<div id="form_bpjs_kes">
    <div class="card-header">
        <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button>
        <h3 class="title modal-title">Apakah anda ingin mengubah pengaturan BPJS Kesehatan menjadi <?= $data->flag == 0 ? 'aktif' : 'nonaktif' ?>?</h3>
    </div>
    <div class="card-footer">
        <form id="form_input">
            <input type="hidden" name="flag_temp" class="form-control" value="<?= $data->flag ?>">
        </form>
        <div class="row">
            <div class="col-md-7 text-left">
                <div id="message"></div>
            </div>
            <div class="col-md-5 text-right">
                <button class="btn_save ladda-button btn btn-primary" data-style="expand-left" onclick="simpan_bpjs_kes();"><i class="fa fa-save"></i> SIMPAN</button>
            </div>
        </div><!-- ./row -->
    </div>
</div>