Bootstrap Snippet TindakanMedis with Status (old) using HTML Bootstrap jQuery

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<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<!------ Include the above in your HEAD tag ---------->
<div class="container">
    <div class="row">
        <div class=" well col-xs-6 col-md-3">
            RM234567</br>
            <b>Permata Sari</b></br>
            29 tahun / 23 Jan 1986
            <hr>
            <ul class="nav nav-pills nav-stacked">
              <li role="presentation"><a href="#"><span class="glyphicon glyphicon-dashboard" aria-hidden="true"></span> Dashboard</a></li>
              <li role="presentation"><a href="#"><span class="glyphicon glyphicon-file" aria-hidden="true"></span> Rekam Medis</a></li>
              <li role="presentation"><a href="#"><span class="glyphicon glyphicon-eye-open" aria-hidden="true"></span> Diagnosis</a></li>
              <li role="presentation" class="active"><a href="#"><span class="glyphicon glyphicon-heart" aria-hidden="true"></span> Tindakan Medis</a></li>
              <li role="presentation"><a href="#"><span class="glyphicon glyphicon-align-left" aria-hidden="true"></span> Hasil Radiologi</a></li>
            </ul>
        </div>
        <div class=" col-xs-12 col-sm-6 col-md-9">
            <h3><span class="glyphicon glyphicon-heart" aria-hidden="true"></span> Tindakan Medis</h3>
            <div class="panel panel-default">
                <div class="panel-heading"><h4>Status Pasien</h4></div>
                <div class="row">
                    <div class="col-md-3" style=" margin-left: 30px;">
                        <div class="radio">
                          <label>
                            <input type="radio" name="statsOption" id="statsRawatJalan" value="rawatJalan" checked>
                            Rawat Jalan
                          </label>
                        </div>
                    </div>
                    <div class="col-md-7">
                        <div class="radio">
                          <label>
                            <input type="radio" name="statsOption" id="statsRawatInap" value="rawatInap">
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$(document).ready(function() {
    $("#add_row").on("click", function() {
        // Dynamic Rows Code
        
        // Get max row id and set new id
        var newid = 0;
        $.each($("#tab_logic tr"), function() {
            if (parseInt($(this).data("id")) > newid) {
                newid = parseInt($(this).data("id"));
            }
        });
        newid++;
        
        var tr = $("<tr></tr>", {
            id: "addr"+newid,
            "data-id": newid
        });
        
        // loop through each td and create new elements with name of newid
        $.each($("#tab_logic tbody tr:nth(1) td"), function() {
            var cur_td = $(this);
            
            var children = cur_td.children();
            
            // add new td and element if it has a nane
            if ($(this).data("name") != undefined) {
                var td = $("<td></td>", {
                    "data-name": $(cur_td).data("name")
                });
                
                var c = $(cur_td).find($(children[0]).prop('tagName')).clone().val("");
                c.attr("name", $(cur_td).data("name") + newid);
                c.appendTo($(td));
                td.appendTo($(tr));
            } else {
                var td = $("<td></td>", {
                    'text': $('#tab_logic tr').length
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"TindakanMedis with Status (old)"
Bootstrap 3.3.0 Snippet by chocomelks

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"TindakanMedis with Status (old)" Bootstrap 3.3.0 Snippet by chocomelks

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"TindakanMedis with Status (old)"
Bootstrap 3.3.0 Snippet by chocomelks