From 36c857c2860f1c02983a84c5b12e2cac236beab9 Mon Sep 17 00:00:00 2001
From: Farhan Pathan <farhan@stratawiz.com>
Date: Thu, 2 Jul 2026 15:38:44 +0530
Subject: [PATCH] Team3 - New Forms 2/07/2025

---
 ...67f0-57b7-478f-9b49-fab240d59746.blade.php |  57 +--
 ...2886-1991-4160-8224-9eb025c237fe.blade.php | 376 ++++++++++++++++++
 ...3b4e-d7b8-4046-a045-af77b3bd9679.blade.php |  57 +--
 ...15a0-0d94-4b7c-881b-0442672469f4.blade.php | 355 +++++++++++++++++
 4 files changed, 789 insertions(+), 56 deletions(-)
 create mode 100644 resources/views/form/rapport-team3/1782966054-92912886-1991-4160-8224-9eb025c237fe.blade.php
 create mode 100644 resources/views/form/rapport-team3/1782982915-571d15a0-0d94-4b7c-881b-0442672469f4.blade.php

diff --git a/resources/views/form/rapport-team3/1782965994-17cb67f0-57b7-478f-9b49-fab240d59746.blade.php b/resources/views/form/rapport-team3/1782965994-17cb67f0-57b7-478f-9b49-fab240d59746.blade.php
index 0e00a738..8928feac 100644
--- a/resources/views/form/rapport-team3/1782965994-17cb67f0-57b7-478f-9b49-fab240d59746.blade.php
+++ b/resources/views/form/rapport-team3/1782965994-17cb67f0-57b7-478f-9b49-fab240d59746.blade.php
@@ -4,6 +4,8 @@
     @include('layouts.shared/title-meta', ['title' => "Form"])
     @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
     <link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
+        <link href="{{ asset('assets/libs/select2/select2.min.css') }}" rel="stylesheet" type="text/css" />
+
 </head>
 <div id="pageloader">
    <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
@@ -71,7 +73,7 @@
                                             id="field-{{$question->code}}"
                                             name="{{$question->code}}"
                                             class="form-control"
-                                             @if($question->code == 'availibility_done_at_chemist_chemist_name')
+                                             @if($question->code == 'availibility_done_chemist_chemist_name')
                                                 pattern="[A-Za-z ]+"
                                                 oninput="this.value=this.value.replace(/[^A-Za-z ]/g,'')"
                                             @endif
@@ -89,35 +91,31 @@
                                             <textarea id="field-{{$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)
-
-                                                    @php
-                                                        $legacy = $option->contact->legacy_code ?? '';
-                                                        $spec = $option->contact->speciality ?? '';
-                                                    @endphp
-
-                                                    <option
-                                                        value="{{ $option->value }}"
-                                                        {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
-
-                                                        @if($question->code == 'contact_id')
-                                                            legacy_code="{{ $legacy }}"
-                                                            speciality="{{ $spec }}"
-                                                        @endif
+                                            <select class="form-control" {!!($question->code
+                                        == 'contact_id')?'data-toggle="select2"':'' !!} id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
+                                            <option value=""> -- Select -- </option>
+                                            @foreach ($question->options as $option)
+                                            @if($question->code == 'contact_id'  && isset($option->contact->type) && $option->contact->type == 'doctor' )
+                                                    <option value="{{ $option->value }}"
+                                                        @if(isset($question->value) && $question->value == $option->value) selected @endif
+                                                            @if($question->code == 'contact_id')
+                                                                legacy_code="{{ (isset($option->contact->legacy_code) ? $option->contact->legacy_code : '') }}"
+                                                                speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
+                                                            @endif
                                                     >
                                                         {{ $option->display }}
                                                     </option>
-
-                                                @endforeach
-
-                                            </select>
+                                            @elseif($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 :'') . ' ' : '' }} >
+                                                            {{ $option->display }}
+                                                        </option>
+                                            @endif
+                                                        
+                                            
+                                            
+                                            @endforeach
+                                           
+                                        </select>
                                             @break
                                         @case('radio')
                                             @foreach($question->options as $option)
@@ -245,8 +243,11 @@
 </style>
 @include('layouts.shared/footer-script')
 <script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+<script src="{{ asset('assets/libs/select2/select2.min.js') }}"></script>
+
 <script type="text/javascript">
     jQuery(document).ready(function($){
+         $('[data-toggle="select2"]').select2();
         $('#field-user_id').change(function(){
             let hierarchy = $('option:selected', this).attr('hierarchy');
             $('#field-hierarchy_id').val(hierarchy)
@@ -325,7 +326,7 @@
 
         $('#field-speciality,#field-legacy_code').attr('readonly',true);        
 
-        $('#field-new_rx_generated, #field-pob_in_units')
+        $('#field-new_rx_generated, #field-pob_units')
         .on('keydown', function(e){
 
             if (['e','E','+','-','.'].includes(e.key)) {
diff --git a/resources/views/form/rapport-team3/1782966054-92912886-1991-4160-8224-9eb025c237fe.blade.php b/resources/views/form/rapport-team3/1782966054-92912886-1991-4160-8224-9eb025c237fe.blade.php
new file mode 100644
index 00000000..233b2451
--- /dev/null
+++ b/resources/views/form/rapport-team3/1782966054-92912886-1991-4160-8224-9eb025c237fe.blade.php
@@ -0,0 +1,376 @@
+<!DOCTYPE html>
+<html lang="en">
+<head>
+    @include('layouts.shared/title-meta', ['title' => "Form"])
+    @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
+    <link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
+</head>
+<div id="pageloader">
+   <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
+</div>
+<body class="loading">
+    <div class="account-pages">
+        <div class="container">
+            <div class="row justify-content-center">
+                <div class="col-md-8 col-lg-6 col-xl-5 p-0">
+                    <div class="card bg-pattern">
+                        <div class="card-body p-3 row">
+
+                            @if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
+                            <br>@endif
+                            @if(session('success'))<div class=" alert alert-success">{{ session('success') }}
+                            </div>
+                            <br>@endif
+                            <div class="col-8">
+                                <h4 class="page-title">{{$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':'' }} 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 == $option->value ? 'selected':''}}>{{$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>
+                                     @if($question->code == 'phone_no_staff')
+                                    
+                                        <h5>
+                                           Enter No. of Units per Respule for the Brand Order Received
+                                        </h5>
+                                @endif
+                                @endforeach
+                                @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
+                                <div class="text-center d-grid mt-3">
+                                    <button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
+                                </div>
+                                @endif
+                            </form>
+
+                        </div> <!-- end card-body -->
+                    </div>
+                    <!-- end card -->
+
+                    <!-- end row -->
+
+                </div> <!-- end col -->
+            </div>
+            <!-- end row -->
+        </div>
+        <!-- end container -->
+    </div>
+    <!-- end page -->
+<style type="text/css">
+#pageloader {
+  background: rgba( 255, 255, 255, 0.8 );
+  display: none;
+  height: 100%;
+  position: fixed;
+  width: 100%;
+  z-index: 9999;
+}
+
+#pageloader img {
+  left: 50%;
+  margin-left: -32px;
+  margin-top: -32px;
+  position: absolute;
+  top: 50%;
+}
+.form-label {
+    font-weight:bold;
+    font-size:16px;
+}
+</style>
+@include('layouts.shared/footer-script')
+<script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+<script type="text/javascript">
+    jQuery(document).ready(function($){
+       
+        $('#field-name_staff, #field-chemist_shop_name').on('input', function () {
+            $(this).val($(this).val().replace(/[^a-zA-Z\s]/g, ''));
+        });
+
+        $('#field-phone_no_staff').on('input', function () {
+            this.value = this.value.replace(/\D/g, '').slice(0, 10);
+
+            // First digit must be 6,7,8,9
+            if (this.value.length > 0 && !/^[6-9]/.test(this.value)) {
+                this.value = '';
+            }
+        });
+        $('#field-budecort_respule, #field-duolin_respule, #field-levolin_respule, #field-hyperneb_respule, #field-budesal_respule').on('input', function () {
+            this.value = this.value.replace(/[^0-9]/g, '');
+        });
+
+
+        $('#field-upload_invoice_photo_max_10_mb').on('change', function () {
+            const file = this.files[0];
+            if (!file) return;
+
+            const allowedExtensions = /\.(jpg|jpeg|png|pdf)$/i;
+            const maxSize = 10 * 1024 * 1024; // 10 MB
+
+            if (!allowedExtensions.exec(file.name)) {
+                Swal.fire({
+                    icon: 'error',
+                    title: 'Invalid File',
+                    text: 'Accept JPG/JPEG/PNG/PDF files only.'
+                });
+                $(this).val('');
+                return;
+            }
+
+            if (file.size > maxSize) {
+                Swal.fire({
+                    icon: 'error',
+                    title: 'File Too Large',
+                    text: 'File size must not exceed 10 MB.'
+                });
+                $(this).val('');
+            }
+        });
+
+        $('#field-bag_distribution_photo_jpgjpegpng_max_upto_10_mb').on('change', function () {
+            const file = this.files[0];
+            if (!file) return;
+
+            const allowedExtensions = /\.(jpg|jpeg|png)$/i;
+            const maxSize = 10 * 1024 * 1024; // 10 MB
+
+            if (!allowedExtensions.exec(file.name)) {
+                Swal.fire({
+                    icon: 'error',
+                    title: 'Invalid File',
+                    text: 'Accept JPG/JPEG/PNG files only.'
+                });
+                $(this).val('');
+                return;
+            }
+
+            if (file.size > maxSize) {
+                Swal.fire({
+                    icon: 'error',
+                    title: 'File Too Large',
+                    text: 'File size must not exceed 10 MB.'
+                });
+                $(this).val('');
+            }
+        });
+
+        $('#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();
+            let mobile = $('#field-phone_no_staff').val().trim();
+
+            if (!/^[6-9]\d{9}$/.test(mobile)) {
+                Swal.fire({
+                    icon: 'error',
+                    title: 'Invalid Mobile Number',
+                    text: 'Please enter a valid 10-digit mobile number starting with 6, 7, 8, or 9.'
+                }).then(() => {
+                    $('#field-phone_no_staff').focus();
+                });
+
+                return false;
+            }
+            $("#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!'
+                        })
+                    }
+                },
+            });
+        });
+
+            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();
+
+            var currentDate = yyyy + '-' + mm + '-' + dd;
+
+            var plandateField = document.getElementById('field-record_date');
+
+            // Allow dates from 1st July 2026
+            plandateField.setAttribute('min', '2026-07-01');
+
+            // Allow dates only up to today
+            plandateField.setAttribute('max', currentDate);
+    });
+</script>
+</body>
+
+</html>
\ No newline at end of file
diff --git a/resources/views/form/rapport-team3/1782971995-f7a03b4e-d7b8-4046-a045-af77b3bd9679.blade.php b/resources/views/form/rapport-team3/1782971995-f7a03b4e-d7b8-4046-a045-af77b3bd9679.blade.php
index 0e00a738..8928feac 100644
--- a/resources/views/form/rapport-team3/1782971995-f7a03b4e-d7b8-4046-a045-af77b3bd9679.blade.php
+++ b/resources/views/form/rapport-team3/1782971995-f7a03b4e-d7b8-4046-a045-af77b3bd9679.blade.php
@@ -4,6 +4,8 @@
     @include('layouts.shared/title-meta', ['title' => "Form"])
     @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
     <link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
+        <link href="{{ asset('assets/libs/select2/select2.min.css') }}" rel="stylesheet" type="text/css" />
+
 </head>
 <div id="pageloader">
    <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
@@ -71,7 +73,7 @@
                                             id="field-{{$question->code}}"
                                             name="{{$question->code}}"
                                             class="form-control"
-                                             @if($question->code == 'availibility_done_at_chemist_chemist_name')
+                                             @if($question->code == 'availibility_done_chemist_chemist_name')
                                                 pattern="[A-Za-z ]+"
                                                 oninput="this.value=this.value.replace(/[^A-Za-z ]/g,'')"
                                             @endif
@@ -89,35 +91,31 @@
                                             <textarea id="field-{{$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)
-
-                                                    @php
-                                                        $legacy = $option->contact->legacy_code ?? '';
-                                                        $spec = $option->contact->speciality ?? '';
-                                                    @endphp
-
-                                                    <option
-                                                        value="{{ $option->value }}"
-                                                        {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
-
-                                                        @if($question->code == 'contact_id')
-                                                            legacy_code="{{ $legacy }}"
-                                                            speciality="{{ $spec }}"
-                                                        @endif
+                                            <select class="form-control" {!!($question->code
+                                        == 'contact_id')?'data-toggle="select2"':'' !!} id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
+                                            <option value=""> -- Select -- </option>
+                                            @foreach ($question->options as $option)
+                                            @if($question->code == 'contact_id'  && isset($option->contact->type) && $option->contact->type == 'doctor' )
+                                                    <option value="{{ $option->value }}"
+                                                        @if(isset($question->value) && $question->value == $option->value) selected @endif
+                                                            @if($question->code == 'contact_id')
+                                                                legacy_code="{{ (isset($option->contact->legacy_code) ? $option->contact->legacy_code : '') }}"
+                                                                speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
+                                                            @endif
                                                     >
                                                         {{ $option->display }}
                                                     </option>
-
-                                                @endforeach
-
-                                            </select>
+                                            @elseif($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 :'') . ' ' : '' }} >
+                                                            {{ $option->display }}
+                                                        </option>
+                                            @endif
+                                                        
+                                            
+                                            
+                                            @endforeach
+                                           
+                                        </select>
                                             @break
                                         @case('radio')
                                             @foreach($question->options as $option)
@@ -245,8 +243,11 @@
 </style>
 @include('layouts.shared/footer-script')
 <script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+<script src="{{ asset('assets/libs/select2/select2.min.js') }}"></script>
+
 <script type="text/javascript">
     jQuery(document).ready(function($){
+         $('[data-toggle="select2"]').select2();
         $('#field-user_id').change(function(){
             let hierarchy = $('option:selected', this).attr('hierarchy');
             $('#field-hierarchy_id').val(hierarchy)
@@ -325,7 +326,7 @@
 
         $('#field-speciality,#field-legacy_code').attr('readonly',true);        
 
-        $('#field-new_rx_generated, #field-pob_in_units')
+        $('#field-new_rx_generated, #field-pob_units')
         .on('keydown', function(e){
 
             if (['e','E','+','-','.'].includes(e.key)) {
diff --git a/resources/views/form/rapport-team3/1782982915-571d15a0-0d94-4b7c-881b-0442672469f4.blade.php b/resources/views/form/rapport-team3/1782982915-571d15a0-0d94-4b7c-881b-0442672469f4.blade.php
new file mode 100644
index 00000000..8928feac
--- /dev/null
+++ b/resources/views/form/rapport-team3/1782982915-571d15a0-0d94-4b7c-881b-0442672469f4.blade.php
@@ -0,0 +1,355 @@
+<!DOCTYPE html>
+<html lang="en">
+<head>
+    @include('layouts.shared/title-meta', ['title' => "Form"])
+    @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
+    <link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
+        <link href="{{ asset('assets/libs/select2/select2.min.css') }}" rel="stylesheet" type="text/css" />
+
+</head>
+<div id="pageloader">
+   <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
+</div>
+<body class="loading">
+    <div class="account-pages">
+        <div class="container">
+            <div class="row justify-content-center">
+                <div class="col-md-8 col-lg-6 col-xl-5 p-0">
+                    <div class="card bg-pattern">
+                        <div class="card-body p-3 row">
+
+                            @if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
+                            <br>@endif
+                            @if(session('success'))<div class=" alert alert-success">{{ session('success') }}
+                            </div>
+                            <br>@endif
+                            <div class="col-8">
+                                <h4 class="page-title">{{$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')
+                                             <input type="{{$question->type}}"
+                                            id="field-{{$question->code}}"
+                                            name="{{$question->code}}"
+                                            class="form-control"
+                                             @if($question->code == 'availibility_done_chemist_chemist_name')
+                                                pattern="[A-Za-z ]+"
+                                                oninput="this.value=this.value.replace(/[^A-Za-z ]/g,'')"
+                                            @endif
+                                            {{$question->required == 'yes'?'required':'' }}
+                                            {{ in_array($question->code, ['speciality','legacy_code']) ? 'readonly' : '' }}
+                                            value="{{isset($question->value)?$question->value:''}}">
+                                            @break
+                                        @case('date')
+                                            <input type="{{$question->type}}"  min="2026-07-01" id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }} value="{{isset($question->value)?$question->value:''}}">
+                                            @break
+                                        @case('number')
+                                            <input type="{{$question->type}}" min="0" max="9999999999" step="1" id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }}  value="{{isset($question->value)?$question->value:0}}">
+                                            @break
+                                        @case('textarea')
+                                            <textarea id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }}>{{isset($question->value)?$question->value:''}}</textarea>
+                                            @break
+                                        @case('dropdown')
+                                            <select class="form-control" {!!($question->code
+                                        == 'contact_id')?'data-toggle="select2"':'' !!} id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
+                                            <option value=""> -- Select -- </option>
+                                            @foreach ($question->options as $option)
+                                            @if($question->code == 'contact_id'  && isset($option->contact->type) && $option->contact->type == 'doctor' )
+                                                    <option value="{{ $option->value }}"
+                                                        @if(isset($question->value) && $question->value == $option->value) selected @endif
+                                                            @if($question->code == 'contact_id')
+                                                                legacy_code="{{ (isset($option->contact->legacy_code) ? $option->contact->legacy_code : '') }}"
+                                                                speciality="{{ (isset($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 :'') . ' ' : '' }} >
+                                                            {{ $option->display }}
+                                                        </option>
+                                            @endif
+                                                        
+                                            
+                                            
+                                            @endforeach
+                                           
+                                        </select>
+                                            @break
+                                        @case('radio')
+                                            @foreach($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) && $form->is_approval != 'yes' ) )
+                                <div class="text-center d-grid mt-3">
+                                    <button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
+                                </div>
+                                @endif
+                            </form>
+
+                        </div> <!-- end card-body -->
+                    </div>
+                    <!-- end card -->
+
+                    <!-- end row -->
+
+                </div> <!-- end col -->
+            </div>
+            <!-- end row -->
+        </div>
+        <!-- end container -->
+    </div>
+    <!-- end page -->
+<style type="text/css">
+#pageloader {
+  background: rgba( 255, 255, 255, 0.8 );
+  display: none;
+  height: 100%;
+  position: fixed;
+  width: 100%;
+  z-index: 9999;
+}
+
+#pageloader img {
+  left: 50%;
+  margin-left: -32px;
+  margin-top: -32px;
+  position: absolute;
+  top: 50%;
+}
+.form-label {
+    font-weight:bold;
+    font-size:16px;
+}
+</style>
+@include('layouts.shared/footer-script')
+<script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+<script src="{{ asset('assets/libs/select2/select2.min.js') }}"></script>
+
+<script type="text/javascript">
+    jQuery(document).ready(function($){
+         $('[data-toggle="select2"]').select2();
+        $('#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) {
+                        console.log(itm);
+                        console.log(itm.contact);
+                        console.log("Legacy Code:", itm.contact?.legacy_code);
+                        $('#field-contact_id').append(
+
+                        $("<option></option>")
+                            .attr("value", itm.value)
+                            .attr("legacy_code", itm.contact ? itm.contact.legacy_code : "")
+                            .attr("speciality", itm.contact ? itm.contact.speciality : "")
+                            .text(itm.display)
+
+
+                    );
+
+                }                  
+                },
+            });
+
+            console.log(hierarchy)
+        })
+
+        $('#field-contact_id').on('change', function () {
+
+            let selected = $(this).find(':selected');
+
+            console.log("legacy:", selected.attr('legacy_code'));
+            console.log("Speciality:", selected.attr('speciality'));
+
+            $('#field-legacy_code').val(selected.attr('legacy_code') || '');
+            $('#field-speciality').val(selected.attr('speciality') || '');
+
+        });
+
+        $('#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-speciality,#field-legacy_code').attr('readonly',true);        
+
+        $('#field-new_rx_generated, #field-pob_units')
+        .on('keydown', function(e){
+
+            if (['e','E','+','-','.'].includes(e.key)) {
+                e.preventDefault();
+            }
+
+        });
+
+
+
+            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 dateField = document.getElementById('field-record_date');
+
+            dateField.setAttribute('min', '2026-07-01');
+            dateField.setAttribute('max', today);
+    });
+</script>
+</body>
+
+</html>
\ No newline at end of file