diff --git a/resources/views/form/rapport-team4/1741155802-25a7600f-1613-4a82-af1d-f460a8f79ffa.blade.php b/resources/views/form/rapport-team4/1741155802-25a7600f-1613-4a82-af1d-f460a8f79ffa.blade.php
index dbeee750..a9084445 100644
--- a/resources/views/form/rapport-team4/1741155802-25a7600f-1613-4a82-af1d-f460a8f79ffa.blade.php
+++ b/resources/views/form/rapport-team4/1741155802-25a7600f-1613-4a82-af1d-f460a8f79ffa.blade.php
@@ -60,7 +60,7 @@
                                                 <th>Camp Plan Date</th>
                                                 <th>Execution Done</th>
                                                 <th>Doctor Name</th>
-                                                <th>Other Doctor Name</th>
+                                                {{-- <th>Other Doctor Name</th> --}}
                                                 <th>Camp Execution Date</th>
                                                 
                                                 <th>Reporting Date</th>
@@ -110,19 +110,19 @@
                                                     $today=date('d',strtotime("-1 months")); 
                                                     
                                                     ?>
-                                                    @if($sub->workflow_status == 'approved')
+                                                    
                                                     @if ( $planDate && $planDate->between($startOfCurrentMonth, $fifthOfNextMonth) &&  $now->greaterThanOrEqualTo($planDate))
                                                     <button type="button" class="btn btn-xs btn-info edit-btn"
                                                         plan_details="{{ json_encode($sub->formdata) }}"><i
                                                             class="mdi mdi-pencil"></i> Edit</button>
                                                     
-                                                    @endif 
-                                                    @elseif ($sub->workflow_status == 'rejected' || 
+                                                    
+                                                    {{-- @elseif ($sub->workflow_status == 'rejected' || 
                                                     (isset($sub->formdata->execution_done) && $sub->formdata->execution_done == 'no'))
                                                     <button type="button" class="btn btn-xs btn-info edit-plan-btn"
                                                         plan_details="{{ json_encode($sub->formdata) }}">
                                                         <i class="mdi mdi-pencil"></i> Edit Plan
-                                                    </button> 
+                                                    </button>  --}}
                                                     @endif
                                                    
                                                 </td>
@@ -142,17 +142,18 @@
                                                     {{ '' }}
                                                     @endif
                                                 </td>
-                                                <td>
+                                                
+                                                {{-- <td>
                                                     @if (isset($sub->formdata->contact_id_2) && $sub->formdata->contact_id_2
                                                     !== '')
                                                     {{ $sub->formdata->contact_id_2 }}
                                                     @elseif (isset($sub->formdata->doctor_name))
                                                     {{ $sub->formdata->doctor_name }}
                                                     @else
-                                                    {{-- Default value or empty string, adjust as needed --}}
+                                                    
                                                     {{ '' }}
                                                     @endif
-                                                </td>
+                                                </td> --}}
                                                 <td>{{$sub->formdata->execution_date}}</td>
                                                 <td>{{isset($sub->formdata->record_date ) ? $sub->formdata->record_date : ''}}
                                                 </td>
@@ -247,16 +248,20 @@
                                             <option value=""> -- Select -- </option>
                                             @if ($question->code == 'contact_id')
                                                 @foreach ($question->options as $option)
-                                                @if( isset($option->contact->ardc_camp_doctor_octnov) && $option->contact->ardc_camp_doctor_octnov == 'Yes' )
-                                                <option value="{{ $option->value }}" legacy_code="{{isset($option->contact->legacy_code)?$option->contact->legacy_code:''}}" speciality="{{isset($option->contact->speciality)?$option->contact->speciality:''}}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
+                                                
+                                                <option value="{{ $option->value }}" 
+                                                    legacy_code="{{isset($option->contact->legacy_code)?$option->contact->legacy_code:''}}" 
+                                                    speciality="{{isset($option->contact->speciality)?$option->contact->speciality:''}}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
+                                                    ardc_css_restricted_drs="{{isset($option->contact->ardc_css_restricted_drs)?$option->contact->ardc_css_restricted_drs:''}}" 
+                                                    >
                                                     {{ $option->display }}
                                                 </option>
-                                                @endif
+                                                
                                                 
                                                 @endforeach
-                                            <option value="others"     {{ isset($question->value) && $question->value == 'others' ? 'selected' : '' }}>
+                                            {{-- <option value="others"     {{ isset($question->value) && $question->value == 'others' ? 'selected' : '' }}>
                                                 others
-                                            </option>
+                                            </option> --}}
                                             @elseif($question->code=='contact_id_2')
                                             @foreach ($question->options as $option)
                                                
@@ -534,7 +539,7 @@
         });
 
         $('#execution-total_rxns').prop({"readonly":true});
-        $('#execution-executed_as_per_plan').prop("disabled",true);
+        //$('#execution-executed_as_per_plan').prop("disabled",true);
 
         // $('#execution-patients_diagnosed').on('change',function(){
         //     let a=document.getElementById('execution-patients_diagnosed');
@@ -572,10 +577,10 @@
                     e.preventDefault();
                 })
 
-            let contact2 = document.getElementById('execution-contact_id_2');
+            /* let contact2 = document.getElementById('execution-contact_id_2');
                 contact2.addEventListener('mousedown', function(e) {
                     e.preventDefault();
-                })
+                }) */
 
         
             let camp_planned_start = document.getElementById('execution-camp_planned_start_time');
@@ -666,6 +671,8 @@
             $('#execution-form').append('<input type="hidden" name="execution_done" value="yes">');
         })
 
+
+        /* 
         $('.edit-plan-btn').click(function() {
             $('#execution-form-wrapper').show(100, () => {
                 $('#add-camp-btn').hide(0);
@@ -772,6 +779,10 @@
             } 
 
         })
+ */
+
+
+
 
         $('#report-form').on('submit', function(event) {
             event.preventDefault();
@@ -819,12 +830,30 @@
 
        
 
-        $('#field-contact_id').change(function() {
+        /*$('#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('legacy_code'))
+        })*/ 
+
+
+        $('#field-contact_id').change(function() {
+            $('#field-speciality').val($('option:selected', this).attr('speciality'))
+            $('#field-msl_code').val($('option:selected', this).attr('legacy_code'))
+            let restricted=$(this).find(":selected").attr('ardc_css_restricted_drs');
+            console.log("restricted:",restricted);
+            if (restricted === 'Yes') {
+
+                alert('Planning with these Doctors not allowed');
+
+                // Deselect current option
+                $(this).val('').trigger('change');
+
+                // Clear msl code as well
+                $('#field-msl_code').val('');
+            }
         })
 
         
@@ -974,6 +1003,95 @@
     });
     </script>
 
+
+<script>
+
+    // Existing submissions
+    let submissions = @json($history->data->submissions);
+
+    function markMonthlyAddedDoctors() {
+
+        // Current month & year
+        let today = new Date();
+
+        let currentMonth = today.getMonth();
+        let currentYear  = today.getFullYear();
+
+        // Store doctors already added this month
+        let addedDoctors = [];
+
+        submissions.forEach(function(submission){
+
+            let doctorName = submission.formdata?.contact_id ?? '';
+            let planDate   = submission.formdata?.plan_date ?? '';
+
+            if (!doctorName || !planDate) return;
+
+            let existingDate = new Date(planDate);
+
+            let existingMonth = existingDate.getMonth();
+            let existingYear  = existingDate.getFullYear();
+
+            // Same current month + year
+            if (
+                existingMonth === currentMonth &&
+                existingYear === currentYear
+            ) {
+                addedDoctors.push(doctorName.trim());
+            }
+
+        });
+
+        // Update dropdown options
+        $('#field-contact_id option').each(function(){
+
+            let optionText = $(this).text().replace(' (Already added)', '').trim();
+
+            // Reset old text
+            $(this).text(optionText);
+
+            // Skip placeholder
+            if ($(this).val() === '') return;
+
+            // If doctor already added this month
+            if (addedDoctors.includes(optionText)) {
+
+                $(this).text(optionText + ' (Already added)');
+                $(this).attr('data-added', 'yes');
+
+            } else {
+
+                $(this).removeAttr('data-added');
+
+            }
+
+        });
+
+    }
+
+    // Run initially
+    markMonthlyAddedDoctors();
+
+    // Prevent selection
+    $('#field-contact_id').change(function () {
+
+        let selectedOption = $(this).find(':selected');
+
+        let alreadyAdded = selectedOption.attr('data-added');
+
+        if (alreadyAdded === 'yes') {
+
+            alert('Doctor already added in this month');
+
+            $(this).val('').trigger('change');
+
+        }
+
+    });
+
+</script>
+
+
 </body>
 
 </html>
\ No newline at end of file
diff --git a/resources/views/form/rapport-team4/1741169144-1a2dc3e9-b341-4429-81fa-f4ac41711912.blade.php b/resources/views/form/rapport-team4/1741169144-1a2dc3e9-b341-4429-81fa-f4ac41711912.blade.php
index 9483a668..197200b7 100644
--- a/resources/views/form/rapport-team4/1741169144-1a2dc3e9-b341-4429-81fa-f4ac41711912.blade.php
+++ b/resources/views/form/rapport-team4/1741169144-1a2dc3e9-b341-4429-81fa-f4ac41711912.blade.php
@@ -71,6 +71,14 @@ if (!empty($history->data->submissions)) {
         }
     }
 }
+/*
+echo "<div class='container'>";
+echo "<pre>";
+print_r($history->data->submissions);
+echo "</pre>";
+
+echo "</div>";
+*/
 @endphp
 
 
@@ -128,7 +136,7 @@ if (!empty($history->data->submissions)) {
                                                 <th>Camp Plan Date</th>
                                                 <th>Execution Done</th>
                                                 <th>Doctor Name</th>
-                                                <th>Other Doctor Name</th>
+                                                {{-- <th>Other Doctor Name</th> --}}
                                                 <th>Camp Execution Date</th>
                                                 <th>Legacy Code</th>
                                                 <th>Speciality</th>
@@ -172,19 +180,19 @@ if (!empty($history->data->submissions)) {
 
                                             <tr>
                                                 <td>
-                                                    @if($sub->workflow_status == 'approved')
+                                                    
                                                     @if ( $planDate && $planDate->between($startOfCurrentMonth, $fifthOfNextMonth) &&  $now->greaterThanOrEqualTo($planDate))
                                                     <button type="button" class="btn btn-xs btn-info edit-btn"
                                                         plan_details="{{ json_encode($sub->formdata) }}"><i
                                                             class="mdi mdi-pencil"></i> Edit</button>
                                                     
-                                                    @endif 
-                                                    @elseif ($sub->workflow_status == 'rejected' || 
+                                                    
+                                                    {{-- @elseif ($sub->workflow_status == 'rejected' || 
                                                     (isset($sub->formdata->execution_done) && $sub->formdata->execution_done == 'no'))
                                                     <button type="button" class="btn btn-xs btn-info edit-plan-btn"
                                                         plan_details="{{ json_encode($sub->formdata) }}">
                                                         <i class="mdi mdi-pencil"></i> Edit Plan
-                                                    </button> 
+                                                    </button>  --}}
                                                     @endif
                                                 </td>
                                                 <td>{{ $sub->formdata->plan_date }}</td>
@@ -202,17 +210,17 @@ if (!empty($history->data->submissions)) {
                                                     {{ '' }}
                                                     @endif
                                                 </td>
-                                                <td>
+                                                {{-- <td>
                                                     @if (isset($sub->formdata->contact_id_2) && $sub->formdata->contact_id_2
                                                     !== '')
                                                     {{ $sub->formdata->contact_id_2 }}
                                                     @elseif (isset($sub->formdata->doctor_name))
                                                     {{ $sub->formdata->doctor_name }}
                                                     @else
-                                                    {{-- Default value or empty string, adjust as needed --}}
+                                                    
                                                     {{ '' }}
                                                     @endif
-                                                </td>
+                                                </td> --}}
                                                 <td>{{$sub->formdata->execution_date}}</td>
                                                 <td>{{isset($sub->formdata->msl_code) ? $sub->formdata->msl_code : '' }}
                                                 </td>
@@ -304,16 +312,21 @@ if (!empty($history->data->submissions)) {
                                             <option value=""> -- Select -- </option>
                                             @if ($question->code == 'contact_id')
                                                 @foreach ($question->options as $option)
-                                                @if( isset($option->contact->css_camp_doctor_octnov) && $option->contact->css_camp_doctor_octnov == 'Yes' )
-                                                <option value="{{ $option->value }}" msl_code="{{isset($option->contact->legacy_code)?$option->contact->legacy_code:''}}" speciality="{{isset($option->contact->speciality)?$option->contact->speciality:''}}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
+                                                 @if ($option->contact->type == 'doctor')
+                                                <option value="{{ $option->value }}" 
+                                                    msl_code="{{isset($option->contact->legacy_code)?$option->contact->legacy_code:''}}" 
+                                                    speciality="{{isset($option->contact->speciality)?$option->contact->speciality:''}}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
+                                                    ardc_css_restricted_drs="{{isset($option->contact->ardc_css_restricted_drs)?$option->contact->ardc_css_restricted_drs:''}}" 
+                                                    
+                                                    >
                                                     {{ $option->display }}
                                                 </option>
                                                 @endif
                                                 
                                                 @endforeach
-                                            <option value="others"     {{ isset($question->value) && $question->value == 'others' ? 'selected' : '' }}>
+                                            {{-- <option value="others"     {{ isset($question->value) && $question->value == 'others' ? 'selected' : '' }}>
                                                 others
-                                            </option>
+                                            </option> --}}
                                             @elseif($question->code=='contact_id_2')
                                             @foreach ($question->options as $option)
                                                
@@ -424,9 +437,9 @@ if (!empty($history->data->submissions)) {
                                                                     </option>
                                                                 @endif
                                                             @endforeach
-                                                            <option value="others"{{ isset($question->value) && $question->value == 'others' ? 'selected' : '' }}>
+                                                            {{-- <option value="others"{{ isset($question->value) && $question->value == 'others' ? 'selected' : '' }}>
                                                                 others
-                                                            </option>
+                                                            </option> --}}
                                                             
                                                         </select>
                                                     
@@ -599,10 +612,10 @@ if (!empty($history->data->submissions)) {
                     e.preventDefault();
                 })
 
-            let contact2 = document.getElementById('execution-contact_id_2');
+            /* let contact2 = document.getElementById('execution-contact_id_2');
                 contact2.addEventListener('mousedown', function(e) {
                     e.preventDefault();
-                })
+                }) */
 
             // let typeOfDr = document.getElementById('execution-type_of_dr');
             //     typeOfDr.addEventListener('mousedown', function(e) {
@@ -696,6 +709,7 @@ if (!empty($history->data->submissions)) {
         })
 
 
+        /* 
         $('.edit-plan-btn').click(function() {
             $('#execution-form-wrapper').show(100, () => {
                 $('#add-camp-btn').hide(0);
@@ -801,6 +815,9 @@ if (!empty($history->data->submissions)) {
             $typeDr.on('change', toggleFlutter);
         })
 
+ */
+
+
         $('#report-form').on('submit', function(event) {
             event.preventDefault();
             
@@ -832,28 +849,28 @@ if (!empty($history->data->submissions)) {
             });
         });
 
-        // $('#execution-sitazit_d_rx').attr({
-        //         "min":0,
-        //         "max":50
-        //     });
-        // $('#execution-sitazit_dm_rx').attr({
-        //         "min":0,
-        //         "max":50
-        //     });
-        // $('#execution-ziten_m_rx').attr({
-        //         "min":0,
-        //         "max":50
-        // });
-
+    
        
 
         $('#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'))
+            $('#field-speciality').val($('option:selected', this).attr('speciality'))
+            $('#field-msl_code').val($('option:selected', this).attr('msl_code'))
+            let restricted=$(this).find(":selected").attr('ardc_css_restricted_drs');
+            console.log("restricted:",restricted);
+            if (restricted === 'Yes') {
+
+                alert('Planning with these Doctors not allowed');
+
+                // Deselect current option
+                $(this).val('').trigger('change');
+
+                // Clear msl code as well
+                $('#field-msl_code').val('');
+            }
         })
         
 
@@ -883,6 +900,7 @@ if (!empty($history->data->submissions)) {
         
         $('#field-contact_id_2').change(function() {
                		 $('#field-msl_code').val($('option:selected', this).attr('msl_code'))
+                     
         })
         
         $('#execution-form').on('submit', function(event) {
@@ -1246,8 +1264,92 @@ $(document).ready(function () {
 });
 </script>
 
+<script>
 
+    // Existing submissions
+    let submissions = @json($history->data->submissions);
 
+    function markMonthlyAddedDoctors() {
+
+        // Current month & year
+        let today = new Date();
+
+        let currentMonth = today.getMonth();
+        let currentYear  = today.getFullYear();
+
+        // Store doctors already added this month
+        let addedDoctors = [];
+
+        submissions.forEach(function(submission){
+
+            let doctorName = submission.formdata?.contact_id ?? '';
+            let planDate   = submission.formdata?.plan_date ?? '';
+
+            if (!doctorName || !planDate) return;
+
+            let existingDate = new Date(planDate);
+
+            let existingMonth = existingDate.getMonth();
+            let existingYear  = existingDate.getFullYear();
+
+            // Same current month + year
+            if (
+                existingMonth === currentMonth &&
+                existingYear === currentYear
+            ) {
+                addedDoctors.push(doctorName.trim());
+            }
+
+        });
+
+        // Update dropdown options
+        $('#field-contact_id option').each(function(){
+
+            let optionText = $(this).text().replace(' (Already added)', '').trim();
+
+            // Reset old text
+            $(this).text(optionText);
+
+            // Skip placeholder
+            if ($(this).val() === '') return;
+
+            // If doctor already added this month
+            if (addedDoctors.includes(optionText)) {
+
+                $(this).text(optionText + ' (Already added)');
+                $(this).attr('data-added', 'yes');
+
+            } else {
+
+                $(this).removeAttr('data-added');
+
+            }
+
+        });
+
+    }
+
+    // Run initially
+    markMonthlyAddedDoctors();
+
+    // Prevent selection
+    $('#field-contact_id').change(function () {
+
+        let selectedOption = $(this).find(':selected');
+
+        let alreadyAdded = selectedOption.attr('data-added');
+
+        if (alreadyAdded === 'yes') {
+
+            alert('Doctor already added in this month');
+
+            $(this).val('').trigger('change');
+
+        }
+
+    });
+
+</script>
 
 </body>
 
diff --git a/resources/views/form/rapport-team4/1769684976-dc875a6c-519f-49fb-b8aa-54f4116f28d5.blade.php b/resources/views/form/rapport-team4/1769684976-dc875a6c-519f-49fb-b8aa-54f4116f28d5.blade.php
index ede83ba8..e2f6f13f 100644
--- a/resources/views/form/rapport-team4/1769684976-dc875a6c-519f-49fb-b8aa-54f4116f28d5.blade.php
+++ b/resources/views/form/rapport-team4/1769684976-dc875a6c-519f-49fb-b8aa-54f4116f28d5.blade.php
@@ -1,13 +1,57 @@
 <!DOCTYPE html>
 <html lang="en">
+
 <head>
     @include('layouts.shared/title-meta', ['title' => "Form"])
     @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
     <link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
+    <link href="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/css/select2.min.css" rel="stylesheet" />
+<style>
+
+/* =========================
+   SELECT2 CUSTOM HIGHLIGHT
+========================= */
+
+.select2-container .select2-selection--single{
+    height: 38px !important;
+    border: 1px solid #ced4da !important;
+    border-radius: 6px !important;
+    padding-top: 4px !important;
+}
+
+.select2-container--default .select2-selection--single .select2-selection__rendered{
+    line-height: 28px !important;
+}
+
+.select2-container--default .select2-selection--single .select2-selection__arrow{
+    height: 36px !important;
+}
+
+/* Dropdown option hover */
+.select2-results__option--highlighted{
+    background-color: #0d6efd !important;
+    color: white !important;
+}
+
+/* Selected option */
+.select2-results__option[aria-selected=true]{
+    background-color: #dbe9ff !important;
+    color: black !important;
+    font-weight: 600;
+}
+
+/* Search box */
+.select2-search__field{
+    border-radius: 5px !important;
+    padding: 6px !important;
+}
+
+</style>
 </head>
 <div id="pageloader">
-   <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
+    <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
 </div>
+
 <body class="loading">
     <div class="account-pages">
         <div class="container">
@@ -24,7 +68,8 @@
                             <div class="col-8">
                                 <h4 class="page-title">{{$form->title}}</h4>
                             </div>
-                            @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
+                            @if(!isset($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>
@@ -38,11 +83,19 @@
                                 <h6>Submitted By: {{$form->user_info->name}}</h6>
                             </div>
                             @endif
+
+                            @php
+                            $submissions = Formhelper::getMultiformData( $form->partition, $form_id, $form->user_id);
+                            $submissions = $submissions->data->submissions;
+                            
+
+                            @endphp
+                            @if(count($submissions)===0 || $id)
                             <form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
                                 <input type="hidden" name="form_id" value="{{$form_id}}">
                                 @csrf
                                 @if($id)
-                                <input type="hidden" name="id" value="{{$id}}">
+                                <input type="hidden" name="id[0]" value="{{$id}}">
                                 @endif
                                 @if(isset($form->manager_can_submit) && $form->manager_can_submit == true)
                                 <div class="col-md-12 mb-2">
@@ -56,83 +109,181 @@
                                     <input type="hidden" id="field-hierarchy_id" name="hierarchy_id" value="">
                                 </div>
                                 @endif
-                                
-
                                 @foreach($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>
+                                @if( !in_array($question->code,
+                                ["record_date","select_rxber_type"] ) )
+                                @continue;
+                                @endif
+                                <div class="col-md-12 mb-2">
+                                    <label for="field-{{$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" id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
+                                            <option value=""> -- Select -- </option>
+                                            @foreach ($question->options as $option)
+                                            <option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'msl_code= ' . $option->contact->msl_code . ' ' : '' }}  {{ $question->code == 'doctor_name' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
+                                                {{ $option->display }}
+                                            </option>
+
+                                            @endforeach
+                                            </select>
+                                    @break
+                                    @endswitch
+                                </div>
+                                @endforeach
+                                <div class="doctor-wrapper">
+                                    
+                                    @foreach($questions as $question)
+                                     @if( in_array($question->code,
+                                    ["record_date","select_rxber_type"] ) )
+                                    @continue;
+                                    @endif
+                                    <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)?$question->value:''}}">
-                                            @break
+                                        <input type="{{$question->type}}" id="field-{{$question->code}}"
+                                            name="{{$question->code}}[0]"
+                                            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
+                                        <input type="{{$question->type}}" id="field-{{$question->code}}"
+                                            name="{{$question->code}}[0]" class="form-control"
+                                            {{$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
+                                        <input type="{{$question->type}}" min="0" max="9999999999" step="1"
+                                            id="field-{{$question->code}}" name="{{$question->code}}[0]"
+                                            class="form-control" {{$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)?$question->value:''}}</textarea>
-                                            @break
+                                        <textarea id="field-{{$question->code}}" name="{{$question->code}}[0]"
+                                            class="form-control"
+                                            {{$question->required == 'yes'?'required':'' }}>{{isset($question->value)?$question->value:''}}</textarea>
+                                        @break
                                         @case('dropdown')
-                                        <select class="form-control" id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
-                                            <option value=""> -- Select -- </option>
-                                            @if ($question->code == 'contact_id')
-                                                @foreach ($question->options as $option)
-                                                @if( isset($option->contact->montair_lc_kid_non_rxber_survey) && $option->contact->montair_lc_kid_non_rxber_survey == 'Yes' )
-                                                <option value="{{ $option->value }}" speciality="{{isset($option->contact->speciality)?$option->contact->speciality:''}}" msl_code="{{isset($option->contact->msl_code)?$option->contact->msl_code:''}}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
-                                                    {{ $option->display }}
-                                                </option>
-                                                @endif
-                                                @endforeach
-                                            @else
-                                                @foreach ($question->options as $option)
-                                                <option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
-                                                    {{ $option->display }}
-                                                </option>
-                                                @endforeach
+                                        @if ($question->code == 'contact_id')
+                                                            <select class="form-control" id="field-{{ $question->code }}"
+                                                                name="{{ $question->code }}[0]"
+                                                                {{ $question->required == 'yes' ? 'required' : '' }}>
+                                                                <option value=""> -- Select -- </option>
+                                                                @foreach ($question->options as $option)
+                                                                    
+                                                                    
+                                                                        <option value="{{ $option->value }}"
+                                                                            {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
+                                                                            @if($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>
+                                                                    
+                                                                @endforeach
+                                                            </select>
+                                        @else
+                                                            <select class="form-control" id="execution-{{ $question->code }}"
+                                                                name="{{ $question->code }}[0]"
+                                                                {{ $question->required == 'yes' ? 'required' : '' }}>
+                                                                <option value=""> -- Select -- </option>
+                                                                @foreach ($question->options as $option)
+                                                                    <option value="{{ $option->value }}"
+                                                                        {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
+                                                                        {{ $option->display }}</option>
+                                                                @endforeach
+                                                            </select>
                                             @endif
-                                        </select>
-                                            @break
+                                        @break
                                         @case('checkbox')
+                                        @foreach($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}}[0]" 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">
                                             @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 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)?$option->val:0}}">
                                             </div>
                                             @endforeach
-                                            @break
-                                        @case('file')
-                                        @if(!isset($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">
-                                                @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>
+                                        @break
+                                        @endswitch
                                     </div>
-                                @endforeach
-                                @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
-                                <div class="text-center d-grid mt-3">
+                                    @endforeach
+                                </div>
+                                <div id="doctor-group-wrapper">
+
+                                </div>
+                                @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval !=
+                                'yes' ) )
+                                <div class="text-center button-list">
+                                    @if(!$id)
+                                    <button class="btn btn-primary" type="button" id="adddoctor-btn"> Add Doctor </button>
+                                    @endif
                                     <button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
                                 </div>
                                 @endif
                             </form>
-
+                            @elseif(!$id) 
+                            <h4>You have submitted 10 doctors</h4>
+                            @endif
                         </div> <!-- end card-body -->
                     </div>
                     <!-- end card -->
@@ -146,37 +297,415 @@
         <!-- 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;
-}
+    <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%;
-}
-.anti-heading{
-    font-weight: 600;
-    line-height: 1.2;
-}
+    #pageloader img {
+        left: 50%;
+        margin-left: -32px;
+        margin-top: -32px;
+        position: absolute;
+        top: 50%;
+    }
+
+    .doctor-wrapper {
+        border: 1px solid #ccc;
+        padding: 20px;
+        border-radius: 10px;
+        margin-bottom: 20px;
+    }
+    </style>
+    @include('layouts.shared/footer-script')
+    <script src="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/js/select2.min.js"></script>
+    <script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+    <script type="text/javascript">
+    jQuery(document).ready(function($) {
+        
+        $('#field-contact_id').on('change',function(){
+            $('#field-msl_code').val($(this).find(":selected").attr("msl_code"));
+        })
+
+        $('#field-contact_id').on('change',function(){
+            $('#field-speciality').val($(this).find(":selected").attr("speciality"));
+        })
+      
+        $('#field-msl_code,#field-speciality').attr('readonly',true);
+
+        function initializeSelect2() {
+
+            $('select[id^="field-contact_id"]').select2({
+                width: '100%',
+                placeholder: '-- Select Doctor --'
+            });
+
+            $('#field-user_id').select2({
+                width: '100%',
+                placeholder: '-- Select User / Territory --'
+            });
+
+            $('select[id^="execution-"]').select2({
+                width: '100%'
+            });
+        }
+
+        initializeSelect2();
+        preventDuplicateDoctors();
+
+
+       
+        /* function preventDuplicateDoctors() {
+
+            let selectedValues = [];
+
+            // Get all selected doctor values
+            $('select[id^="field-contact_id"]').each(function () {
+
+                let value = $(this).val();
+
+                if (value) {
+                    selectedValues.push(value);
+                }
+
+            });
+
+            // Apply duplicate prevention
+            $('select[id^="field-contact_id"]').each(function () {
+
+                let currentSelect = $(this);
+                let currentValue = currentSelect.val();
+
+                currentSelect.find('option').each(function () {
+
+                    let option = $(this);
+                    let optionValue = option.val();
+
+                    if (!optionValue) return;
+
+                    // Remove old text
+                    let cleanText = option.text().replace(' (Already Added)', '');
+
+                    if (
+                        selectedValues.includes(optionValue) &&
+                        optionValue !== currentValue
+                    ) {
+
+                        option.prop('disabled', true);
+                        option.text(cleanText + ' (Already Added)');
+
+                    } else {
+
+                        option.prop('disabled', false);
+                        option.text(cleanText);
+
+                    }
+
+                });
+
+                // 🔥 IMPORTANT
+                currentSelect.select2('destroy');
+
+                currentSelect.select2({
+                    width: '100%',
+                    placeholder: '-- Select Doctor --'
+                });
+
+            });
+
+        } */
+
+        function preventDuplicateDoctors() {
+
+            let selectedValues = [];
+
+            // Collect selected values
+            $('select[id^="field-contact_id"]').each(function () {
+
+                let value = $(this).val();
+
+                if (value) {
+                    selectedValues.push(value);
+                }
+
+            });
+
+            $('select[id^="field-contact_id"]').each(function () {
+
+                let currentSelect = $(this);
+                let currentValue = currentSelect.val();
+
+                currentSelect.find('option').each(function () {
+
+                    let option = $(this);
+                    let optionValue = option.val();
+
+                    if (!optionValue) return;
+
+                    // remove previous label
+                    let cleanText = option.text().replace(' (Already Added)', '');
+
+                    // IMPORTANT:
+                    // keep currently selected option enabled
+                    if (
+                        selectedValues.includes(optionValue) &&
+                        optionValue !== currentValue
+                    ) {
+
+                        option.prop('disabled', true);
+                        option.text(cleanText + ' (Already Added)');
+
+                    } else {
+
+                        option.prop('disabled', false);
+                        option.text(cleanText);
+
+                    }
+
+                });
+
+                // refresh select2 safely
+                if (currentSelect.hasClass("select2-hidden-accessible")) {
+                    currentSelect.select2('destroy');
+                }
+
+                currentSelect.select2({
+                    width: '100%',
+                    placeholder: '-- Select Doctor --'
+                });
+
+                // VERY IMPORTANT FOR EDIT MODE
+                currentSelect.val(currentValue).trigger('change.select2');
+
+            });
+
+        }
+
+
+
+        $(document).on('change', 'select[id^="field-contact_id"]', function () {
+
+            let selectedOption = $(this).find(':selected');
+
+            let id = $(this).attr('id').split('-').pop(); // get doctor_count dynamically
+
+            $('#field-msl_code-' + id).val(selectedOption.attr('msl_code'));
+            $('#field-speciality-' + id).val(selectedOption.attr('speciality'));
+            $('#field-msl_code-'+id).attr('readonly',true);
+            $('#field-speciality-'+id).attr('readonly',true);
+
+            preventDuplicateDoctors();
+        });
+        
+        $('#field-monthly_prescription_value,#field-potential_prescription_value,#field-current_prescription_value').parent().hide();
+        $('#field-monthly_prescription_value,#field-potential_prescription_value,#field-current_prescription_value').attr('required',false);
+
+        $('#execution-prescriber').on('change',function(){
+            let value=$(this).val();
+            console.log("Prescriber : ",value);
+            if(value==='Yes'){
+                $('#field-monthly_prescription_value,#field-potential_prescription_value,#field-current_prescription_value').parent().show();
+                $('#field-monthly_prescription_value,#field-potential_prescription_value,#field-current_prescription_value').attr('required',true);
+
+            }
+            else{
+                $('#field-monthly_prescription_value,#field-potential_prescription_value,#field-current_prescription_value').parent().hide();
+                $('#field-monthly_prescription_value,#field-potential_prescription_value,#field-current_prescription_value').attr('required',false);
+            }
+        })
+
+        
+        var doctor_count = 0
+        let numberOfSubmission=0;
+        console.log("Number of Submission : ",numberOfSubmission);
+        $('#adddoctor-btn').click(function() {
+            let doctorName=$('#field-contact_id').html();
+
+            console.log("Doctor Name : ",doctorName);
+            doctor_count++;
+            numberOfSubmission=numberOfSubmission+1;
+            console.log("Number of Submission : ",numberOfSubmission);
+            
+            let empty_doctor = `
+            
+            <div class="doctor-wrapper">
+                                        @foreach($questions as $question)
+                                        @if( in_array($question->code,
+                                            ["record_date","select_rxber_type"] ) )
+                                            @continue;
+                                        @endif
+                                        
+                                        <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}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" value="{{isset($question->value)?$question->value:''}}">
+                                                @break
+                                            @case('text')
+                                            @case('file')
+                                            @case('email')
+                                            @case('tel')
+                                            @case('date')
+                                                <input type="{{$question->type}}" id="field-{{$question->code}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" 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-{{$question->code}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" class="form-control" {{$question->required == 'yes'?'required':'' }}  value="{{isset($question->value)?$question->value:0}}">
+                                                @break
+                                            @case('dropdown')
+                                                <select class="form-control" id="field-{{$question->code}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" {{$question->required == 'yes'?'required':'' }}>
+                                                    @if($question->code=='contact_id')
+                                                    ${doctorName}
+                                                    @else
+                                                    <option value=""> -- Select -- </option>
+                                            @foreach($question->options as $option)
+                                            <option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'msl_code= ' . $option->contact->msl_code . ' ' : '' }}  {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
+                                                {{ $option->display }}
+                                            </option>
+                                            @endforeach
+                                                    @endif
+                                                </select>
+                                                @break
+                                        @endswitch
+                                        </div>
+                                    @endforeach </div>`;
+            
+
+            $('#doctor-group-wrapper').append(empty_doctor)
+            
+            $('#field-contact_id-'+doctor_count).select2({
+               
+                width: '100%',
+                placeholder: '-- Select Doctor --'
+            });
+             preventDuplicateDoctors();
+
+
+            $('select[id^="execution-"]').select2({
+                width: '100%'
+            });
+
+                                     
+            
+           
+            setTimeout(() => {
+                    $('#field-msl_code-'+doctor_count).attr('readonly',true);
+                    $('#field-speciality-'+doctor_count).attr('readonly',true);
+                        
+               
+            }, 500);
+
+            
+            
+
+            if ($('.doctor-wrapper').length >= 10) {
+                $('#adddoctor-btn').hide();
+            } else {
+                $('#adddoctor-btn').show();
+            }
+            
+
+
+
+
+            /* $('.btn-remove').unbind();
+            $('.btn-remove').click(function() {
+                $(this).closest('.doctor-wrapper').find('select').select2('destroy');
+                $(this).closest('.doctor-wrapper').remove();
+                numberOfSubmission--;
+                doctor_count--
+                preventDuplicateDoctors();
+                console.log("New Number of Submission : ",numberOfSubmission);
+                console.log("Number of doctors : ",doctor_count);
+                $('#adddoctor-btn').show();
+            }) */
+
+            for (let i = 1; i <= 10; i++) {
+
+                $('#field-monthly_prescription_value-' + i).closest('.col-md-12').hide();
+                $('#field-potential_prescription_value-' + i).closest('.col-md-12').hide();
+                $('#field-current_prescription_value-' + i).closest('.col-md-12').hide();
+
+                $('#field-monthly_prescription_value-' + i).prop('required',false);
+                $('#field-potential_prescription_value-' + i).prop('required',false);
+                $('#field-current_prescription_value-' + i).prop('required',false);
+
+
+            }
+
+
+        
+
+
+            // Show/Hide fields based on Prescriber dropdown
+            $(document).on('change', 'select[id^="field-prescriber-"]', function () {
+
+                let id = $(this).attr('id').split('-').pop();
+
+                let value = $(this).val();
+
+                if (value === 'Yes') {
+
+                    $('#field-monthly_prescription_value-' + id)
+                        .closest('.col-md-12')
+                        .show();
+
+                    $('#field-potential_prescription_value-' + id)
+                        .closest('.col-md-12')
+                        .show();
+
+                    $('#field-current_prescription_value-' + id)
+                        .closest('.col-md-12')
+                        .show();
+
+                    $('#field-monthly_prescription_value-' + id).prop('required',true);
+                    $('#field-potential_prescription_value-' + id).prop('required',true);
+                    $('#field-current_prescription_value-' + id).prop('required',true);
+
+                } else {
+
+                    $('#field-monthly_prescription_value-' + id)
+                        .closest('.col-md-12')
+                        .hide();
+
+                    $('#field-potential_prescription_value-' + id)
+                        .closest('.col-md-12')
+                        .hide();
+
+                    $('#field-current_prescription_value-' + id)
+                        .closest('.col-md-12')
+                        .hide();
+
+                    $('#field-monthly_prescription_value-' + id).prop('required',false);
+                    $('#field-potential_prescription_value-' + id).prop('required',false);
+                    $('#field-current_prescription_value-' + id).prop('required',false);
+
+                }
+
+            });
+
+
+            // Trigger once on page load (important for edit mode)
+            $('select[id^="field-prescriber-"]').trigger('change');
+
+
+
+        })
+
+
+        for (let i = 0; i < 9; i++) {
+            $('#adddoctor-btn').trigger('click');
+        }
 
-</style>
-@include('layouts.shared/footer-script')
-<script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
-<script type="text/javascript">
-    jQuery(document).ready(function($){
         $('#field-user_id').change(function(){
             let hierarchy = $('option:selected', this).attr('hierarchy');
             $('#field-hierarchy_id').val(hierarchy)
             event.preventDefault();
+            $('#pageloader').fadeIn();
             $.ajax({
                 type: "GET",
                 url: '/form/getdoctorlist?partition={{$form->partition}}&hierarchy='+hierarchy,
@@ -186,157 +715,48 @@
                     $("#pageloader").fadeOut();
                     $('#field-contact_id').html('')
                     $('#field-contact_id').append($("<option></option>").attr("value",'').text('-- Select --'));
-                    for(let itm of data) {
-                        if(itm.contact.hasOwnProperty('montair_lc_kid_non_rxber_survey') && itm.contact.montair_lc_kid_non_rxber_survey.toLowerCase() == 'yes') {
-                            console.log(itm)
-                            $('#field-contact_id').append($("<option></option>").attr("msl_code", itm.contact.msl_code).attr("value", itm.value).text(itm.display));
-                        }
+                    for (let itm of data) {
+                        $('#field-contact_id').append($("<option></option>").attr("value",itm.value).text(itm.display).attr("msl_code", itm.contact.msl_code).attr("speciality", itm.contact.speciality));
                     }
 
-                    $('#field-contact_id').unbind()
-                    $('#field-contact_id').change(function(){
-                        $('#field-msl_code').val( $('option:selected', this).attr('sbu_code') );
-                    })
-                                
+                    $('#field-contact_id').change(function() {
+                        $('#field-msl_code').val($('option:selected', this).attr('msl_code'))
+                    })  
+                    
+                    $('#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'))
-        })
-
-        $('#field-msl_code,#field-speciality').attr('readonly',true);
-        
-        //$('label[for="field-cough"]').html("<h4>In What % of patients do you prescribe ANTI HISTAMINE? </h4>Cough")   
-        $('label[for="field-seasonal_ar"]').html("<h5>4) Duration of Treatment : </h5>A) Seasonal AR <span class='text-danger'>*</span>");
-        $('label[for="field-perrenial_ar"]').html("B) PERRENIAL AR <span class='text-danger'>*</span>");
-
-        $('label[for="field-in_what_conditions_do_you_prescribe_anti_histamine-Asthma"]').after('<h5 class="anti-heading">2)In what % of patients do you prescribe ANTI HISTAMINE?</h5>');
-
-        $('label[for="field-in_what_conditions_do_you_prescribe_anti_histamine"]').html('1) In what conditions do you prescribe ANTI HISTAMINE ?<span class="text-danger">*</span>')
-        
-        $('label[for="field-which_is_your_preferred_anti_histamine"]').html("3)Which is your preferred ANTI HISTAMINE ? <span class='text-danger'>*</span>")
-
-        $('label[for="field-reason_to_prefer_a_brand"]').html('5) Reason to prefer a brand <span class="text-danger">*</span>');
-        $('label[for="field-reasons_to_not_prescribe_montair_lc_kid"]').html('6) Reasons to NOT PRESCRIBE MONTAIR LC KID <span class="text-danger">*</span>')
-
-        $('label[for="field-cough"]').html('Cough<span class="text-danger">*</span>');
-        $('label[for="field-cold"]').html('Cold<span class="text-danger">*</span>');
-        $('label[for="field-fever"]').html('Fever<span class="text-danger">*</span>');
-        $('label[for="field-sore_throat"]').html('Sore Throat<span class="text-danger">*</span>');
-        $('label[for="field-seasonal_and_perennial_allergic_rhinitis"]').html('Seasonal & Perennial Allergic Rhinitis<span class="text-danger">*</span>');
-        $('label[for="field-asthma"]').html('Asthma<span class="text-danger">*</span>');
-        
-
-        $('.col-md-12').has('select').has('select:not(#field-contact_id)').not(':has(.anti-heading)').each(function () {
-            $(this).css({
-                display: 'flex',
-                alignItems: 'center',
-                gap: '15px'
-            });
-
-            $(this).find('label').css({
-                width: '50%',
-                marginBottom: '0'
-            });
-
-            $(this).find('select').css({
-                width: '50%'
-            });
-        });
-
-
-
-        $(document).on('click', 'input[name="seasonal_ar[]"]', function () {
-            $('input[name="seasonal_ar[]"]').not(this).prop('checked', false);
-            $(this).prop('checked', true);
-        });
-
-        $(document).on('click', 'input[name="perrenial_ar[]"]', function () {
-            $('input[name="perrenial_ar[]"]').not(this).prop('checked', false);
-            $(this).prop('checked', true);
-        });
-          
-        $("#report-form").on("submit", function (e) {
 
+        $('#report-form').on('submit', function(event) {
+            event.preventDefault();
             
 
-        });
-
-        $('#report-form').on('submit', function(event){
-            event.preventDefault();
-
-            let checkedCount = $('input[name="which_is_your_preferred_anti_histamine[]"]:checked').length;
-            console.log("checkedCount : ",checkedCount);
-            if (checkedCount === 0) {
-                alert("Please select at least one option from your preferred ANTI HISTAMINE.");
-                event.preventDefault(); // stop form submission
-                return false;
-            }
-
-            let checkedCount2 = $('input[name="in_what_conditions_do_you_prescribe_anti_histamine[]"]:checked').length;
-            console.log("checkedCount 2 : ",checkedCount2);
-            if (checkedCount2 === 0) {
-                alert("Please select at least one option from what conditions do you prescribe ANTI HISTAMINE.");
-                event.preventDefault(); // stop form submission
-                return false;
-            }
-
-            let checkedCount3 = $('input[name="seasonal_ar[]"]:checked').length;
-            console.log("checkedCount 3 : ",checkedCount3);
-            if (checkedCount3 === 0) {
-                alert("Please select at least one option from Seasonal AR");
-                event.preventDefault(); // stop form submission
-                return false;
-            }
-
-            let checkedCount4 = $('input[name="perrenial_ar[]"]:checked').length;
-            console.log("checkedCount 4 : ",checkedCount4);
-            if (checkedCount4 === 0) {
-                alert("Please select at least one option from PERRENIAL AR");
-                event.preventDefault(); // stop form submission
-                return false;
-            }
-
-            let checkedCount5 = $('input[name="reason_to_prefer_a_brand[]"]:checked').length;
-            console.log("checkedCount 5 : ",checkedCount5);
-            if (checkedCount5 === 0) {
-                alert("Please select at least one option from Reason to prefer a brand");
-                event.preventDefault(); // stop form submission
-                return false;
-            }
-
-            let checkedCount6 = $('input[name="reasons_to_not_prescribe_montair_lc_kid[]"]:checked').length;
-            console.log("checkedCount 6 : ",checkedCount6);
-            if (checkedCount6 === 0) {
-                alert("Please select at least one option from Reasons to NOT PRESCRIBE MONTAIR LC KID");
-                event.preventDefault(); // stop form submission
-                return false;
-            }
+            
 
             $("#pageloader").fadeIn();
             $.ajax({
                 type: "POST",
-                url: '/form/ajaxsubmit',
+                url: '/form/ajaxsubmitmultiple',
                 data: new FormData($('#report-form')[0]),
                 processData: false,
                 contentType: false,
-                success: function( data ) {
+                success: function(data) {
                     $("#pageloader").fadeOut();
-                    if(data.status == 'success') {
+                    if (data.status == 'success') {
                         Swal.fire({
-                          title: 'Great!',
-                          text: 'Your data is successfully submitted!',
-                          icon: 'success'
-                        })
+                            title: 'Great!',
+                            text: 'Your data is successfully submitted!',
+                            icon: 'success'
+                        }).then(() => {
+                            location.reload(); // 🔥 page refresh here
+                                    });
                         $('#report-form').trigger("reset");
                     } else {
                         Swal.fire({
@@ -349,17 +769,8 @@
             });
         });
 
-            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>
+    </script>
 </body>
 
-</html>
\ No newline at end of file
+</html>
diff --git a/resources/views/form/rapport-team4/1777991655-af4c1986-1393-408b-87ec-f0dd77dae110.blade.php b/resources/views/form/rapport-team4/1777991655-af4c1986-1393-408b-87ec-f0dd77dae110.blade.php
index 3e7551f7..bd8cede1 100644
--- a/resources/views/form/rapport-team4/1777991655-af4c1986-1393-408b-87ec-f0dd77dae110.blade.php
+++ b/resources/views/form/rapport-team4/1777991655-af4c1986-1393-408b-87ec-f0dd77dae110.blade.php
@@ -81,16 +81,16 @@
                                     </div>
                                 @endif
 
-                                <!-- <div class="col-12 mb-2">
-                                    
-                                </div> -->
+                                {{-- <div class="col-12 mb-2">
+                                    <button type="button" class="btn btn-outline-primary btn-sm" id="add-doctor-btn">Add Doctor</button>
+                                </div> --}}
 
                                 <div class="col-12" id="doctor-cards">
                                     <div class="card doctor-card border border-2 mb-3">
                                         <div class="card-body p-2">
-                                            <div class="d-flex justify-content-between align-items-center mb-2">
-                                                <div class="fw-bold">Doctor</div>
-                                                <button type="button" class="btn btn-outline-danger btn-sm remove-doctor-btn d-none">Remove</button>
+                                            <div class="d-flex align-items-end mb-2">
+                                                {{-- <div class="fw-bold">Doctor</div> --}}
+                                                <button type="button" class="btn btn-outline-danger btn-sm remove-doctor-btn d-none ms-auto">Remove</button>
                                             </div>
 
                                             @foreach($doctorQuestions as $question)
@@ -107,7 +107,7 @@
                                                         <input type="{{$question->type}}" name="{{$question->code}}[]" data-code="{{$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" name="{{$question->code}}[]" data-code="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }}  value="{{isset($question->value)?$question->value:0}}">
+                                                        <input type="{{$question->type}}"  min="0" max="9999999999" step="1" name="{{$question->code}}[]" data-code="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }}  value="{{isset($question->value)?$question->value:0}}">
                                                         @break
                                                     @case('textarea')
                                                         <textarea name="{{$question->code}}[]" data-code="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }}>{{isset($question->value)?$question->value:''}}</textarea>
@@ -166,16 +166,12 @@
                                 </div>
 
                                 @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
-                                
-                                <div class="row">
-                                    <div class="col-6 text-center d-grid mt-3" >
-                                        <button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
-                                    </div>
-                                    <div class="col-6 text-center d-grid mt-3">
-                                        <button type="button" class="btn btn-warning btn-sm" id="add-doctor-btn">Add Doctor</button>
-                                    </div>
+                                <div class="d-grid mt-3">
+                                    <button type="button" class="btn btn-outline-primary btn-sm" id="add-doctor-btn">Add Doctor</button>
+                                </div>
+                                <div class="text-center d-grid mt-3">
+                                    <button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
                                 </div>
-
                                 @endif
                             </form>
 
@@ -362,6 +358,189 @@
             });
         });
 
+
+        $(document).ready(function () {
+
+    // Define doctor dropdown
+    let $doctorSelect = $('.js-contact-id');
+
+    // Store original options
+    let originalOptions = $doctorSelect.find('option').clone();
+
+        $(document).on('change', '.js-campaign-type', function () {
+
+            /* let selectedCampaign = $(this).html(); */
+            let selectedCampaign = ($(this).val() || '').trim();
+
+            selectedCampaign = selectedCampaign.replace(/@/g, '').replace(/\s+/g, ' ').trim();
+
+
+            /* if (selectedCampaign === '7 PM Conversion Campaign') {
+                console.log("Selected 7 PM");
+                $('[data-code="rxs_given_for_montair_lc_adult"]')
+                    .attr('min', 15);
+
+            } else if (selectedCampaign === 'MLC A Pedia Campaign') {
+                console.log("Selected MLC A");
+                $('[data-code="rxs_given_for_montair_lc_adult"]')
+                    .attr('min', 8);
+
+            } */
+
+
+            let $wrapper2 = $(this).closest('.doctor-card');
+
+            let $rxField = $wrapper2.find('[data-code="rxs_given_for_montair_lc_adult"]');
+
+            if (selectedCampaign === '7 PM Conversion Campaign') {
+                console.log("Selected 7 PM");
+
+                $rxField.attr('min', 15);
+
+            } else if (selectedCampaign === 'MLC A Pedia Campaign') {
+                console.log("Selected MLC A");
+
+                $rxField.attr('min', 8);
+            }
+
+
+
+            console.log("Selected Campaign:", selectedCampaign);
+
+            let $wrapper = $(this).closest('.doctor-card');
+
+            // Doctor dropdown ONLY inside current wrapper
+            $doctorSelect = $wrapper.find('.js-contact-id');
+
+            // Destroy select2 temporarily
+            $doctorSelect.select2('destroy');
+
+            // Empty dropdown
+            $doctorSelect.empty();
+
+            // Array to collect pediatrician doctors
+            let pediatricianDoctors = [];
+
+            // Loop through original options
+            originalOptions.each(function () {
+
+                let $option = $(this).clone();
+                /* console.log($option); */
+
+                let speciality = ($option.attr('speciality') || '').trim();
+                
+
+                /* console.log("Speciality:", speciality); */
+
+                // Keep default option
+                if ($option.val() === '') {
+                    console.log("Doctor:",$option.val());
+                    $doctorSelect.append($option);
+                    return;
+                }
+
+                // Show all doctors
+                if (selectedCampaign === '7 PM Conversion Campaign') {
+                    console.log("7PM");
+                    $doctorSelect.append($option);
+                }else  if (selectedCampaign === 'MLC A Pedia Campaign')  {
+                    console.log("*",selectedCampaign);
+            
+                    
+                    if (speciality === 'PAEDIATRICIAN' || speciality === 'Paediatrician' ||speciality === 'paediatrician' ) {
+                        
+                        pediatricianDoctors.push($option)
+                        
+                
+                    }
+                
+                }
+
+            
+
+            });
+
+                // Append pediatrician doctors
+            if (selectedCampaign === 'MLC A Pedia Campaign') {
+
+                pediatricianDoctors.forEach(function ($doctor) {
+
+                    $doctorSelect.append($doctor);
+                });
+            }
+
+                // Reinitialize select2
+                $doctorSelect.select2();
+
+                // Reset selection
+                $doctorSelect.val('').trigger('change');
+            });
+
+            
+
+            
+        });
+
+        
+        $('#field-record_date').closest('.col-md-12').before(`
+    <div class="col-md-12 mb-3">
+        <div class="p-3 rounded shadow-sm border" 
+             style="background: #fff8e1; border-left: 5px solid #ff9800;">
+
+            <h5 class="fw-bold text-dark mb-3 text-center">
+                 Campaign Guidelines
+            </h5>
+
+            <div class="mb-3">
+                <h6 class="fw-bold text-primary">
+                    7PM Conversion Campaign
+                </h6>
+
+                <p class="mb-1">
+                    <strong>Target Drs :</strong> 
+                    25 Drs Mont+Fexo & Mont+Bila Drs
+                </p>
+
+                <p class="mb-1">
+                    <strong>Conversion :</strong> 
+                    5 Conversions for Montair LC Adult
+                </p>
+
+                <p class="mb-1">
+                    <strong> Goal : </strong>
+                    Each conversion with 15 Rxs Montair LC Adult
+                </p>
+            </div>
+
+            <hr>
+
+            <div>
+                <h6 class="fw-bold text-primary">
+                    MLC Adult @Pedia
+                </h6>
+
+                <p class="mb-1">
+                    <strong>Target Drs :</strong> 
+                    10 Drs Mont+Fexo & Mont+Bila Drs
+                </p>
+
+                <p class="mb-1">
+                    <strong>Conversion :</strong> 
+                    5 Conversions for Montair LC Adult
+                </p>
+
+                <p class="mb-1">
+                    <strong>Goal : </strong>
+                    Each conversion with 8 Rxs Montair LC Adult
+                </p>
+            </div>
+
+        </div>
+    </div>
+`);
+        
+        
+        
         $('#report-form').on('submit', function(event){
             event.preventDefault();
             $("#pageloader").fadeIn();
diff --git a/resources/views/form/rapport-team4/1778148311-e733ad7d-9c7b-4b7c-bef5-5fed13a0fc04.blade.php b/resources/views/form/rapport-team4/1778148311-e733ad7d-9c7b-4b7c-bef5-5fed13a0fc04.blade.php
index a3a0af07..aef91851 100644
--- a/resources/views/form/rapport-team4/1778148311-e733ad7d-9c7b-4b7c-bef5-5fed13a0fc04.blade.php
+++ b/resources/views/form/rapport-team4/1778148311-e733ad7d-9c7b-4b7c-bef5-5fed13a0fc04.blade.php
@@ -328,7 +328,115 @@
             });
         @endif
 
-    
+        
+
+        /* for (let i = 1; i <= 10; i++) {
+
+            $(`#field-email_id_${i}`).on('input', function () {
+
+                // Remove spaces
+                this.value = this.value.replace(/\s/g, '');
+            });
+
+            $(`#field-email_id_${i}`).on('blur', function () {
+
+                let email = $(this).val().trim();
+
+                let emailPattern = /^[^\s@]+@[^\s@]+\.[^\s@]+$/;
+
+                if (email !== '' && !emailPattern.test(email)) {
+                    alert('Please enter a valid email address');
+                    $(this).focus();
+                }
+            });
+
+        } */
+
+        for (let i = 1; i <= 10; i++) {
+
+            $(`#field-email_id_${i}`).on('input', function () {
+
+                // Remove spaces
+                this.value = this.value.replace(/\s/g, '');
+
+            });
+
+            $(`#field-email_id_${i}`).on('blur', function () {
+
+                let email = $(this).val().trim();
+
+                let emailPattern = /^[^\s@]+@[^\s@]+\.[^\s@]+$/;
+
+                // Remove old error
+                $(this).next('.email-error').remove();
+
+                if (email !== '' && !emailPattern.test(email)) {
+
+                    $(this).addClass('is-invalid');
+
+                    $(this).after(`
+                        <small class="text-danger email-error">
+                            Please enter a valid email address
+                        </small>
+                    `);
+
+                } else {
+
+                    $(this).removeClass('is-invalid');
+
+                }
+
+            });
+
+        }
+
+
+        for(let i=1;i<=10;i++){
+            $(`#field-msl_code_${i}`).prop('readonly',true);
+            $(`#field-speciality_${i}`).prop('readonly',true);
+
+        }
+
+        for (let i = 1; i <= 10; i++) {
+
+            $(`#field-mobile_number_${i}`).on('input', function () {
+
+                // Allow only numbers
+                this.value = this.value.replace(/\D/g, '');
+
+                // Limit to 10 digits
+                if (this.value.length > 10) {
+                    this.value = this.value.slice(0, 10);
+                }
+
+            });
+
+            // Validation on form submit / field blur
+            $(`#field-mobile_number_${i}`).on('blur', function () {
+
+                if (this.value.length !== 10) {
+                    $(this).addClass('is-invalid');
+
+                    // Optional message
+                    if (!$(this).next('.error-msg').length) {
+                        $(this).after(
+                            `<small class="text-danger error-msg">
+                                Mobile number must be exactly 10 digits
+                            </small>`
+                        );
+                    }
+
+                } else {
+                    $(this).removeClass('is-invalid');
+                    $(this).next('.error-msg').remove();
+                }
+
+            });
+        }
+
+
+
+
         // Loop through hierarcies and fetch contacts for each hierarchy, store in contacts variable
         
         // $('#field-user_id').change(function(){
diff --git a/resources/views/form/rapport-team4/1779442011-6310b301-bb23-48fd-9f94-ad4f1959d0a6.blade.php b/resources/views/form/rapport-team4/1779442011-6310b301-bb23-48fd-9f94-ad4f1959d0a6.blade.php
new file mode 100644
index 00000000..503d9c04
--- /dev/null
+++ b/resources/views/form/rapport-team4/1779442011-6310b301-bb23-48fd-9f94-ad4f1959d0a6.blade.php
@@ -0,0 +1,798 @@
+<!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="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/css/select2.min.css" rel="stylesheet" />
+<style>
+
+/* =========================
+   SELECT2 CUSTOM HIGHLIGHT
+========================= */
+
+.select2-container .select2-selection--single{
+    height: 38px !important;
+    border: 1px solid #ced4da !important;
+    border-radius: 6px !important;
+    padding-top: 4px !important;
+}
+
+.select2-container--default .select2-selection--single .select2-selection__rendered{
+    line-height: 28px !important;
+}
+
+.select2-container--default .select2-selection--single .select2-selection__arrow{
+    height: 36px !important;
+}
+
+/* Dropdown option hover */
+.select2-results__option--highlighted{
+    background-color: #0d6efd !important;
+    color: white !important;
+}
+
+/* Selected option */
+.select2-results__option[aria-selected=true]{
+    background-color: #dbe9ff !important;
+    color: black !important;
+    font-weight: 600;
+}
+
+/* Search box */
+.select2-search__field{
+    border-radius: 5px !important;
+    padding: 6px !important;
+}
+
+</style>
+</head>
+<div id="pageloader">
+    <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
+</div>
+
+<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 = $submissions->data->submissions;
+                            /*echo "<pre>";
+                            print_r($submissions);
+                            echo "</pre>";*/
+                            
+                            $submissions = Formhelper::getMultiformData(
+    $form->partition,
+    $form_id,
+    $form->user_id
+);
+
+$submissions = $submissions->data->submissions;
+
+$submittedDoctors = collect($submissions)->map(function ($item) {
+
+        return $item->formdata->cont_id ?? null;
+
+    })->filter()->unique()->values()->toArray();
+
+/* echo "<pre>";
+print_r($submittedDoctors);
+echo "</pre>";
+ */
+
+
+                            @endphp
+                            {{-- @if(count($submissions)===0 || $id) --}}
+                            <form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
+                                <input type="hidden" name="form_id" value="{{$form_id}}">
+                                @csrf
+                                @if($id)
+                                <input type="hidden" name="id[0]" value="{{$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 $question)
+                                @if( !in_array($question->code,
+                                ["record_date","select_rxber_type"] ) )
+                                @continue;
+                                @endif
+                                <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" id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
+                                            <option value=""> -- Select -- </option>
+                                            @foreach ($question->options as $option)
+                                            <option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'msl_code= ' . $option->contact->legacy_code . ' ' : '' }}  {{ $question->code == 'doctor_name' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
+                                                {{ $option->display }}
+                                            </option>
+
+                                            @endforeach
+                                            </select>
+                                    @break
+                                    @endswitch
+                                </div>
+                                @endforeach
+                                <div class="doctor-wrapper">
+                                    
+                                    @foreach($questions as $question)
+                                     @if( in_array($question->code,
+                                    ["record_date","select_rxber_type"] ) )
+                                    @continue;
+                                    @endif
+                                    <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="{{$question->code}}[0]"
+                                            value="{{isset($question->value)?$question->value:''}}">
+                                        @break
+                                        @case('text')
+                                        @case('email')
+                                        @case('tel')
+                                        @case('date')
+                                        <input type="{{$question->type}}" id="field-{{$question->code}}"
+                                            name="{{$question->code}}[0]" 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}}[0]"
+                                            class="form-control" {{$question->required == 'yes'?'required':'' }}
+                                            value="{{isset($question->value)?$question->value:0}}">
+                                        @break
+                                        @case('textarea')
+                                        <textarea id="field-{{$question->code}}" name="{{$question->code}}[0]"
+                                            class="form-control"
+                                            {{$question->required == 'yes'?'required':'' }}>{{isset($question->value)?$question->value:''}}</textarea>
+                                        @break
+                                        @case('dropdown')
+                                        @if ($question->code == 'contact_id')
+                                                            <select class="form-control" id="field-{{ $question->code }}"
+                                                                name="{{ $question->code }}[0]"
+                                                                {{ $question->required == 'yes' ? 'required' : '' }}>
+                                                                <option value=""> -- Select -- </option>
+                                                                @foreach ($question->options as $option)
+                                                                    
+                                                                    
+                                                                        <option value="{{ $option->value }}"
+                                                                            {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
+                                                                            @if($question->code == 'contact_id')
+                                                                                msl_code="{{ (isset($option->contact->legacy_code) ? $option->contact->legacy_code : '') }}"
+                                                                                speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
+                                                                            @endif
+                                                                            >
+                                                                            {{ $option->display }}
+                                                                        </option>
+                                                                    
+                                                                @endforeach
+                                                            </select>
+                                        @else
+                                                            <select class="form-control" id="field-{{ $question->code }}"
+                                                                name="{{ $question->code }}[0]"
+                                                                {{ $question->required == 'yes' ? 'required' : '' }}>
+                                                                <option value=""> -- Select -- </option>
+                                                                @foreach ($question->options as $option)
+                                                                    <option value="{{ $option->value }}"
+                                                                        {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
+                                                                        {{ $option->display }}</option>
+                                                                @endforeach
+                                                            </select>
+                                            @endif
+                                        @break
+                                        @case('checkbox')
+                                        @foreach($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}}[0]" 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">
+                                            @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
+                                </div>
+                                <div id="doctor-group-wrapper">
+
+                                </div>
+                                @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval !=
+                                'yes' ) )
+                                <div class="text-center button-list">
+                                    @if(!$id)
+                                    <button class="btn btn-primary" type="button" id="adddoctor-btn"> Add Doctor </button>
+                                    @endif
+                                    <button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
+                                </div>
+                                @endif
+                            </form>
+                            {{-- @elseif(!$id) 
+                            <h4>You have submitted 10 doctors</h4>
+                            @endif --}}
+                        </div> <!-- end card-body -->
+                    </div>
+                    <!-- end card -->
+
+                    <!-- end row -->
+
+                </div> <!-- end col -->
+            </div>
+            <!-- end row -->
+        </div>
+        <!-- end container -->
+    </div>
+    <!-- end page -->
+    <style type="text/css">
+    #pageloader {
+        background: rgba(255, 255, 255, 0.8);
+        display: none;
+        height: 100%;
+        position: fixed;
+        width: 100%;
+        z-index: 9999;
+    }
+
+    #pageloader img {
+        left: 50%;
+        margin-left: -32px;
+        margin-top: -32px;
+        position: absolute;
+        top: 50%;
+    }
+
+    .doctor-wrapper {
+        border: 1px solid #ccc;
+        padding: 20px;
+        border-radius: 10px;
+        margin-bottom: 20px;
+    }
+    </style>
+    @include('layouts.shared/footer-script')
+    <script src="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/js/select2.min.js"></script>
+    <script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+    <script type="text/javascript">
+    jQuery(document).ready(function($) {
+        
+        $('#field-contact_id').on('change',function(){
+            $('#field-msl_code').val($(this).find(":selected").attr("msl_code"));
+        })
+
+        $('#field-contact_id').on('change',function(){
+            $('#field-speciality').val($(this).find(":selected").attr("speciality"));
+        })
+      
+        $('#field-msl_code,#field-speciality').attr('readonly',true);
+        
+        window.submittedDoctors = @json($submittedDoctors);
+
+        function initializeSelect2() {
+
+            $('select[id^="field-contact_id"]').select2({
+                width: '100%',
+                placeholder: '-- Select Doctor --'
+            });
+
+            $('#field-user_id').select2({
+                width: '100%',
+                placeholder: '-- Select User / Territory --'
+            });
+
+            $('select[id^="execution-"]').select2({
+                width: '100%'
+            });
+        }
+
+        initializeSelect2();
+        preventDuplicateDoctors(window.submittedDoctors);
+
+
+       
+        
+        
+         
+        
+
+        /*function preventDuplicateDoctors() {
+
+            let selectedValues = [];
+
+            // Collect selected values
+            $('select[id^="field-contact_id"]').each(function () {
+
+                let value = $(this).val();
+
+                if (value) {
+                    selectedValues.push(value);
+                }
+
+            });
+
+            $('select[id^="field-contact_id"]').each(function () {
+
+                let currentSelect = $(this);
+                let currentValue = currentSelect.val();
+
+                currentSelect.find('option').each(function () {
+
+                    let option = $(this);
+                    let optionValue = option.val();
+
+                    if (!optionValue) return;
+
+                    // remove previous label
+                    let cleanText = option.text().replace(' (Already Added)', '');
+
+                    // IMPORTANT:
+                    // keep currently selected option enabled
+                    if (
+                        selectedValues.includes(optionValue) &&
+                        optionValue !== currentValue
+                    ) {
+
+                        option.prop('disabled', true);
+                        option.text(cleanText + ' (Already Added)');
+
+                    } else {
+
+                        option.prop('disabled', false);
+                        option.text(cleanText);
+
+                    }
+
+                });
+
+                // refresh select2 safely
+                if (currentSelect.hasClass("select2-hidden-accessible")) {
+                    currentSelect.select2('destroy');
+                }
+
+                currentSelect.select2({
+                    width: '100%',
+                    placeholder: '-- Select Doctor --'
+                });
+
+                // VERY IMPORTANT FOR EDIT MODE
+                currentSelect.val(currentValue).trigger('change.select2');
+
+            });
+
+        }*/
+
+        
+
+        function preventDuplicateDoctors(submittedDoctors = []) {
+
+            let selectedDoctors = [];
+
+            // Get currently selected doctors from form
+            $('select[id^="field-contact_id"]').each(function () {
+
+                let value = $(this).val();
+
+                if (value) {
+                    selectedDoctors.push(value);
+                }
+
+            });
+
+            // Merge current + submitted doctors
+            let blockedDoctors = [
+                ...new Set([
+                    ...selectedDoctors,
+                    ...submittedDoctors
+                ])
+            ];
+
+            $('select[id^="field-contact_id"]').each(function () {
+
+                let currentSelect = $(this);
+                let currentValue = currentSelect.val();
+
+                currentSelect.find('option').each(function () {
+
+                    let option = $(this);
+                    let optionValue = option.val();
+
+                    if (!optionValue) return;
+
+                    // Remove old labels
+                    let cleanText = option.text()
+                        .replace(' (Already Added)', '')
+                        .replace(' (Already Submitted)', '');
+
+                    // Keep currently selected option enabled
+                    if (
+                        blockedDoctors.includes(optionValue) &&
+                        optionValue !== currentValue
+                    ) {
+
+                        option.prop('disabled', true);
+
+                        if (submittedDoctors.includes(optionValue)) {
+
+                            option.text(cleanText + ' (Already Submitted)');
+
+                        } else {
+
+                            option.text(cleanText + ' (Already Added)');
+
+                        }
+
+                    } else {
+
+                        option.prop('disabled', false);
+                        option.text(cleanText);
+
+                    }
+
+                });
+
+                // Refresh Select2
+                if (currentSelect.hasClass('select2-hidden-accessible')) {
+                    currentSelect.select2('destroy');
+                }
+
+                currentSelect.select2({
+                    width: '100%',
+                    placeholder: '-- Select Doctor --'
+                });
+
+                currentSelect.val(currentValue).trigger('change.select2');
+
+            });
+
+        }
+
+
+
+        $(document).on('change', 'select[id^="field-contact_id"]', function () {
+
+            let selectedOption = $(this).find(':selected');
+
+            let id = $(this).attr('id').split('-').pop(); // get doctor_count dynamically
+
+            $('#field-msl_code-' + id).val(selectedOption.attr('msl_code'));
+            $('#field-speciality-' + id).val(selectedOption.attr('speciality'));
+
+            preventDuplicateDoctors(window.submittedDoctors);
+        });
+        
+
+        function createSlug2(value) {
+
+                return value
+                    .toString()
+                    .toLowerCase()
+                    .trim()
+                    .replace(/[^a-z0-9\s-]/g, '') // remove special chars
+                    .replace(/\s+/g, '_')         // spaces to underscore
+                    .replace(/-+/g, '_');         // multiple hyphen to underscore
+            }
+
+
+            // Wrapper dropdowns
+            $("#field-activity_type").on('change', function () {
+                console.log("Selected");
+                let fieldId = $(this).attr('id');
+
+                // Remove only current wrapper hidden input
+                $('#report-form input[data-source="' + fieldId + '"]').remove();
+
+                let slug = createSlug2($(this).val());
+
+                $('#report-form').append(
+                    '<input type="hidden" class="dynamic-hidden" data-source="' + fieldId + '" name="' + slug + '" value="1">'
+                );
+            });
+        
+
+        
+        var doctor_count = 0
+        let numberOfSubmission=0;
+        console.log("Number of Submission : ",numberOfSubmission);
+        $('#adddoctor-btn').click(function() {
+            let doctorName=$('#field-contact_id').html();
+
+            console.log("Doctor Name : ",doctorName);
+            doctor_count++;
+            numberOfSubmission=numberOfSubmission+1;
+            console.log("Number of Submission : ",numberOfSubmission);
+            
+            let empty_doctor = `
+            
+            <div class="doctor-wrapper">
+                                        @foreach($questions as $question)
+                                        @if( in_array($question->code,
+                                            ["record_date","select_rxber_type"] ) )
+                                            @continue;
+                                        @endif
+                                        
+                                        <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}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" value="{{isset($question->value)?$question->value:''}}">
+                                                @break
+                                            @case('text')
+                                            @case('file')
+                                            @case('email')
+                                            @case('tel')
+                                            @case('date')
+                                                <input type="{{$question->type}}" id="field-{{$question->code}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" 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-{{$question->code}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" class="form-control" {{$question->required == 'yes'?'required':'' }}  value="{{isset($question->value)?$question->value:0}}">
+                                                @break
+                                            @case('dropdown')
+                                                <select class="form-control" id="field-{{$question->code}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" {{$question->required == 'yes'?'required':'' }}>
+                                                    @if($question->code=='contact_id')
+                                                    ${doctorName}
+                                                    @else
+                                                    <option value=""> -- Select -- </option>
+                                            @foreach($question->options as $option)
+                                            <option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'msl_code= ' . $option->contact->legacy_code . ' ' : '' }}  {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
+                                                {{ $option->display }}
+                                            </option>
+                                            @endforeach
+                                                    @endif
+                                                </select>
+                                                @break
+                                        @endswitch
+                                        </div>
+                                    @endforeach </div>`;
+            
+
+            $('#doctor-group-wrapper').append(empty_doctor)
+            
+            $('#field-contact_id-'+doctor_count).select2({
+               
+                width: '100%',
+                placeholder: '-- Select Doctor --'
+            });
+             preventDuplicateDoctors(window.submittedDoctors);
+
+
+            $('select[id^="execution-"]').select2({
+                width: '100%'
+            });
+
+                                     
+            
+           
+            setTimeout(() => {
+                    $('#field-msl_code-'+doctor_count).attr('readonly',true);
+                    $('#field-speciality-'+doctor_count).attr('readonly',true);
+                        
+               
+            }, 500);
+
+            
+            
+
+            if ($('.doctor-wrapper').length >= 10) {
+                $('#adddoctor-btn').hide();
+            } else {
+                $('#adddoctor-btn').show();
+            }
+            
+
+            $('.btn-remove').unbind();
+            $('.btn-remove').click(function() {
+                $(this).closest('.doctor-wrapper').find('select').select2('destroy');
+                $(this).closest('.doctor-wrapper').remove();
+                numberOfSubmission--;
+                doctor_count--
+                preventDuplicateDoctors();
+                console.log("New Number of Submission : ",numberOfSubmission);
+                console.log("Number of doctors : ",doctor_count);
+                $('#adddoctor-btn').show();
+            })
+
+            function createSlug(value) {
+
+                return value
+                    .toString()
+                    .toLowerCase()
+                    .trim()
+                    .replace(/[^a-z0-9\s-]/g, '') // remove special chars
+                    .replace(/\s+/g, '_')         // spaces to underscore
+                    .replace(/-+/g, '_');         // multiple hyphen to underscore
+            }
+
+
+            // Wrapper dropdowns
+            $('[id^="field-activity_type-"]').on('change', function () {
+                console.log("Selected");
+                let fieldId = $(this).attr('id');
+
+                // Remove only current wrapper hidden input
+                $('#report-form input[data-source="' + fieldId + '"]').remove();
+
+                let slug = createSlug($(this).val());
+
+                $('#report-form').append(
+                    '<input type="hidden" class="dynamic-hidden" data-source="' + fieldId + '" name="' + slug + '" value="1">'
+                );
+            });
+
+
+
+
+        })
+
+
+        
+
+        $('#field-user_id').change(function(){
+            let hierarchy = $('option:selected', this).attr('hierarchy');
+            $('#field-hierarchy_id').val(hierarchy)
+            event.preventDefault();
+            $('#pageloader').fadeIn();
+            $.ajax({
+                type: "GET",
+                url: '/form/getdoctorlist?partition={{$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) {
+                        $('#field-contact_id').append($("<option></option>").attr("value",itm.value).text(itm.display).attr("msl_code", itm.contact.msl_code).attr("speciality", itm.contact.speciality));
+                    }
+
+                    $('#field-contact_id').change(function() {
+                        $('#field-msl_code').val($('option:selected', this).attr('msl_code'))
+                    })  
+                    
+                    $('#field-contact_id').change(function() {
+                        $('#field-speciality').val($('option:selected', this).attr('speciality'))
+                    }) 
+                     
+                },
+            });
+
+            console.log(hierarchy)
+        })
+
+
+        $('#report-form').on('submit', function(event) {
+            event.preventDefault();
+            // if (numberOfSubmission !=10) {
+            //         alert(`You must submit 10  Doctors for Ciphaler , Current Doctors : ${numberOfSubmission+1}`);
+            //         return; 
+            // }
+
+            
+
+            $("#pageloader").fadeIn();
+            $.ajax({
+                type: "POST",
+                url: '/form/ajaxsubmitmultiple',
+                data: new FormData($('#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!'
+                        })
+                    }
+                },
+            });
+        });
+
+    });
+    </script>
+</body>
+
+</html>