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Rapport-Laravel
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Pumocare (RFI Monday)

This commit is contained in:
zeeshan 2026-07-23 17:32:02 +05:30
parent 9833cb037c
commit 3a658b75c0
2 changed files with 404 additions and 0 deletions
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5
resources/views/form/rapport-pulmocare/1784711349-38c6aeb9-1a07-403e-b893-8a5c1868da6d.blade.php
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@ -526,6 +526,11 @@ if (!empty($submissions->data->submissions)) {
today = yyyy + '-' + mm + '-' + dd;
var plandateField = document.getElementById('field-record_date');
var plandateField = document.getElementById('field-record_date');
if (plandateField) {
const currentYear = new Date().getFullYear();
plandateField.min = `${currentYear}-06-01`;
}
plandateField.setAttribute('max', today);
});

399
resources/views/form/rapport-pulmocare/1784801601-237d9454-d2c1-4de6-8880-ebc68bac9231.blade.php Normal file
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@ -0,0 +1,399 @@
<!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'=>'Pulmosmart G', 'slug'=>'pulmosmart_g_units','pseudoId'=>'pulmosmart_g_value'],
['brand'=>"200 PULMICAPS (30'S)", 'slug'=>'200_pulmicaps_30s_units','pseudoId'=>'200_pulmicaps_30s_value'],
['brand'=>"400 PULMICAPS (30'S)", 'slug'=>'400_pulmicaps_30s_units','pseudoId'=>'400_pulmicaps_30s_value'],
['brand'=>'DOSE COUNTER MDI 200 INHALER', 'slug'=>'dose_counter_mdi_200_inhaler_units','pseudoId'=>'dose_counter_mdi_200_inhaler_value'],
['brand'=>'DOSE COUNTER MDI 400 INHALER', 'slug'=>'dose_counter_mdi_400_inhaler_units','pseudoId'=>'dose_counter_mdi_400_inhaler_value'],
['brand'=>'PULMULES (2 ML)', 'slug'=>'pulmules_2_ml_units','pseudoId'=>'pulmules_2_ml_value'],
['brand'=>'1MG PULMULES (2 ML)', 'slug'=>'1mg_pulmules_2_ml_units','pseudoId'=>'1mg_pulmules_2_ml_value']
];
@endphp
@php
$submissions = Formhelper::getMultiformData($form->partition, $form_id, $form->user_id);
$formdata = null;
if (!empty($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
@php
$submissions = Formhelper::getMultiformData( $form->partition, $form_id, $form->user_id);
$submissions = $submissions->data->submissions;
@endphp
<form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
<input type="hidden" name="form_id" value="{{$form_id}}">
<input type="hidden" name="user_id" value="{{$form->user_id}}">
@csrf
@if($id)
<input type="hidden" name="id" value="{{$id}}">
@endif
@foreach($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="{{$question->type}}" min="0" max="9999999999" step="1" id="field-{{$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)?$question->value:''}}</textarea>
@break
@case('dropdown')
<select class="form-control" {!!($question->code
== 'contact_id')?'data-toggle="select2"':'' !!} 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' && isset($option->contact->type) && $option->contact->type == 'doctor' )
<option value="{{ $option->value }}"
@if(isset($question->value) && $question->value == $option->value) selected @endif
@if($question->code == 'contact_id')
msl_code="{{ (isset($option->contact->msl_code) ? $option->contact->msl_code : '') }}"
speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
@endif
>
{{ $option->display }}
</option>
@elseif($question->code != 'contact_id')
<option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'pcode= ' . (isset($option->contact->pcode)?$option->contact->pcode:'') . ' ' : '' }} {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
{{ $option->display }}
</option>
@endif
@endforeach
@if($question->code=='contact_id')
<option value="others" {{ isset($question->value) && $question->value == 'others' ? 'selected' : '' }}>Others</option>
@endif
</select>
@break
@case('checkbox')
@foreach($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 table-bordered">
<thead id="heading">
<tr>
<th style="width:70%">Brand</th>
<th style="width:30%">Units</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>
</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
@case('time')
<input type="time"
id="field-{{$question->code}}"
name="{{$question->code}}"
class="form-control"
{{$question->required == 'yes' ? 'required' : ''}}
value="{{isset($question->value) ? $question->value : ''}}">
@break
@endswitch
</div>
@endforeach
@if(!isset($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();
var hierarcies = [];
var contacts = [];
const products = {
"pulmosmart_g": 154.63,
"200_pulmicaps_30s": 165.61,
"400_pulmicaps_30s": 39.20,
"dose_counter_mdi_200_inhaler": 39.20,
"dose_counter_mdi_400_inhaler": 73.19,
"pulmules_2_ml": 73.19,
"1mg_pulmules_2_ml": 50.67
// 👉 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_units').val(totalUnits);
});
$('#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-total_pob_units,#field-msl_code').attr('readonly',true);
// Restrict all number fields to positive integers only
$(document).on('keydown', 'input[type="number"]', function (e) {
// Block: e, E, +, -, .
if (['e', 'E', '+', '-', '.'].includes(e.key)) {
e.preventDefault();
}
});
$(document).on('input', 'input[type="number"]', function () {
let value = $(this).val();
// Keep only digits
value = value.replace(/\D/g, '');
// Prevent negative values
if (value === '' || parseInt(value, 10) < 0) {
value = 0;
}
$(this).val(value);
});
$('#report-form').on('submit', function(event){
event.preventDefault();
const formData = new FormData($('#report-form')[0]);
// Log form data to console
for (let [key, value] of formData.entries()) {
console.log(key, value);
}
$("#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'
}).then(() => {
location.reload(); // 🔥 page refresh here
});
$('#report-form').trigger("reset");
} else {
Swal.fire({
icon: 'error',
title: 'Data not submitted',
text: 'Something went wrong, please try again after some time!'
})
}
},
});
});
var today = new Date();
var dd = String(today.getDate()).padStart(2, '0');
var mm = String(today.getMonth() + 1).padStart(2, '0');
var yyyy = today.getFullYear();
today = yyyy + '-' + mm + '-' + dd;
var plandateField = document.getElementById('field-record_date');
if (plandateField) {
const currentYear = new Date().getFullYear();
plandateField.min = `${currentYear}-06-01`;
}
plandateField.setAttribute('max', today);
});
</script>
</body>
</html>