diff --git a/resources/views/form/rapport-team4/1791539482-b06c2f9a-fe45-4b16-843a-224f07ed0d7b.blade.php b/resources/views/form/rapport-team4/1791539482-b06c2f9a-fe45-4b16-843a-224f07ed0d7b.blade.php
index 13e44784..b55e336a 100644
--- a/resources/views/form/rapport-team4/1791539482-b06c2f9a-fe45-4b16-843a-224f07ed0d7b.blade.php
+++ b/resources/views/form/rapport-team4/1791539482-b06c2f9a-fe45-4b16-843a-224f07ed0d7b.blade.php
@@ -50,16 +50,16 @@
 
 
                             $submittedMonths = [];
-    if (!empty($submissions)) {
-        foreach ($submissions as $sub) {
-            if (isset($sub->formdata->month) && !empty($sub->formdata->month)) {
-                $submittedMonths[] = trim($sub->formdata->month);
-            }
-        }
-    }
+                            if (!empty($submissions)) {
+                                foreach ($submissions as $sub) {
+                                    if (isset($sub->formdata->month) && !empty($sub->formdata->month)) {
+                                        $submittedMonths[] = trim($sub->formdata->month);
+                                    }
+                                }
+                            }
 
-    
-    $isEditMode = !empty($id);
+                            
+                            $isEditMode = !empty($id);
 
                             @endphp
                            
@@ -124,40 +124,40 @@
                                         @break --}}
 
                                         @case('dropdown')
-    <select class="form-control" id="field-{{ $question->code }}" name="{{ $question->code }}" data-initial-value="{{ isset($question->value) ? $question->value : '' }}" {{ $question->required == 'yes' ? 'required' : '' }}>
-        <option value=""> -- Select -- </option>
-        @foreach ($question->options as $option)
-            @php
-                $isSubmitted = ($question->code == 'month' && in_array(trim($option->value), $submittedMonths));
-                $isSelected = (isset($question->value) && $question->value == $option->value);
-                
-                $isDisabled = ($isSubmitted && (!$isEditMode || !$isSelected));
-            @endphp
+                                        <select class="form-control" id="field-{{ $question->code }}" name="{{ $question->code }}" data-initial-value="{{ isset($question->value) ? $question->value : '' }}" {{ $question->required == 'yes' ? 'required' : '' }}>
+                                            <option value=""> -- Select -- </option>
+                                            @foreach ($question->options as $option)
+                                                @php
+                                                    $isSubmitted = ($question->code == 'month' && in_array(trim($option->value), $submittedMonths));
+                                                    $isSelected = (isset($question->value) && $question->value == $option->value);
+                                                    
+                                                    $isDisabled = ($isSubmitted && (!$isEditMode || !$isSelected));
+                                                @endphp
 
-            @if($question->code == 'contact_id' && isset($option->contact->type) && $option->contact->type == 'doctor')
-                <option value="{{ $option->value }}"
-                    @if($isSelected) selected @endif
-                    msl_code="{{ $option->contact->msl_code ?? '' }}"
-                    speciality="{{ $option->contact->speciality ?? '' }}">
-                    {{ $option->display }}
-                </option>
-            @elseif($question->code == 'month')
-                <option value="{{ $option->value }}"
-                    {{ $isSelected ? 'selected' : '' }}
-                    {{ $isDisabled ? 'disabled' : '' }}>
-                    {{ $option->display }} {{ $isDisabled ? '(Already Submitted)' : '' }}
-                </option>
-            @else
-                <option value="{{ $option->value }}"
-                    {{ $isSelected ? 'selected' : '' }}
-                    {{ $question->code == 'contact_id' ? 'pcode=' . ($option->contact->pcode ?? '') : '' }}
-                    {{ $question->code == 'contact_id' ? 'speciality=' . ($option->contact->speciality ?? '') : '' }}>
-                    {{ $option->display }}
-                </option>
-            @endif
-        @endforeach
-    </select>
-    @break
+                                                @if($question->code == 'contact_id' && isset($option->contact->type) && $option->contact->type == 'doctor')
+                                                    <option value="{{ $option->value }}"
+                                                        @if($isSelected) selected @endif
+                                                        msl_code="{{ $option->contact->msl_code ?? '' }}"
+                                                        speciality="{{ $option->contact->speciality ?? '' }}">
+                                                        {{ $option->display }}
+                                                    </option>
+                                                @elseif($question->code == 'month')
+                                                    <option value="{{ $option->value }}"
+                                                        {{ $isSelected ? 'selected' : '' }}
+                                                        {{ $isDisabled ? 'disabled' : '' }}>
+                                                        {{ $option->display }} {{ $isDisabled ? '(Already Submitted)' : '' }}
+                                                    </option>
+                                                @else
+                                                    <option value="{{ $option->value }}"
+                                                        {{ $isSelected ? 'selected' : '' }}
+                                                        {{ $question->code == 'contact_id' ? 'pcode=' . ($option->contact->pcode ?? '') : '' }}
+                                                        {{ $question->code == 'contact_id' ? 'speciality=' . ($option->contact->speciality ?? '') : '' }}>
+                                                        {{ $option->display }}
+                                                    </option>
+                                                @endif
+                                            @endforeach
+                                        </select>
+                                        @break
 
                                         @case('checkbox')
                                             @foreach($question->options as $option)
@@ -383,6 +383,58 @@
                 }
             });
 
+
+            $("[id^='field-city_']").on('input keyup paste', function() {
+                
+                this.value = this.value.replace(/[^a-zA-Z\s]/g, '');
+            });
+
+            
+            $("[id^='field-city_']").on('keypress', function(e) {
+                var regex = new RegExp("^[a-zA-Z\\s]+$");
+                var str = String.fromCharCode(!e.charCode ? e.which : e.charCode);
+                if (!regex.test(str)) {
+                    e.preventDefault();
+                    return false;
+                }
+            });
+
+            $("[id^='field-pin_code_']").on('input keyup paste', function() {
+                var val = this.value;
+
+                
+                val = val.replace(/\D/g, '');
+
+                
+                val = val.replace(/^0+/, '');
+
+                
+                if (val.length > 6) {
+                    val = val.substring(0, 6);
+                }
+
+                this.value = val;
+            });
+
+           
+            $("[id^='field-pin_code_']").on('keypress', function(e) {
+                var char = String.fromCharCode(e.which || e.keyCode);
+                
+                
+                if (!/^\d$/.test(char)) {
+                    e.preventDefault();
+                    return false;
+                }
+
+               
+                if (this.value.length === 0 && char === '0') {
+                    e.preventDefault();
+                    return false;
+                }
+            });
+
+
+
             $("#pageloader").fadeOut();