data tidak ter input


<!DOCTYPE html>
<html>
<head>
	<title>Sistem Baru</title>
    <link rel="stylesheet" href="css/bootstrap.css" />
    <link rel="stylesheet" href="css/main.css" />
    <link rel="stylesheet" href="css/theme.css" />
    <link rel="stylesheet" href="css/MoneAdmin.css" />
    <link rel="stylesheet" href="css/font-awesome.css" />
	<link rel="stylesheet" href="css/datepicker.css" />

</head>
<body>
 <?php
	$con=mysql_connect("localhost","root","");
	if(!$con){
		die("gagal konek".mysql_error());
	}
	$db=mysql_select_db("db_simpuskesmas",$con);
	if(!$db){
		die("gagal konek db".mysql_error());
	}
	if(isset($_POST['submit'])){
		$tgl_pendaftaran=$_POST['tgl_pendaftaran'];
		$nama=$_POST['nama'];
		$nama_kk=$_POST['nama_kk'];
		$no_nik=$_POST['no_nik'];
		$tgl_lahir=$_POST['tgl_lahir'];
		$alamat=$_POST['alamat'];
		$jenis_kelamin=$_POST['jenis_kelamin'];
		$bayar=$_POST['bayar'];
		$rujukan=$_POST['rujukan'];
		$hub_keluarga=$_POST['hub_keluarga'];

		//echo "$tgl_pendaftaran, $nama, $no_nik, $tgl_lahir, $alamat, $jenis_kelamin, $bayar, $rujukan, $hub_keluarga";
		//$query="insert into koding";

		$query="insert into tb_pasien (tgl_pendaftaran, nama, nama_kk, no_nik, tgl_lahir, alamat, jenis_kelamin, bayar, rujukan, hub_keluarga) value('$tgl_pendaftaran','$nama','$nama_kk','$no_nik','$tgl_lahir','$alamat','$jenis_kelamin','$bayar','$rujukan','$hub_keluarga')";
		$result=mysql_query($query,$con);
		if($result==1)
		{
			echo "DATA TERSIMPAN";
		}
		else{
			echo"value not| saved";
		}
	}
?>

<div class="box">
	<header>
		<h5 text-align="center">Input Data Pasien</h5>
	</header>
		<div class="body">
			<form action="" method="post" class="form-horizontal">
						<div class="form-group">
							<label class="control-label col-lg-4">Tanggal Pendaftaran</label>
							<div class="col-lg-4">
								<input type="date" name="tgl_pendaftaran" value="" class="form-control" />
							</div>
						</div>
                        <div class="form-group">
							<label class="control-label col-lg-4">Nama Pasien</label>
							<div class="col-lg-4">
								<input type="text" name="nama" value="" class="form-control" />
							</div>
						</div>
                        <div class="form-group">
							<label class="control-label col-lg-4">Nama Kepala Keluarga</label>
							<div class="col-lg-4">
								<input type="text" name="nama_kk" value="" class="form-control" />
							</div>
						</div>
                        <div class="form-group">
							<label class="control-label col-lg-4">Nomor KTP</label>
							<div class="col-lg-4">
								<input type="text" name="no_nik" value="" class="form-control" />
							</div>
						</div>
                        <div class="form-group">
							<label class="control-label col-lg-4">Tanggal Lahir</label>
							<div class="col-lg-4">
								<input type="date" name="tgl_lahir" value="" class="form-control" />
							</div>
						</div>
                        <div class="form-group">
							<label class="control-label col-lg-4">Alamat</label>
							<div class="col-lg-4">
								<input type="textarea" name="alamat" value="" class="form-control" />
							</div>
						</div>
                        <div class="form-goup"><label class="control-label col-lg-4">Jenis Kelamin</label></div>
                        <div class="buying-selling-group" id="buying-selling-group">
                                <label class="btn btn-default buying-selling">
                                 <input type="radio" name="jenis_kelamin">
                                 <span class="radio-dot"></span>
                                 <span class="buying-selling-word">L</span>
                                </label>

                                <label class="btn btn-default buying-selling">
                                 <input type="radio" name="jenis_kelamin">
                                 <span class="radio-dot"></span>
                                 <span class="buying-selling-word">P</span>
                                </label>
                        </div><br />
                        <div class="form-goup"><label class="control-label col-lg-4">Jenis Pembayaran</label></div>
                        <div class="buying-selling-group" id="buying-selling-group">
                                <label class="btn btn-default buying-selling">
                                 <input type="radio" name="bayar">
                                 <span class="radio-dot"></span>
                                 <span class="buying-selling-word">BPJS PBI</span>
                                </label>

                                <label class="btn btn-default buying-selling">
                                 <input type="radio" name="bayar">
                                 <span class="radio-dot"></span>
                                 <span class="buying-selling-word">BPJS NON PBI</span>
                                </label>

                                <label class="btn btn-default buying-selling">
                                 <input type="radio" name="bayar">
                                 <span class="radio-dot"></span>
                                 <span class="buying-selling-word">BAYAR</span>
                                </label>

                                <label class="btn btn-default buying-selling">
                                 <input type="radio" name="bayar">
                                 <span class="radio-dot"></span>
                                 <span class="buying-selling-word">JAMKESDA</span>
                                </label>
                        </div><br />
                        <div class="form-goup"><label class="control-label col-lg-4">Rujukan</label></div>
                        <div class="buying-selling-group" id="buying-selling-group">
                                <label class="btn btn-default buying-selling">
                                 <input type="radio" name="rujukan">
                                 <span class="radio-dot"></span>
                                 <span class="buying-selling-word">Rujukan PU</span>
                                </label>

                                <label class="btn btn-default buying-selling">
                                 <input type="radio" name="rujukan">
                                 <span class="radio-dot"></span>
                                 <span class="buying-selling-word">Rujukan KIA</span>
                                </label>

                                <label class="btn btn-default buying-selling">
                                 <input type="radio" name="rujukan">
                                 <span class="radio-dot"></span>
                                 <span class="buying-selling-word">Lainnya</span>
                                </label>
                        </div><br />
                        <div class="form-goup"><label class="control-label col-lg-4">Rujukan</label></div>
                        <div class="buying-selling-group" id="buying-selling-group">
                                <label class="btn btn-default buying-selling">
                                 <input type="radio" name="hub_keluarga">
                                 <span class="radio-dot"></span>
                                 <span class="buying-selling-word">Istri</span>
                                </label>

                                <label class="btn btn-default buying-selling">
                                 <input type="radio" name="hub_keluarga">
                                 <span class="radio-dot"></span>
                                 <span class="buying-selling-word">Anak</span>
                                </label>

                                <label class="btn btn-default buying-selling">
                                 <input type="radio" name="hub_keluarga">
                                 <span class="radio-dot"></span>
                                 <span class="buying-selling-word">Lainnya</span>
                                </label>
                        </div><br />


		<div class="form-actions no-margin-bottom" style="text-align:center;">
        <input type="submit" name="submit" value="simpan" class="btn btn-primary"></div>

	</form>
    </div>
    </div>
    <div class="form-actions no-margin-bottom" style="text-align:center;">
    <a class="btn btn-primary" href="index.php" role="button">Daftar Pasien</a></div>
</body>
</html>

<script src="js/jquery-2.0.3.min.js"></script>
	<script src="/bootstrap-datepicker.js"></script>
    <script src="js/bootstrap.min.js"></script>
    <script src="js/modernizr-2.6.2-respond-1.1.0.min.js"></script>

mohon bantuannya gan, data dari jenis kelamin sampe kebawah gak ter input di database,, kenapa yaa ?

avatar kasutfb
@kasutfb

12 Kontribusi 0 Poin

Diperbarui 6 tahun yang lalu

4 Jawaban:

fungsi mysql_query ngga pake parameter koneksi gan,

fungsi mysql_query("tulis kueri disini")

kalo agan pake mysqli_query, baru dikasih 2 parameter, 1 koneski, 1nya lagi querynya,

mysqli_query($koneksi, "tulis query disini")

avatar ahanafi
@ahanafi

815 Kontribusi 552 Poin

Dipost 6 tahun yang lalu

coba periksa lagi koneksi nya bro,

http://bit.ly/harga_emas_hari_ini

avatar wismacibanteng
@wismacibanteng

17 Kontribusi 0 Poin

Dipost 6 tahun yang lalu

udah dicoba, malah yg keinput cuma yg data type nya text, yg radio button gak kesimpen

avatar kasutfb
@kasutfb

12 Kontribusi 0 Poin

Dipost 6 tahun yang lalu

Yaiyalah ga masuk orang gada value-nya

<label class="btn btn-default buying-selling">
<input type="radio" name="jenis_kelamin" value="P">
<span class="radio-dot"></span>
<span class="buying-selling-word">P</span>
</label>

<label class="btn btn-default buying-selling">
<input type="radio" name="jenis_kelamin" value="L">
<span class="radio-dot"></span>
<span class="buying-selling-word">L</span>
</label>

avatar ahanafi
@ahanafi

815 Kontribusi 552 Poin

Dipost 6 tahun yang lalu

Login untuk ikut Jawaban