Merge branch 'main' of http://192.168.1.200:3000/Stratawiz/Rapport-Laravel

resources/views/form/history.blade.php

@@ -9,7 +9,7 @@
     <div class="account-pages">
         <div class="container">
 
-    <!-- start page title -->
+    <!-- start page title -->`
     <div class="row">
         <div class="col-8 p-2">
             <h4 class="page-title">{{$formname}}</h4>

resources/views/form/rapport-copd/1725611704-e406068f-ad9a-4279-afed-71c5f9e89eeb.blade.php

@@ -117,7 +117,7 @@ $brandData = [
                                         {{$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' : '' }}>
+                                    <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= ' . $option->contact->msl_code . ' ' : '' }} {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'speciality= ' . $option->contact->speciality . ' ' : '' }} >

resources/views/form/rapport-copd/1775718642-ec129652-8e59-4e2a-90fd-f1f44727d6ea.blade.php

@@ -169,12 +169,21 @@
                                         @case('dropdown')
                                         <select class="form-control" id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
                                             <option value=""> -- Select -- </option>
-                                            @foreach ($question->options as $option)
+                                            @if ($question->code == 'contact_id')
-                                            <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= ' . $option->contact->speciality . ' ' : '' }} {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'speciality= ' . $option->contact->speciality . ' ' : '' }} >
+                                                @foreach ($question->options as $option)
-                                                {{ $option->display }}
+                                                @if( isset($option->contact->breathefree_clinics_voltido_trio) && $option->contact->breathefree_clinics_voltido_trio == 'Yes' )
-                                            </option>
+                                                <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' : '' }}>
-                                            
+                                                    {{ $option->display }}
-                                            @endforeach
+                                                </option>
+                                                @endif
+                                                @endforeach
+                                            @else
+                                                @foreach ($question->options as $option)
+                                                <option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
+                                                    {{ $option->display }}
+                                                </option>
+                                                @endforeach
+                                            @endif
                                         </select>
                                         @break
 

resources/views/form/rapport-gennovadc/1777713876-e5a33d1a-8d00-4800-9b88-e78815ece1d4.blade.php

@@ -584,7 +584,7 @@ $brandData2 = [
                                                             <td>
                                                                 <input type="number" step="1" min="0" id="execution-{{ $brand['slug'] }}"
                                                                     name="{{ $brand['slug'] }}"
-                                                                    class="form-control form-control-large" readonly="true"   value="{{ isset($formdata->{$brand['slug']}) ? $formdata->{$brand['slug']} : 0 }}" >
+                                                                    class="form-control form-control-large"    value="{{ isset($formdata->{$brand['slug']}) ? $formdata->{$brand['slug']} : 0 }}" >
                                                             </td>
                                                             
                                                             <td>
@@ -941,7 +941,9 @@ $brandData2 = [
                 }
             }) */
             
-              $('[id*="_transplant_"][id*="week"]').prop('readonly', true);
+            $('[id*="_transplant_"][id*="week"]').prop('readonly', true);
+
+            
 
             $('#execution-execution_week').on('change', function () {
 
@@ -964,12 +966,17 @@ $brandData2 = [
                         });
                     });
                 }
+
+                $('#execution-total_transplant').prop('readonly', true);
+
+                $('[id^="execution-total_transplant_"]').prop('readonly', true);
+
             });
             
             
                 
            
-            $(document).on('input', '[id*="_transplant_"][id*="week"]', function () {
+            /* $(document).on('input', '[id*="_transplant_"][id*="week"]', function () {
 
                 const organs = ['kidney', 'liver', 'heart', 'cardio'];
                 const organsWeek = ['kidney', 'liver', 'heart']; // exclude cardio
@@ -1021,8 +1028,68 @@ $brandData2 = [
                 // -------------------------
                 $('#execution-total_transplant').val(totalTransplant);
 
+            }); */
+
+            
+            $(document).on('input','[id*="_transplant_"]',function () {
+
+                const organs = ['kidney', 'liver', 'heart'];
+                const organsWeek = ['kidney', 'liver', 'heart'];
+                const types = ['gennova', 'switch', 'graftsol'];
+
+                // -------------------------
+                // 1. WEEK-WISE TOTALS
+                // -------------------------
+                for (let week = 1; week <= 4; week++) {
+
+                    types.forEach(type => {
+
+                        let total = 0;
+
+                        organsWeek.forEach(organ => {
+
+                            let id = `#execution-${organ}_transplant_${type}_week${week}`;
+
+                            total += parseInt($(id).val()) || 0;
+
+                        });
+
+                        $(`#execution-total_transplant_${type}_week${week}`).val(total);
+
+                    });
+
+                }
+
+                // -------------------------
+                // 2. FIRST COLUMN GRAND TOTAL
+                // -------------------------
+                let firstColumnTotal = 0;
+
+                organs.forEach(organ => {
+
+                    firstColumnTotal += parseInt(
+                        $(`#execution-${organ}_transplant`).val()
+                    ) || 0;
+
+                });
+
+                $('#execution-total_transplant').val(firstColumnTotal);
+
             });
-        
+
+            $(document).on('input','#execution-kidney_transplant, #execution-liver_transplant, #execution-heart_transplant',function () {
+
+                    let total =
+                        (parseInt($('#execution-kidney_transplant').val()) || 0) +
+                        (parseInt($('#execution-liver_transplant').val()) || 0) +
+                        (parseInt($('#execution-heart_transplant').val()) || 0);
+
+                    $('#execution-total_transplant').val(total);
+
+                }
+            );
+
+                        
         })
 
 
@@ -1217,8 +1284,12 @@ $brandData2 = [
         // });
 
         $('.edit-btn').click(function() {
+            let today = new Date().toISOString().split('T')[0];
             var executionexeField = document.getElementById('execution-execution_date');
-            executionexeField.setAttribute('min', executionDateField.value);
+            console.log("Edit execution date");
+            //executionexeField.setAttribute('min', executionDateField.value);
+            executionexeField.setAttribute('max',today);
+            
         });
 
 

resources/views/form/rapport-glenmarkcv/1779081113-c6488e84-aeba-4ab8-b468-eb470ee6cc35.blade.php

@@ -4,6 +4,7 @@
     @include('layouts.shared/title-meta', ['title' => "Form"])
     @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
     <link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
+    <link href="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/css/select2.min.css" rel="stylesheet" />
 </head>
 <div id="pageloader">
    <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
@@ -96,7 +97,7 @@
                                             <textarea id="field-{{$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}}" {{$question->required == 'yes'?'required':'' }}>
+                                            <select class="form-control select2" id="field-{{$question->code}}" name="{{$question->code}}" {{$question->required == 'yes'?'required':'' }}>
                                                 <option value=""> -- Select -- </option>
                                                 @foreach($question->options as $option)
                                                 <option value="{{$option->value}}"
@@ -234,8 +235,14 @@
 </style>
 @include('layouts.shared/footer-script')
 <script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+<script src="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/js/select2.min.js"></script>
 <script type="text/javascript">
     jQuery(document).ready(function($){
+        $('.select2').select2({
+            placeholder: '-- Select Doctor --',
+            allowClear: true,
+            width: '100%'
+        });
 
 
 
@@ -353,7 +360,28 @@
 
                 syncLOBGTotal();
 
+            $('#field-upload_supporting_document').on('change', function () {
+                let file = this.files[0];
 
+                if (file) {
+                    let allowedTypes = ['image/png', 'image/jpg', 'image/jpeg'];
+                    let maxSize = 10 * 1024 * 1024; // 10 MB
+
+                    // Type validation
+                    if (!allowedTypes.includes(file.type)) {
+                        alert('Only PNG, JPG, and JPEG files are allowed.');
+                        $(this).val('');
+                        return;
+                    }
+
+                    // Size validation
+                    if (file.size > maxSize) {
+                        alert('File size should not exceed 10 MB.');
+                        $(this).val('');
+                        return;
+                    }
+                }
+            });
 
   
     });

resources/views/form/rapport-glenmarkcv/1779081191-58b7260b-40d2-4f1f-950c-3b327701ec2d.blade.php

@@ -4,6 +4,7 @@
     @include('layouts.shared/title-meta', ['title' => "Form"])
     @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
     <link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
+    <link href="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/css/select2.min.css" rel="stylesheet" />
 </head>
 <div id="pageloader">
    <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
@@ -87,7 +88,7 @@
                                             <textarea id="field-{{$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}}" {{$question->required == 'yes'?'required':'' }}>
+                                            <select class="form-control select2" id="field-{{$question->code}}" name="{{$question->code}}" {{$question->required == 'yes'?'required':'' }}>
                                                 <option value=""> -- Select -- </option>
                                                 @foreach($question->options as $option)
                                                 <option value="{{$option->value}}"
@@ -228,8 +229,15 @@
 </style>
 @include('layouts.shared/footer-script')
 <script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+<script src="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/js/select2.min.js"></script>
 <script type="text/javascript">
     jQuery(document).ready(function($){
+
+    $('.select2').select2({
+        placeholder: '-- Select Doctor --',
+        allowClear: true,
+        width: '100%'
+    });
         
 
         $(document).on(
@@ -285,7 +293,30 @@
 
             }
         );
+        
 
+        $('#field-upload_supporting_document').on('change', function () {
+                let file = this.files[0];
+
+                if (file) {
+                    let allowedTypes = ['image/png', 'image/jpg', 'image/jpeg'];
+                    let maxSize = 10 * 1024 * 1024; // 10 MB
+
+                    // Type validation
+                    if (!allowedTypes.includes(file.type)) {
+                        alert('Only PNG, JPG, and JPEG files are allowed.');
+                        $(this).val('');
+                        return;
+                    }
+
+                    // Size validation
+                    if (file.size > maxSize) {
+                        alert('File size should not exceed 10 MB.');
+                        $(this).val('');
+                        return;
+                    }
+                }
+        });
 
 
 

resources/views/form/rapport-glenmarkcv/1779082388-17bb54e2-5551-46fe-9603-9591728bc15c.blade.php

@@ -0,0 +1,340 @@
+<!DOCTYPE html>
+<html lang="en">
+<head>
+    @include('layouts.shared/title-meta', ['title' => "Form"])
+    @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
+    <link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
+    <link href="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/css/select2.min.css" rel="stylesheet" />
+</head>
+<div id="pageloader">
+   <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
+</div>
+<body class="loading">
+    <div class="account-pages">
+        <div class="container">
+            <div class="row justify-content-center">
+                <div class="col-md-8 col-lg-6 col-xl-5 p-0">
+                    <div class="card bg-pattern">
+                        <div class="card-body p-3 row">
+
+                            @if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
+                            <br>@endif
+                            @if(session('success'))<div class=" alert alert-success">{{ session('success') }}
+                            </div>
+                            <br>@endif
+                            <div class="col-8">
+                                <h4 class="page-title">{{$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
+                            <form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
+                                <input type="hidden" name="form_id" value="{{$form_id}}">
+                                <input type="hidden" name="user_id" value="{{$form->user_id}}">
+                                
+                                @csrf
+                                @if($id)
+                                <input type="hidden" name="id" value="{{$id}}">
+                                @endif
+                                @if(isset($form->manager_can_submit) && $form->manager_can_submit == true)
+                                <div class="col-md-12 mb-2">
+                                    <label for="field-user_id" class="form-label"> Select User / Territory <span class="text-danger">*</span> </label>
+                                    <select class="form-control" id="field-user_id" name="user_id" required>
+                                        <option value=""> -- Select -- </option>
+                                        @foreach($form->users as $option)
+                                        <option value="{{$option->value}}" hierarchy="{{$option->hierarchy_id}}" {{isset($question->value) && $question->value == $option->value ? 'selected':''}}>{{$option->display}}</option>
+                                        @endforeach
+                                    </select>
+                                    <input type="hidden" id="field-hierarchy_id" name="hierarchy_id" value="">
+                                </div>
+                                @endif
+                                
+
+                                @foreach($questions as $question)
+                                    <div class="col-md-12 mb-2">
+                                    <label for="field-{{$question->code}}" class="form-label">{{$question->question}} {!!$question->required == 'yes' ? '<span class="text-danger">*</span>':''!!} </label>
+                                    @switch($question->type)
+                                        @case('hidden')
+                                            <input type="{{$question->type}}" id="field-{{$question->code}}" name="{{$question->code}}" value="{{isset($question->value)?$question->value:''}}">
+                                            @break
+                                        @case('text')
+                                        @case('email')
+                                        @case('tel')
+                                        @case('date')
+                                            <input type="{{$question->type}}" id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }} value="{{isset($question->value)?$question->value:''}}">
+                                            @break
+                                        @case('number')
+                                            <input type="{{$question->type}}" min="0" max="9999999999" step="1" id="field-{{$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 select2" id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
+                                            <option value=""> -- Select -- </option>
+                                            @foreach ($question->options as $option)
+                                            @if($question->code == 'contact_id'  && isset($option->contact->type) && $option->contact->type == 'doctor' )
+                                                    <option value="{{ $option->value }}"
+                                                        @if(isset($question->value) && $question->value == $option->value) selected @endif
+                                                            @if($question->code == 'contact_id')
+                                                                msl_code="{{ (isset($option->contact->msl_code) ? $option->contact->msl_code : '') }}"
+                                                                speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
+                                                            @endif
+                                                    >
+                                                        {{ $option->display }}
+                                                    </option>
+                                            @elseif($question->code != 'contact_id')
+                                                        <option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'pcode= ' . (isset($option->contact->pcode)?$option->contact->pcode:'') . ' ' : '' }} {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
+                                                            {{ $option->display }}
+                                                        </option>
+                                            @endif
+                                                        
+                                            
+                                            
+                                            @endforeach
+                                            {{-- @if($question->code=='contact_id')
+                                             <option value="others" {{ isset($question->value) && $question->value == 'others' ? 'selected' : '' }}>Others</option>
+                                            @endif --}}
+                                        </select>
+                                            @break
+                                        @case('checkbox')
+                                            @foreach($question->options as $option)
+                                            <div class="form-check mb-2 form-check-primary">
+                                                <input class="form-check-input" type="checkbox" id="field-{{$question->code}}-{{$option->value}}" name="{{$question->code}}[]" value="{{$option->value}}" {{isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked':''}}>
+                                                <label class="form-check-label" for="field-{{$question->code}}-{{$option->value}}">{{$option->display}}</label>
+                                            </div>
+                                            @endforeach
+                                            @break
+                                        @case('file')
+                                        @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
+                                             <input type="file" id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" value="" {{$question->required == 'yes'?'required':'' }}>
+                                        @elseif(isset($question->value))
+                                             <img src="{{$question->value}}" class="img-fluid">
+                                        @endif
+                                           
+                                            @break
+                                        @case('multitextbox')
+                                            <div class="row">
+                                                @foreach($question->options as $option)
+                                                <div class="col-6">{{$option->display}}</div>
+                                                <div class="col-6 mb-1">
+                                                    <input type="number" id="field-{{$option->value}}" name="{{$option->value}}" class="form-control" required value="{{isset($option->val)?$option->val:0}}">
+                                                </div>
+                                                @endforeach
+                                            </div>
+                                        @break
+                                        
+                                        @case('time')
+                                            <input type="time" 
+                                                id="field-{{$question->code}}" 
+                                                name="{{$question->code}}" 
+                                                class="form-control" 
+                                                {{$question->required == 'yes' ? 'required' : ''}} 
+                                                value="{{isset($question->value) ? $question->value : ''}}">
+                                        @break
+                                        
+                                    @endswitch
+                                    </div>
+                                @endforeach
+                                @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
+                                <div class="text-center d-grid mt-3">
+                                    <button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
+                                </div>
+                                @endif
+                            </form>
+
+                        </div> <!-- end card-body -->
+                    </div>
+                    <!-- end card -->
+
+                    <!-- end row -->
+
+                </div> <!-- end col -->
+            </div>
+            <!-- end row -->
+        </div>
+        <!-- end container -->
+    </div>
+    <!-- end page -->
+<style type="text/css">
+#pageloader {
+  background: rgba( 255, 255, 255, 0.8 );
+  display: none;
+  height: 100%;
+  position: fixed;
+  width: 100%;
+  z-index: 9999;
+}
+
+#pageloader img {
+  left: 50%;
+  margin-left: -32px;
+  margin-top: -32px;
+  position: absolute;
+  top: 50%;
+}
+</style>
+@include('layouts.shared/footer-script')
+<script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+<script src="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/js/select2.min.js"></script>
+<script type="text/javascript">
+    jQuery(document).ready(function($){
+        $('.select2').select2({
+            placeholder: '-- Select Doctor --',
+            allowClear: true,
+            width: '100%'
+        });
+        $('#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)
+        })
+
+        $('#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,#field-total_sitazit_rx').attr('readonly',true);
+        
+        
+        
+
+             
+        $('#field-sitazit_d_10100_rx,#field-sitazit_d_550_rx,#field-sitazit_dm_er_100010_rx,#field-sitazit_dm_er_50010_rx').on('input', function() {
+                var total=(
+                        (parseInt($('#field-sitazit_d_10100_rx').val()) ||0)+
+                        (parseInt($('#field-sitazit_d_550_rx').val()) ||0)+
+                        (parseInt($('#field-sitazit_dm_er_100010_rx').val()) ||0)+
+                        (parseInt($('#field-sitazit_dm_er_50010_rx').val()) ||0)
+
+                );
+
+                $('#field-total_sitazit_rx').val(total)
+        })    
+
+       
+        $(document).ready(function () {
+            $('#field-contact_id').trigger('change');
+        });
+
+        $('#field-sitazit_d_10100_rx,#field-sitazit_d_550_rx,#field-sitazit_dm_er_100010_rx,#field-sitazit_dm_er_50010_rx').on('input', function () {
+            // Remove everything except digits
+            this.value = this.value.replace(/[^0-9]/g, '');
+        });
+
+
+        $('#field-upload_supporting_document').on('change', function () {
+                let file = this.files[0];
+
+                if (file) {
+                    let allowedTypes = ['image/png', 'image/jpg', 'image/jpeg'];
+                    let maxSize = 10 * 1024 * 1024; // 10 MB
+
+                    // Type validation
+                    if (!allowedTypes.includes(file.type)) {
+                        alert('Only PNG, JPG, and JPEG files are allowed.');
+                        $(this).val('');
+                        return;
+                    }
+
+                    // Size validation
+                    if (file.size > maxSize) {
+                        alert('File size should not exceed 10 MB.');
+                        $(this).val('');
+                        return;
+                    }
+                }
+        });
+
+            
+
+        $('#report-form').on('submit', function(event){
+            event.preventDefault();
+            const formData = new FormData($('#report-form')[0]);
+            // Log form data to console
+            for (let [key, value] of formData.entries()) {
+                console.log(key, value);
+            }
+            $("#pageloader").fadeIn();
+            $.ajax({
+                type: "POST",
+                url: '/form/ajaxsubmit',
+                data: new FormData($('#report-form')[0]),
+                processData: false,
+                contentType: false,
+                success: function( data ) {
+                    $("#pageloader").fadeOut();
+                    if(data.status == 'success') {
+                        Swal.fire({
+                          title: 'Great!',
+                          text: 'Your data is successfully submitted!',
+                          icon: 'success'
+                        }).then(() => {
+                            location.reload(); // 🔥 page refresh here
+                                    });
+                        $('#report-form').trigger("reset");
+                    } else {
+                        Swal.fire({
+                            icon: 'error',
+                            title: 'Data not submitted',
+                            text: 'Something went wrong, please try again after some time!'
+                        })
+                    }
+                },
+            });
+        });
+
+            var today = new Date();
+            var dd = String(today.getDate()).padStart(2, '0');
+            var mm = String(today.getMonth() + 1).padStart(2, '0');
+            var yyyy = today.getFullYear();
+            today = yyyy + '-' + mm + '-' + dd;
+
+            var plandateField = document.getElementById('field-record_date');
+
+            plandateField.setAttribute('max', today);
+    });
+</script>
+</body>
+
+</html>

resources/views/form/rapport-glenmarkcv/1779085729-a0fa7b57-287e-419c-9413-fbee9a2ac88a.blade.php

@@ -0,0 +1,339 @@
+<!DOCTYPE html>
+<html lang="en">
+<head>
+    @include('layouts.shared/title-meta', ['title' => "Form"])
+    @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
+    <link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
+    <link href="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/css/select2.min.css" rel="stylesheet" />
+</head>
+<div id="pageloader">
+   <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
+</div>
+<body class="loading">
+    <div class="account-pages">
+        <div class="container">
+            <div class="row justify-content-center">
+                <div class="col-md-8 col-lg-6 col-xl-5 p-0">
+                    <div class="card bg-pattern">
+                        <div class="card-body p-3 row">
+
+                            @if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
+                            <br>@endif
+                            @if(session('success'))<div class=" alert alert-success">{{ session('success') }}
+                            </div>
+                            <br>@endif
+                            <div class="col-8">
+                                <h4 class="page-title">{{$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
+                            <form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
+                                <input type="hidden" name="form_id" value="{{$form_id}}">
+                                <input type="hidden" name="user_id" value="{{$form->user_id}}">
+                                
+                                @csrf
+                                @if($id)
+                                <input type="hidden" name="id" value="{{$id}}">
+                                @endif
+                                @if(isset($form->manager_can_submit) && $form->manager_can_submit == true)
+                                <div class="col-md-12 mb-2">
+                                    <label for="field-user_id" class="form-label"> Select User / Territory <span class="text-danger">*</span> </label>
+                                    <select class="form-control" id="field-user_id" name="user_id" required>
+                                        <option value=""> -- Select -- </option>
+                                        @foreach($form->users as $option)
+                                        <option value="{{$option->value}}" hierarchy="{{$option->hierarchy_id}}" {{isset($question->value) && $question->value == $option->value ? 'selected':''}}>{{$option->display}}</option>
+                                        @endforeach
+                                    </select>
+                                    <input type="hidden" id="field-hierarchy_id" name="hierarchy_id" value="">
+                                </div>
+                                @endif
+                                
+
+                                @foreach($questions as $question)
+                                    <div class="col-md-12 mb-2">
+                                    <label for="field-{{$question->code}}" class="form-label">{{$question->question}} {!!$question->required == 'yes' ? '<span class="text-danger">*</span>':''!!} </label>
+                                    @switch($question->type)
+                                        @case('hidden')
+                                            <input type="{{$question->type}}" id="field-{{$question->code}}" name="{{$question->code}}" value="{{isset($question->value)?$question->value:''}}">
+                                            @break
+                                        @case('text')
+                                        @case('email')
+                                        @case('tel')
+                                        @case('date')
+                                            <input type="{{$question->type}}" id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }} value="{{isset($question->value)?$question->value:''}}">
+                                            @break
+                                        @case('number')
+                                            <input type="{{$question->type}}" min="0" max="9999999999" step="1" id="field-{{$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 select2" id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
+                                            <option value=""> -- Select -- </option>
+                                            @foreach ($question->options as $option)
+                                            @if($question->code == 'contact_id'  && isset($option->contact->type) && $option->contact->type == 'doctor' )
+                                                    <option value="{{ $option->value }}"
+                                                        @if(isset($question->value) && $question->value == $option->value) selected @endif
+                                                            @if($question->code == 'contact_id')
+                                                                msl_code="{{ (isset($option->contact->msl_code) ? $option->contact->msl_code : '') }}"
+                                                                speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
+                                                            @endif
+                                                    >
+                                                        {{ $option->display }}
+                                                    </option>
+                                            @elseif($question->code != 'contact_id')
+                                                        <option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'pcode= ' . (isset($option->contact->pcode)?$option->contact->pcode:'') . ' ' : '' }} {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
+                                                            {{ $option->display }}
+                                                        </option>
+                                            @endif
+                                                        
+                                            
+                                            
+                                            @endforeach
+                                            {{-- @if($question->code=='contact_id')
+                                             <option value="others" {{ isset($question->value) && $question->value == 'others' ? 'selected' : '' }}>Others</option>
+                                            @endif --}}
+                                        </select>
+                                            @break
+                                        @case('checkbox')
+                                            @foreach($question->options as $option)
+                                            <div class="form-check mb-2 form-check-primary">
+                                                <input class="form-check-input" type="checkbox" id="field-{{$question->code}}-{{$option->value}}" name="{{$question->code}}[]" value="{{$option->value}}" {{isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked':''}}>
+                                                <label class="form-check-label" for="field-{{$question->code}}-{{$option->value}}">{{$option->display}}</label>
+                                            </div>
+                                            @endforeach
+                                            @break
+                                        @case('file')
+                                        @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
+                                             <input type="file" id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" value="" {{$question->required == 'yes'?'required':'' }}>
+                                        @elseif(isset($question->value))
+                                             <img src="{{$question->value}}" class="img-fluid">
+                                        @endif
+                                           
+                                            @break
+                                        @case('multitextbox')
+                                            <div class="row">
+                                                @foreach($question->options as $option)
+                                                <div class="col-6">{{$option->display}}</div>
+                                                <div class="col-6 mb-1">
+                                                    <input type="number" id="field-{{$option->value}}" name="{{$option->value}}" class="form-control" required value="{{isset($option->val)?$option->val:0}}">
+                                                </div>
+                                                @endforeach
+                                            </div>
+                                        @break
+                                        
+                                        @case('time')
+                                            <input type="time" 
+                                                id="field-{{$question->code}}" 
+                                                name="{{$question->code}}" 
+                                                class="form-control" 
+                                                {{$question->required == 'yes' ? 'required' : ''}} 
+                                                value="{{isset($question->value) ? $question->value : ''}}">
+                                        @break
+                                        
+                                    @endswitch
+                                    </div>
+                                @endforeach
+                                @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
+                                <div class="text-center d-grid mt-3">
+                                    <button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
+                                </div>
+                                @endif
+                            </form>
+
+                        </div> <!-- end card-body -->
+                    </div>
+                    <!-- end card -->
+
+                    <!-- end row -->
+
+                </div> <!-- end col -->
+            </div>
+            <!-- end row -->
+        </div>
+        <!-- end container -->
+    </div>
+    <!-- end page -->
+<style type="text/css">
+#pageloader {
+  background: rgba( 255, 255, 255, 0.8 );
+  display: none;
+  height: 100%;
+  position: fixed;
+  width: 100%;
+  z-index: 9999;
+}
+
+#pageloader img {
+  left: 50%;
+  margin-left: -32px;
+  margin-top: -32px;
+  position: absolute;
+  top: 50%;
+}
+</style>
+@include('layouts.shared/footer-script')
+<script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+<script src="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/js/select2.min.js"></script>
+<script type="text/javascript">
+    jQuery(document).ready(function($){
+        $('.select2').select2({
+            placeholder: '-- Select Doctor --',
+            allowClear: true,
+            width: '100%'
+        });
+        $('#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)
+        })
+
+        $('#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,#field-total_eptus_rx').attr('readonly',true);
+        
+        
+        
+
+             
+        $('#field-eptus_25mg_rx,#field-eptus_50_mg_rx,#field-eptus_t_10_kit_rx,#field-eptus_t_20_kit_rx').on('input', function() {
+                var total=(
+                        (parseInt($('#field-eptus_25mg_rx').val()) ||0)+
+                        (parseInt($('#field-eptus_50_mg_rx').val()) ||0)+
+                        (parseInt($('#field-eptus_t_10_kit_rx').val()) ||0)+
+                        (parseInt($('#field-eptus_t_20_kit_rx').val()) ||0)
+
+                );
+
+                $('#field-total_eptus_rx').val(total)
+        })    
+
+       
+        $(document).ready(function () {
+            $('#field-contact_id').trigger('change');
+        });
+
+        $('#field-eptus_25mg_rx,#field-eptus_50_mg_rx,#field-eptus_t_10_kit_rx,#field-eptus_t_20_kit_rx').on('input', function () {
+            // Remove everything except digits
+            this.value = this.value.replace(/[^0-9]/g, '');
+        });
+
+        $('#field-upload_supporting_document').on('change', function () {
+                let file = this.files[0];
+
+                if (file) {
+                    let allowedTypes = ['image/png', 'image/jpg', 'image/jpeg'];
+                    let maxSize = 10 * 1024 * 1024; // 10 MB
+
+                    // Type validation
+                    if (!allowedTypes.includes(file.type)) {
+                        alert('Only PNG, JPG, and JPEG files are allowed.');
+                        $(this).val('');
+                        return;
+                    }
+
+                    // Size validation
+                    if (file.size > maxSize) {
+                        alert('File size should not exceed 10 MB.');
+                        $(this).val('');
+                        return;
+                    }
+                }
+        });
+
+            
+
+        $('#report-form').on('submit', function(event){
+            event.preventDefault();
+            const formData = new FormData($('#report-form')[0]);
+            // Log form data to console
+            for (let [key, value] of formData.entries()) {
+                console.log(key, value);
+            }
+            $("#pageloader").fadeIn();
+            $.ajax({
+                type: "POST",
+                url: '/form/ajaxsubmit',
+                data: new FormData($('#report-form')[0]),
+                processData: false,
+                contentType: false,
+                success: function( data ) {
+                    $("#pageloader").fadeOut();
+                    if(data.status == 'success') {
+                        Swal.fire({
+                          title: 'Great!',
+                          text: 'Your data is successfully submitted!',
+                          icon: 'success'
+                        }).then(() => {
+                            location.reload(); // 🔥 page refresh here
+                                    });
+                        $('#report-form').trigger("reset");
+                    } else {
+                        Swal.fire({
+                            icon: 'error',
+                            title: 'Data not submitted',
+                            text: 'Something went wrong, please try again after some time!'
+                        })
+                    }
+                },
+            });
+        });
+
+            var today = new Date();
+            var dd = String(today.getDate()).padStart(2, '0');
+            var mm = String(today.getMonth() + 1).padStart(2, '0');
+            var yyyy = today.getFullYear();
+            today = yyyy + '-' + mm + '-' + dd;
+
+            var plandateField = document.getElementById('field-record_date');
+
+            plandateField.setAttribute('max', today);
+    });
+</script>
+</body>
+
+</html>

resources/views/form/rapport-glenmarkcv/1779787418-c5969925-b986-4dc6-b867-0e18922c1f88.blade.php

@@ -0,0 +1,656 @@
+<!DOCTYPE html>
+<html lang="en">
+<head>
+    @include('layouts.shared/title-meta', ['title' => "Form"])
+    @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
+    <link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
+</head>
+<div id="pageloader">
+   <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
+   <link href="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/css/select2.min.css" rel="stylesheet" />
+</div>
+<body class="loading">
+    <div class="account-pages">
+        <div class="container">
+            <div class="row justify-content-center">
+                <div class="col-md-8 col-lg-6 col-xl-5 p-0">
+                    <div class="card bg-pattern">
+                        <div class="card-body p-3 row">
+
+                            @if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
+                            <br>@endif
+                            @if(session('success'))<div class=" alert alert-success">{{ session('success') }}
+                            </div>
+                            <br>@endif
+                            <div class="col-8">
+                                <h4 class="page-title">{{$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
+                            <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="{{$id}}">
+                                @endif
+                                @if(isset($form->manager_can_submit) && $form->manager_can_submit == true)
+                                <div class="col-md-12 mb-2">
+                                    <label for="field-user_id" class="form-label"> Select User / Territory <span class="text-danger">*</span> </label>
+                                    <select class="form-control" id="field-user_id" name="user_id" required>
+                                        <option value=""> -- Select -- </option>
+                                        @foreach($form->users as $option)
+                                        <option value="{{$option->value}}" hierarchy="{{$option->hierarchy_id}}" {{isset($question->value) && $question->value == $option->value ? 'selected':''}}>{{$option->display}}</option>
+                                        @endforeach
+                                    </select>
+                                    <input type="hidden" id="field-hierarchy_id" name="hierarchy_id" value="">
+                                </div>
+                                @endif
+
+                                @foreach($questions as $question)
+                                    <div class="col-md-12 mb-2">
+                                    <label for="field-{{$question->code}}" class="form-label">{{$question->question}} {!!$question->required == 'yes' ? '<span class="text-danger">*</span>':''!!} </label>
+                                    @switch($question->type)
+                                        @case('hidden')
+                                            <input type="{{$question->type}}" id="field-{{$question->code}}" name="{{$question->code}}" value="{{isset($question->value)?$question->value:''}}">
+                                            @break
+                                        @case('text')
+                                        @case('email')
+                                        @case('tel')
+                                        @case('date')
+                                           <input type="{{$question->type}}" id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }}
+                                             {{ in_array($question->code, ['msl_code', 'speciality']) ? 'readonly' : '' }}
+                                              value="{{isset($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}}"
+                                            {{ $question->code == 'total_lobg_rx' ? 'readonly' : '' }}>
+                                            @break
+                                        @case('textarea')
+                                            <textarea id="field-{{$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 select2" id="field-{{$question->code}}" name="{{$question->code}}" {{$question->required == 'yes'?'required':'' }}>
+                                                <option value=""> -- Select -- </option>
+                                                @foreach($question->options as $option)
+                                                <option value="{{$option->value}}"
+                                                    msl_code="{{isset($option->contact->msl_code) ? $option->contact->msl_code : ''}}"
+                                                     speciality="{{isset($option->contact->speciality) ? $option->contact->speciality : ''}}"
+                                                    {{isset($question->value) && $question->value == $option->value ? 'selected':''}}>
+                                                    {{$option->display}}
+                                                </option>
+                                                @endforeach
+                                            </select>
+                                            @break
+                                        @case('radio')
+                                            @foreach($question->options as $option)
+                                            <div class="form-check mb-2 form-check-success">
+                                                <input class="form-check-input" type="radio" name="{{$question->code}}" id="field-{{$question->code}}_{{$option->value}}" value="{{$option->value}}">
+                                                <label class="form-check-label" for="field-{{$question->code}}_{{$option->value}}">{{$option->display}}</label>
+                                            </div>
+                                            @endforeach
+                                            @break
+                                        @case('radiometrix')
+                                            @php
+                                                // Decode the first option's value to use as heading labels
+                                                $headings =
+                                                    count($question->options) > 0
+                                                        ? json_decode($question->options[0]->value)
+                                                        : [];
+                                            @endphp
+
+                                            {{-- Matrix Wrapper with Horizontal Scroll on Small Screens --}}
+                                            <div class="table-responsive">
+                                                <div class="d-table w-100">
+                                                    {{-- Table Headers --}}
+                                                    <div class="d-table-row font-weight-bold">
+                                                        <div class="d-table-cell p-2" style="width: 150px;"></div>
+                                                        {{-- Placeholder for row labels --}}
+                                                        @foreach ($headings as $head)
+                                                            <div class="d-table-cell text-center p-2">{{ $head }}
+                                                            </div>
+                                                        @endforeach
+                                                    </div>
+
+                                                    {{-- Table Rows --}}
+                                                    @foreach ($question->options as $option)
+                                                        @php $nn = json_decode($option->value); @endphp
+                                                        <div class="d-table-row align-middle">
+                                                            <div class="d-table-cell font-weight-bold p-2"
+                                                                style="width: 150px;">
+                                                                {{ $option->display }}
+                                                            </div>
+
+                                                            @foreach ($nn as $value)
+                                                                <div class="d-table-cell text-center p-2">
+                                                                    <input type="radio"
+                                                                id="field-{{ $option->display }}-{{ $value }}"
+                                                                name="{{ $question->code }}[{{$option->display}}]" value="{{$value}}" class="form-check-input"
+                                                                {{ isset($question->display) && $option->display != $option->display ? 'checked' : '' }}>
+
+                                                                </div>
+                                                            @endforeach
+                                                        </div>
+                                                    @endforeach
+                                                </div>
+                                            </div>
+                                        @break    
+                                        @case('checkbox')
+                                            @foreach($question->options as $option)
+                                            <div class="form-check mb-2 form-check-primary ms-2">
+                                                <input class="form-check-input" type="checkbox" id="field-{{$question->code}}-{{$option->value}}" name="{{$question->code}}[]" value="{{$option->value}}" {{isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked':''}}>
+                                                <label class="form-check-label" for="field-{{$question->code}}-{{$option->value}}">{{$option->display}}</label>
+                                            </div>
+                                            @endforeach
+                                            @break
+                                        @case('file')
+                                        @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
+                                             <input type="file" id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" value="" {{$question->required == 'yes'?'required':'' }}>
+                                        @elseif(isset($question->value))
+                                             <img src="{{$question->value}}" class="img-fluid">
+                                        @endif
+                                           
+                                            @break
+                                        @case('multitextbox')
+                                            <div class="row">
+                                                @foreach($question->options as $option)
+                                                <div class="col-6">{{$option->display}}</div>
+                                                <div class="col-6 mb-1">
+                                                    <input type="number" id="field-{{$option->value}}" name="{{$option->value}}" class="form-control" required value="{{isset($option->val)?$option->val:0}}">
+                                                </div>
+                                                @endforeach
+                                            </div>
+                                            @break
+                                    @endswitch
+                                    </div>
+                                @endforeach
+                                @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
+                                <div class="text-center d-grid mt-3">
+                                    <button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
+                                </div>
+                                @endif
+                            </form>
+
+                        </div> <!-- end card-body -->
+                    </div>
+                    <!-- end card -->
+
+                    <!-- end row -->
+
+                </div> <!-- end col -->
+            </div>
+            <!-- end row -->
+        </div>
+        <!-- end container -->
+    </div>
+    <!-- end page -->
+<style type="text/css">
+#pageloader {
+  background: rgba( 255, 255, 255, 0.8 );
+  display: none;
+  height: 100%;
+  position: fixed;
+  width: 100%;
+  z-index: 9999;
+}
+
+#pageloader img {
+  left: 50%;
+  margin-left: -32px;
+  margin-top: -32px;
+  position: absolute;
+  top: 50%;
+}
+.form-label {
+    font-weight:bold;
+    font-size:16px;
+}
+</style>
+@include('layouts.shared/footer-script')
+<script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+<script src="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/js/select2.min.js"></script>
+<script type="text/javascript">
+    jQuery(document).ready(function($){
+        $('.select2').select2({
+            placeholder: '-- Select Doctor --',
+            allowClear: true,
+            width: '100%'
+        });
+
+
+
+ 
+// Hide All Fields Initially
+
+
+            $('#field-sitazit_d_10100_pob_units, #field-sitazit_d_550_pob_units, #field-sitazit_dm_er_100010_pob_units, #field-sitazit_dm_er_50010_pob_units, #field-sitazit_d_10100_pob_value, #field-sitazit_d_550_pob_value, #field-sitazit_dm_er_100010_pob_value, #field-sitazit_dm_er_50010_pob_value, #field-eptus_25mg_units, #field-eptus_50_mg_units, #field-eptus_t_10_kit_units, #field-eptus_t_20_kit_units, #field-eptus_25mg_value, #field-eptus_50_mg_value, #field-eptus_t_10_kit_value, #field-eptus_t_20_kit_value, #field-lo_bg_05_mg_units, #field-lo_bg_05_mg_value, #field-ziten_m_20_mg_1000_mg_units, #field-ziten_m_20_mg_500_mg_units, #field-ziten_units, #field-ziten_m_20_mg_1000_mg_value, #field-ziten_m_20_mg_500_mg_value, #field-ziten_value, #field-total_pob_units, #field-total_pob_value').prop({"required":false});
+
+            $('#field-sitazit_d_10100_pob_units, #field-sitazit_d_550_pob_units, #field-sitazit_dm_er_100010_pob_units, #field-sitazit_dm_er_50010_pob_units, #field-sitazit_d_10100_pob_value, #field-sitazit_d_550_pob_value, #field-sitazit_dm_er_100010_pob_value, #field-sitazit_dm_er_50010_pob_value, #field-eptus_25mg_units, #field-eptus_50_mg_units, #field-eptus_t_10_kit_units, #field-eptus_t_20_kit_units, #field-eptus_25mg_value, #field-eptus_50_mg_value, #field-eptus_t_10_kit_value, #field-eptus_t_20_kit_value, #field-lo_bg_05_mg_units, #field-lo_bg_05_mg_value, #field-ziten_m_20_mg_1000_mg_units, #field-ziten_m_20_mg_500_mg_units, #field-ziten_units, #field-ziten_m_20_mg_1000_mg_value, #field-ziten_m_20_mg_500_mg_value, #field-ziten_value, #field-total_pob_units, #field-total_pob_value').parent().hide();
+
+
+                // Reset Total Fields Immediately
+            $('#field-total_pob_units').val(0);
+            $('#field-total_pob_value').val(0);
+
+            // Reset all fields
+            $('#field-sitazit_d_10100_pob_units, #field-sitazit_d_550_pob_units, #field-sitazit_dm_er_100010_pob_units, #field-sitazit_dm_er_50010_pob_units, #field-sitazit_d_10100_pob_value, #field-sitazit_d_550_pob_value, #field-sitazit_dm_er_100010_pob_value, #field-sitazit_dm_er_50010_pob_value, #field-eptus_25mg_units, #field-eptus_50_mg_units, #field-eptus_t_10_kit_units, #field-eptus_t_20_kit_units, #field-eptus_25mg_value, #field-eptus_50_mg_value, #field-eptus_t_10_kit_value, #field-eptus_t_20_kit_value, #field-lo_bg_05_mg_units, #field-lo_bg_05_mg_value, #field-ziten_m_20_mg_1000_mg_units, #field-ziten_m_20_mg_500_mg_units, #field-ziten_units, #field-ziten_m_20_mg_1000_mg_value, #field-ziten_m_20_mg_500_mg_value, #field-ziten_value, #field-total_pob_units, #field-total_pob_value').prop({"required":false});
+
+            $('#field-sitazit_d_10100_pob_units, #field-sitazit_d_550_pob_units, #field-sitazit_dm_er_100010_pob_units, #field-sitazit_dm_er_50010_pob_units, #field-sitazit_d_10100_pob_value, #field-sitazit_d_550_pob_value, #field-sitazit_dm_er_100010_pob_value, #field-sitazit_dm_er_50010_pob_value, #field-eptus_25mg_units, #field-eptus_50_mg_units, #field-eptus_t_10_kit_units, #field-eptus_t_20_kit_units, #field-eptus_25mg_value, #field-eptus_50_mg_value, #field-eptus_t_10_kit_value, #field-eptus_t_20_kit_value, #field-lo_bg_05_mg_units, #field-lo_bg_05_mg_value, #field-ziten_m_20_mg_1000_mg_units, #field-ziten_m_20_mg_500_mg_units, #field-ziten_units, #field-ziten_m_20_mg_1000_mg_value, #field-ziten_m_20_mg_500_mg_value, #field-ziten_value, #field-total_pob_units, #field-total_pob_value').parent().hide();
+
+            // Reset Total Immediately
+            $('#field-total_pob_units').val(0);
+            $('#field-total_pob_value').val(0);
+
+
+
+             
+            // Make Value & Total Fields Readonly
+             
+
+            $('#field-sitazit_d_10100_pob_value, #field-sitazit_d_550_pob_value, #field-sitazit_dm_er_100010_pob_value, #field-sitazit_dm_er_50010_pob_value, #field-eptus_25mg_value, #field-eptus_50_mg_value, #field-eptus_t_10_kit_value, #field-eptus_t_20_kit_value, #field-lo_bg_05_mg_value, #field-ziten_m_20_mg_1000_mg_value, #field-ziten_m_20_mg_500_mg_value, #field-ziten_value, #field-total_pob_units, #field-total_pob_value').prop('readonly', true);
+
+
+             
+            // Brand Dropdown Change
+             
+
+            $('#field-select_brand').on('change',function(){
+                // Reset all unit/value field values
+            $('input[id*="_units"], input[id*="_value"]').val('');
+            $('#field-total_pob_units').val(0);
+            $('#field-total_pob_value').val(0);
+
+                let dropDown = $('#field-select_brand').val();
+
+                // Reset all fields
+                $('#field-sitazit_d_10100_pob_units, #field-sitazit_d_550_pob_units, #field-sitazit_dm_er_100010_pob_units, #field-sitazit_dm_er_50010_pob_units, #field-sitazit_d_10100_pob_value, #field-sitazit_d_550_pob_value, #field-sitazit_dm_er_100010_pob_value, #field-sitazit_dm_er_50010_pob_value, #field-eptus_25mg_units, #field-eptus_50_mg_units, #field-eptus_t_10_kit_units, #field-eptus_t_20_kit_units, #field-eptus_25mg_value, #field-eptus_50_mg_value, #field-eptus_t_10_kit_value, #field-eptus_t_20_kit_value, #field-lo_bg_05_mg_units, #field-lo_bg_05_mg_value, #field-ziten_m_20_mg_1000_mg_units, #field-ziten_m_20_mg_500_mg_units, #field-ziten_units, #field-ziten_m_20_mg_1000_mg_value, #field-ziten_m_20_mg_500_mg_value, #field-ziten_value, #field-total_pob_units, #field-total_pob_value').prop({"required":false});
+
+                $('#field-sitazit_d_10100_pob_units, #field-sitazit_d_550_pob_units, #field-sitazit_dm_er_100010_pob_units, #field-sitazit_dm_er_50010_pob_units, #field-sitazit_d_10100_pob_value, #field-sitazit_d_550_pob_value, #field-sitazit_dm_er_100010_pob_value, #field-sitazit_dm_er_50010_pob_value, #field-eptus_25mg_units, #field-eptus_50_mg_units, #field-eptus_t_10_kit_units, #field-eptus_t_20_kit_units, #field-eptus_25mg_value, #field-eptus_50_mg_value, #field-eptus_t_10_kit_value, #field-eptus_t_20_kit_value, #field-lo_bg_05_mg_units, #field-lo_bg_05_mg_value, #field-ziten_m_20_mg_1000_mg_units, #field-ziten_m_20_mg_500_mg_units, #field-ziten_units, #field-ziten_m_20_mg_1000_mg_value, #field-ziten_m_20_mg_500_mg_value, #field-ziten_value, #field-total_pob_units, #field-total_pob_value').parent().hide();
+
+
+                 
+                // Sitazit
+                 
+                if(dropDown === 'Sitazit'){
+
+                    $('#field-sitazit_d_10100_pob_units, #field-sitazit_d_550_pob_units, #field-sitazit_dm_er_100010_pob_units, #field-sitazit_dm_er_50010_pob_units, #field-sitazit_d_10100_pob_value, #field-sitazit_d_550_pob_value, #field-sitazit_dm_er_100010_pob_value, #field-sitazit_dm_er_50010_pob_value').prop({"required":true});
+
+                    $('#field-sitazit_d_10100_pob_units, #field-sitazit_d_550_pob_units, #field-sitazit_dm_er_100010_pob_units, #field-sitazit_dm_er_50010_pob_units, #field-sitazit_d_10100_pob_value, #field-sitazit_d_550_pob_value, #field-sitazit_dm_er_100010_pob_value, #field-sitazit_dm_er_50010_pob_value').parent().show();
+
+                    $('#field-total_pob_units, #field-total_pob_value').prop({"required":true});
+                    $('#field-total_pob_units, #field-total_pob_value').parent().show();
+                }
+
+
+                 
+                // Eptus
+                 
+                else if(dropDown === 'Eptus'){
+
+                    $('#field-eptus_25mg_units, #field-eptus_50_mg_units, #field-eptus_t_10_kit_units, #field-eptus_t_20_kit_units, #field-eptus_25mg_value, #field-eptus_50_mg_value, #field-eptus_t_10_kit_value, #field-eptus_t_20_kit_value').prop({"required":true});
+
+                    $('#field-eptus_25mg_units, #field-eptus_50_mg_units, #field-eptus_t_10_kit_units, #field-eptus_t_20_kit_units, #field-eptus_25mg_value, #field-eptus_50_mg_value, #field-eptus_t_10_kit_value, #field-eptus_t_20_kit_value').parent().show();
+
+                    $('#field-total_pob_units, #field-total_pob_value').prop({"required":true});
+                    $('#field-total_pob_units, #field-total_pob_value').parent().show();
+                }
+
+
+                 
+                // LOBG
+                 
+                else if(dropDown === 'LOBG'){
+
+                    $('#field-lo_bg_05_mg_units, #field-lo_bg_05_mg_value').prop({"required":true});
+
+                    $('#field-lo_bg_05_mg_units, #field-lo_bg_05_mg_value').parent().show();
+
+                    $('#field-total_pob_units, #field-total_pob_value').prop({"required":true});
+                    $('#field-total_pob_units, #field-total_pob_value').parent().show();
+                }
+
+
+                 
+                // Ziten
+                 
+                else if(dropDown === 'Ziten'){
+
+                    $('#field-ziten_m_20_mg_1000_mg_units, #field-ziten_m_20_mg_500_mg_units, #field-ziten_units, #field-ziten_m_20_mg_1000_mg_value, #field-ziten_m_20_mg_500_mg_value, #field-ziten_value').prop({"required":true});
+
+                    $('#field-ziten_m_20_mg_1000_mg_units, #field-ziten_m_20_mg_500_mg_units, #field-ziten_units, #field-ziten_m_20_mg_1000_mg_value, #field-ziten_m_20_mg_500_mg_value, #field-ziten_value').parent().show();
+
+                    $('#field-total_pob_units, #field-total_pob_value').prop({"required":true});
+                    $('#field-total_pob_units, #field-total_pob_value').parent().show();
+                }
+
+            });
+
+
+             
+            // Auto Calculation Function
+            // Formula = Units * 100
+             
+
+            // Auto Calculation Function
+
+            function calculateField(unitField, valueField, ptsValue){
+
+                $(unitField).on('input', function(){
+
+                    let units = parseInt($(this).val()) || 0;
+
+                    // Formula = Units × PTS
+                    let value = units * ptsValue;
+
+                    // Round to 2 decimal
+                    value = value.toFixed(2);
+
+                    $(valueField).val(value);
+
+                    calculateTotals();
+                });
+            }
+
+
+             
+            // Total Calculation
+             
+
+        //     function calculateTotals(){
+
+        //     let totalUnits = 0;
+        //     let totalValue = 0;
+
+             
+        //     // Total Units (Visible Only)
+             
+        //     $('input[id*="_units"]:visible').each(function(){
+
+        //         if($(this).attr('id') !== 'field-total_pob_units'){
+
+        //             totalUnits += parseFloat($(this).val()) || 0;
+        //         }
+        //     });
+
+             
+        //     // Total Value (Visible Only)
+             
+        //     $('input[id*="_value"]:visible').each(function(){
+
+        //         if($(this).attr('id') !== 'field-total_pob_value'){
+
+        //             totalValue += parseFloat($(this).val()) || 0;
+        //         }
+        //     });
+
+        //     $('#field-total_pob_units').val(totalUnits);
+        //     $('#field-total_pob_value').val(totalValue);
+        // }
+        function calculateTotals(){
+
+            let totalUnits = 0;
+            let totalValue = 0;
+
+            // Total Units
+            $('input[id*="_units"]:visible').each(function(){
+
+                if($(this).attr('id') !== 'field-total_pob_units'){
+
+                    totalUnits += parseInt($(this).val()) || 0;
+                }
+            });
+
+            // Total Value
+            $('input[id*="_value"]:visible').each(function(){
+
+                if($(this).attr('id') !== 'field-total_pob_value'){
+
+                    totalValue += parseFloat($(this).val()) || 0;
+                }
+            });
+
+            $('#field-total_pob_units').val(totalUnits);
+
+            // Round total value
+            $('#field-total_pob_value').val(totalValue.toFixed(2));
+        }
+
+
+             
+            // Bind Calculations
+             
+
+                         
+            // Sitazit
+             
+
+            calculateField(
+                '#field-sitazit_d_10100_pob_units',
+                '#field-sitazit_d_10100_pob_value',
+                160.71
+            );
+
+            calculateField(
+                '#field-sitazit_d_550_pob_units',
+                '#field-sitazit_d_550_pob_value',
+                114.75
+            );
+
+            calculateField(
+                '#field-sitazit_dm_er_100010_pob_units',
+                '#field-sitazit_dm_er_100010_pob_value',
+                182.25
+            );
+
+            calculateField(
+                '#field-sitazit_dm_er_50010_pob_units',
+                '#field-sitazit_dm_er_50010_pob_value',
+                168.10
+            );
+
+
+             
+            // Eptus
+             
+
+            calculateField(
+                '#field-eptus_25mg_units',
+                '#field-eptus_25mg_value',
+                207.96
+            );
+
+            calculateField(
+                '#field-eptus_50_mg_units',
+                '#field-eptus_50_mg_value',
+                326.25
+            );
+
+            calculateField(
+                '#field-eptus_t_10_kit_units',
+                '#field-eptus_t_10_kit_value',
+                225
+            );
+
+            calculateField(
+                '#field-eptus_t_20_kit_units',
+                '#field-eptus_t_20_kit_value',
+                242.36
+            );
+
+
+             
+            // LOBG
+             
+
+            calculateField(
+                '#field-lo_bg_05_mg_units',
+                '#field-lo_bg_05_mg_value',
+                73.93
+            );
+
+
+             
+            // Ziten
+             
+
+            calculateField(
+                '#field-ziten_m_20_mg_1000_mg_units',
+                '#field-ziten_m_20_mg_1000_mg_value',
+                78.64
+            );
+
+            calculateField(
+                '#field-ziten_m_20_mg_500_mg_units',
+                '#field-ziten_m_20_mg_500_mg_value',
+                82.29
+            );
+
+            calculateField(
+                '#field-ziten_units',
+                '#field-ziten_value',
+                63.64
+            );
+
+            // Allow Only Positive Whole Numbers
+            // No Decimal & No Negative
+
+            $('input[id*="_units"]').on('input', function () {
+
+                // Remove non-numeric characters
+                let value = $(this).val().replace(/[^0-9]/g, '');
+
+                // Prevent leading zeros like 0005
+                value = value.replace(/^0+(?=\d)/, '');
+
+                $(this).val(value);
+            });
+
+
+            // Block Special Keys
+
+            $('input[id*="_units"]').on('keydown', function (e) {
+
+                // Block decimal, minus, plus
+                if (
+                    e.key === '.' ||
+                    e.key === '-' ||
+                    e.key === '+' ||
+                    e.key === 'e'
+                ) {
+                    e.preventDefault();
+                }
+            });
+
+
+
+// -------------------------------------------------------------------------------------------------------
+
+        // $('#field-user_id').change(function(){
+        //     let hierarchy = $('option:selected', this).attr('hierarchy');
+        //     $('#field-hierarchy_id').val(hierarchy)
+        //     event.preventDefault();
+        //     $.ajax({
+        //         type: "GET",
+        //         url: '/form/getdoctorlist?partition={{$form->partition}}&hierarchy='+hierarchy,
+        //         processData: false,
+        //         contentType: false,
+        //         success: function( data ) {
+        //             $("#pageloader").fadeOut();
+        //             $('#field-contact_id').html('')
+        //             $('#field-contact_id').append($("<option></option>").attr("value",'').text('-- Select --'));
+        //             for(let itm of data) {
+        //                 $('#field-contact_id').append($("<option></option>").attr("value",itm.value).text(itm.display));
+        //             }                    
+        //         },
+        //     });
+
+        //     console.log(hierarchy)
+        // })
+
+        $('#report-form').on('submit', function(event){
+            event.preventDefault();
+            $("#pageloader").fadeIn();
+            $.ajax({
+                type: "POST",
+                url: '/form/ajaxsubmit',
+                data: new FormData($('#report-form')[0]),
+                processData: false,
+                contentType: false,
+                success: function( data ) {
+                    $("#pageloader").fadeOut();
+                    if(data.status == 'success') {
+                        Swal.fire({
+                          title: 'Great!',
+                          text: 'Your data is successfully submitted!',
+                          icon: 'success'
+                        })
+                        $('#report-form').trigger("reset");
+                    } else {
+                        Swal.fire({
+                            icon: 'error',
+                            title: data.hasOwnProperty('message') ? 'You are not mapped to any position code' : 'Data not submitted',
+                            text: data.hasOwnProperty('message') ? 'for resolution please email Position code, L1 Manager and L2 Manager details to support1@stratawiz.com':'Something went wrong, please try again after some time!'
+                        })
+                    }
+                },
+            });
+        });
+
+
+
+            $("#field-contact_id").change(function(){
+
+            let selected = $('option:selected', this);
+
+            console.log(selected.attr('msl_code'));
+            console.log(selected.attr('speciality'));
+
+            $('#field-msl_code').val(selected.attr('msl_code'));
+            $('#field-speciality').val(selected.attr('speciality'));
+
+            });
+
+            // Auto populate Total LOBG Rx from LO-BG 0.5 mg Rx
+
+            function calculateTotalLOBGRx() {
+
+                let loBgRx = parseFloat($('#field-lo_bg_05_mg_rx').val()) || 0;
+
+                $('#field-total_lobg_rx').val(loBgRx);
+            }
+
+            // Trigger on typing/change
+            $('#field-lo_bg_05_mg_rx').on('keyup change', function () {
+                calculateTotalLOBGRx();
+            });
+
+            var today = new Date();
+            var dd = String(today.getDate()).padStart(2, '0');
+            var mm = String(today.getMonth() + 1).padStart(2, '0');
+            var yyyy = today.getFullYear();
+            today = yyyy + '-' + mm + '-' + dd;
+
+            var plandateField = document.getElementById('field-record_date');
+
+            plandateField.setAttribute('max', today);
+    });
+</script>
+</body>
+
+</html>

resources/views/form/rapport-horizon/1775454829-8b84b38a-fefb-46e2-8153-2913bbad0038.blade.php

@@ -47,7 +47,15 @@ $brandData = [
 
 ['brand'=>"AZEE 500 Tablets 1 x 5'S", 'slug'=>'azee_500_tablets_1_x_5s_units','pseudoId'=>'azee_500_tablets_1_x_5s_value'],
 ['brand'=>"AZEE 500 TABLETS 5'S", 'slug'=>'azee_500_tablets_5s_units','pseudoId'=>'azee_500_tablets_5s_value'],
-['brand'=>'AZEE PULSE 3 TABLETS', 'slug'=>'azee_pulse_3_tablets_units','pseudoId'=>'azee_pulse_3_tablets_value'],
+/* ['brand'=>'AZEE PULSE 3 TABLETS', 'slug'=>'azee_pulse_3_tablets_units','pseudoId'=>'azee_pulse_3_tablets_value'] ,*/
+
+['brand'=>"Bilafav M", 'slug'=>'bilafav_m_units','pseudoId'=>'bilafav_m_value'],
+['brand'=>"Bilafav M ODT Adult Tablets 1x10s - 20/10", 'slug'=>'bilafav_m_odt_adult_tablets_1x10s_2010_units','pseudoId'=>'bilafav_m_odt_adult_tablets_1x10s_2010_value'],
+['brand'=>"Bilafav M ODT Pedia Tablets 1X10s 10/4", 'slug'=>'bilafav_m_odt_pedia_tablets_1x10s_104_units','pseudoId'=>'bilafav_m_odt_pedia_tablets_1x10s_104_value'],
+
+['brand'=>"Bilafav M Oral suspension", 'slug'=>'bilafav_m_oral_suspension_units','pseudoId'=>'bilafav_m_oral_suspension_value'],
+
+
 ['brand'=>"CIVONO 10 MG TABLETS 10'S", 'slug'=>'civono_10_mg_tablets_10s_units','pseudoId'=>'civono_10_mg_tablets_10s_value'],
 ['brand'=>"CIVONO 20 MG TABLETS 10'S", 'slug'=>'civono_20_mg_tablets_10s_units','pseudoId'=>'civono_20_mg_tablets_10s_value'],
 ['brand'=>'COREX-DX COUGH SYRUP 100ML (IP)', 'slug'=>'corex_dx_cough_syrup_100ml_ip_units','pseudoId'=>'corex_dx_cough_syrup_100ml_ip_value'],
@@ -61,7 +69,7 @@ $brandData = [
 ['brand'=>"FAROBACT 200 TABS 1 x 10 S", 'slug'=>'farobact_200_tabs_1_x_10_s_units','pseudoId'=>'farobact_200_tabs_1_x_10_s_value'],
 ['brand'=>'Farobact 300 ER TABLETS', 'slug'=>'farobact_300_er_tablets_units','pseudoId'=>'farobact_300_er_tablets_value'],
 ['brand'=>"FAROBACT 300 ER TABS 10 S", 'slug'=>'farobact_300_er_tabs_10_s_units','pseudoId'=>'farobact_300_er_tabs_10_s_value'],
-['brand'=>"Farobact Dry Syrup", 'slug'=>'farobact_dry_syrup_units','pseudoId'=>'farobact_dry_syrup_value'],
+/* ['brand'=>"Farobact Dry Syrup", 'slug'=>'farobact_dry_syrup_units','pseudoId'=>'farobact_dry_syrup_value'] ,*/
 ['brand'=>'FLOMIST AQ. 100MD', 'slug'=>'flomist_aq_100md_units','pseudoId'=>'flomist_aq_100md_value'],
 ['brand'=>'Flomist F 240 MD', 'slug'=>'flomist_f_240_md_units','pseudoId'=>'flomist_f_240_md_value'],
 ['brand'=>"Flomist F 27.5 MCG 120 MD", 'slug'=>'flomist_f_275_mcg_120_md_units','pseudoId'=>'flomist_f_275_mcg_120_md_value'],
@@ -86,7 +94,7 @@ $brandData = [
 ['brand'=>"OFLOX 200 TAB (10'S)", 'slug'=>'oflox_200_tab_10s_units','pseudoId'=>'oflox_200_tab_10s_value'],
 ['brand'=>"OFLOX 400 10'S", 'slug'=>'oflox_400_10s_units','pseudoId'=>'oflox_400_10s_value'],
 ['brand'=>'OFLOX 50MG REDIUSE 60ML', 'slug'=>'oflox_50mg_rediuse_60ml_units','pseudoId'=>'oflox_50mg_rediuse_60ml_value'],
-['brand'=>"OFLOX EYE DROPS", 'slug'=>'oflox_eye_drops_units','pseudoId'=>'oflox_eye_drops_value'],
+/* ['brand'=>"OFLOX EYE DROPS", 'slug'=>'oflox_eye_drops_units','pseudoId'=>'oflox_eye_drops_value'] ,*/
 ['brand'=>"OFLOX OZ TABLETS IP", 'slug'=>'oflox_oz_tablets_ip_units','pseudoId'=>'oflox_oz_tablets_ip_value'],
 ['brand'=>"OFLOX REDIUSE", 'slug'=>'oflox_rediuse_units','pseudoId'=>'oflox_rediuse_value'],
 
@@ -425,292 +433,143 @@ if (!empty($submissions->data->submissions)) {
         })
         
 
-        $(`#field-acivir_200_dt_units,#field-acivir_400_dt_units,#field-acivir_400_dt_10s_units,#field-acivir_800_dt_units,#field-acivir_800_dt_tablets_1x10s_units,#field-acivir_cream_10_gm_units,#field-advent_1000_mg_units,#field-advent_457_dt_6s_units,#field-advent_457_dt_tablets_units,#field-advent_625_tablets_10s_units,
+        
-           #field-advent_drops_10ml_units,#field-advent_es_units,#field-advent_forte_457_syp_60_ml_units,#field-advent_forte_syp_30m_units,#field-advent_kid_2285_tab_units,#field-advent_syp_2285mg_units,#field-advent_syrup_units,#field-azee_500_tabs_units,#field-azee_100_ds_15ml_units,#field-azee_100_dt_units,
+        
-           #field-azee_100_ip_100mg5ml_15ml_units,#field-azee_100_xl_dry_syru_units,#field-azee_100_xl_liquids_30_ml_100mg5ml_units,#field-azee_1000_units,#field-azee_200_ds_15ml_units,#field-azee_200_ip_200mg5ml_15ml_units,#field-azee_200_xl_dry_syru_units,#field-azee_200_xl_liquids_30_ml_200mg5ml_units,#field-azee_250_tablets10s_units,#field-azee_250_tabs_units,
+        const products = {
-           #field-azee_500_tablets_1_x_5s_units,#field-azee_500_tablets_5s_units,#field-azee_pulse_3_tablets_units,#field-civono_10_mg_tablets_10s_units,#field-civono_20_mg_tablets_10s_units,#field-corex_dx_cough_syrup_100ml_ip_units,#field-corex_dx_cough_syrup_50ml_ip_units,#field-cpink_200ml_units,#field-cpink_drops_15ml_units,#field-cpink_suspension_150ml_units,
+            acivir_200_dt: 61.91,
-           #field-farobact_200_units,#field-farobact_200_tabs_1_x_10_s_units,#field-farobact_300_er_tablets_units,#field-farobact_300_er_tabs_10_s_units,#field-farobact_dry_syrup_units,#field-flomist_aq_100md_units,#field-flomist_f_240_md_units,#field-flomist_f_275_mcg_120_md_units,#field-ibugesic_plus_tablets_20s_units,#field-ibugesic_plus_tablets_20s_ip_units,
+            acivir_400_dt: 55.60,
-           #field-omnix_100_ds_units,#field-omnix_100_dry_syrup_units,#field-omnix_100_dt_tab_units,#field-omnix_200_dt_tab_units,#field-omnix_50_dry_syrup_units,#field-omnix_50_dt_units,#field-omnix_cv_200_tab_units,#field-omnix_o_units,#field-emeset_4_odtindia1_x_10s_units,#field-emeset_4mg_10s_units,
+            acivir_400_dt_10s: 111.20,
-           #field-emeset_8mg_10s_units,#field-emeset_syrup_units,#field-emeset_syrup_strawberry_30_ml_units,#field-oflox_100mg_rediuse_60ml_units,#field-oflox_200_tab_10s_units,#field-oflox_400_10s_units,#field-oflox_50mg_rediuse_60ml_units,#field-oflox_eye_drops_units,#field-oflox_oz_tablets_ip_units,#field-oflox_rediuse_units,
+            acivir_800_dt: 153.27,
-           #field-oflox_200_mg_10s_tablets_ip_units,#field-oflox_400_mg_10s_tablets_ip_units,#field-emset_r_10_x_10_tablets_units,#field-montair_ab_tablet_units,#field-pansec_80_mg_tablets_units,#field-pansec_d_sr_capsules_15s_units,#field-pansec_tablets_15s_units,#field-pansec_l_capsules_units`).on('change',function(){
+            acivir_800_dt_tablets_1x10s: 306.54,
-            let totalvalue=(
+            acivir_cream_10_gm: 139.18,
-                (parseInt($('#field-acivir_200_dt_units').val())*61.69||0)+
-                (parseInt($('#field-acivir_400_dt_units').val())*55.60||0)+
-                (parseInt($('#field-acivir_400_dt_10s_units').val())*111.20||0)+
-                (parseInt($('#field-acivir_800_dt_units').val())*153.27||0)+
-                (parseInt($('#field-acivir_800_dt_tablets_1x10s_units').val())*306.54||0)+
-                (parseInt($('#field-acivir_cream_10_gm_units').val())*139.18||0)+
-                (parseInt($('#field-advent_1000_mg_units').val())*421.74||0)+
-                (parseInt($('#field-advent_457_dt_6s_units').val())*140.34||0)+
-                (parseInt($('#field-advent_457_dt_tablets_units').val())*257.26||0)+
-                (parseInt($('#field-advent_625_tablets_10s_units').val())*148.95||0)+
 
-                (parseInt($('#field-advent_drops_10ml_units').val())*100.57||0)+
+            advent_1000_mg: 421.74,
-                (parseInt($('#field-advent_es_units').val())*163.03||0)+
+            advent_457_dt_6s: 140.34,
-                (parseInt($('#field-advent_forte_457_syp_60_ml_units').val())*227.76||0)+
+            advent_457_dt_tablets: 257.26,
-                (parseInt($('#field-advent_forte_syp_30m_units').val())*184.18||0)+
+            advent_625_tablets_10s: 148.95,
-                (parseInt($('#field-advent_kid_2285_tab_units').val())*174.67||0)+
+            advent_drops_10ml: 100.57,
-                (parseInt($('#field-advent_syp_2285mg_units').val())*98.87||0)+
+            advent_es: 163.03,
-                (parseInt($('#field-advent_syrup_units').val())*49.43||0)+
+            advent_forte_457_syp_60_ml: 227.76,
-                (parseInt($('#field-azee_500_tabs_units').val())*57.55||0)+
+            advent_forte_syp_30m: 184.18,
-                (parseInt($('#field-azee_100_ds_15ml_units').val())*39.64||0)+
+            advent_kid_2285_tab: 174.67,
-                (parseInt($('#field-azee_100_dt_units').val())*29.05||0)+
+            advent_syp_2285mg: 98.87,
+            advent_syrup: 49.43,
 
-                (parseInt($('#field-azee_100_ip_100mg5ml_15ml_units').val())*39.64||0)+
+            azee_500_tabs: 57.55,
-                (parseInt($('#field-azee_100_xl_dry_syru_units').val())*80.00||0)+
+            azee_100_ds_15ml: 39.64,
-                (parseInt($('#field-azee_100_xl_liquids_30_ml_100mg5ml_units').val())*80.00||0)+
+            azee_100_dt: 29.05,
-                (parseInt($('#field-azee_1000_units').val())*47.02||0)+
+            azee_100_ip_100mg5ml_15ml: 39.64,
-                (parseInt($('#field-azee_200_ds_15ml_units').val())*41.62||0)+
+            azee_100_xl_dry_syru: 80.00,
-                (parseInt($('#field-azee_200_ip_200mg5ml_15ml_units').val())*41.62||0)+
+            azee_100_xl_liquids_30_ml_100mg5ml: 80.00,
-                (parseInt($('#field-azee_200_xl_dry_syru_units').val())*83.28||0)+
+            azee_1000: 47.02,
-                (parseInt($('#field-azee_200_xl_liquids_30_ml_200mg5ml_units').val())*83.28||0)+
+            azee_200_ds_15ml: 41.62,
-                (parseInt($('#field-azee_250_tablets10s_units').val())*94.96||0)+
+            azee_200_ip_200mg5ml_15ml: 41.62,
-                (parseInt($('#field-azee_250_tabs_units').val())*56.97||0)+
+            azee_200_xl_dry_syru: 83.28,
+            azee_200_xl_liquids_30_ml_200mg5ml: 83.28,
+            azee_250_tablets10s: 94.96,
+            azee_250_tabs: 56.97,
+            azee_500_tablets_1_x_5s: 95.91,
+            azee_500_tablets_5s: 95.91,
+            azee_pulse_3_tablets: 57.55,
 
-                (parseInt($('#field-azee_500_tablets_1_x_5s_units').val())*95.91||0)+
+            civono_10_mg_tablets_10s: 78.57,
-                (parseInt($('#field-azee_500_tablets_5s_units').val())*95.91||0)+
+            civono_20_mg_tablets_10s: 121.42,
-                (parseInt($('#field-azee_pulse_3_tablets_units').val())*57.55||0)+
+
-                (parseInt($('#field-civono_10_mg_tablets_10s_units').val())*78.57||0)+
+            corex_dx_cough_syrup_100ml_ip: 121.78,
-                (parseInt($('#field-civono_20_mg_tablets_10s_units').val())*121.42||0)+
+            corex_dx_cough_syrup_50ml_ip: 80.37,
-                (parseInt($('#field-corex_dx_cough_syrup_100ml_ip_units').val())*121.78||0)+
+
-                (parseInt($('#field-corex_dx_cough_syrup_50ml_ip_units').val())*80.37||0)+
+            cpink_200ml: 246.62,
-                (parseInt($('#field-cpink_200ml_units').val())*246.62||0)+
+            cpink_drops_15ml: 94.42,
-                (parseInt($('#field-cpink_drops_15ml_units').val())*94.42||0)+
+            cpink_suspension_150ml: 138.97,
-                (parseInt($('#field-cpink_suspension_150ml_units').val())*138.97||0)+
+
+            farobact_200: 495.21,
+            farobact_200_tabs_1_x_10_s: 998.67,
+            farobact_300_er_tablets: 543.80,
+            farobact_300_er_tabs_10_s: 1096.66,
+            farobact_dry_syrup: 423.50,
+
+            flomist_aq_100md: 367.44,
+            flomist_f_240_md: 616.78,
+            flomist_f_275_mcg_120_md: 444.50,
+
+            ibugesic_plus_tablets_20s: 31.61,
+            ibugesic_plus_tablets_20s_ip: 31.61,
+
+            omnix_100_ds: 58.31,
+            omnix_100_dry_syrup: 116.64,
+            omnix_100_dt_tab: 87.48,
+            omnix_200_dt_tab: 79.59,
+            omnix_50_dry_syrup: 39.83,
+            omnix_50_dt: 55.54,
+            omnix_cv_200_tab: 291.61,
+            omnix_o: 183.71,
+
+            emeset_4_odtindia1_x_10s: 41.83,
+            emeset_4mg_10s: 41.83,
+            emeset_8mg_10s: 73.75,
+            emeset_syrup: 30.71,
+            emeset_syrup_strawberry_30_ml: 30.71,
+
+            oflox_100mg_rediuse_60ml: 141.25,
+            oflox_200_tab_10s: 84.19,
+            oflox_400_10s: 305.58,
+            oflox_50mg_rediuse_60ml: 66.78,
+            oflox_eye_drops: 38.58,
+            oflox_oz_tablets_ip: 157.25,
+            oflox_rediuse: 66.78,
+            oflox_200_mg_10s_tablets_ip: 84.19,
+            oflox_400_mg_10s_tablets_ip: 305.58,
+
+            emset_r_10_x_10_tablets: 60.09,
+
+            montair_ab_tablet: 238.11,
+
+            pansec_80_mg_tablets: 226.21,
+            pansec_d_sr_capsules_15s: 235.22,
+            pansec_tablets_15s: 197.71,
+            pansec_l_capsules: 132.21,
+
+            bilafav_m: 167.31,
+            bilafav_m_odt_pedia_tablets_1x10s_104: 55.31,
+            bilafav_m_odt_adult_tablets_1x10s_2010: 100.62,
 
 
-                (parseInt($('#field-farobact_200_units').val())*495.21||0)+
+            bilafav_m_oral_suspension: 140.69
-                (parseInt($('#field-farobact_200_tabs_1_x_10_s_units').val())*998.67||0)+
+        };
-                (parseInt($('#field-farobact_300_er_tablets_units').val())*543.80||0)+
-                (parseInt($('#field-farobact_300_er_tabs_10_s_units').val())*1096.66||0)+
-                (parseInt($('#field-farobact_dry_syrup_units').val())*423.50||0)+
-                (parseInt($('#field-flomist_aq_100md_units').val())*367.44||0)+
-                (parseInt($('#field-flomist_f_240_md_units').val())*616.78||0)+
-                (parseInt($('#field-flomist_f_275_mcg_120_md_units').val())*444.50||0)+
-                (parseInt($('#field-ibugesic_plus_tablets_20s_units').val())*31.61||0)+
-                (parseInt($('#field-ibugesic_plus_tablets_20s_ip_units').val())*31.61||0)+
 
-                (parseInt($('#field-omnix_100_ds_units').val())*58.31||0)+
+        $(document).on('input change', '[id^="field-"][id$="_units"]', function () {
-                (parseInt($('#field-omnix_100_dry_syrup_units').val())*116.64||0)+
-                (parseInt($('#field-omnix_100_dt_tab_units').val())*87.48||0)+
-                (parseInt($('#field-omnix_200_dt_tab_units').val())*79.59||0)+
-                (parseInt($('#field-omnix_50_dry_syrup_units').val())*39.83||0)+
-                (parseInt($('#field-omnix_50_dt_units').val())*55.54||0)+
-                (parseInt($('#field-omnix_cv_200_tab_units').val())*291.61||0)+
-                (parseInt($('#field-omnix_o_units').val())*183.71||0)+
-                (parseInt($('#field-emeset_4_odtindia1_x_10s_units').val())*41.83||0)+
-                (parseInt($('#field-emeset_4mg_10s_units').val())*41.83||0)+ 
 
-                (parseInt($('#field-emeset_8mg_10s_units').val())*73.75||0)+
+            let totalValue = 0;
-                (parseInt($('#field-emeset_syrup_units').val())*30.71||0)+
+            let totalUnits = 0;
-                (parseInt($('#field-emeset_syrup_strawberry_30_ml_units').val())*30.71||0)+
-                (parseInt($('#field-oflox_100mg_rediuse_60ml_units').val())*141.25||0)+
-                (parseInt($('#field-oflox_200_tab_10s_units').val())*84.19||0)+
-                (parseInt($('#field-oflox_400_10s_units').val())*305.58||0)+
-                (parseInt($('#field-oflox_50mg_rediuse_60ml_units').val())*66.78||0)+
-                (parseInt($('#field-oflox_eye_drops_units').val())*38.58||0)+
-                (parseInt($('#field-oflox_oz_tablets_ip_units').val())*157.25||0)+
-                (parseInt($('#field-oflox_rediuse_units').val())*66.78||0)+
 
-                (parseInt($('#field-oflox_200_mg_10s_tablets_ip_units').val())*84.19||0)+
+            $.each(products, function (key, rate) {
-                (parseInt($('#field-oflox_400_mg_10s_tablets_ip_units').val())*305.58||0)+
-                (parseInt($('#field-emset_r_10_x_10_tablets_units').val())*60.09||0)+
-                (parseInt($('#field-montair_ab_tablet_units').val())*238.11||0)+
-                (parseInt($('#field-pansec_80_mg_tablets_units').val())*226.21||0)+
-                (parseInt($('#field-pansec_d_sr_capsules_15s_units').val())*235.22||0)+
-                (parseInt($('#field-pansec_tablets_15s_units').val())*197.71||0)+
-                (parseInt($('#field-pansec_l_capsules_units').val())*132.21||0)
 
+                let unitsField = $(`#field-${key}_units`);
+                let valueField = $(`#field-${key}_value`);
 
-            );
+                if (unitsField.length) {
 
-            let totalUnits=(
+                    let units = parseFloat(unitsField.val()) || 0;
-                (parseInt($('#field-acivir_200_dt_units').val())||0)+
-                (parseInt($('#field-acivir_400_dt_units').val())||0)+
-                (parseInt($('#field-acivir_400_dt_10s_units').val())||0)+
-                (parseInt($('#field-acivir_800_dt_units').val())||0)+
-                (parseInt($('#field-acivir_800_dt_tablets_1x10s_units').val())||0)+
-                (parseInt($('#field-acivir_cream_10_gm_units').val())||0)+
-                (parseInt($('#field-advent_1000_mg_units').val())||0)+
-                (parseInt($('#field-advent_457_dt_6s_units').val())||0)+
-                (parseInt($('#field-advent_457_dt_tablets_units').val())||0)+
-                (parseInt($('#field-advent_625_tablets_10s_units').val())||0)+
 
-                (parseInt($('#field-advent_drops_10ml_units').val())||0)+
+                    let value = units * rate;
-                (parseInt($('#field-advent_es_units').val())||0)+
-                (parseInt($('#field-advent_forte_457_syp_60_ml_units').val())||0)+
-                (parseInt($('#field-advent_forte_syp_30m_units').val())||0)+
-                (parseInt($('#field-advent_kid_2285_tab_units').val())||0)+
-                (parseInt($('#field-advent_syp_2285mg_units').val())||0)+
-                (parseInt($('#field-advent_syrup_units').val())||0)+
-                (parseInt($('#field-azee_500_tabs_units').val())||0)+
-                (parseInt($('#field-azee_100_ds_15ml_units').val())||0)+
-                (parseInt($('#field-azee_100_dt_units').val())||0)+
 
-                (parseInt($('#field-azee_100_ip_100mg5ml_15ml_units').val())||0)+
+                    totalUnits += units;
-                (parseInt($('#field-azee_100_xl_dry_syru_units').val())||0)+
+                    totalValue += value;
-                (parseInt($('#field-azee_100_xl_liquids_30_ml_100mg5ml_units').val())||0)+
-                (parseInt($('#field-azee_1000_units').val())||0)+
-                (parseInt($('#field-azee_200_ds_15ml_units').val())||0)+
-                (parseInt($('#field-azee_200_ip_200mg5ml_15ml_units').val())||0)+
-                (parseInt($('#field-azee_200_xl_dry_syru_units').val())||0)+
-                (parseInt($('#field-azee_200_xl_liquids_30_ml_200mg5ml_units').val())||0)+
-                (parseInt($('#field-azee_250_tablets10s_units').val())||0)+
-                (parseInt($('#field-azee_250_tabs_units').val())||0)+
 
-                (parseInt($('#field-azee_500_tablets_1_x_5s_units').val())||0)+
+                    valueField.val(value.toFixed(1));
-                (parseInt($('#field-azee_500_tablets_5s_units').val())||0)+
-                (parseInt($('#field-azee_pulse_3_tablets_units').val())||0)+
-                (parseInt($('#field-civono_10_mg_tablets_10s_units').val())||0)+
-                (parseInt($('#field-civono_20_mg_tablets_10s_units').val())||0)+
-                (parseInt($('#field-corex_dx_cough_syrup_100ml_ip_units').val())||0)+
-                (parseInt($('#field-corex_dx_cough_syrup_50ml_ip_units').val())||0)+
-                (parseInt($('#field-cpink_200ml_units').val())||0)+
-                (parseInt($('#field-cpink_drops_15ml_units').val())||0)+
-                (parseInt($('#field-cpink_suspension_150ml_units').val())||0)+
 
+                }
 
-                (parseInt($('#field-farobact_200_units').val())||0)+
+            });
-                (parseInt($('#field-farobact_200_tabs_1_x_10_s_units').val())||0)+
-                (parseInt($('#field-farobact_300_er_tablets_units').val())||0)+
-                (parseInt($('#field-farobact_300_er_tabs_10_s_units').val())||0)+
-                (parseInt($('#field-farobact_dry_syrup_units').val())||0)+
-                (parseInt($('#field-flomist_aq_100md_units').val())||0)+
-                (parseInt($('#field-flomist_f_240_md_units').val())||0)+
-                (parseInt($('#field-flomist_f_275_mcg_120_md_units').val())||0)+
-                (parseInt($('#field-ibugesic_plus_tablets_20s_units').val())||0)+
-                (parseInt($('#field-ibugesic_plus_tablets_20s_ip_units').val())||0)+
 
-                (parseInt($('#field-omnix_100_ds_units').val())||0)+
+            $('#field-total_pob_value').val(totalValue.toFixed(1));
-                (parseInt($('#field-omnix_100_dry_syrup_units').val())||0)+
-                (parseInt($('#field-omnix_100_dt_tab_units').val())||0)+
-                (parseInt($('#field-omnix_200_dt_tab_units').val())||0)+
-                (parseInt($('#field-omnix_50_dry_syrup_units').val())||0)+
-                (parseInt($('#field-omnix_50_dt_units').val())||0)+
-                (parseInt($('#field-omnix_cv_200_tab_units').val())||0)+
-                (parseInt($('#field-omnix_o_units').val())||0)+
-                (parseInt($('#field-emeset_4_odtindia1_x_10s_units').val())||0)+
-                (parseInt($('#field-emeset_4mg_10s_units').val())||0)+ 
-
-                (parseInt($('#field-emeset_8mg_10s_units').val())||0)+
-                (parseInt($('#field-emeset_syrup_units').val())||0)+
-                (parseInt($('#field-emeset_syrup_strawberry_30_ml_units').val())||0)+
-                (parseInt($('#field-oflox_100mg_rediuse_60ml_units').val())||0)+
-                (parseInt($('#field-oflox_200_tab_10s_units').val())||0)+
-                (parseInt($('#field-oflox_400_10s_units').val())||0)+
-                (parseInt($('#field-oflox_50mg_rediuse_60ml_units').val())||0)+
-                (parseInt($('#field-oflox_eye_drops_units').val())||0)+
-                (parseInt($('#field-oflox_oz_tablets_ip_units').val())||0)+
-                (parseInt($('#field-oflox_rediuse_units').val())||0)+
-
-                (parseInt($('#field-oflox_200_mg_10s_tablets_ip_units').val())||0)+
-                (parseInt($('#field-oflox_400_mg_10s_tablets_ip_units').val())||0)+
-                (parseInt($('#field-emset_r_10_x_10_tablets_units').val())||0)+
-                (parseInt($('#field-montair_ab_tablet_units').val())||0)+
-                (parseInt($('#field-pansec_80_mg_tablets_units').val())||0)+
-                (parseInt($('#field-pansec_d_sr_capsules_15s_units').val())||0)+
-                (parseInt($('#field-pansec_tablets_15s_units').val())||0)+
-                (parseInt($('#field-pansec_l_capsules_units').val())||0)
-
-
-            );
-
-            $('#field-acivir_200_dt_value').val((parseInt($('#field-acivir_200_dt_units').val())*61.91||0).toFixed(1));
-            $('#field-acivir_400_dt_value').val((parseInt($('#field-acivir_400_dt_units').val())*55.60||0).toFixed(1));
-            $('#field-acivir_400_dt_10s_value').val((parseInt($('#field-acivir_400_dt_10s_units').val())*111.20||0).toFixed(1));
-            $('#field-acivir_800_dt_value').val((parseInt($('#field-acivir_800_dt_units').val())*153.27||0).toFixed(1));
-            $('#field-acivir_800_dt_tablets_1x10s_value').val((parseInt($('#field-acivir_800_dt_tablets_1x10s_units').val())*306.54||0).toFixed(1))
-            $('#field-acivir_cream_10_gm_value').val((parseInt($('#field-acivir_cream_10_gm_units').val())*139.18||0).toFixed(1));
-            $('#field-advent_1000_mg_value').val((parseInt($('#field-advent_1000_mg_units').val())*421.74||0).toFixed(1));
-            $('#field-advent_457_dt_6s_value').val((parseInt($('#field-advent_457_dt_6s_units').val())*140.34||0).toFixed(1));
-            $('#field-advent_457_dt_tablets_value').val((parseInt($('#field-advent_457_dt_tablets_units').val())*257.26||0).toFixed(1));
-            $('#field-advent_625_tablets_10s_value').val((parseInt($('#field-advent_625_tablets_10s_units').val())*148.95||0).toFixed(1));
-            
-            $('#field-advent_drops_10ml_value').val((parseInt($('#field-advent_drops_10ml_units').val())*100.57||0).toFixed(1));
-            $('#field-advent_es_value').val((parseInt($('#field-advent_es_units').val())*163.03||0).toFixed(1));
-            $('#field-advent_forte_457_syp_60_ml_value').val((parseInt($('#field-advent_forte_457_syp_60_ml_units').val())*227.76||0).toFixed(1));
-            $('#field-advent_forte_syp_30m_value').val((parseInt($('#field-advent_forte_syp_30m_units').val())*184.18||0).toFixed(1));
-            $('#field-advent_kid_2285_tab_value').val((parseInt($('#field-advent_kid_2285_tab_units').val())*174.67||0).toFixed(1));
-            $('#field-advent_syp_2285mg_value').val((parseInt($('#field-advent_syp_2285mg_units').val())*98.87||0).toFixed(1));
-            $('#field-advent_syrup_value').val((parseInt($('#field-advent_syrup_units').val())*49.43||0).toFixed(1));
-            $('#field-azee_500_tabs_value').val((parseInt($('#field-azee_500_tabs_units').val())*57.55||0).toFixed(1));
-            $('#field-azee_100_ds_15ml_value').val((parseInt($('#field-azee_100_ds_15ml_units').val())*39.64||0).toFixed(1));
-            $('#field-azee_100_dt_value').val((parseInt($('#field-azee_100_dt_units').val())*29.05||0).toFixed(1));
-
-
-            $('#field-azee_100_ip_100mg5ml_15ml_value').val((parseInt($('#field-azee_100_ip_100mg5ml_15ml_units').val())*39.64||0).toFixed(1));
-            $('#field-azee_100_xl_dry_syru_value').val((parseInt($('#field-azee_100_xl_dry_syru_units').val())*80.00||0).toFixed(1));
-            $('#field-azee_100_xl_liquids_30_ml_100mg5ml_value').val((parseInt($('#field-azee_100_xl_liquids_30_ml_100mg5ml_units').val())*80.00||0).toFixed(1));
-            $('#field-azee_1000_value').val((parseInt($('#field-azee_1000_units').val())*47.02||0).toFixed(1));
-            $('#field-azee_200_ds_15ml_value').val((parseInt($('#field-azee_200_ds_15ml_units').val())*41.62||0).toFixed(1));
-            $('#field-azee_200_ip_200mg5ml_15ml_value').val((parseInt($('#field-azee_200_ip_200mg5ml_15ml_units').val())*41.62||0).toFixed(1));
-            $('#field-azee_200_xl_dry_syru_value').val((parseInt($('#field-azee_200_xl_dry_syru_units').val())*83.28||0).toFixed(1));
-            $('#field-azee_200_xl_liquids_30_ml_200mg5ml_value').val((parseInt($('#field-azee_200_xl_liquids_30_ml_200mg5ml_units').val())*83.28||0).toFixed(1));
-            $('#field-azee_250_tablets10s_value').val((parseInt($('#field-azee_250_tablets10s_units').val())*94.96||0).toFixed(1));
-            $('#field-azee_250_tabs_value').val((parseInt($('#field-azee_250_tabs_units').val())*56.97||0).toFixed(1));
-
-
-            $('#field-azee_500_tablets_1_x_5s_value').val((parseInt($('#field-azee_500_tablets_1_x_5s_units').val())*95.91||0).toFixed(1));
-            $('#field-azee_500_tablets_5s_value').val((parseInt($('#field-azee_500_tablets_5s_units').val())*95.91||0).toFixed(1));
-            $('#field-azee_pulse_3_tablets_value').val((parseInt($('#field-azee_pulse_3_tablets_units').val())*57.55||0).toFixed(1));
-            $('#field-civono_10_mg_tablets_10s_value').val((parseInt($('#field-civono_10_mg_tablets_10s_units').val())*78.57||0).toFixed(1));
-            $('#field-civono_20_mg_tablets_10s_value').val((parseInt($('#field-civono_20_mg_tablets_10s_units').val())*121.42||0).toFixed(1));
-            $('#field-corex_dx_cough_syrup_100ml_ip_value').val((parseInt($('#field-corex_dx_cough_syrup_100ml_ip_units').val())*121.78||0).toFixed(1));
-            $('#field-corex_dx_cough_syrup_50ml_ip_value').val((parseInt($('#field-corex_dx_cough_syrup_50ml_ip_units').val())*80.37||0).toFixed(1));
-            $('#field-cpink_200ml_value').val((parseInt($('#field-cpink_200ml_units').val())*246.62||0).toFixed(1));
-            $('#field-cpink_drops_15ml_value').val((parseInt($('#field-cpink_drops_15ml_units').val())*94.42||0).toFixed(1));
-            $('#field-cpink_suspension_150ml_value').val((parseInt($('#field-cpink_suspension_150ml_units').val())*138.97||0).toFixed(1));
-
-            
-            $('#field-farobact_200_value').val((parseInt($('#field-farobact_200_units').val())*495.21||0).toFixed(1));
-            $('#field-farobact_200_tabs_1_x_10_s_value').val((parseInt($('#field-farobact_200_tabs_1_x_10_s_units').val())*998.67||0).toFixed(1));
-            $('#field-farobact_300_er_tablets_value').val((parseInt($('#field-farobact_300_er_tablets_units').val())*543.80||0).toFixed(1));
-            $('#field-farobact_300_er_tabs_10_s_value').val((parseInt($('#field-farobact_300_er_tabs_10_s_units').val())*1096.66||0).toFixed(1));
-            $('#field-farobact_dry_syrup_value').val((parseInt($('#field-farobact_dry_syrup_units').val())*423.50||0).toFixed(1));
-            $('#field-flomist_aq_100md_value').val((parseInt($('#field-flomist_aq_100md_units').val())*367.44||0).toFixed(1));
-            $('#field-flomist_f_240_md_value').val((parseInt($('#field-flomist_f_240_md_units').val())*616.78||0).toFixed(1));
-            $('#field-flomist_f_275_mcg_120_md_value').val((parseInt($('#field-flomist_f_275_mcg_120_md_units').val())*444.50||0).toFixed(1));
-            $('#field-ibugesic_plus_tablets_20s_value').val((parseInt($('#field-ibugesic_plus_tablets_20s_units').val())*31.61||0).toFixed(1));
-            $('#field-ibugesic_plus_tablets_20s_ip_value').val((parseInt($('#field-ibugesic_plus_tablets_20s_ip_units').val())*31.61||0).toFixed(1));
-
-            $('#field-omnix_100_ds_value').val((parseInt($('#field-omnix_100_ds_units').val())*58.31||0).toFixed(1));
-            $('#field-omnix_100_dry_syrup_value').val((parseInt($('#field-omnix_100_dry_syrup_units').val())*116.64||0).toFixed(1));
-            $('#field-omnix_100_dt_tab_value').val((parseInt($('#field-omnix_100_dt_tab_units').val())*87.48||0).toFixed(1));
-            $('#field-omnix_200_dt_tab_value').val((parseInt($('#field-omnix_200_dt_tab_units').val())*79.59||0).toFixed(1));
-            $('#field-omnix_50_dry_syrup_value').val((parseInt($('#field-omnix_50_dry_syrup_units').val())*39.83||0).toFixed(1));
-            $('#field-omnix_50_dt_value').val((parseInt($('#field-omnix_50_dt_units').val())*55.54||0).toFixed(1));
-            $('#field-omnix_cv_200_tab_value').val((parseInt($('#field-omnix_cv_200_tab_units').val())*291.61||0).toFixed(1));
-            $('#field-omnix_o_value').val((parseInt($('#field-omnix_o_units').val())*183.71||0).toFixed(1));
-            $('#field-emeset_4_odtindia1_x_10s_value').val((parseInt($('#field-emeset_4_odtindia1_x_10s_units').val())*41.83||0).toFixed(1));
-            $('#field-emeset_4mg_10s_value').val((parseInt($('#field-emeset_4mg_10s_units').val())*41.83||0).toFixed(1));
-
-
-            $('#field-emeset_8mg_10s_value').val((parseInt($('#field-emeset_8mg_10s_units').val())*73.75||0).toFixed(1));
-            $('#field-emeset_syrup_value').val((parseInt($('#field-emeset_syrup_units').val())*30.71||0).toFixed(1));
-            $('#field-emeset_syrup_strawberry_30_ml_value').val((parseInt($('#field-emeset_syrup_strawberry_30_ml_units').val())*30.71||0).toFixed(1));
-            $('#field-oflox_100mg_rediuse_60ml_value').val((parseInt($('#field-oflox_100mg_rediuse_60ml_units').val())*141.25||0).toFixed(1));
-            $('#field-oflox_200_tab_10s_value').val((parseInt($('#field-oflox_200_tab_10s_units').val())*84.19||0).toFixed(1));
-            $('#field-oflox_400_10s_value').val((parseInt($('#field-oflox_400_10s_units').val())*305.58||0).toFixed(1));
-            $('#field-oflox_50mg_rediuse_60ml_value').val((parseInt($('#field-oflox_50mg_rediuse_60ml_units').val())*66.78||0).toFixed(1));
-            $('#field-oflox_eye_drops_value').val((parseInt($('#field-oflox_eye_drops_units').val())*38.58||0).toFixed(1));
-            $('#field-oflox_oz_tablets_ip_value').val((parseInt($('#field-oflox_oz_tablets_ip_units').val())*157.25||0).toFixed(1));
-            $('#field-oflox_rediuse_value').val((parseInt($('#field-oflox_rediuse_units').val())*66.78||0).toFixed(1));
-
-            $('#field-oflox_200_mg_10s_tablets_ip_value').val((parseInt($('#field-oflox_200_mg_10s_tablets_ip_units').val())*84.19||0).toFixed(1));
-            $('#field-oflox_400_mg_10s_tablets_ip_value').val((parseInt($('#field-oflox_400_mg_10s_tablets_ip_units').val())*305.58||0).toFixed(1));
-            $('#field-emset_r_10_x_10_tablets_value').val((parseInt($('#field-emset_r_10_x_10_tablets_units').val())*60.09||0).toFixed(1));
-            $('#field-montair_ab_tablet_value').val((parseInt($('#field-montair_ab_tablet_units').val())*238.11||0).toFixed(1));
-            $('#field-pansec_80_mg_tablets_value').val((parseInt($('#field-pansec_80_mg_tablets_units').val())*226.21||0).toFixed(1));
-            $('#field-pansec_d_sr_capsules_15s_value').val((parseInt($('#field-pansec_d_sr_capsules_15s_units').val())*235.22||0).toFixed(1));
-            $('#field-pansec_tablets_15s_value').val((parseInt($('#field-pansec_tablets_15s_units').val())*197.71||0).toFixed(1));
-            $('#field-pansec_l_capsules_value').val((parseInt($('#field-pansec_l_capsules_units').val())*132.21||0).toFixed(1));
-
-
-
-            $('#field-total_pob_value').val(totalvalue.toFixed(1));
             $('#field-total_pob_units').val(totalUnits);
 
-        })
+            $.each(productGroups, function(groupName, keys) {
+            calculateGroupTotals(groupName, keys);
+            }); 
+
+        });
 
         
         $('#field-total_pob_value,#field-total_pob_units').attr('readonly',true);
@@ -723,19 +582,169 @@ if (!empty($submissions->data->submissions)) {
         });
              
         $('#field-upload_supporting_document').on('change', function () {
-    let file = this.files[0];
+            let file = this.files[0];
-    if (file) {
+            if (file) {
-        let allowedTypes = ['image/png', 'image/jpg', 'image/jpeg'];
+                let allowedTypes = ['image/png', 'image/jpg', 'image/jpeg'];
 
-        if (!allowedTypes.includes(file.type)) {
+                if (!allowedTypes.includes(file.type)) {
-            alert('Only PNG, JPG, and JPEG files are allowed.');
+                    alert('Only PNG, JPG, and JPEG files are allowed.');
-            $(this).val(''); // reset input
+                    $(this).val(''); // reset input
+                }
+            }
+        });
+
+
+        const productGroups = {
+            acivir: ["acivir_200_dt","acivir_400_dt","acivir_400_dt_10s","acivir_800_dt","acivir_800_dt_tablets_1x10s","acivir_cream_10_gm"],
+            advent: [
+                "advent_1000_mg",
+                "advent_457_dt_6s",
+                "advent_457_dt_tablets",
+                "advent_625_tablets_10s",
+                "advent_drops_10ml",
+                "advent_es",
+                "advent_forte_457_syp_60_ml",
+                "advent_forte_syp_30m",
+                "advent_kid_2285_tab",
+                "advent_syp_2285mg",
+                "advent_syrup"
+            ],
+            azee_solids: ["azee_500_tabs","azee_1000","azee_250_tablets10s","azee_250_tabs","azee_500_tablets_1_x_5s","azee_500_tablets_5s"],
+            azee_ped: ["azee_100_ds_15ml","azee_100_dt","azee_100_ip_100mg5ml_15ml","azee_100_xl_dry_syru","azee_100_xl_liquids_30_ml_100mg5ml","azee_200_ds_15ml","azee_200_ip_200mg5ml_15ml","azee_200_xl_dry_syru","azee_200_xl_liquids_30_ml_200mg5ml"],
+            bilafav: ["bilafav_m","bilafav_m_odt_adult_tablets_1x10s_2010","bilafav_m_odt_pedia_tablets_1x10s_104","bilafav_m_oral_suspension"],
+            civono:["civono_10_mg_tablets_10s","civono_20_mg_tablets_10s"],
+            corex:["corex_dx_cough_syrup_100ml_ip","corex_dx_cough_syrup_50ml_ip"],
+            cpink:["cpink_200ml","cpink_drops_15ml","cpink_suspension_150ml"],
+            farobact:["farobact_200","farobact_200_tabs_1_x_10_s","farobact_300_er_tablets","farobact_300_er_tabs_10_s"],
+            flomist:["flomist_aq_100md"],
+            flomist_f:["flomist_f_240_md","flomist_f_275_mcg_120_md"],
+            
+            
+            ibugesic:["ibugesic_plus_tablets_20s","ibugesic_plus_tablets_20s_ip"],
+            omnix:["omnix_100_ds","omnix_100_dry_syrup","omnix_100_dt_tab","omnix_200_dt_tab","omnix_50_dry_syrup","omnix_50_dt","omnix_cv_200_tab","omnix_o"],
+            junior_lanzol:["junior_lanzol_15","junior_lanzol_30"],
+            levoflox:["levoflox_250_10s_ip","levoflox_250_tab_10","levoflox_500_10s_ip","levoflox_500_10s","levoflox_750_5s_ip","levoflox_750_tab_5s","levoflox_infusion"],
+            metaspray:["metaspray_100aq"],
+            /* montair:["montair_fx_15s","montair_ab_tablet"], */
+            curkey:["curkey_kof_syrup_p_100ml","curkey_pastiles_10_x_10s","curkey_pastiles_100_mg_5_x_10s","curkey_pastilles_100mg_1_x_10s","curkey_syrup_60ml"],
+            nutramide:["nutramide_200_ml_syrup","nutramide_drops_15_ml"],
+            emeset:["emeset_4_odtindia1_x_10s","emeset_4mg_10s","emeset_8mg_10s","emeset_syrup","emeset_syrup_strawberry_30_ml"],
+            
+            oflox:["oflox_100mg_rediuse_60ml","oflox_200_tab_10s","oflox_400_10s","oflox_50mg_rediuse_60ml","oflox_eye_drops","oflox_rediuse","oflox_200_mg_10s_tablets_ip","oflox_400_mg_10s_tablets_ip"],
+            oflox_oz:["oflox_oz_tablets_ip"],
+            emeset_r:["emset_r_10_x_10_tablets"],
+            montair:["montair_ab_tablet"],
+            pansec:["pansec_80_mg_tablets","pansec_d_sr_capsules_15s","pansec_tablets_15s","pansec_l_capsules"]
+
+
+
+
+        
+            
+
+
+        };
+
+
+        function calculateGroupTotals(groupName, keys) {
+            let totalUnits = 0;
+            let totalValue = 0;
+
+            keys.forEach(key => {
+                totalUnits += parseInt($(`#field-${key}_units`).val()) || 0;
+                totalValue += parseFloat($(`#field-${key}_value`).val()) || 0;
+            });
+
+            $(`#field-${groupName}_units`).val(totalUnits);
+            $(`#field-${groupName}_value`).val(totalValue.toFixed(1));
         }
-    }
+
-});
+        
+
+
+        $('#report-form').append('<input type="hidden" id="field-acivir_units" name="acivir_units" />');
+        $('#report-form').append('<input type="hidden" id="field-acivir_value" name="acivir_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-advent_units" name="advent_units" />');
+        $('#report-form').append('<input type="hidden" id="field-advent_value" name="advent_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-azee_solids_units" name="azee_solids_units" />');
+        $('#report-form').append('<input type="hidden" id="field-azee_solids_value" name="azee_solids_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-azee_ped_units" name="azee_ped_units" />');
+        $('#report-form').append('<input type="hidden" id="field-azee_ped_value" name="azee_ped_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-bilafav_units" name="bilafav_units" />');
+        $('#report-form').append('<input type="hidden" id="field-bilafav_value" name="bilafav_value" />');
+
+
+        $('#report-form').append('<input type="hidden" id="field-civono_units" name="civono_units" />');
+        $('#report-form').append('<input type="hidden" id="field-civono_value" name="civono_value" />');
+
+
+        $('#report-form').append('<input type="hidden" id="field-corex_units" name="corex_units" />');
+        $('#report-form').append('<input type="hidden" id="field-corex_value" name="corex_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-cpink_units" name="cpink_units" />');
+        $('#report-form').append('<input type="hidden" id="field-cpink_value" name="cpink_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-farobact_units" name="farobact_units" />');
+        $('#report-form').append('<input type="hidden" id="field-farobact_value" name="farobact_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-flomist_units" name="flomist_units" />');
+        $('#report-form').append('<input type="hidden" id="field-flomist_value" name="flomist_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-flomist_f_units" name="flomist_f_units" />');
+        $('#report-form').append('<input type="hidden" id="field-flomist_f_value" name="flomist_f_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-ibugesic_units" name="ibugesic_units" />');
+        $('#report-form').append('<input type="hidden" id="field-ibugesic_value" name="ibugesic_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-omnix_units" name="omnix_units" />');
+        $('#report-form').append('<input type="hidden" id="field-omnix_value" name="omnix_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-junior_lanzol_units" name="junior_lanzol_units" />');
+        $('#report-form').append('<input type="hidden" id="field-junior_lanzol_value" name="junior_lanzol_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-levoflox_units" name="levoflox_units" />');
+        $('#report-form').append('<input type="hidden" id="field-levoflox_value" name="levoflox_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-metaspray_units" name="metaspray_units" />');
+        $('#report-form').append('<input type="hidden" id="field-metaspray_value" name="metaspray_value" />');
+
+        /* $('#report-form').append('<input type="hidden" id="field-montair_units" name="montair_units" />');
+        $('#report-form').append('<input type="hidden" id="field-montair_value" name="montair_value" />'); */
+
+        $('#report-form').append('<input type="hidden" id="field-curkey_units" name="curkey_units" />');
+        $('#report-form').append('<input type="hidden" id="field-curkey_value" name="curkey_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-nutramide_units" name="nutramide_units" />');
+        $('#report-form').append('<input type="hidden" id="field-nutramide_value" name="nutramide_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-emeset_units" name="emeset_units" />');
+        $('#report-form').append('<input type="hidden" id="field-emeset_value" name="emeset_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-oflox_units" name="oflox_units" />');
+        $('#report-form').append('<input type="hidden" id="field-oflox_value" name="oflox_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-oflox_oz_units" name="oflox_oz_units" />');
+        $('#report-form').append('<input type="hidden" id="field-oflox_oz_value" name="oflox_oz_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-emeset_r_units" name="emeset_r_units" />');
+        $('#report-form').append('<input type="hidden" id="field-emeset_r_value" name="emeset_r_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-montair_units" name="montair_units" />');
+        $('#report-form').append('<input type="hidden" id="field-montair_value" name="montair_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-pansec_units" name="pansec_units" />');
+        $('#report-form').append('<input type="hidden" id="field-pansec_value" name="pansec_value" />');
+
+        
+
 
         $('#report-form').on('submit', function(event) {
             event.preventDefault();
+        
             $("#pageloader").fadeIn();
             $.ajax({
                 type: "POST",

resources/views/form/rapport-horizon/1775714229-de6790b2-6cea-42e6-ac13-0c56afbb23b0.blade.php

@@ -23,8 +23,8 @@ $brandData = [
 ['brand'=>"LEVOFLOX 750 TAB 5'S", 'slug'=>'levoflox_750_tab_5s_units','pseudoId'=>'levoflox_750_tab_5s_value'],
 ['brand'=>'LEVOFLOX INFUSION', 'slug'=>'levoflox_infusion_units','pseudoId'=>'levoflox_infusion_value'],
 ['brand'=>'METASPRAY 100AQ', 'slug'=>'metaspray_100aq_units','pseudoId'=>'metaspray_100aq_value'],
-
+/* 
-['brand'=>'MONTAIR FX', 'slug'=>'montair_fx_units','pseudoId'=>'montair_fx_value'],
+['brand'=>'MONTAIR FX', 'slug'=>'montair_fx_units','pseudoId'=>'montair_fx_value'], */
 ['brand'=>'Montair FX 15s', 'slug'=>'montair_fx_15s_units','pseudoId'=>'montair_fx_15s_value'],
 ['brand'=>'CEFOPROX 100 30ML(60)', 'slug'=>'cefoprox_100_30ml60_units','pseudoId'=>'cefoprox_100_30ml60_value'],
 ['brand'=>'CEFOPROX 100DT', 'slug'=>'cefoprox_100dt_units','pseudoId'=>'cefoprox_100dt_value'],
@@ -54,7 +54,7 @@ $brandData = [
 ['brand'=>'MUCINAC 600 TABLETS', 'slug'=>'mucinac_600_tablets_units','pseudoId'=>'mucinac_600_tablets_value'],
 ['brand'=>'Mucinac AB 1 X 10 TABLETS', 'slug'=>'mucinac_ab_1_x_10_tablets_units','pseudoId'=>'mucinac_ab_1_x_10_tablets_value'],
 ['brand'=>"Mucinac AB Tablet", 'slug'=>'mucinac_ab_tablet_units','pseudoId'=>'mucinac_ab_tablet_value'],
-['brand'=>"MUCINAC C Tablets 1 x 15'S", 'slug'=>'mucinac_c_tablets_1_x_15s_units','pseudoId'=>'mucinac_c_tablets_1_x_15s_value'],
+/* ['brand'=>"MUCINAC C Tablets 1 x 15'S", 'slug'=>'mucinac_c_tablets_1_x_15s_units','pseudoId'=>'mucinac_c_tablets_1_x_15s_value'], */
 ['brand'=>'Mucinac Oral Solution 100ml', 'slug'=>'mucinac_oral_solution_100ml_units','pseudoId'=>'mucinac_oral_solution_100ml_value'],
 
 
@@ -501,7 +501,7 @@ if (!empty($submissions->data->submissions)) {
             // 👉 Continue adding all products same way
         };
 
-        $(document).on('change', '[id$="_units"]', function () {
+        $(document).on('input', '[id$="_units"]', function () {
 
             let totalValue = 0;
             let totalUnits = 0;
@@ -523,6 +523,10 @@ if (!empty($submissions->data->submissions)) {
 
             $('#field-total_pob_value').val(totalValue.toFixed(1));
             $('#field-total_pob_units').val(totalUnits);
+
+            $.each(productGroups, function(groupName, keys) {
+            calculateGroupTotals(groupName, keys);
+            });
         });
 
         
@@ -537,16 +541,113 @@ if (!empty($submissions->data->submissions)) {
         });
 
         $('#field-upload_supporting_document').on('change', function () {
-    let file = this.files[0];
+            let file = this.files[0];
-    if (file) {
+            if (file) {
-        let allowedTypes = ['image/png', 'image/jpg', 'image/jpeg'];
+                let allowedTypes = ['image/png', 'image/jpg', 'image/jpeg'];
 
-        if (!allowedTypes.includes(file.type)) {
+                if (!allowedTypes.includes(file.type)) {
-            alert('Only PNG, JPG, and JPEG files are allowed.');
+                    alert('Only PNG, JPG, and JPEG files are allowed.');
-            $(this).val(''); // reset input
+                    $(this).val(''); // reset input
+                }
+            }
+        });
+
+
+
+        const productGroups = {
+            junior_lazol: ["junior_lanzol_15", "junior_lanzol_30"],
+            levoflox: [
+                "levoflox_250_10s_ip",
+                "levoflox_250_tab_10",
+                "levoflox_500_10s_ip",
+                "levoflox_500_10s",
+                "levoflox_750_5s_ip",
+                "levoflox_750_tab_5s",
+                "levoflox_infusion"
+            ],
+            metaspray: ["metaspray_100aq"],
+            montair:["montair_fx","montair_fx_15s"],
+            cefoprox:["cefoprox_100_30ml60","cefoprox_100dt","cefoprox_200_10s","cefoprox_50_30ml","cefoprox_cv_325_tab"],
+            cheston:["cheston_duo_100ml_syrup","cheston_ls_junior_100_ml","cheston_d_cough_syrup_100_ml","cheston_d_plus_1_x_10s","cheston_ls_cough_syrup_100_ml","cheston_ls_junior_60_ml"],
+            dalacin:["dalacin_c_150mg_caps_10s","dalacin_c_300mg_caps_10s"],
+            dolonex:["dolonex_disp_20mg_tabs_ip","dolonex_im_20mg1ml_inj","dolonex_im_40mg_2ml_inj_hosp_ip","dolonex_im_40mg2ml_inj_ip"],
+            duonase:["duonase_f_70_md","duonase_nasal_spray"],
+            ibugesic:["ibugesic_plus_susp","ibugesic_plus_susp_1","ibugesic_plus_suspension_100ml_orange"],
+            mucinac:["mucinac_200_tablet_1_x_10s","mucinac_600_tablets","mucinac_ab_1_x_10_tablets","mucinac_ab_tablet","mucinac_c_tablets_1_x_15s","mucinac_oral_solution_100ml"],
+            novamox:["novamox_500","novamox_125_rediuse_30_ml","novamox_125_rediuse_60_ml","novamox_250_dt_15s","novamox_250_ru_30","novamox_250_rediuse","novamox_30ml","novamox_60ml","novamox_cv_1000_mg","novamox_cv_2285_dt_tablets","novamox_cv_2285_mg_syrup","novamox_cv_375_tab_10s","novamox_cv_457_dt_10s","novamox_cv_625_tablets_10","novamox_cv_drops","novamox_cv_dry_syrup_30_ml","novamox_cv_ds","novamox_cv_forte_syp","novamox_cv_forte_syp_60_ml","novamox_drops","novamox_lb_500","novamox_rdu_drops","novamox_125_dt_15s","novamox_250_15s"],
+            tedispan:["tedispan_200_tablets_6s"],
+            rabicip:["rabicip_l_capsules","rabicip_20_15s","rabicip_20_tablets_15s","rabicip_20mg_ip_1_x_15s_tablets","rabicip_d_capsules_1_x_15s"],
+
+
+
+
+
+
+
+        };
+
+
+        function calculateGroupTotals(groupName, keys) {
+            let totalUnits = 0;
+            let totalValue = 0;
+
+            keys.forEach(key => {
+                totalUnits += parseInt($(`#field-${key}_units`).val()) || 0;
+                totalValue += parseFloat($(`#field-${key}_value`).val()) || 0;
+            });
+
+            $(`#field-${groupName}_units`).val(totalUnits);
+            $(`#field-${groupName}_value`).val(totalValue.toFixed(1));
         }
-    }
+
-});
+        
+
+
+        $('#report-form').append('<input type="hidden" id="field-junior_lazol_units" name="junior_lazol_units" />');
+        $('#report-form').append('<input type="hidden" id="field-junior_lazol_value" name="junior_lazol_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-levoflox_units" name="levoflox_units" />');
+        $('#report-form').append('<input type="hidden" id="field-levoflox_value" name="levoflox_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-metaspray_units" name="metaspray_units" />');
+        $('#report-form').append('<input type="hidden" id="field-metaspray_value" name="metaspray_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-montair_units" name="montair_units" />');
+        $('#report-form').append('<input type="hidden" id="field-montair_value" name="montair_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-cefoprox_units" name="cefoprox_units" />');
+        $('#report-form').append('<input type="hidden" id="field-cefoprox_value" name="cefoprox_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-cheston_units" name="cheston_units" />');
+        $('#report-form').append('<input type="hidden" id="field-cheston_value" name="cheston_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-dalacin_units" name="dalacin_units" />');
+        $('#report-form').append('<input type="hidden" id="field-dalacin_value" name="dalacin_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-dolonex_units" name="dolonex_units" />');
+        $('#report-form').append('<input type="hidden" id="field-dolonex_value" name="dolonex_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-duonase_units" name="duonase_units" />');
+        $('#report-form').append('<input type="hidden" id="field-duonase_value" name="duonase_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-ibugesic_units" name="ibugesic_units" />');
+        $('#report-form').append('<input type="hidden" id="field-ibugesic_value" name="ibugesic_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-mucinac_units" name="mucinac_units" />');
+        $('#report-form').append('<input type="hidden" id="field-mucinac_value" name="mucinac_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-novamox_units" name="novamox_units" />');
+        $('#report-form').append('<input type="hidden" id="field-novamox_value" name="novamox_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-tedispan_units" name="tedispan_units" />');
+        $('#report-form').append('<input type="hidden" id="field-tedispan_value" name="tedispan_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-rabicip_units" name="rabicip_units" />');
+        $('#report-form').append('<input type="hidden" id="field-rabicip_value" name="rabicip_value" />');
+
+
+       
+
 
         $('#report-form').on('submit', function(event) {
             event.preventDefault();

resources/views/form/rapport-horizon/1776054298-c1c47fb5-c8b8-4495-b323-0abe41e8ec3a.blade.php

@@ -48,7 +48,7 @@ $brandData = [
 
 ['brand'=>"AZEE 500 Tablets 1 x 5'S", 'slug'=>'azee_500_tablets_1_x_5s_units','pseudoId'=>'azee_500_tablets_1_x_5s_value'],
 ['brand'=>"AZEE 500 TABLETS 5'S", 'slug'=>'azee_500_tablets_5s_units','pseudoId'=>'azee_500_tablets_5s_value'],
-['brand'=>'AZEE PULSE 3 TABLETS', 'slug'=>'azee_pulse_3_tablets_units','pseudoId'=>'azee_pulse_3_tablets_value'],
+/* ['brand'=>'AZEE PULSE 3 TABLETS', 'slug'=>'azee_pulse_3_tablets_units','pseudoId'=>'azee_pulse_3_tablets_value'], */
 ['brand'=>"CIVONO 10 MG TABLETS 10'S", 'slug'=>'civono_10_mg_tablets_10s_units','pseudoId'=>'civono_10_mg_tablets_10s_value'],
 ['brand'=>"CIVONO 20 MG TABLETS 10'S", 'slug'=>'civono_20_mg_tablets_10s_units','pseudoId'=>'civono_20_mg_tablets_10s_value'],
 ['brand'=>'COREX-DX COUGH SYRUP 100ML (IP)', 'slug'=>'corex_dx_cough_syrup_100ml_ip_units','pseudoId'=>'corex_dx_cough_syrup_100ml_ip_value'],
@@ -62,7 +62,7 @@ $brandData = [
 ['brand'=>"FAROBACT 200 TABS 1 x 10 S", 'slug'=>'farobact_200_tabs_1_x_10_s_units','pseudoId'=>'farobact_200_tabs_1_x_10_s_value'],
 ['brand'=>'Farobact 300 ER TABLETS', 'slug'=>'farobact_300_er_tablets_units','pseudoId'=>'farobact_300_er_tablets_value'],
 ['brand'=>"FAROBACT 300 ER TABS 10 S", 'slug'=>'farobact_300_er_tabs_10_s_units','pseudoId'=>'farobact_300_er_tabs_10_s_value'],
-['brand'=>"Farobact Dry Syrup", 'slug'=>'farobact_dry_syrup_units','pseudoId'=>'farobact_dry_syrup_value'],
+/* ['brand'=>"Farobact Dry Syrup", 'slug'=>'farobact_dry_syrup_units','pseudoId'=>'farobact_dry_syrup_value'], */
 ['brand'=>'FLOMIST AQ. 100MD', 'slug'=>'flomist_aq_100md_units','pseudoId'=>'flomist_aq_100md_value'],
 ['brand'=>'Flomist F 240 MD', 'slug'=>'flomist_f_240_md_units','pseudoId'=>'flomist_f_240_md_value'],
 ['brand'=>"Flomist F 27.5 MCG 120 MD", 'slug'=>'flomist_f_275_mcg_120_md_units','pseudoId'=>'flomist_f_275_mcg_120_md_value'],
@@ -88,15 +88,17 @@ $brandData = [
 ['brand'=>"LEVOFLOX 750 TAB 5'S", 'slug'=>'levoflox_750_tab_5s_units','pseudoId'=>'levoflox_750_tab_5s_value'],
 ['brand'=>"LEVOFLOX INFUSION", 'slug'=>'levoflox_infusion_units','pseudoId'=>'levoflox_infusion_value'],
 ['brand'=>"METASPRAY 100AQ", 'slug'=>'metaspray_100aq_units','pseudoId'=>'metaspray_100aq_value'],
-['brand'=>"MONTAIR FX", 'slug'=>'montair_fx_units','pseudoId'=>'montair_fx_value'],
+/* ['brand'=>"MONTAIR FX", 'slug'=>'montair_fx_units','pseudoId'=>'montair_fx_value'], */
 ['brand'=>"Montair FX 15s", 'slug'=>'montair_fx_15s_units','pseudoId'=>'montair_fx_15s_value'],
+['brand'=>"Montair AB Tablet", 'slug'=>'montair_ab_tablet_units','pseudoId'=>'montair_ab_tablet_value'],
+
 
 ['brand'=>"CURKEY KOF SYRUP (P) 100ML", 'slug'=>'curkey_kof_syrup_p_100ml_units','pseudoId'=>'curkey_kof_syrup_p_100ml_value'],
 ['brand'=>"CURKEY PASTILES 10 X 10S", 'slug'=>'curkey_pastiles_10_x_10s_units','pseudoId'=>'curkey_pastiles_10_x_10s_value'],
 ['brand'=>"CURKEY PASTILES 100 MG 5 X 10'S", 'slug'=>'curkey_pastiles_100_mg_5_x_10s_units','pseudoId'=>'curkey_pastiles_100_mg_5_x_10s_value'],
 ['brand'=>"CURKEY PASTILLES 100MG 1 X 10S", 'slug'=>'curkey_pastilles_100mg_1_x_10s_units','pseudoId'=>'curkey_pastilles_100mg_1_x_10s_value'],
 ['brand'=>"CURKEY SYRUP 60ML", 'slug'=>'curkey_syrup_60ml_units','pseudoId'=>'curkey_syrup_60ml_value'],
-['brand'=>"CURKEY VAPR", 'slug'=>'curkey_vapr_units','pseudoId'=>'curkey_vapr_value'],
+/* ['brand'=>"CURKEY VAPR", 'slug'=>'curkey_vapr_units','pseudoId'=>'curkey_vapr_value'], */
 ['brand'=>"Nutramide 200 ML syrup", 'slug'=>'nutramide_200_ml_syrup_units','pseudoId'=>'nutramide_200_ml_syrup_value'],
 ['brand'=>"Nutramide drops 15 ml", 'slug'=>'nutramide_drops_15_ml_units','pseudoId'=>'nutramide_drops_15_ml_value']
 
@@ -505,6 +507,7 @@ if (!empty($submissions->data->submissions)) {
             "metaspray_100aq":454.72,
             "montair_fx": 158.96,
             "montair_fx_15s": 307.73,
+            "montair_ab_tablet": 238.11,
 
 
             "curkey_kof_syrup_p_100ml": 88.57,
@@ -541,6 +544,10 @@ if (!empty($submissions->data->submissions)) {
 
             $('#field-total_pob_value').val(totalValue.toFixed(1));
             $('#field-total_pob_units').val(totalUnits);
+
+            $.each(productGroups, function(groupName, keys) {
+            calculateGroupTotals(groupName, keys);
+            }); 
         });
 
         
@@ -555,16 +562,136 @@ if (!empty($submissions->data->submissions)) {
 
 
         $('#field-upload_supporting_document').on('change', function () {
-    let file = this.files[0];
+            let file = this.files[0];
-    if (file) {
+            if (file) {
-        let allowedTypes = ['image/png', 'image/jpg', 'image/jpeg'];
+                let allowedTypes = ['image/png', 'image/jpg', 'image/jpeg'];
 
-        if (!allowedTypes.includes(file.type)) {
+                if (!allowedTypes.includes(file.type)) {
-            alert('Only PNG, JPG, and JPEG files are allowed.');
+                    alert('Only PNG, JPG, and JPEG files are allowed.');
-            $(this).val(''); // reset input
+                    $(this).val(''); // reset input
+                }
+            }
+        });
+
+
+        const productGroups = {
+            acivir: ["acivir_200_dt","acivir_400_dt","acivir_400_dt_10s","acivir_800_dt","acivir_800_dt_tablets_1x10s","acivir_cream_10_gm"],
+            advent: [
+                "advent_1000_mg",
+                "advent_457_dt_6s",
+                "advent_457_dt_tablets",
+                "advent_625_tablets_10s",
+                "advent_drops_10ml",
+                "advent_es",
+                "advent_forte_457_syp_60_ml",
+                "advent_forte_syp_30m",
+                "advent_kid_2285_tab",
+                "advent_syp_2285mg",
+                "advent_syrup"
+            ],
+            azee_solids: ["azee_500_tabs","azee_1000","azee_250_tablets10s","azee_250_tabs","azee_500_tablets_1_x_5s","azee_500_tablets_5s"],
+            azee_ped: ["azee_100_ds_15ml","azee_100_dt","azee_100_ip_100mg5ml_15ml","azee_100_xl_dry_syru","azee_100_xl_liquids_30_ml_100mg5ml","azee_200_ds_15ml","azee_200_ip_200mg5ml_15ml","azee_200_xl_dry_syru","azee_200_xl_liquids_30_ml_200mg5ml"],
+            
+            civono:["civono_10_mg_tablets_10s","civono_20_mg_tablets_10s"],
+            corex:["corex_dx_cough_syrup_100ml_ip","corex_dx_cough_syrup_50ml_ip"],
+            cpink:["cpink_200ml","cpink_drops_15ml","cpink_suspension_150ml"],
+            farobact:["farobact_200","farobact_200_tabs_1_x_10_s","farobact_300_er_tablets","farobact_300_er_tabs_10_s"],
+            flomist:["flomist_aq_100md"],
+            flomist_f:["flomist_f_240_md","flomist_f_275_mcg_120_md"],
+            
+            
+            ibugesic:["ibugesic_plus_tablets_20s","ibugesic_plus_tablets_20s_ip"],
+            omnix:["omnix_100_ds","omnix_100_dry_syrup","omnix_100_dt_tab","omnix_200_dt_tab","omnix_50_dry_syrup","omnix_50_dt","omnix_cv_200_tab","omnix_o"],
+            junior_lanzol:["junior_lanzol_15","junior_lanzol_30"],
+            levoflox:["levoflox_250_10s_ip","levoflox_250_tab_10","levoflox_500_10s_ip","levoflox_500_10s","levoflox_750_5s_ip","levoflox_750_tab_5s","levoflox_infusion"],
+            metaspray:["metaspray_100aq"],
+            montair:["montair_fx_15s","montair_ab_tablet"],
+            curkey:["curkey_kof_syrup_p_100ml","curkey_pastiles_10_x_10s","curkey_pastiles_100_mg_5_x_10s","curkey_pastilles_100mg_1_x_10s","curkey_syrup_60ml"],
+            nutramide:["nutramide_200_ml_syrup","nutramide_drops_15_ml"],
+
+
+
+        
+            
+
+
+        };
+
+
+        function calculateGroupTotals(groupName, keys) {
+            let totalUnits = 0;
+            let totalValue = 0;
+
+            keys.forEach(key => {
+                totalUnits += parseInt($(`#field-${key}_units`).val()) || 0;
+                totalValue += parseFloat($(`#field-${key}_value`).val()) || 0;
+            });
+
+            $(`#field-${groupName}_units`).val(totalUnits);
+            $(`#field-${groupName}_value`).val(totalValue.toFixed(1));
         }
-    }
+
-});
+        
+
+
+        $('#report-form').append('<input type="hidden" id="field-acivir_units" name="acivir_units" />');
+        $('#report-form').append('<input type="hidden" id="field-acivir_value" name="acivir_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-advent_units" name="advent_units" />');
+        $('#report-form').append('<input type="hidden" id="field-advent_value" name="advent_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-azee_solids_units" name="azee_solids_units" />');
+        $('#report-form').append('<input type="hidden" id="field-azee_solids_value" name="azee_solids_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-azee_ped_units" name="azee_ped_units" />');
+        $('#report-form').append('<input type="hidden" id="field-azee_ped_value" name="azee_ped_value" />');
+
+
+        $('#report-form').append('<input type="hidden" id="field-civono_units" name="civono_units" />');
+        $('#report-form').append('<input type="hidden" id="field-civono_value" name="civono_value" />');
+
+
+        $('#report-form').append('<input type="hidden" id="field-corex_units" name="corex_units" />');
+        $('#report-form').append('<input type="hidden" id="field-corex_value" name="corex_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-cpink_units" name="cpink_units" />');
+        $('#report-form').append('<input type="hidden" id="field-cpink_value" name="cpink_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-farobact_units" name="farobact_units" />');
+        $('#report-form').append('<input type="hidden" id="field-farobact_value" name="farobact_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-flomist_units" name="flomist_units" />');
+        $('#report-form').append('<input type="hidden" id="field-flomist_value" name="flomist_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-flomist_f_units" name="flomist_f_units" />');
+        $('#report-form').append('<input type="hidden" id="field-flomist_f_value" name="flomist_f_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-ibugesic_units" name="ibugesic_units" />');
+        $('#report-form').append('<input type="hidden" id="field-ibugesic_value" name="ibugesic_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-omnix_units" name="omnix_units" />');
+        $('#report-form').append('<input type="hidden" id="field-omnix_value" name="omnix_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-junior_lanzol_units" name="junior_lanzol_units" />');
+        $('#report-form').append('<input type="hidden" id="field-junior_lanzol_value" name="junior_lanzol_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-levoflox_units" name="levoflox_units" />');
+        $('#report-form').append('<input type="hidden" id="field-levoflox_value" name="levoflox_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-metaspray_units" name="metaspray_units" />');
+        $('#report-form').append('<input type="hidden" id="field-metaspray_value" name="metaspray_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-montair_units" name="montair_units" />');
+        $('#report-form').append('<input type="hidden" id="field-montair_value" name="montair_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-curkey_units" name="curkey_units" />');
+        $('#report-form').append('<input type="hidden" id="field-curkey_value" name="curkey_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-nutramide_units" name="nutramide_units" />');
+        $('#report-form').append('<input type="hidden" id="field-nutramide_value" name="nutramide_value" />');
+
+
+
         
 
         $('#report-form').on('submit', function(event) {

resources/views/form/rapport-horizon/1776162763-2593f6ae-5950-4a39-9c3a-bf1e1ebbe700.blade.php

@@ -22,8 +22,8 @@ $brandData = [
 ['brand'=>"OFLOX 200 TAB (10'S)", 'slug'=>'oflox_200_tab_10s_units','pseudoId'=>'oflox_200_tab_10s_value'],
 ['brand'=>"OFLOX 400 10'S", 'slug'=>'oflox_400_10s_units','pseudoId'=>'oflox_400_10s_value'],
 ['brand'=>'OFLOX 50MG REDIUSE 60ML', 'slug'=>'oflox_50mg_rediuse_60ml_units','pseudoId'=>'oflox_50mg_rediuse_60ml_value'],
-['brand'=>'OFLOX EYE DROPS', 'slug'=>'oflox_eye_drops_units','pseudoId'=>'oflox_eye_drops_value'],
+/* ['brand'=>'OFLOX EYE DROPS', 'slug'=>'oflox_eye_drops_units','pseudoId'=>'oflox_eye_drops_value'],
-
+ */
 ['brand'=>'OFLOX OZ TABLETS IP', 'slug'=>'oflox_oz_tablets_ip_units','pseudoId'=>'oflox_oz_tablets_ip_value'],
 ['brand'=>'OFLOX REDIUSE', 'slug'=>'oflox_rediuse_units','pseudoId'=>'oflox_rediuse_value'],
 ['brand'=>"OFLOX-200 MG 10's TABLETS (IP)", 'slug'=>'oflox_200_mg_10s_tablets_ip_units','pseudoId'=>'oflox_200_mg_10s_tablets_ip_value'],
@@ -58,7 +58,7 @@ $brandData = [
 ['brand'=>'Mucinac AB Tablet', 'slug'=>'mucinac_ab_tablet_units','pseudoId'=>'mucinac_ab_tablet_value'],
 
 
-['brand'=>"MUCINAC C Tablets 1 x 15'S", 'slug'=>'mucinac_c_tablets_1_x_15s_units','pseudoId'=>'mucinac_c_tablets_1_x_15s_value'],
+/* ['brand'=>"MUCINAC C Tablets 1 x 15'S", 'slug'=>'mucinac_c_tablets_1_x_15s_units','pseudoId'=>'mucinac_c_tablets_1_x_15s_value'], */
 ['brand'=>"Mucinac Oral Solution 100ml", 'slug'=>'mucinac_oral_solution_100ml_units','pseudoId'=>'mucinac_oral_solution_100ml_value'],
 ['brand'=>'NOVAMOX 500', 'slug'=>'novamox_500_units','pseudoId'=>'novamox_500_value'],
 ['brand'=>"NOVAMOX 125 REDIUSE 30 ML", 'slug'=>'novamox_125_rediuse_30_ml_units','pseudoId'=>'novamox_125_rediuse_30_ml_value'],
@@ -92,15 +92,21 @@ $brandData = [
 ['brand'=>"Bilafav M ODT Pedia Tablets 1X10s 10/4", 'slug'=>'bilafav_m_odt_pedia_tablets_1x10s_104_units','pseudoId'=>'bilafav_m_odt_pedia_tablets_1x10s_104_value'],
 
 ['brand'=>"Bilafav M Oral suspension", 'slug'=>'bilafav_m_oral_suspension_units','pseudoId'=>'bilafav_m_oral_suspension_value'],
-['brand'=>"NEKSIUM 20mg TAB (IP)", 'slug'=>'neksium_20mg_tab_ip_units','pseudoId'=>'neksium_20mg_tab_ip_value'],
+/* ['brand'=>"NEKSIUM 20mg TAB (IP)", 'slug'=>'neksium_20mg_tab_ip_units','pseudoId'=>'neksium_20mg_tab_ip_value'], */
-['brand'=>"NEKSIUM 40mg TAB", 'slug'=>'neksium_40mg_tab_units','pseudoId'=>'neksium_40mg_tab_value'],
+/* ['brand'=>"NEKSIUM 40mg TAB", 'slug'=>'neksium_40mg_tab_units','pseudoId'=>'neksium_40mg_tab_value'], */
-['brand'=>"NEKSIUM-D 20/30mg CAPS 15s (IP)", 'slug'=>'neksium_d_2030mg_caps_15s_ip_units','pseudoId'=>'neksium_d_2030mg_caps_15s_ip_value'],
+/* ['brand'=>"NEKSIUM-D 20/30mg CAPS 15s (IP)", 'slug'=>'neksium_d_2030mg_caps_15s_ip_units','pseudoId'=>'neksium_d_2030mg_caps_15s_ip_value'], */
-['brand'=>"NEKSIUM-D 40/30mg CAPS 15s (IP)", 'slug'=>'neksium_d_4030mg_caps_15s_ip_units','pseudoId'=>'neksium_d_4030mg_caps_15s_ip_value'],
+/*['brand'=>"NEKSIUM-D 40/30mg CAPS 15s (IP)", 'slug'=>'neksium_d_4030mg_caps_15s_ip_units','pseudoId'=>'neksium_d_4030mg_caps_15s_ip_value'],*/
 ['brand'=>"TASIRON 15 CHEW TABS 3X10'S (B12)", 'slug'=>'tasiron_15_chew_tabs_3x10s_b12_units','pseudoId'=>'tasiron_15_chew_tabs_3x10s_b12_value'],
 ['brand'=>"TASIRON 30 CHEW TABS", 'slug'=>'tasiron_30_chew_tabs_units','pseudoId'=>'tasiron_30_chew_tabs_value'],
 ['brand'=>"TASIRON DROPS 30ML WITH EXTERNAL DROPPER", 'slug'=>'tasiron_drops_30ml_with_external_dropper_units','pseudoId'=>'tasiron_drops_30ml_with_external_dropper_value'],
 ['brand'=>"TASIRON SACHET(1X15'S)", 'slug'=>'tasiron_sachet1x15s_units','pseudoId'=>'tasiron_sachet1x15s_value'],
-['brand'=>"TASIRON SUSPENSION-150ML", 'slug'=>'tasiron_suspension_150ml_units','pseudoId'=>'tasiron_suspension_150ml_value']
+['brand'=>"TASIRON SUSPENSION-150ML", 'slug'=>'tasiron_suspension_150ml_units','pseudoId'=>'tasiron_suspension_150ml_value'],
+
+['brand'=>"Pansec 80 MG Tablets", 'slug'=>'pansec_80_mg_tablets_units','pseudoId'=>'pansec_80_mg_tablets_value'],
+['brand'=>"PANSEC D SR CAPSULES 15'S", 'slug'=>'pansec_d_sr_capsules_15s_units','pseudoId'=>'pansec_d_sr_capsules_15s_value'],
+['brand'=>"PANSEC TABLETS 15'S", 'slug'=>'pansec_tablets_15s_units','pseudoId'=>'pansec_tablets_15s_value'],
+['brand'=>"PANSEC-L CAPSULES", 'slug'=>'pansec_l_capsules_units','pseudoId'=>'pansec_l_capsules_value']
+
 
 
 
@@ -518,7 +524,14 @@ if (!empty($submissions->data->submissions)) {
             "tasiron_30_chew_tabs": 840.68,
             "tasiron_drops_30ml_with_external_dropper": 202.71,
             "tasiron_sachet1x15s": 217.14,
-            "tasiron_suspension_150ml": 202.71
+            "tasiron_suspension_150ml": 202.71,
+
+
+            "pansec_80_mg_tablets":226.2,
+            "pansec_d_sr_capsules_15s":235.2,
+            "pansec_tablets_15s":197.7,
+            "pansec_l_capsules":132.2,
+
 
             // 👉 Continue adding all products same way
         };
@@ -545,6 +558,11 @@ if (!empty($submissions->data->submissions)) {
 
             $('#field-total_pob_value').val(totalValue.toFixed(1));
             $('#field-total_pob_units').val(totalUnits);
+
+
+            $.each(productGroups, function(groupName, keys) {
+            calculateGroupTotals(groupName, keys);
+            }); 
         });
 
         
@@ -558,16 +576,117 @@ if (!empty($submissions->data->submissions)) {
         });
         
         $('#field-upload_supporting_document').on('change', function () {
-    let file = this.files[0];
+            let file = this.files[0];
-    if (file) {
+            if (file) {
-        let allowedTypes = ['image/png', 'image/jpg', 'image/jpeg'];
+                let allowedTypes = ['image/png', 'image/jpg', 'image/jpeg'];
 
-        if (!allowedTypes.includes(file.type)) {
+                if (!allowedTypes.includes(file.type)) {
-            alert('Only PNG, JPG, and JPEG files are allowed.');
+                    alert('Only PNG, JPG, and JPEG files are allowed.');
-            $(this).val(''); // reset input
+                    $(this).val(''); // reset input
+                }
+            }
+        });
+
+
+        const productGroups = {
+            emeset: ["emeset_4_odtindia1_x_10s","emeset_4mg_10s","emeset_8mg_10s","emeset_syrup","emeset_syrup_strawberry_30_ml"],
+            oflox: [
+                "oflox_100mg_rediuse_60ml",
+                "oflox_200_tab_10s",
+                "oflox_400_10s",
+                "oflox_50mg_rediuse_60ml",
+                "oflox_eye_drops",
+                "oflox_oz_tablets_ip",
+                "oflox_rediuse",
+                "oflox_200_mg_10s_tablets_ip",
+                "oflox_400_mg_10s_tablets_ip"
+            ],
+            cefoprox: ["cefoprox_100_30ml60","cefoprox_100dt","cefoprox_200_10s","cefoprox_50_30ml","cefoprox_cv_325_tab"],
+            cheston: ["cheston_duo_100ml_syrup","cheston_ls_junior_100_ml","cheston_d_cough_syrup_100_ml","cheston_d_plus_1_x_10s","cheston_ls_cough_syrup_100_ml","cheston_ls_junior_60_ml"],
+            
+            dalacin:["dalacin_c_150mg_caps_10s","dalacin_c_300mg_caps_10s"],
+            dolonex:["dolonex_disp_20mg_tabs_ip","dolonex_im_20mg1ml_inj","dolonex_im_40mg_2ml_inj_hosp_ip","dolonex_im_40mg2ml_inj_ip"],
+            duonase:["duonase_f_70_md","duonase_nasal_spray"],
+            ibugesic:["ibugesic_plus_susp","ibugesic_plus_susp_1","ibugesic_plus_suspension_100ml_orange"],
+            mucinac:["mucinac_200_tablet_1_x_10s","mucinac_600_tablets","mucinac_ab_1_x_10_tablets","mucinac_ab_tablet","mucinac_c_tablets_1_x_15s","mucinac_oral_solution_100ml"],
+            novamox:["novamox_500","novamox_125_rediuse_30_ml","novamox_125_rediuse_60_ml","novamox_250_dt_15s","novamox_250_ru_30","novamox_250_rediuse","novamox_30ml","novamox_60ml","novamox_cv_1000_mg","novamox_cv_2285_dt_tablets","novamox_cv_2285_mg_syrup","novamox_cv_375_tab_10s","novamox_cv_457_dt_10s","novamox_cv_625_tablets_10","novamox_cv_drops","novamox_cv_dry_syrup_30_ml","novamox_cv_ds","novamox_cv_forte_syp","novamox_cv_forte_syp_60_ml","novamox_drops","novamox_lb_500","novamox_rdu_drops","novamox_125_dt_15s","novamox_250_15s"], 
+            
+            tedispan:["tedispan_200_tablets_6s"],
+            bilafav:["bilafav_m","bilafav_m_odt_adult_tablets_1x10s_2010","bilafav_m_odt_pedia_tablets_1x10s_104","bilafav_m_oral_suspension"],
+            neksium:["neksium_20mg_tab_ip","neksium_40mg_tab","neksium_d_2030mg_caps_15s_ip","neksium_d_4030mg_caps_15s_ip"],
+            tasiron:["tasiron_15_chew_tabs_3x10s_b12","tasiron_30_chew_tabs","tasiron_drops_30ml_with_external_dropper","tasiron_sachet1x15s","tasiron_suspension_150ml"],
+            pansec:["pansec_80_mg_tablets","pansec_d_sr_capsules_15s","pansec_tablets_15s","pansec_l_capsules"],
+            
+
+
+        
+            
+
+
+        };
+
+
+        function calculateGroupTotals(groupName, keys) {
+            let totalUnits = 0;
+            let totalValue = 0;
+
+            keys.forEach(key => {
+                totalUnits += parseInt($(`#field-${key}_units`).val()) || 0;
+                totalValue += parseFloat($(`#field-${key}_value`).val()) || 0;
+            });
+
+            $(`#field-${groupName}_units`).val(totalUnits);
+            $(`#field-${groupName}_value`).val(totalValue.toFixed(1));
         }
-    }
+
-});
+
+
+        $('#report-form').append('<input type="hidden" id="field-emeset_units" name="emeset_units" />');
+        $('#report-form').append('<input type="hidden" id="field-emeset_value" name="emeset_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-oflox_units" name="oflox_units" />');
+        $('#report-form').append('<input type="hidden" id="field-oflox_value" name="oflox_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-cefoprox_units" name="cefoprox_units" />');
+        $('#report-form').append('<input type="hidden" id="field-cefoprox_value" name="cefoprox_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-cheston_units" name="cheston_units" />');
+        $('#report-form').append('<input type="hidden" id="field-cheston_value" name="cheston_value" />');
+
+
+        $('#report-form').append('<input type="hidden" id="field-dalacin_units" name="dalacin_units" />');
+        $('#report-form').append('<input type="hidden" id="field-dalacin_value" name="dalacin_value" />');
+
+
+        $('#report-form').append('<input type="hidden" id="field-dolonex_units" name="dolonex_units" />');
+        $('#report-form').append('<input type="hidden" id="field-dolonex_value" name="dolonex_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-duonase_units" name="duonase_units" />');
+        $('#report-form').append('<input type="hidden" id="field-duonase_value" name="duonase_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-ibugesic_units" name="ibugesic_units" />');
+        $('#report-form').append('<input type="hidden" id="field-ibugesic_value" name="ibugesic_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-mucinac_units" name="mucinac_units" />');
+        $('#report-form').append('<input type="hidden" id="field-mucinac_value" name="mucinac_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-novamox_units" name="novamox_units" />');
+        $('#report-form').append('<input type="hidden" id="field-novamox_value" name="novamox_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-tedispan_units" name="tedispan_units" />');
+        $('#report-form').append('<input type="hidden" id="field-tedispan_value" name="tedispan_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-bilafav_units" name="bilafav_units" />');
+        $('#report-form').append('<input type="hidden" id="field-bilafav_value" name="bilafav_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-tasiron_units" name="tasiron_units" />');
+        $('#report-form').append('<input type="hidden" id="field-tasiron_value" name="tasiron_value" />');
+
+        $('#report-form').append('<input type="hidden" id="field-pansec_units" name="pansec_units" />');
+        $('#report-form').append('<input type="hidden" id="field-pansec_value" name="pansec_value" />');
+
+        
+        
 
         $('#report-form').on('submit', function(event) {
             event.preventDefault();

resources/views/form/rapport-iva/1714829109-b695430a-48aa-424e-9e50-6704e933380c.blade.php

@@ -86,9 +86,25 @@
                                     @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 $option)
+                                        {{-- @foreach($question->options as $option)
                                                 <option value="{{$option->value}}" {{isset($question->value) && $question->value == $option->value ? 'selected':''}}>{{$option->display}}</option>
-                                        @endforeach
+                                        @endforeach --}}
+
+                                        @foreach ($question->options as $option)
+                                                        @if($question->code == 'contact_id')
+                                                        <option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'uid= ' . (isset($option->contact->uid_number)?$option->contact->uid_number:'') . ' ' : '' }} {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'sbu_code= ' . (isset($option->contact->msl_code) ? $option->contact->msl_code :'') . ' ' : '' }} >
+                                                            {{ $option->display }}
+                                                        </option>
+                                                        @elseif($question->code != 'contact_id')
+                                                        <option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'pcode= ' . (isset($option->contact->pcode)?$option->contact->pcode:'') . ' ' : '' }} {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
+                                                            {{ $option->display }}
+                                                        </option>
+                                                        @endif
+                                                        
+                                                        
+                                                        @endforeach
+
+                                        
                                     </select>
                                         @if($id && $question->code == 'select_brandsku')
                                         <input type="hidden" name="select_brandsku" id="field-text-{{$question->code}}" value="{{$question->value}}">
@@ -219,7 +235,7 @@
                         $('#field-contact_id').append($("<option></option>").attr("value", '').text('-- Select --'));
                         for(let itm of data) {
                         //$('#field-contact_id').append($("<option></option>").attr("value",itm.value).text(itm.display));
-                        $('#field-contact_id').append($("<option></option>").attr("ciscure_dr_tagging", itm.contact.ciscure_dr_tagging).attr("emprogest_gel_dr_tagging", itm.contact.emprogest_gel_dr_tagging).attr("dydroeva_dr_tagging", itm.contact.dydroeva_dr_tagging).attr("depot_dr_tagging", itm.contact.depot_dr_tagging).attr("materna_hcg_dr_tagging", itm.contact.materna_hcg_dr_tagging).attr("materna_hmg_dr_tagging", itm.contact.materna_hmg_dr_tagging).attr("value", itm.value).text(itm.display));
+                        $('#field-contact_id').append($("<option></option>").attr("ciscure_dr_tagging", itm.contact.ciscure_dr_tagging).attr("emprogest_gel_dr_tagging", itm.contact.emprogest_gel_dr_tagging).attr("dydroeva_dr_tagging", itm.contact.dydroeva_dr_tagging).attr("depot_dr_tagging", itm.contact.depot_dr_tagging).attr("materna_hcg_dr_tagging", itm.contact.materna_hcg_dr_tagging).attr("materna_hmg_dr_tagging", itm.contact.materna_hmg_dr_tagging).attr("value", itm.value).attr("sbu_code", itm.contact.msl_code).attr("uid", itm.contact.uid_number).text(itm.display));
                     } 
                     $('#field-contact_id').unbind()
                     
@@ -301,6 +317,14 @@
                         
                     })
 
+
+                    $('#field-contact_id').change(function() {
+                        $('#field-sbu_code').val($('option:selected', this).attr('sbu_code'));
+                    })
+
+                    $('#field-contact_id').change(function() {
+                        $('#field-uid').val($('option:selected', this).attr('uid'));
+                    })
                     
 
                     }
@@ -326,6 +350,7 @@
             $('#field-enter_investment_amount').attr("min",0);
 
 
+
             $('#field-select_brandsku').on('change',function(){
                 let value=$('#field-select_brandsku').val().trim();
                 if(value===''){
@@ -355,6 +380,12 @@
                 }
             })
 
+            
+
+
+            $('#field-sbu_code').prop('readonly', true);
+            $('#field-uid').prop('readonly', true);
+
             $('#report-form').on('submit', function(event) {
                 event.preventDefault();
                 $("#pageloader").fadeIn();

resources/views/form/rapport-pulmocare/1669979081-e991fc27-e8c1-4120-9883-b42af09244d3.blade.php

@@ -533,7 +533,7 @@
                 $('label[for="' + element + '"]').hide();
             });
 
-            if (selectedValue == 'Clinic' || selectedValue == 'Camp') {
+            if (selectedValue == 'HL Plus AI Clinics' || selectedValue == 'Camp' || selectedValue == 'Spirometry Clinics') {
                 camp_clinic.forEach(element => {
                     $('#' + element).show().prop('required', true);
                     $('label[for="' + element + '"]').show();
@@ -586,7 +586,7 @@
                     $('label[for="' + element + '"]').hide();
                 });
 
-                if (selectedValue == 'Camp' || selectedValue == 'Clinic') {
+                if (selectedValue == 'HL Plus AI Clinics' || selectedValue == 'Camp' || selectedValue == 'Spirometry Clinics') {
                     camp_clinic.forEach(element => {
                         $('#' + element).show().prop('required', true);
                         $('label[for="' + element + '"]').show();

resources/views/form/rapport-pulmocare/1776418573-09a8fee4-bafe-4f75-b7e0-b9a95e27b4ed.blade.php

@@ -101,6 +101,10 @@
                                                     <td>
                                                         @if(isset($sub->formdata->execution_done) && $sub->formdata->execution_done == 'yes')
                                                         Converted
+                                                        <br>
+                                                        <button type="button" class="btn btn-xs btn-info edit-btn"
+                                                            plan_details="{{ json_encode($sub->formdata) }}"><i
+                                                                class="mdi mdi-pencil"></i>Edit</button>
 
                                                         @else 
                                                         <button type="button" class="btn btn-xs btn-info edit-btn"
@@ -212,7 +216,7 @@
                                                                 {{ $question->required == 'yes' ? 'required' : '' }}>
                                                                 <option value=""> -- Select -- </option>
                                                                 @foreach ($question->options as $option)
-                                                                    @php $spec = $option->contact->speciality ?? ''; @endphp
+                                                                    {{-- @php $spec = $option->contact->speciality ?? ''; @endphp
                                                                     @if (in_array($spec, ['BAMS', 'BAMS-MD', 'BHMS', 'CARDIOLOGIST', 'CHEST', 'CHEST PHY','Chest Physician','Chest Speciality','Chest/PULMO','CONSULTANAT NEPHROLOGIST','CONSULTANT PHYSICIAN','CONSULTING PHYSICIAN','CP','dch','DENTIST','DENTIST - BDS','DIABETOLOGIST','DM PAED','DNB CHEST','DNB ENT','DNB MED','DNB PAED','DTCD','ENT','General Physician','General Practice','GENERAL PRACTITIONER','GP MBBS','Gp Non-Mbbs','GYNAECOLOGIST','INTENSIVIST','MBBS','MBBS DCH','MBBS GENERAL PRACTITIONER','MBBS GENERALPRACTITIONER','MBBS MD','MBBS MD CHEST','MBBS-MD DCH','MBBS-PAED','MCH PAEDSURG','MD','MD  D','MD CHEST','MD PAED','MD,DCH','MS ENT','Nephrologist/Urologist','NON MBBS GENERAL PRACTITIONER','ORTHOPEDICIAN','OTOLARYNGOLOGIST','PAEDIATRICIAN','Pedia','PEDIATRIC SURGEON','PEDIATRICIAN','PHY','PHYSICIAN','PRACTISING RHEUMATOLOGIST B','PSYCHIATRIST','PULMO','PULMONOLOGIST','SOTs','SURGEON']))
                                                                         <option value="{{ $option->value }}"
                                                                             {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
@@ -220,7 +224,24 @@
                                                                             speciality="{{ $spec }}">
                                                                             {{ $option->display }}
                                                                         </option>
-                                                                    @endif
+                                                                    @endif --}}
+
+                                                                @if($question->code == 'contact_id'  && isset($option->contact->type) && $option->contact->type == 'doctor' )
+                                                                        <option value="{{ $option->value }}"
+                                                                            @if(isset($question->value) && $question->value == $option->value) selected @endif
+                                                                                @if($question->code == 'contact_id')
+                                                                                    msl_code="{{ (isset($option->contact->msl_code) ? $option->contact->msl_code : '') }}"
+                                                                                    speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
+                                                                                @endif
+                                                                        >
+                                                                            {{ $option->display }}
+                                                                        </option>
+                                                                @elseif($question->code != 'contact_id')
+                                                                            <option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'pcode= ' . (isset($option->contact->pcode)?$option->contact->pcode:'') . ' ' : '' }} {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
+                                                                                {{ $option->display }}
+                                                                            </option>
+                                                                @endif
+
                                                                 @endforeach
                                                             </select>
                                                         @else

resources/views/form/rapport-shwas2/1753524977-553e9097-bab1-4eb3-9cf6-b6ef99541ff4.blade.php

@@ -3975,10 +3975,10 @@
         today = yyyy + '-' + mm + '-' + dd;
 
         var recordDateField = document.getElementById('field-plan_date');
-        //recordDateField.setAttribute('min', today);
+        //recordDateField.setAttribute('max', today);
 
         var executionDateField = document.getElementById('execution-plan_date');
-        //executionDateField.setAttribute('min', today);
+        executionDateField.setAttribute('max', today);
 
         // $('.edit-btn').click(function() {
         //     var executionexeField = document.getElementById('execution-record_date');
@@ -3987,7 +3987,7 @@
 
         $('.edit-btn').click(function() {
             var executionexeField = document.getElementById('execution-execution_date');
-            executionexeField.setAttribute('min', executionDateField.value);
+            executionexeField.setAttribute('max', executionDateField.value);
         });
 
 
@@ -3995,7 +3995,7 @@
         executionDateField.addEventListener('change', function() {
             console.log('gg');
             var executionexeField = document.getElementById('execution-record_date');
-            executionexeField.setAttribute('min', executionDateField.value);
+            executionexeField.setAttribute('max', executionDateField.value);
         });
 
     });

resources/views/form/rapport-team2/1756910546-60124e99-0147-42d9-93ad-d2eda3d9f722.blade.php

@@ -472,8 +472,8 @@
                 }
 
                 let docid = $('#execution-contact_id option').map(function() {
-                    if ($(this).text().trim() == selected['contact_id']) return this;
+                    if ($(this).text().trim() == selected['contact_id'] || $(this).val().trim() == selected['cont_id']) return this;
-                }).attr('value')
+                }).attr('value') 
 
                 $('#execution-contact_id').val(docid)
 
@@ -612,9 +612,9 @@
                     // $('#execution-'+k).val(selected[k]);
                 }
 
-                let docid = $('#execution-contact_id option').map(function() {
+               let docid = $('#execution-contact_id option').map(function() {
-                    if ($(this).text().trim() == selected['contact_id']) return this;
+                    if ($(this).text().trim() == selected['contact_id'] || $(this).val().trim() == selected['cont_id']) return this;
-                }).attr('value')
+                }).attr('value') 
 
                 $('#execution-contact_id').val(docid)
                 $('#execution-id').val(selected['id'])

resources/views/form/rapport-team2/1756965702-68add159-7312-476d-8c92-0c7683015351.blade.php

@@ -59,14 +59,28 @@ $brandData = [
 @endphp
 
 @php
+    // $submissions = Formhelper::getMultiformData($form->partition, $form_id, $form->user_id);
+    // $submission = null;
+    // if(isset($submissions->data->submissions) && count($submissions->data->submissions) > 0) {
+    //     $submission = $submissions->data->submissions[0];
+    //     $formdata = $submission->formdata ?? (object)[];
+    // } else {
+    //     $formdata = [];
+    // }
+
     $submissions = Formhelper::getMultiformData($form->partition, $form_id, $form->user_id);
-    $submission = null;
+    
-    if(isset($submissions->data->submissions) && count($submissions->data->submissions) > 0) {
+
-        $submission = $submissions->data->submissions[0];
+    $formdata = null;
-        $formdata = $submission->formdata ?? (object)[];
+
-    } else {
+if (!empty($submissions->data->submissions)) {
-        $formdata = [];
+    foreach ($submissions->data->submissions as $submission) {
+        if ($submission->id == $id) {
+            $formdata = $submission->formdata ?? null;
+            break;
+        }
     }
+}
 
     // echo "<pre>";
     // print_r($formdata);
@@ -163,34 +177,64 @@ $brandData = [
                                     @case('dropdown')
 
                                     @if($question->code == 'contact_id')
-                                    <select class="form-control" id="field-{{ $question->code }}"
+                                        <select class="form-control" id="field-{{ $question->code }}"
-                                        name="{{ $question->code }}"
+                                            name="{{ $question->code }}"
-                                        {{ $question->required == 'yes' ? 'required' : '' }}>
+                                            {{ $question->required == 'yes' ? 'required' : '' }}>
-                                        <option value=""> -- Select -- </option>
-                                        @foreach ($question->options as $option)
-                                            @if(isset($option->contact->type) && strtolower($option->contact->type) == 'doctor')
-                                                <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>
-                                            @endif
-                                        @endforeach
-                                    </select>
-                                    @else
-
-                                    <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 . ' ' : '' }}  {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
+                                                @if(isset($option->contact->type) && strtolower($option->contact->type) == 'doctor')
-                                                {{ $option->display }}
+                                                    <option value="{{ $option->value }}"
-                                            </option>
+                                                        {{ isset($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 : '') . ' ' : '' }}>
+                                                        {{ $option->display }}
+                                                    </option>
+                                                @endif
                                             @endforeach
                                         </select>
+                                    @elseif($question->code == 'chemist_list')
+                                        <select class="form-control" id="field-{{ $question->code }}"
+                                            name="{{ $question->code }}"
+                                            {{ $question->required == 'yes' ? 'required' : '' }}>
+                                            <option value=""> -- Select -- </option>
+                                            @foreach ($question->options as $option)
+                                                {{-- @if(isset($option->contact->type) && strtolower($option->contact->type) == 'chemist')
+                                                    <option value="{{ $option->value }}"
+                                                        {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
+                                                        {{ $option->display }}
+                                                    </option>
+                                                @endif --}}
 
-                                        @endif
+                                                    @if(
+                                                        isset($option->contact->type) &&
+                                                        strtolower(trim($option->contact->type)) == 'chemist' &&
+                                                        empty(trim($option->contact->source ?? ''))
+                                                    )
+
+                                                        <option value="{{ $option->value }}"
+                                                            {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
+
+                                                            {{ $option->display }}
+
+                                                        </option>
+
+                                                    @endif
+                                            @endforeach
+                                            <option value="Others">Others</option>
+                                        </select>
+                                    @else
+
+                                        <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 . ' ' : '' }}  {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
+                                                    {{ $option->display }}
+                                                </option>
+
+                                                @endforeach
+                                        </select>
+
+                                    @endif
                                     @break
                                     @case('checkbox')
                                     @foreach($question->options as $option)
@@ -348,6 +392,22 @@ $brandData = [
                		 $('#field-pcode').val($('option:selected', this).attr('msl_code'))
         })
 
+        $('#field-cheemist_name').parent().hide();
+        $('#field-cheemist_name').attr('required',false);
+
+        $('#field-chemist_list').on('change',function(){
+            let value=$(this).val();
+            if(value==='Others'){
+                $('#field-cheemist_name').parent().show();
+                $('#field-cheemist_name').attr('required',true);
+            }
+            else{
+                $('#field-cheemist_name').parent().hide();
+        $('#field-cheemist_name').attr('required',false);
+            }
+        })
+
+
             $('#field-chemist_name').parent().hide();
             $("#field-chemist_name").prop({"required":false});
             $('#field-pcode').prop('readonly',true);

resources/views/form/rapport-team3/1655458544-00d0e7c9-c60e-410e-ada7-8e0fef8e6ac4.blade.php

@@ -601,47 +601,7 @@ $(document).ready(function () {
     }
 
     
-    /*
+/* 
-    function setDateRange() {
-        let today = new Date();
-
-        let currentDay = today.getDate();
-        let currentMonth = today.getMonth();
-        let currentYear = today.getFullYear();
-
-        let lastDayOfMonth = new Date(currentYear, currentMonth + 1, 0).getDate();
-
-        if (currentDay >= 25 || currentDay === lastDayOfMonth) {
-
-            let nextMonthStart = new Date(currentYear, currentMonth + 1, 1);
-            let nextMonthEnd = new Date(currentYear, currentMonth + 2, 0);
-
-            $('#field-plan_date')
-                .attr('min', formatYMD(nextMonthStart))
-                .attr('max', formatYMD(nextMonthEnd))
-                .val(formatYMD(nextMonthStart))
-                .prop('disabled', false);
-
-           // $('#execution-plan_date')
-             //   .attr('min', formatYMD(nextMonthStart))
-               // .attr('max', formatYMD(nextMonthEnd))
-               // .val(formatYMD(nextMonthStart))
-               // .prop('disabled', false);
-
-        } else {
-            $('#field-plan_date')
-                .val('')
-                .prop('disabled', true);
-
-               // $('#execution-plan_date')
-               // .val('')
-               // .prop('disabled', true);
-        }
-    }
-
-    setDateRange();
-    */ 
-
 function setPlanDateRange() {
     let today = new Date();
 
@@ -677,13 +637,9 @@ function setPlanDateRange() {
 // Call on page load
 setPlanDateRange();
     
-
+ */
     
-//     $(function () {
+
-//   $('#field-plan_date')
-//     .attr('min', '2026-02-01')
-//     .attr('max', '2026-02-28'); // use 29 if leap year
-// });
 
 
 

resources/views/form/rapport-team3/1774866189-e645a43b-8be4-418a-ab42-cbb1dcae232e.blade.php

@@ -11,21 +11,8 @@
 </div>
 
 @php
-    // echo "<pre>";
-    // print_r($form);
-    // exit;
-
     $data = DB::table('team3_tripleimpact')->where('hierarchy_id', $form->hierarchy_id)->get();
-    // echo "<pre>";
-    // print_r($data);
-    // exit;
-
     $history = Formhelper::getMultiformData($form->partition, $form->form_id, $form->user_id);
-    // echo '<pre>';
-    // print_r($history);
-    // echo '</pre>';
-    // exit
-
     $existingCounts = [
         'chest' => 0,
         'pedia' => 0,
@@ -586,9 +573,7 @@ jQuery(document).ready(function($) {
             },
         });
     });
-
 });
 </script>
 </body>
-
+</html>
-</html>

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>

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) && $option->contact->css_camp_doctor_octnov == 'Yes' )
+                                                 @if ($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' : '' }}>
+                                                <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>
 

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 $question)
-                                    <div class="col-md-12 mb-2">
+                                @if( !in_array($question->code,
-                                    <label for="field-{{$question->code}}" class="form-label">{{$question->question}} {!!$question->required == 'yes' ? '<span class="text-danger">*</span>':''!!} </label>
+                                ["record_date","select_rxber_type"] ) )
+                                @continue;
+                                @endif
+                                <div class="col-md-12 mb-2">
+                                    <label for="field-{{$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)?$question->value:''}}">
+                                        <input type="{{$question->type}}" id="field-{{$question->code}}"
-                                            @break
+                                            name="{{$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:''}}">
+                                        <input type="{{$question->type}}" id="field-{{$question->code}}"
-                                            @break
+                                            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}}">
+                                        <input type="{{$question->type}}" min="0" max="9999999999" step="1"
-                                            @break
+                                            id="field-{{$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)?$question->value:''}}</textarea>
+                                        <textarea id="field-{{$question->code}}" name="{{$question->code}}[0]"
-                                            @break
+                                            class="form-control"
+                                            {{$question->required == 'yes'?'required':'' }}>{{isset($question->value)?$question->value:''}}</textarea>
+                                        @break
                                         @case('dropdown')
-                                        <select class="form-control" id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
+                                        @if ($question->code == 'contact_id')
-                                            <option value=""> -- Select -- </option>
+                                                            <select class="form-control" id="field-{{ $question->code }}"
-                                            @if ($question->code == 'contact_id')
+                                                                name="{{ $question->code }}[0]"
-                                                @foreach ($question->options as $option)
+                                                                {{ $question->required == 'yes' ? 'required' : '' }}>
-                                                @if( isset($option->contact->montair_lc_kid_non_rxber_survey) && $option->contact->montair_lc_kid_non_rxber_survey == 'Yes' )
+                                                                <option value=""> -- Select -- </option>
-                                                <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 == $option->value ? 'selected' : '' }}>
+                                                                @foreach ($question->options as $option)
-                                                    {{ $option->display }}
+                                                                    
-                                                </option>
+                                                                    
-                                                @endif
+                                                                        <option value="{{ $option->value }}"
-                                                @endforeach
+                                                                            {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
-                                            @else
+                                                                            @if($question->code == 'contact_id')
-                                                @foreach ($question->options as $option)
+                                                                                msl_code="{{ (isset($option->contact->msl_code) ? $option->contact->msl_code : '') }}"
-                                                <option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
+                                                                                speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
-                                                    {{ $option->display }}
+                                                                            @endif
-                                                </option>
+                                                                            >
-                                                @endforeach
+                                                                            {{ $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 $option)
-                                            <div class="form-check mb-2 form-check-primary">
+                                            <div class="col-6">{{$option->display}}</div>
-                                                <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, $question->value) ? 'checked':''}}>
+                                            <div class="col-6 mb-1">
-                                                <label class="form-check-label" for="field-{{$question->code}}-{{$option->value}}">{{$option->display}}</label>
+                                                <input type="number" id="field-{{$option->value}}"
+                                                    name="{{$option->value}}" class="form-control" required
+                                                    value="{{isset($option->val)?$option->val:0}}">
                                             </div>
                                             @endforeach
-                                            @break
+                                        </div>
-                                        @case('file')
+                                        @break
-                                        @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
+                                        @endswitch
-                                             <input type="file" id="field-{{$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
+                                    @endforeach
-                                @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
+                                </div>
-                                <div class="text-center d-grid mt-3">
+                                <div id="doctor-group-wrapper">
+
+                                </div>
+                                @if(!isset($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">
+    <style type="text/css">
-#pageloader {
+    #pageloader {
-  background: rgba( 255, 255, 255, 0.8 );
+        background: rgba(255, 255, 255, 0.8);
-  display: none;
+        display: none;
-  height: 100%;
+        height: 100%;
-  position: fixed;
+        position: fixed;
-  width: 100%;
+        width: 100%;
-  z-index: 9999;
+        z-index: 9999;
-}
+    }
 
-#pageloader img {
+    #pageloader img {
-  left: 50%;
+        left: 50%;
-  margin-left: -32px;
+        margin-left: -32px;
-  margin-top: -32px;
+        margin-top: -32px;
-  position: absolute;
+        position: absolute;
-  top: 50%;
+        top: 50%;
-}
+    }
-.anti-heading{
+
-    font-weight: 600;
+    .doctor-wrapper {
-    line-height: 1.2;
+        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) {
+                    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') {
+                        $('#field-contact_id').append($("<option></option>").attr("value",itm.value).text(itm.display).attr("msl_code", itm.contact.msl_code).attr("speciality", itm.contact.speciality));
-                            console.log(itm)
-                            $('#field-contact_id').append($("<option></option>").attr("msl_code", itm.contact.msl_code).attr("value", itm.value).text(itm.display));
-                        }
                     }
 
-                    $('#field-contact_id').unbind()
+                    $('#field-contact_id').change(function() {
-                    $('#field-contact_id').change(function(){
+                        $('#field-msl_code').val($('option:selected', this).attr('msl_code'))
-                        $('#field-msl_code').val( $('option:selected', this).attr('sbu_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!',
+                            title: 'Great!',
-                          text: 'Your data is successfully submitted!',
+                            text: 'Your data is successfully submitted!',
-                          icon: 'success'
+                            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>
+</html>

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 class="col-12 mb-2">
-                                    
+                                    <button type="button" class="btn btn-outline-primary btn-sm" id="add-doctor-btn">Add Doctor</button>
-                                </div> -->
+                                </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="d-flex align-items-end mb-2">
-                                                <div class="fw-bold">Doctor</div>
+                                                {{-- <div class="fw-bold">Doctor</div> --}}
-                                                <button type="button" class="btn btn-outline-danger btn-sm remove-doctor-btn d-none">Remove</button>
+                                                <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="d-grid mt-3">
-                                <div class="row">
+                                    <button type="button" class="btn btn-outline-primary btn-sm" id="add-doctor-btn">Add Doctor</button>
-                                    <div class="col-6 text-center d-grid mt-3" >
+                                </div>
-                                        <button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
+                                <div class="text-center d-grid mt-3">
-                                    </div>
+                                    <button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
-                                    <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>
-
                                 @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();

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(){

resources/views/form/rapport-team4/1779442011-6310b301-bb23-48fd-9f94-ad4f1959d0a6-history.blade.php

@@ -0,0 +1,108 @@
+<!DOCTYPE html>
+<html lang="en">
+<head>
+    @include('layouts.shared/title-meta', ['title' => "History"])
+    @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
+</head>
+
+<body class="loading">
+    <div class="account-pages">
+        <div class="container">
+
+    <!-- start page title -->
+    <div class="row">
+        <div class="col-8 p-2">
+            <h4 class="page-title">{{$formname}}</h4>
+        </div>
+        <div class="col-4 p-2">
+            <a href="/form/show" class="float-end pt-1">New Submission</a>
+        </div>
+    </div>
+    <!-- end page title -->
+    @if(session()->has('message'))
+        <div class="alert alert-success">
+            {{ session()->get('message') }}
+        </div>
+    @endif
+    @if(session()->has('error'))
+        <div class="alert alert-danger">
+            {{ session()->get('error') }}
+        </div>
+    @endif
+        <div class="row">
+            <div class="col-12 p-0">
+                <div class="card">
+                    <div class="card-body">
+                        <div class="responsive-table-plugin">
+                            <div class="table-rep-plugin">
+                                <div class="table-responsive" data-pattern="priority-columns">
+                                    <table id="tech-companies-1" class="table table-striped">
+                                        <thead>
+                                            <tr>
+                                                <th data-priority="1">Submission Date</th>
+                                                @foreach($questions as $code => $question)
+                                                @if($question->type == 'hidden')
+                                                    @continue;
+                                                @endif
+                                                <th data-priority="1">{{$question->label}}</th>
+                                                @endforeach
+                                                <th data-priority="1">Action</th>
+                                            </tr>
+                                        </thead>
+                                        <tbody>
+                                            @foreach($submissions as $submission)
+                                            <tr>
+                                                <th>{{date("d M Y", strtotime($submission->updatedAt))}}</th>
+                                                @foreach($questions as $code => $question)
+                                                    @if($question->type == 'hidden')
+                                                        @continue;
+                                                    @endif
+                                                    @if($question->type == 'file')
+                                                    <td><a target="_blank" href="{{ isset($submission->formdata->{$code}) ? is_array($submission->formdata->{$code})? implode(', ', $submission->formdata->{$code}) :(is_string($submission->formdata->{$code}) ? $submission->formdata->{$code} : '' ) : $code }}" download="{{ isset($submission->formdata->{$code}) ? is_array($submission->formdata->{$code})? implode(', ', $submission->formdata->{$code}) : (is_string($submission->formdata->{$code}) ? $submission->formdata->{$code} : '' ) : $code }}" class="btn btn-dark btn-xs"><i class="mdi mdi-cloud-download me-1"></i> Download</a></td>
+                                                    
+                                                    @elseif($question->type == 'radiometrix' && isset($submission->formdata->{$code}) && is_object($submission->formdata->{$code}))
+                                                    <td>
+                                                        {{ collect((array)$submission->formdata->{$code})->map(function($val, $key){ return "$key: $val"; })->implode(', ') }}
+                                                    </td>
+                                                    
+                                                    @elseif(count((array)$question->options) > 0 && 1==2 )
+                                                    <td>{{ $question->options->{ $submission->formdata->{$code} } }}</td>
+                                                    @else
+                                                    <td>{{ isset($submission->formdata->{$code}) ? is_array($submission->formdata->{$code})? implode(', ', $submission->formdata->{$code}) :$submission->formdata->{$code} : $code }}</td>
+                                                    @endif
+                                                @endforeach
+                                                <th>
+                                                    @if($question->can_edit == 'yes' || sizeof($submission->workflow_approvals) == 0 )
+                                                        @if($submission->workflow == 'yes' && $submission->workflow_status == 'approved' )
+                                                        <p>Approved</p>
+                                                        @else
+                                                        <!-- <a href="/form/show?form_id={{$submission->formdata->form_id}}&id={{$submission->id}}" class="btn btn-primary btn-xs">Edit
+
+                                                        </button> -->
+                                                            @if(isset($form->allow_delete_by_user) && $form->allow_delete_by_user == 'yes')
+                                                            <a href="/form/delete?form_id={{$submission->formdata->form_id}}&id={{$submission->id}}" onclick="return confirm('Are you sure you want to delete this submission? This is not recoverable!');" class="btn btn-danger btn-xs mt-1">Delete</button>
+                                                            @endif
+                                                        @endif
+                                                    @endif
+                                                </th>
+                                            </tr>
+                                            @endforeach
+                                        </tbody>
+                                    </table>
+                                </div> <!-- end .table-responsive -->
+
+                            </div> <!-- end .table-rep-plugin-->
+                        </div> <!-- end .responsive-table-plugin-->
+
+                    </div> <!-- end card body-->
+                </div> <!-- end card -->
+            </div><!-- end col-->
+        </div>
+        <!-- end row-->
+    </div> <!-- container -->
+
+</div>
+    <!-- end page -->
+    @include('layouts.shared/footer-script')
+</body>
+</html>

resources/views/form/rapport-team4/1779442011-6310b301-bb23-48fd-9f94-ad4f1959d0a6.blade.php

@@ -0,0 +1,803 @@
+<!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 + '[0]" 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());
+
+                let index = fieldId.split('-').pop();
+
+                $('#report-form').append(
+                    '<input type="hidden" class="dynamic-hidden" data-source="' + fieldId + '" name="' + slug + '[' + index + ']" 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>

resources/views/form/rapport-vitalis1/1764580555-0107c1bb-8b2d-46b7-aa16-462594c338c0.blade.php

@@ -241,7 +241,7 @@
 
         $('#field-contact_id').on('change',function(){
             let dropDown=$('#field-contact_id').val();
-            if(dropDown==='others'){
+            if(dropDown==='Others'){
                 $('#field-other_doctor_name,#field-other_speciality,#field-other_msl_code').parent().show(); 
                 $('#field-other_doctor_name,#field-other_speciality,#field-other_msl_code').prop({"required":true});
                 $('#field-speciality,#field-msl_code').parent().hide(); 

resources/views/form/rapport-vitalis5/1741672502-78ceeb99-b393-47b7-9e3b-850a1d42c204.blade.php

@@ -81,8 +81,20 @@
                                         <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 . ' ' : '' }} {{ $question->code == 'contact_id' ? 'pcode= ' . (isset($option->contact->pcode)?$option->contact->pcode:'') . ' ' : '' }} {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} {{ $question->code == 'contact_id' ? 'empacip_launched= ' . (isset($option->contact->empacip_launched) ? $option->contact->empacip_launched :'') . ' ' : '' }}>
+                                            {{-- <option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'msl_code= ' . $option->contact->legacy_code . ' ' : '' }} {{ $question->code == 'contact_id' ? 'pcode= ' . (isset($option->contact->pcode)?$option->contact->pcode:'') . ' ' : '' }} {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} {{ $question->code == 'contact_id' ? 'empacip_launched= ' . (isset($option->contact->empacip_launched) ? $option->contact->empacip_launched :'') . ' ' : '' }}>
                                                 {{ $option->display }}
+                                            </option> --}}
+
+                                            <option value="{{ $option->value }}"
+                                                        @if(isset($question->value) && $question->value == $option->value) selected @endif
+                                                            @if($question->code == 'contact_id')
+                                                                msl_code="{{ (isset($option->contact->legacy_code) ? $option->contact->legacy_code : '') }}"
+                                                                speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
+                                                                pcode="{{ (isset($option->contact->pcode) ? $option->contact->pcode : '') }}"
+
+                                                            @endif
+                                                    >
+                                                        {{ $option->display }}
                                             </option>
 
                                             @endforeach
@@ -206,6 +218,8 @@
             }
         })
 
+        $('#field-speciality,#field-msl_code,#field-pcode').attr('readonly',true);
+
         $('#field-contact_id').change(function() {
                		 $('#field-msl_code').val($('option:selected', this).attr('msl_code'))
         })

resources/views/form/rapport-vitalis5/1744777175-bc0d9fa7-922c-45cf-92b5-aac7ed735c91.blade.php

@@ -81,8 +81,23 @@
                                         <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 . ' ' : '' }}  {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} {{ $question->code == 'contact_id' ? 'pcode= ' . (isset($option->contact->pcode) ? $option->contact->pcode :'') . ' ' : '' }} >
+                                            {{-- <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 :'') . ' ' : '' }} 
+                                                {{ $question->code == 'contact_id' ? 'pcode= ' . (isset($option->contact->pcode) ? $option->contact->pcode :'') . ' ' : '' }} >
                                                 {{ $option->display }}
+                                            </option> --}}
+
+                                            <option value="{{ $option->value }}"
+                                                        @if(isset($question->value) && $question->value == $option->value) selected @endif
+                                                            @if($question->code == 'contact_id')
+                                                                msl_code="{{ (isset($option->contact->legacy_code) ? $option->contact->legacy_code : '') }}"
+                                                                speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
+                                                                pcode="{{ (isset($option->contact->pcode) ? $option->contact->pcode : '') }}"
+
+                                                            @endif
+                                                    >
+                                                        {{ $option->display }}
                                             </option>
 
                                             @endforeach
@@ -188,6 +203,7 @@
         $('label[for="field-cresar_am_pob_strips"]').append('w-100').html("<h4 style='color:#9897f7'>Report POB</h4><div>Cresar-AM POB Strips <span style='color:#f1556c'>*</span> </div>")
         $('label[for="field-new_conversion"]').append('w-100').html("<h4 style='color:#9897f7'>Report Conversion</h4><div>New Conversion <span style='color:#f1556c'>*</span> </div>")
 
+        $('#field-speciality,#field-msl_code,#field-pcode').attr('readonly',true);
 
         $('#field-contact_id').change(function() {
                         $('#field-speciality').val($('option:selected', this).attr(

resources/views/form/rapport-xennex/1714736141-4cdf81c6-b4d0-4c27-8790-b197973e8c03.blade.php

@@ -467,7 +467,68 @@
                     "brand": "Sylate",
                     "sku": "SYLATE TABLETS 250 MG 10",
                     "pts": 132.49
-                }
+                },
+
+                {
+                    "brand": "OROFER",
+                    "sku": "OROFER FCM INJECTION 1K",
+                    "pts": 2250.00
+                },
+                {
+                    "brand": "OROFER",
+                    "sku": "OROFER FCM INJECTION 750 MG / 15 ML ",
+                    "pts": 1160.00
+                },
+                {
+                    "brand": "OROFER",
+                    "sku": "OROFER FCM INJECTION 500 MG / 10 ML",
+                    "pts": 1115.00
+                },
+
+
+
+
+
+                {
+                    "brand": "Reludro",
+                    "sku": "Reludro",
+                    "pts": 480.00
+                },
+                {
+                    "brand": "Femzact",
+                    "sku": "Femzact",
+                    "pts": 152.23
+                },
+                {
+                    "brand": "Sylate T",
+                    "sku": "Sylate Inj",
+                    "pts": 80.74
+                },
+                {
+                    "brand": "Sylate T",
+                    "sku": "Sylate T 500",
+                    "pts": 388.22
+                },
+                {
+                    "brand": "Sylate T",
+                    "sku": "Sylate 500",
+                    "pts": 337.78
+                },
+                {
+                    "brand": "Sylate T",
+                    "sku": "Sylate 250",
+                    "pts": 175.85
+                },
+                 {
+                    "brand": "Emvicure",
+                    "sku": "Emvicure",
+                    "pts": 365.83
+                },
+
+
+
+
+
         ]
 
         console.log( JSON.stringify(brands.map(b => { return { sku:b.sku, slug:slugify(b.sku)+'_units' } } ) ) )

resources/views/form/rapport-xennex/1715505619-bff0dba3-a07f-46bb-a128-029a724c60e0.blade.php

@@ -13,7 +13,8 @@
 @php
 $brandData = [
 
-/*['brand'=>'CELOL', 'slug'=>'celol_units','pseudoId'=>'celol_value','slug2'=>'celol2'],
+/*
+['brand'=>'CELOL', 'slug'=>'celol_units','pseudoId'=>'celol_value','slug2'=>'celol2'],
 ['brand'=>'Denmab', 'slug'=>'denmab_units','pseudoId'=>'denmab_value','slug2'=>'denmab2'],
 ['brand'=>'Emanzen', 'slug'=>'emanzen_units','pseudoId'=>'emanzen_value','slug2'=>'emanzen2'],
 ['brand'=>'Ferium XT', 'slug'=>'ferium_xt_units','pseudoId'=>'ferium_xt_value','slug2'=>'ferium_xt2'],
@@ -23,7 +24,6 @@ $brandData = [
 ['brand'=>'Proxym', 'slug'=>'proxym_units','pseudoId'=>'proxym_value','slug2'=>'proxym2'],
 ['brand'=>'Ferium Injection', 'slug'=>'ferium_injection_units','pseudoId'=>'ferium_injection_value','slug2'=>'ferium_injection2'],
 
-
 */
 ['brand'=>'Galact Granules', 'slug'=>'galact_granules_units','pseudoId'=>'galact_granules_value','slug2'=>'galact_granules2'],
 ['brand'=>'Sylate', 'slug'=>'sylate_units','pseudoId'=>'sylate_value','slug2'=>'sylate2'],
@@ -37,6 +37,7 @@ $brandData = [
 ['brand'=>'Sylate T 500', 'slug'=>'sylate_t_500_units','pseudoId'=>'sylate_t_500_value','slug2'=>'sylate_t_500_2'],
 ['brand'=>'Sylate 500', 'slug'=>'sylate_500_units','pseudoId'=>'sylate_500_value','slug2'=>'sylate_500_2'],
 ['brand'=>'Sylate 250', 'slug'=>'sylate_250_units','pseudoId'=>'sylate_250_value','slug2'=>'sylate_250_2'],
+['brand'=>'Emvicure', 'slug'=>'emvicure_units','pseudoId'=>'emvicure_value','slug2'=>'emvicure2'],
 
 
 
@@ -387,6 +388,8 @@ $brandData = [
                 let productOfP = (p * priceOfP).toFixed(2);
                 $('#field-femzact_value').val(productOfP);
 
+                
+
 
         })
 
@@ -522,6 +525,11 @@ $brandData = [
                 unit: '#field-sylate_250_units',
                 value: '#field-sylate_250_value',
                 price: 175.85
+            },
+             {
+                unit: '#field-emvicure_units',
+                value: '#field-emvicure_value',
+                price: 365.83
             }
         ];
 

resources/views/form/rapport-xennex/1780028714-b6b01792-de35-40b2-9d59-d2c32aad39cc.blade.php

@@ -0,0 +1,786 @@
+<!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 = $submissions->data->submissions;
+                            
+
+                            @endphp
+                            
+                            <form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
+                                <input type="hidden" name="form_id" value="{{$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_week","select_month"] ) )
+                                @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' ? 'uid_number= ' . $option->contact->uid_number . ' ' : '' }}  {{ $question->code == 'doctor_name' ? 'speciality= ' . (isset($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_week","select_month"] ) )
+                                    @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')
+                                                                                uid_number="{{ (isset($option->contact->uid_number) ? $option->contact->uid_number : '') }}"
+                                                                                speciality="{{ (isset($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' : '' }}>
+                                                                        {{ $option->display }}</option>
+                                                                @endforeach
+                                                            </select>
+                                            @endif
+                                        @break
+                                        @case('checkbox')
+                                        @foreach($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>
+                            
+                        </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-record_date').attr(
+            'max',
+            new Date().toISOString().split('T')[0]
+        );
+        
+        $('#field-contact_id').on('change',function(){
+            $('#field-uid_number').val($(this).find(":selected").attr("uid_number"));
+        })
+
+        $('#field-contact_id').on('change',function(){
+            $('#field-speciality').val($(this).find(":selected").attr("speciality"));
+        })
+      
+        $('#field-uid_number,#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');
+
+            });
+
+        }
+
+        
+        // Hide fields initially
+        $('#field-no_of_rx,#field-no_of_strips,#field-total_value').parent().hide();
+
+        $('#field-no_of_rx,#field-no_of_strips,#field-total_value')
+            .attr('required', false);
+
+        // Show when dr_converted = Yes
+        $('#execution-dr_converted').on('change', function(){
+
+            let value = $(this).val();
+
+            if(value === 'Yes'){
+
+                $('#field-no_of_rx,#field-no_of_strips,#field-total_value')
+                    .parent().show();
+
+                $('#field-no_of_rx,#field-no_of_strips,#field-total_value')
+                    .attr('required', true);
+
+            }else{
+
+                $('#field-no_of_rx,#field-no_of_strips,#field-total_value')
+                    .parent().hide();
+
+                $('#field-no_of_rx,#field-no_of_strips,#field-total_value')
+                    .attr('required', false);
+            }
+
+        });
+
+        $('#field-total_value').attr('readonly', true);
+
+        $('#field-no_of_strips').on('change keyup', function(){
+
+            let strips = parseFloat($('#field-no_of_strips').val() || 0);
+
+            let ptsValue = 365.83;
+
+            let total = strips * ptsValue;
+
+            $('#field-total_value').val(total.toFixed(2));
+
+        });
+
+        $(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-uid_number-' + id).val(selectedOption.attr('uid_number'));
+            $('#field-speciality-' + id).val(selectedOption.attr('speciality'));
+
+            preventDuplicateDoctors();
+        });
+   
+        
+
+        
+        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"><button type="button" class="btn btn-danger btn-remove float-end" style="margin-top:-25px; margin-right:-25px"><i class="mdi mdi-close"></i></button>
+                                        @foreach($questions as $question)
+                                        @if( in_array($question->code,
+                                            ["record_date","select_week","select_month"] ) )
+                                            @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' ? 'uid_number= ' . $option->contact->uid_number . ' ' : '' }}  {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($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-uid_number-'+doctor_count).attr('readonly',true);
+                    $('#field-speciality-'+doctor_count).attr('readonly',true);
+                    let fields =
+                $('#field-no_of_rx-' + doctor_count +
+                ',#field-no_of_strips-' + doctor_count +
+                ',#field-total_value-' + doctor_count);
+
+            fields.parent().hide();
+
+            fields.attr('required', false);
+            $('#field-dr_converted-' + doctor_count).on('change', function(){
+
+            let value = $(this).val();
+
+            if(value === 'Yes'){
+
+                fields.parent().show();
+
+                fields.attr('required', true);
+
+            }else{
+
+                fields.parent().hide();
+
+                fields.attr('required', false);
+            }
+
+        });
+                $('#field-total_value-' + doctor_count).attr('readonly', true);
+
+        $('#field-no_of_strips-' + doctor_count)
+        .on('change keyup', function(){
+
+            let strips =
+                parseFloat($('#field-no_of_strips-' + doctor_count).val() || 0);
+
+            let ptsValue = 365.83;
+
+            let total = strips * ptsValue;
+
+            $('#field-total_value-' + doctor_count)
+                .val(total.toFixed(2));
+
+        });
+                                
+               
+            }, 500);
+
+            
+            
+
+            if ($('.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');
+                $(this).closest('.doctor-wrapper').find('select').each(function () {
+
+                if ($(this).hasClass('select2-hidden-accessible')) {
+                    $(this).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();
+            })
+
+            
+
+
+
+
+        })
+
+
+        
+
+        $('#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("uid_number", itm.contact.uid_number).attr("speciality", itm.contact.speciality));
+                    }
+
+                    $('#field-contact_id').change(function() {
+                        $('#field-uid_number').val($('option:selected', this).attr('uid_number'))
+                    })  
+                    
+                    $('#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>