'), array('class' => 'form-control')) }}
    </div>
    <div class="form-group">
        {{ Form::label('nama_rumah_sakit_english', 'Nama Rumah Sakit (Dalam Bahasa Inggris)') }}
        {{ Form::text('nama_rumah_sakit_english', old('nama_rumah_sakit_english'), array('class' => 'form-control')) }}
    </div>
    <div class="form-group">
	    {{ Form::label('jenis_rumah_sakit', 'Jenis Rumah Sakit') }}
	    {{ Form::text('jenis_rumah_sakit', old('jenis_rumah_sakit'), array('class' => 'form-control')) }}
    </div>
    <div class="form-group">
        {{ Form::label('status_aktivasi', 'Status Aktivasi') }}
        {{ Form::select('status_aktivasi', $tipe, '1', array('class' => 'form-control')) }}
    </div>

    {{ Form::submit('Create', array('class' => 'btn btn-success')) }}

    {{ Form::close() }}
@stop
@section('js')
    <script src="{{asset('/engine/iCheck/icheck.min.js') }}" type="text/javascript"></script>
    <script src="{{asset('/engine/fastclick/fastclick.min.js') }}"></script>
    <script src="{{asset('/engine/slimScroll/jquery.slimscroll.min.js') }}" type="text/javascript"></script>
@stop