<commit_before><!DOCTYPE html>
<html lang="en">
<head>
	<meta charset="UTF-8">
	<meta name="viewport" content="width=device-width, initial-scale=1">
	<link rel="stylesheet" href="bower_components/milligram/dist/milligram.min.css">
	<link rel="stylesheet" href="css/style.css">
</head>
<body>
	<div>
		<center><img src="img/icon.png"><br></center>
		<div class="form">
				<fieldset>
				<label for="name">Nama</label>
			    <input type="text" placeholder="<NAME>" id="name">

			    <label for="nik">NIK</label>
			    <input type="number" placeholder="1234567890123456" id="nik">

			    <label for="no">No BPJS</label>
			    <input type="number" placeholder="12345678901234567890" id="no">
				 
				<label for="lokasi">Pilih Lokasi</label>
				<select name="" id="">
					<option value=""></option>
					<option value=""></option>
					<option value=""></option>
				</select>
			    <br><br>
			    <center><a class="button-primary full-width" href="puskesmas/option/option.html">Daftar</a></center>
				</fieldset>			
		</div>
	</div>
	<script src="js/jquery.min.js"></script>	
	<script src="js/main.js"></script>
</body>
</html><commit_msg>Change page link<commit_after><!DOCTYPE html>
<html lang="en">
<head>
	<meta charset="UTF-8">
	<meta name="viewport" content="width=device-width, initial-scale=1">
	<link rel="stylesheet" href="bower_components/milligram/dist/milligram.min.css">
	<link rel="stylesheet" href="css/style.css">
</head>
<body>
	<div>
		<center><img src="img/icon.png"><br></center>
		<div class="form">
				<fieldset>
				<label for="name">Nama</label>
			    <input type="text" placeholder="<NAME>" id="name">

			    <label for="nik">NIK</label>
			    <input type="number" placeholder="1234567890123456" id="nik">

			    <label for="no">No BPJS</label>
			    <input type="number" placeholder="12345678901234567890" id="no">
				 
				<label for="lokasi">Pilih Lokasi</label>
				<select name="" id="">
					<option value=""></option>
					<option value=""></option>
					<option value=""></option>
				</select>
			    <br><br>
			    <center><a class="button-primary full-width" href="puskesmas/option/index.html">Daftar</a></center>
				</fieldset>			
		</div>
	</div>
	<script src="js/jquery.min.js"></script>	
	<script src="js/main.js"></script>
</body>
</html>
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