<?php
$this->load->view('includes/header.php');
echo '<font class="title">'.$menu_path.'</font>';
echo '<br>';
			/* Display system message */
			$this->fungsi->disp_sys_msg();
			echo validation_errors('<p class="field_error">', '</p>');
?>
<form name="form1" method="post" action="<?php echo $form_action ?>">
  <table width="100%" border="0" cellspacing="1" cellpadding="1">
    <tr> 
              <th height="25" colspan="4"><font size="+2">MANIFEST DELIVERY NOTE</font></th>
            </tr>
			
			 <tr> 
              <th height="23" colspan="4">No. Manifest : <input type="text"   name="id_manifest" ></th>
 <input name="id_nu" type="hidden" id="id_nu" value="<?php echo ($nu) ?>" />
                                <input name="id_cb" type="hidden" id="id_cb" value="<?php echo ($_SESSION[cabang])?>" />
            </tr>
			 <tr>
			 
			   <td height="26" align="right" class="primary"> Tanggal : </td>
			   <td class="primary"><?php
$tanggal = date ('d / m / Y');
echo $tanggal;
?>               </td>
			   <td  height="26" align="center" class="primary">&nbsp;</td>
			   <td  height="26" align="center" class="primary">Data Transporter</td>
		      </tr>
                  <td width="179" height="26" align="right" class="primary">      No. Surat Jalan :        </td>
              <td><span class="primary">
                <input name="no_sj" type="text" />
                <!--<input type="button" name="choice" onclick="window.open('../popup_sj_manifest.php','popuppage','width=600,height=500,scrollbar=yes,scrollbars=yes,top=100,left=100');" value="..." />
	        <input type="hidden" name="harga" id="harga" />-->
	      </span></td>
               <td  height="26" align="center" class="primary">&nbsp;</td>
               <td  height="26" align="center" class="primary">&nbsp;</td>
            </tr>
            <tr> 
              <td width="179" height="26" align="right" class="primary"> Cabang :</td>
              <td width="184" class="primary"><input type="text" name="pengirim" readonly="readonly" ></td>
                <td width="134" height="26" align="right" class="primary"> Nama Supir:</td>
                <td width="217" class="primary"><input type="text" name="nama_supir" /></td>
           </tr>
           <tr> 
              <td width="179" height="26" align="right" class="primary"> Alamat :</td>
              <td width="184" class="primary"><input type="text" name="alamat" /></td>
                <td width="134" height="26" align="right" class="primary"> Hp Supir:</td>
                <td width="217" class="primary"><input type="text" name="hp_supir" /></td>
           </tr>
			<tr> 
              <td width="179" height="26" align="right" class="primary"> Alamat Lain :           </td>
              <td width="184" class="primary"><input type="text" name="lokasi"/></td>
                <td width="134" height="26" align="right" class="primary"> Jabatan :</td>
                <td width="217" class="primary"><input type="text" readonly="readonly" name="jabatan_angkut"/></td>
			</tr>
			<tr> 
              <td width="179" height="26" align="right" class="primary"> Telp :           </td>
              <td width="184" class="primary"><input name="telp" type="text" readonly="readonly" />                </td>
              <td width="134" height="26" align="right" class="primary">No. Polisi :</td>
              <td width="217" class="primary"><input name="no_pol" type="text" /></td>
			</tr>
			<tr> 
              <td width="179" height="26" align="right" class="primary">Nama Pengirim :               </td>
              <td width="184" class="primary"><input name="pic" type="text" readonly="readonly"  ></td>
              <td width="134" height="26" align="right" class="primary">Type :</td>
              <td width="217" class="primary"><select name="ident_kendaraan" id="ident_kendaraan"  >
                <option value="container">Container</option>
                <option  value="iso tank">ISO Tank</option>
                <option   value="truck">Truck </option>
              </select></td>
			</tr>
			<tr> 
              <td width="179" height="26" align="right" class="primary">Jabatan :  </td>
              <td width="184" class="primary"><input name="jabatan_pic" type="text" readonly="readonly" ></td>
            </tr>
			<tr> 
              <td width="179" height="26" align="right" class="primary">Jml  Kemasan :</td>
              <td width="184" class="primary"><input name="jml_kemasan" type="text" /></td>
              <td width="134" height="26" align="right" class="primary"></td>
              <td width="217" class="primary" align="center">Pengolah Limbah</td>
            </tr>
            <tr> 
              <td width="179" height="26" align="right" class="primary">Nama Tehnik :</td>
              <td width="184" class="primary"><input name="nama_tehnik" readonly="readonly" type="text" /></td>
               <td width="134" height="26" align="right" class="primary"> Penerima :               </td>
              <td width="217" class="primary"><input name="penerima" type="text" readonly="readonly" value="<?php echo 'PT. Wiraswasta Gemilang Indonesia'; ?>"></td>
            </tr>
            <tr> 
              <td align="right" class="primary" width="179" height="26">Karakter Limbah :                </td>
              <td class="primary"><input name="karakter_limbah" readonly="readonly" type="text" value="<?php echo 'B3'; ?>"/></td>
               <td width="134" height="26" align="right" class="primary"> Jabatan :               </td>
              <td width="217" class="primary"><input name="jabatan_penerima" readonly="readonly" type="text" ></td>
            </tr>
            <tr>
			<td align="right" class="primary">Jenis Limbah : </td>        
			<td><input name="jenis_limbah" type="text" readonly="readonly" value="<?php echo 'Liquid'; ?>"/></td>
            <td width="134" height="26" align="right" class="primary"> Nama :               </td>
              <td width="217" class="primary"><input name="nama_spv" type="text" ></td>
           </tr>
			<tr> 
              <td align="right" class="primary">  Kode Limbah : </td>
              <td class="primary"><input name="vol" type="text" readonly="readonly" value="<?php echo 'D1005d'; ?>" ></td>
               
              <td align="right" class="primary"> No. Telp:</td>
              <td class="primary"><input type="text" name="tlp_pus" readonly="readonly" value="<?php echo '021-8831241'; ?>" /></td>
                </tr>
                <tr> 
               <td align="right" class="primary"> Volume Dikirim :</td>
              <td class="primary"><input name="vol" type="text" id="vol"  />                
                Ltr</td>
               
              <td align="right" class="primary"> Fax :</td>
              <td class="primary"><input type="text" name="id_cabang" readonly="readonly" value="<?php echo '021-8830045'; ?>"></td>
                </tr>
                <tr> 
              <td align="right" class="primary"> No. ISO TANK :</td>
              <td class="primary"><input name="iso" type="text" id="iso" ></td>
               
              <td align="right" class="primary"> No. Bapedal:</td>
              <td class="primary"><input type="text" name="bapedal" readonly="readonly" value="<?php echo '207/BAPEDAL/1995'; ?>"></td>
                </tr>
                <tr>
                <td align="right" class="primary">  Keterangan :</td>
              <td class="primary"><textarea name="ket" rows="4"></textarea></td> 
             
<td align="right" class="primary"><input type="hidden" name="id_cabang" value="<?php echo $_SESSION['id_cabang']?>"></td>
              <td class="primary"><input type="hidden" name="no_urut" value="<?php echo $akhir ?>" /></td>
                </tr>
    
    <tr>
      <td>&nbsp;</td>
      <td>&nbsp;</td>
      <td><input type="submit" name="button" id="button" value="Submit" class="button" /></td>
    </tr>
  </table>
</form>
 <?php
if ( ! empty($link))
	{
		echo '<p id="bottom_link">';
		foreach($link as $links)
		{
			echo $links . ' ';
		}
		echo '</p>';
	}
$this->load->view('includes/footer.php');
	?>

