diff --git a/resources/views/form/rapport-demo/1706001346-9b6b0b23-c3b5-4b9c-a2dd-681c5787a16c.blade.php b/resources/views/form/rapport-demo/1706001346-9b6b0b23-c3b5-4b9c-a2dd-681c5787a16c.blade.php
index 56cfb5c2..58db1b5e 100644
--- a/resources/views/form/rapport-demo/1706001346-9b6b0b23-c3b5-4b9c-a2dd-681c5787a16c.blade.php
+++ b/resources/views/form/rapport-demo/1706001346-9b6b0b23-c3b5-4b9c-a2dd-681c5787a16c.blade.php
@@ -83,15 +83,15 @@
                                         <select class="form-control" id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
                                             <option value=""> -- Select -- </option>
                                             @foreach ($question->options as $option)
-                                            @php $spec = $option->contact->speciality ?? ''; @endphp
-                                                                @if (in_array($spec, ['CONSULTING PHYSICIAN', 'CARDIOLOGIST', 'GENERAL PHYSICIAN', 'ORTHOPEDIC', 'CHEST PHYSICIAN', 'DERMATOLOGIST','COSMETOLOGIST','ENT','ANESTHESIOLOGIST','SURGEON','CARDIOLOGIST','GP NON MBBS']))
-                                                                    <option value="{{ $option->value }}"
-                                                                        {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
-                                                                        msl_code="{{ $option->contact->msl_code ?? '' }}"
-                                                                        speciality="{{ $spec }}">
-                                                                        {{ $option->display }}
-                                                                    </option>
-                                                                @endif
+                                            
+                                                                
+                                                <option value="{{ $option->value }}"
+                                                    {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
+                                                    msl_code="{{ $option->contact->msl_code ?? '' }}"
+                                                    speciality="{{ $option->contact->speciality ?? '' }}">
+                                                    {{ $option->display }}
+                                                </option>
+                                                                
 
                                             @endforeach
                                         </select>
diff --git a/resources/views/form/rapport-demo/1772642221-f77aef51-3671-4205-9650-fa171e1516e4.blade.php b/resources/views/form/rapport-demo/1772642221-f77aef51-3671-4205-9650-fa171e1516e4.blade.php
index 6d2305a9..b95f82f2 100644
--- a/resources/views/form/rapport-demo/1772642221-f77aef51-3671-4205-9650-fa171e1516e4.blade.php
+++ b/resources/views/form/rapport-demo/1772642221-f77aef51-3671-4205-9650-fa171e1516e4.blade.php
@@ -208,20 +208,20 @@
                                                         <option value=""> -- Select -- </option>
                                                         @foreach ($question->options as $option)
                                                                 @if($question->code=='contact_id')
-                                                                    @php $spec = $option->contact->speciality ?? ''; @endphp
-                                                                        @if (in_array($spec, ['CONSULTING PHYSICIAN', 'CARDIOLOGIST', 'GENERAL PHYSICIAN', 'ORTHOPEDIC', 'CHEST PHYSICIAN', 'DERMATOLOGIST','COSMETOLOGIST','ENT','ANESTHESIOLOGIST','SURGEON','CARDIOLOGIST','GP NON MBBS']))
+                                                                    
+                                                                        
                                                                         <option value="{{ $option->value }}"
                                                                             {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
                                                                             msl_code="{{ $option->contact->msl_code ?? '' }}"
-                                                                            speciality="{{ $spec }}">
+                                                                            speciality="{{ $option->contact->speciality ?? '' }}">
                                                                             {{ $option->display }}
                                                                         </option>
-                                                                        @endif
+                                                                        
                                                                     @else 
                                                                     <option value="{{ $option->value }}"
                                                                             {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
                                                                             msl_code="{{ $option->contact->msl_code ?? '' }}"
-                                                                            speciality="{{ $spec }}">
+                                                                            speciality="{{ $option->contact->speciality ?? '' }}">
                                                                             {{ $option->display }}
                                                                         </option>
                                                                 @endif
@@ -309,20 +309,20 @@
                                                         <option value=""> -- Select -- </option>
                                                         @foreach ($question->options as $option)
                                                                 @if($question->code=='contact_id')
-                                                                    @php $spec = $option->contact->speciality ?? ''; @endphp
-                                                                        @if (in_array($spec, ['CONSULTING PHYSICIAN', 'CARDIOLOGIST', 'GENERAL PHYSICIAN', 'ORTHOPEDIC', 'CHEST PHYSICIAN', 'DERMATOLOGIST','COSMETOLOGIST','ENT','ANESTHESIOLOGIST','SURGEON','CARDIOLOGIST','GP NON MBBS']))
+                                                                   
+                                                                        
                                                                         <option value="{{ $option->value }}"
                                                                             {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
                                                                             msl_code="{{ $option->contact->msl_code ?? '' }}"
-                                                                            speciality="{{ $spec }}">
+                                                                            speciality="{{ $option->contact->speciality ?? '' }}">
                                                                             {{ $option->display }}
                                                                         </option>
-                                                                        @endif
+                                                                    
                                                                     @else 
                                                                     <option value="{{ $option->value }}"
                                                                             {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
                                                                             msl_code="{{ $option->contact->msl_code ?? '' }}"
-                                                                            speciality="{{ $spec }}">
+                                                                            speciality="{{ $option->contact->speciality ?? '' }}">
                                                                             {{ $option->display }}
                                                                         </option>
                                                                 @endif
diff --git a/resources/views/form/rapport-demo/1785569298-6e800a2b-56a9-471f-94f7-03309bb8f1ec.blade.php b/resources/views/form/rapport-demo/1785569298-6e800a2b-56a9-471f-94f7-03309bb8f1ec.blade.php
new file mode 100644
index 00000000..559ed3f0
--- /dev/null
+++ b/resources/views/form/rapport-demo/1785569298-6e800a2b-56a9-471f-94f7-03309bb8f1ec.blade.php
@@ -0,0 +1,681 @@
+<!DOCTYPE html>
+<html lang="en">
+
+<head>
+    @include('layouts.shared/title-meta', ['title' => "Form"])
+    @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
+    <link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
+    <link href="{{ asset('assets/libs/select2/select2.min.css') }}" rel="stylesheet" type="text/css" />
+</head>
+<div id="pageloader">
+    <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
+</div>
+@php
+$brandData = [
+
+['brand'=>'Osteri', 'slug'=>'osteri_units','pseudoId'=>'osteri_pts','pseudoId2'=>'osteri_value'],
+['brand'=>'Denmab', 'slug'=>'brand_2_units','pseudoId'=>'brand_2_pts','pseudoId2'=>'brand_2_value']
+
+
+
+];
+
+@endphp
+
+@php
+    $submissions = Formhelper::getMultiformData($form->partition, $form_id, $form->user_id);
+    // $submission = null;
+    // if(isset($submissions->data->submissions) && count($submissions->data->submissions) > 0) {
+    //     $submission = $submissions->data->submissions[0];
+    //     $formdata = $submission->formdata ?? (object)[];
+    // } else {
+    //     $formdata = [];
+    // }
+
+    $formdata = null;
+
+if (!empty($submissions->data->submissions)) {
+    foreach ($submissions->data->submissions as $submission) {
+        if ($submission->id == $id) {
+            $formdata = $submission->formdata ?? null;
+            break;
+        }
+    }
+}
+
+
+    
+    
+@endphp
+
+
+<body class="loading">
+    <div class="account-pages">
+        <div class="container">
+            <div class="row justify-content-center">
+                <div class="col-md-8 col-lg-6 col-xl-5 p-0">
+                    <div class="card bg-pattern">
+                        <div class="card-body p-3 row">
+
+                            @if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
+                            <br>@endif
+                            @if(session('success'))<div class=" alert alert-success">{{ session('success') }}
+                            </div>
+                            <br>@endif
+                            <div class="col-8">
+                                <h4 class="page-title">{{$form->title}}</h4>
+                            </div>
+                            @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'
+                            ) )
+                            <div class="col-4">
+                                @if($form->link_type == 'form')
+                                <a href="/form/history" class="float-end pt-1">View History</a>
+                                @else
+                                <a href="{{url()->previous()}}" class="float-end pt-1">Back</a>
+                                @endif
+                            </div>
+                            @endif
+                            @if(isset($form->user_info))
+                            <div class="col-12">
+                                <h6>Submitted By: {{$form->user_info->name}}</h6>
+                            </div>
+                            @endif
+                            <form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
+                                <input type="hidden" name="form_id" value="{{$form_id}}">
+                                <input type="hidden" name="record_date" value="" id="field-record_date">
+                                @csrf
+                                @if($id)
+                                <input type="hidden" name="id" value="{{$id}}">
+                                @endif
+                                @if(isset($form->manager_can_submit) && $form->manager_can_submit == true)
+                                <div class="col-md-12 mb-2">
+                                    <label for="field-user_id" class="form-label"> Select User / Territory <span
+                                            class="text-danger">*</span> </label>
+                                    <select class="form-control" id="field-user_id" name="user_id" required>
+                                        <option value=""> -- Select -- </option>
+                                        @foreach($form->users as $option)
+                                        <option value="{{$option->value}}" hierarchy="{{$option->hierarchy_id}}"
+                                            {{isset($question->value) && $question->value == $option->value ? 'selected':''}}>
+                                            {{$option->display}}
+                                        </option>
+                                        @endforeach
+                                    </select>
+                                    <input type="hidden" id="field-hierarchy_id" name="hierarchy_id" value="">
+                                </div>
+                                @endif
+
+                                @foreach($questions as $question)
+                                <div class="col-md-12 mb-2">
+
+
+                                    <label for="field-{{$question->code}}" class="form-label">{{$question->question}}
+                                        {!!$question->required == 'yes' ? '<span class="text-danger">*</span>':''!!}
+                                    </label>
+                                    @switch($question->type)
+                                    @case('hidden')
+                                    <input type="{{$question->type}}" id="field-{{$question->code}}"
+                                        name="{{$question->code}}"
+                                        value="{{isset($question->value)?$question->value:''}}">
+                                    @break
+                                    @case('text')
+                                    @case('email')
+                                    @case('tel')
+                                    @case('date')
+                                    <input type="{{$question->type}}" id="field-{{$question->code}}"
+                                        name="{{$question->code}}" class="form-control"
+                                        {{$question->required == 'yes'?'required':'' }}
+                                        value="{{isset($question->value)?$question->value:''}}">
+                                    @break
+                                    @case('number')
+                                    <input type="{{$question->type}}" min="0" max="9999999999" step="0.01"
+                                        id="field-{{$question->code}}" name="{{$question->code}}" class="form-control"
+                                        {{$question->required == 'yes'?'required':'' }}
+                                        value="{{isset($question->value)?$question->value:0}}">
+                                    @break
+                                    @case('textarea')
+                                    <textarea id="field-{{$question->code}}" name="{{$question->code}}"
+                                        class="form-control"
+                                        {{$question->required == 'yes'?'required':'' }}>{{isset($question->value)?$question->value:''}}</textarea>
+                                    @break
+                                    @case('dropdown')
+                                    <select class="form-control" id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
+                                            <option value=""> -- Select -- </option>
+                                            @foreach ($question->options as $option)
+                                            
+                                            
+                                                    @if($question->code == 'contact_id')
+                                                    @if(isset($option->contact->type) && $option->contact->type === 'doctor')
+                                                        <option value="{{ $option->value }}"
+                                                            {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
+                                                            msl_code="{{ $option->contact->msl_code ?? '' }}"
+                                                            speciality="{{ $option->contact->speciality ?? '' }}">
+                                                            {{ $option->display }}
+                                                        </option>
+                                                    @endif
+
+                                                   
+                                                    @elseif($question->code == 'hospital_name')
+                                                    @if(isset($option->contact->type) && $option->contact->type === 'hospital')
+                                                        <option value="{{ $option->value }}"
+                                                            {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
+                                                            uid="{{ $option->contact->uid_number ?? '' }}"
+                                                            speciality="{{ $option->contact->speciality ?? '' }}">
+                                                            {{ $option->display }}
+                                                        </option>
+                                                    @endif
+
+                                                    
+                                                    @else
+                                                        <option value="{{ $option->value }}"
+                                                            {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
+                                                            {{ $option->display }}
+                                                        </option>
+
+                                                    @endif
+                                            
+                                           
+                                                                
+
+                                            @endforeach
+                                        </select>
+                                    @break
+                                    
+                                    
+
+                                    @case('checkbox')
+                                    @foreach($question->options as $option)
+                                    <div class="form-check mb-2 form-check-primary">
+                                        <input class="form-check-input" type="checkbox"
+                                            id="field-{{$question->code}}-{{$option->value}}"
+                                            name="{{$question->code}}[]" value="{{$option->value}}"
+                                            {{isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked':''}}>
+                                        <label class="form-check-label"
+                                            for="field-{{$question->code}}-{{$option->value}}">{{$option->display}}</label>
+                                    </div>
+                                    @endforeach
+                                    @break
+                                    @case('file')
+                                    @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval
+                                    != 'yes' ) )
+                                    <input type="file" id="field-{{$question->code}}" name="{{$question->code}}"
+                                        class="form-control" value="" {{$question->required == 'yes'?'required':'' }}>
+                                    @elseif(isset($question->value))
+                                    <img src="{{$question->value}}" class="img-fluid">
+                                    @endif
+
+                                    @break
+                                    @case('multitextbox')
+                                    <div class="row">
+                                        <div style="width: auto; overflow-y: auto; overflow-x: auto;">
+                                            <table class="table tableclass">
+                                                <thead id="heading">
+                                                    <tr>
+                                                        <th>Brand</th>
+                                                        <th>POB Units</th>
+                                                        <th>Unit Value</th>
+                                                        <th>POB Value</th>
+                                                    </tr>
+                                                </thead>
+                                                <tbody>
+                                                    @foreach($brandData as $brand)
+                                                    <tr>
+
+                                                        <td>{{ $brand['brand'] }}</td>
+                                                        <td>
+                                                            <input type="number" id="field-{{ $brand['slug'] }}"
+                                                                name="{{ $brand['slug'] }}"
+                                                                class="form-control form-control-large" value="{{ $id && isset($formdata) && isset($formdata->{$brand['slug']}) ? $formdata->{$brand['slug']} : 0 }}" >
+                                                        </td>
+                                                        <td>
+                                                            <input type="number" id="field-{{ $brand['pseudoId'] }}"
+                                                                name="{{ $brand['pseudoId'] }}"
+                                                                class="form-control form-control-large"  value="{{ $id && isset($formdata) && isset($formdata->{$brand['pseudoId']}) ? $formdata->{$brand['pseudoId']} : 0 }}">
+                                                        </td>
+
+                                                        <td>
+                                                            <input type="number" id="field-{{ $brand['pseudoId2'] }}"
+                                                                name="{{ $brand['pseudoId2'] }}"
+                                                                class="form-control form-control-large" readonly="true" value="{{ $id && isset($formdata) && isset($formdata->{$brand['pseudoId']}) ? $formdata->{$brand['pseudoId']} : 0 }}">
+                                                        </td>
+
+                                                    </tr>
+                                                    @endforeach
+                                                </tbody>
+                                            </table>
+                                        </div>
+
+                                        <!-- @foreach($question->options as $option)
+                                        <div class="col-6">{{$option->display}}</div>
+                                        <div class="col-6 mb-1">
+                                            <input type="number" id="field-{{$option->value}}" name="{{$option->value}}" class="form-control" required value="{{isset($option->val)?$option->val:0}}">
+                                        </div>
+                                        @endforeach -->
+                                    </div>
+                                    @break
+                                    @endswitch
+                                </div>
+                                @endforeach
+                                @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval !=
+                                'yes' ) )
+                                <div class="text-center d-grid mt-3">
+                                    <button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
+                                </div>
+                                @endif
+                            </form>
+
+                        </div> <!-- end card-body -->
+                    </div>
+                    <!-- end card -->
+
+                    <!-- end row -->
+
+                </div> <!-- end col -->
+            </div>
+            <!-- end row -->
+        </div>
+        <!-- end container -->
+    </div>
+    <!-- end page -->
+    <style type="text/css">
+    #pageloader {
+        background: rgba(255, 255, 255, 0.8);
+        display: none;
+        height: 100%;
+        position: fixed;
+        width: 100%;
+        z-index: 9999;
+    }
+
+    #pageloader img {
+        left: 50%;
+        margin-left: -32px;
+        margin-top: -32px;
+        position: absolute;
+        top: 50%;
+    }
+    </style>
+    @include('layouts.shared/footer-script')
+    <script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+    <script src="{{ asset('assets/libs/select2/select2.min.js') }}"></script>
+    <script type="text/javascript">
+    jQuery(document).ready(function($) {
+        $('[data-toggle="select2"]').select2();
+        let selected_user_id = ''
+        $('#field-user_id').change(function() {
+            $("#pageloader").fadeIn();
+            selected_user_id = $(this).val()
+            hierarchy = $('option:selected', this).attr('hierarchy');
+            $('#field-hierarchy_id').val(hierarchy)
+            event.preventDefault();
+            $.ajax({
+                type: "GET",
+                url: '/form/getdoctorlist?partition={{$form->partition}}&hierarchy=' +
+                    hierarchy,
+                processData: false,
+                contentType: false,
+                success: function(data) {
+                    $("#pageloader").fadeOut();
+                    $('#field-contact_id').html('')
+                    $('#field-contact_id').append($("<option></option>").attr("value", '')
+                        .text('-- Select --'));
+                    for (let itm of data) {
+                        if(itm.contact.c2c == 'Yes') {
+                            $('#field-contact_id').append($("<option></option>").attr("value",
+                            itm.value).text(itm.display).attr("speciality", itm
+                            .contact.speciality));
+                        }
+                    }
+
+                    $('#field-contact_id').change(function() {
+                        $('#field-speciality').val($('option:selected', this).attr(
+                            'speciality'))
+                    })
+
+                },
+            });
+
+            console.log(hierarchy)
+        })
+
+        $('#field-contact_id').change(function() {
+                        $('#field-speciality').val($('option:selected', this).attr('speciality'))
+                    });
+        
+        $('#field-contact_id').change(function() {
+               		 $('#field-msl_code').val($('option:selected', this).attr('msl_code'))
+        });
+
+
+       
+        $('#field-speciality,#field-msl_code').attr('readonly',true);
+        
+        $('#field-pob_type').on('change',function(){
+            let value=$(this).val();
+            console.log("Value is : ",value);
+            if(value==='Doctor'){
+                $('#field-chemist_name').parent().hide();
+                $('#field-chemist_name').attr('required',false);
+                $('#field-contact_id,#field-msl_code,#field-speciality').parent().show();
+                $('#field-contact_id,#field-msl_code,#field-speciality').attr('required',true);
+                
+            }
+            else if(value==='Chemist'){
+                $('#field-contact_id,#field-msl_code,#field-speciality').parent().hide();
+                $('#field-contact_id,#field-msl_code,#field-speciality').attr('required',false);
+                $('#field-chemist_name').parent().show();
+                $('#field-chemist_name').attr('required',true);
+
+            }
+            else{
+            $('#field-chemist_name,#field-contact_id,#field-msl_code,#field-speciality').parent().hide();
+            $('#field-chemist_name,#field-contact_id,#field-msl_code,#field-speciality').attr('required',false);
+
+            }
+        })
+        
+
+        const products = {
+            "junior_lanzol_15": 154.63,
+            "junior_lanzol_30": 165.61,
+            "levoflox_250_10s_ip": 39.20,
+            "levoflox_250_tab_10": 39.20,
+            "levoflox_500_10s_ip": 73.19,
+            "levoflox_500_10s": 73.19,
+            "levoflox_750_5s_ip": 50.67,
+            "levoflox_750_tab_5s": 50.67,
+            "levoflox_infusion": 217.11,
+            "metaspray_100aq": 454.72,
+
+            "montair_fx": 158.96,
+            "montair_fx_15s": 307.73,
+            "cefoprox_100_30ml60": 195.91,
+            "cefoprox_100dt": 153.44,
+            "cefoprox_200_10s": 199.70,
+            "cefoprox_50_30ml": 105.24,
+            "cefoprox_cv_325_tab": 332.14,
+            "cheston_duo_100ml_syrup": 94.29,
+            "cheston_ls_junior_100_ml": 82.23,
+            "cheston_d_cough_syrup_100_ml": 96.62,
+
+            "cheston_d_plus_1_x_10s": 39.92,
+            "cheston_ls_cough_syrup_100_ml": 99.50,
+            "cheston_ls_junior_60_ml": 49.33,
+            "dalacin_c_150mg_caps_10s": 140.47,
+            "dalacin_c_300mg_caps_10s": 243.75,
+            "dolonex_disp_20mg_tabs_ip": 204.79,
+            "dolonex_im_20mg1ml_inj": 30.24,
+            "dolonex_im_40mg_2ml_inj_hosp_ip": 55.30,
+            "dolonex_im_40mg2ml_inj_ip": 55.30,
+            "duonase_f_70_md": 455.86,
+
+
+            "duonase_nasal_spray": 462.13,
+            "ibugesic_plus_susp": 37.48,
+            "ibugesic_plus_susp_1": 47.44,
+            "ibugesic_plus_suspension_100ml_orange": 47.44,
+            "mucinac_200_tablet_1_x_10s": 125.97,
+            "mucinac_600_tablets": 279.00,
+            "mucinac_ab_1_x_10_tablets": 109.81,
+            "mucinac_ab_tablet": 199.31,
+            "mucinac_c_tablets_1_x_15s": 369.15,
+            "mucinac_oral_solution_100ml": 111.86,
+
+
+            "novamox_500": 89.87,
+            "novamox_125_rediuse_30_ml": 24.95,
+            "novamox_125_rediuse_60_ml": 49.91,
+            "novamox_250_dt_15s": 147.57,
+            "novamox_250_ru_30": 38.16,
+            "novamox_250_rediuse": 76.31,
+            "novamox_30ml": 24.95,
+            "novamox_60ml": 49.91,
+            "novamox_cv_1000_mg": 421.74,
+            "novamox_cv_2285_dt_tablets": 158.79,
+
+
+            "novamox_cv_2285_mg_syrup": 98.87,
+            "novamox_cv_375_tab_10s": 234.08,
+            "novamox_cv_457_dt_10s": 257.26,
+            "novamox_cv_625_tablets_10": 148.95,
+            "novamox_cv_drops": 91.43,
+            "novamox_cv_dry_syrup_30_ml": 49.43,
+            "novamox_cv_ds": 49.43,
+            "novamox_cv_forte_syp": 184.18,
+            "novamox_cv_forte_syp_60_ml": 227.76,
+            "novamox_drops": 61.98,
+
+
+            "novamox_lb_500": 186.64,
+            "novamox_rdu_drops": 58.44,
+            "novamox_125_dt_15s": 85.14,
+            "novamox_250_15s": 29.75,
+            "tedispan_200_tablets_6s": 777.90,
+            "rabicip_l_capsules": 219.20,
+            "rabicip_20_15s": 139.12,
+            "rabicip_20_tablets_15s": 139.12,
+            "rabicip_20mg_ip_1_x_15s_tablets": 139.12,
+            "rabicip_d_capsules_1_x_15s": 263.05,
+
+            // 👉 Continue adding all products same way
+        };
+
+        /*$(document).on('input', '[id$="_units"]', function () {
+
+            let totalValue = 0;
+            let totalUnits = 0;
+
+            $.each(products, function (key, price) {
+
+                let unitField = $(`#field-${key}_units`);
+                let valueField = $(`#field-${key}_value`);
+
+                let units = parseFloat(unitField.val()) || 0;
+                let value = units * price;
+
+                // Set individual value
+                valueField.val(value.toFixed(1));
+
+                totalValue += value;
+                totalUnits += units;
+            });
+
+            $('#field-total_pob_value').val(totalValue.toFixed(1));
+            $('#field-total_pob_units').val(totalUnits);
+
+            $.each(productGroups, function(groupName, keys) {
+            calculateGroupTotals(groupName, keys);
+            });
+        });*/$
+
+        $(document).on('input', 'input[id$="_units"], input[id$="_pts"]', function () {
+
+            let totalUnits = 0;
+            let totalValue = 0;
+
+            $('tbody tr').each(function () {
+
+                let units = parseFloat($(this).find('input[id$="_units"]').val()) || 0;
+                let unitValue = parseFloat($(this).find('input[id$="_pts"]').val()) || 0;
+
+                let value = units * unitValue;
+
+                $(this).find('input[id$="_value"]').val(value.toFixed(2));
+
+                totalUnits += units;
+                totalValue += value;
+            });
+
+            $('#field-total_pob_units').val(totalUnits);
+            $('#field-total_pob_value').val(totalValue.toFixed(2));
+        });
+
+        
+        $('#field-total_pob_value,#field-total_pob_units').attr('readonly',true);
+        
+
+        $('#field-pob_type').trigger('change');
+        
+        $(document).on('input', '[id$="_units"]', function () {
+            // Remove anything that is not a digit
+            this.value = this.value.replace(/[^0-9]/g, '');
+        });
+
+        $('#field-upload_supporting_document').on('change', function () {
+            let file = this.files[0];
+            if (file) {
+                let allowedTypes = ['image/png', 'image/jpg', 'image/jpeg'];
+
+                if (!allowedTypes.includes(file.type)) {
+                    alert('Only PNG, JPG, and JPEG files are allowed.');
+                    $(this).val(''); // reset input
+                }
+            }
+        });
+
+
+
+        const productGroups = {
+            junior_lazol: ["junior_lanzol_15", "junior_lanzol_30"],
+            levoflox: [
+                "levoflox_250_10s_ip",
+                "levoflox_250_tab_10",
+                "levoflox_500_10s_ip",
+                "levoflox_500_10s",
+                "levoflox_750_5s_ip",
+                "levoflox_750_tab_5s",
+                "levoflox_infusion"
+            ],
+            metaspray: ["metaspray_100aq"],
+            montair:["montair_fx","montair_fx_15s"],
+            cefoprox:["cefoprox_100_30ml60","cefoprox_100dt","cefoprox_200_10s","cefoprox_50_30ml","cefoprox_cv_325_tab"],
+            cheston:["cheston_duo_100ml_syrup","cheston_ls_junior_100_ml","cheston_d_cough_syrup_100_ml","cheston_d_plus_1_x_10s","cheston_ls_cough_syrup_100_ml","cheston_ls_junior_60_ml"],
+            dalacin:["dalacin_c_150mg_caps_10s","dalacin_c_300mg_caps_10s"],
+            dolonex:["dolonex_disp_20mg_tabs_ip","dolonex_im_20mg1ml_inj","dolonex_im_40mg_2ml_inj_hosp_ip","dolonex_im_40mg2ml_inj_ip"],
+            duonase:["duonase_f_70_md","duonase_nasal_spray"],
+            ibugesic:["ibugesic_plus_susp","ibugesic_plus_susp_1","ibugesic_plus_suspension_100ml_orange"],
+            mucinac:["mucinac_200_tablet_1_x_10s","mucinac_600_tablets","mucinac_ab_1_x_10_tablets","mucinac_ab_tablet","mucinac_c_tablets_1_x_15s","mucinac_oral_solution_100ml"],
+            novamox:["novamox_500","novamox_125_rediuse_30_ml","novamox_125_rediuse_60_ml","novamox_250_dt_15s","novamox_250_ru_30","novamox_250_rediuse","novamox_30ml","novamox_60ml","novamox_cv_1000_mg","novamox_cv_2285_dt_tablets","novamox_cv_2285_mg_syrup","novamox_cv_375_tab_10s","novamox_cv_457_dt_10s","novamox_cv_625_tablets_10","novamox_cv_drops","novamox_cv_dry_syrup_30_ml","novamox_cv_ds","novamox_cv_forte_syp","novamox_cv_forte_syp_60_ml","novamox_drops","novamox_lb_500","novamox_rdu_drops","novamox_125_dt_15s","novamox_250_15s"],
+            tedispan:["tedispan_200_tablets_6s"],
+            rabicip:["rabicip_l_capsules","rabicip_20_15s","rabicip_20_tablets_15s","rabicip_20mg_ip_1_x_15s_tablets","rabicip_d_capsules_1_x_15s"],
+
+
+
+
+
+
+
+        };
+
+
+        function calculateGroupTotals(groupName, keys) {
+            let totalUnits = 0;
+            let totalValue = 0;
+
+            keys.forEach(key => {
+                totalUnits += parseInt($(`#field-${key}_units`).val()) || 0;
+                totalValue += parseFloat($(`#field-${key}_value`).val()) || 0;
+            });
+
+            $(`#field-${groupName}_units`).val(totalUnits);
+            $(`#field-${groupName}_value`).val(totalValue.toFixed(1));
+        }
+
+        
+
+
+        $('#report-form').append('<input type="hidden" id="field-junior_lazol_units" name="junior_lazol_units" />');
+        $('#report-form').append('<input type="hidden" id="field-junior_lazol_value" name="junior_lazol_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-levoflox_units" name="levoflox_units" />');
+        $('#report-form').append('<input type="hidden" id="field-levoflox_value" name="levoflox_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-metaspray_units" name="metaspray_units" />');
+        $('#report-form').append('<input type="hidden" id="field-metaspray_value" name="metaspray_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-montair_units" name="montair_units" />');
+        $('#report-form').append('<input type="hidden" id="field-montair_value" name="montair_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-cefoprox_units" name="cefoprox_units" />');
+        $('#report-form').append('<input type="hidden" id="field-cefoprox_value" name="cefoprox_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-cheston_units" name="cheston_units" />');
+        $('#report-form').append('<input type="hidden" id="field-cheston_value" name="cheston_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-dalacin_units" name="dalacin_units" />');
+        $('#report-form').append('<input type="hidden" id="field-dalacin_value" name="dalacin_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-dolonex_units" name="dolonex_units" />');
+        $('#report-form').append('<input type="hidden" id="field-dolonex_value" name="dolonex_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-duonase_units" name="duonase_units" />');
+        $('#report-form').append('<input type="hidden" id="field-duonase_value" name="duonase_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-ibugesic_units" name="ibugesic_units" />');
+        $('#report-form').append('<input type="hidden" id="field-ibugesic_value" name="ibugesic_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-mucinac_units" name="mucinac_units" />');
+        $('#report-form').append('<input type="hidden" id="field-mucinac_value" name="mucinac_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-novamox_units" name="novamox_units" />');
+        $('#report-form').append('<input type="hidden" id="field-novamox_value" name="novamox_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-tedispan_units" name="tedispan_units" />');
+        $('#report-form').append('<input type="hidden" id="field-tedispan_value" name="tedispan_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-rabicip_units" name="rabicip_units" />');
+        $('#report-form').append('<input type="hidden" id="field-rabicip_value" name="rabicip_value" />');
+
+
+       
+
+
+        $('#report-form').on('submit', function(event) {
+            event.preventDefault();
+            $("#pageloader").fadeIn();
+            $.ajax({
+                type: "POST",
+                url: '/form/ajaxsubmit',
+                data: new FormData($('#report-form')[0]),
+                processData: false,
+                contentType: false,
+                success: function(data) {
+                    $("#pageloader").fadeOut();
+                    if (data.status == 'success') {
+                        Swal.fire({
+                            title: 'Great!',
+                            text: 'Your data is successfully submitted!',
+                            icon: 'success'
+                        })
+                        $('#report-form').trigger("reset");
+                        $('#field-user_id').val(selected_user_id)
+                        $('#field-user_id').trigger("change");
+                    } else {
+                        Swal.fire({
+                            icon: 'error',
+                            title: 'Data not submitted',
+                            text: 'Something went wrong, please try again after some time!'
+                        })
+                    }
+                },
+            });
+        });
+
+        var today = new Date();
+        var dd = String(today.getDate()).padStart(2, '0');
+        var mm = String(today.getMonth() + 1).padStart(2, '0');
+        var yyyy = today.getFullYear();
+        today = yyyy + '-' + mm + '-' + dd;
+
+        var plandateField = document.getElementById('field-record_date');
+
+        plandateField.setAttribute('max', today);
+    });
+
+
+    
+
+    
+    </script>
+</body>
+
+</html>
\ No newline at end of file