Lifemankind (TGICS)
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<!DOCTYPE html>
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<html lang="en">
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<head>
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@include('layouts.shared/title-meta', ['title' => 'Form'])
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@include('layouts.shared/head-css', ['mode' => $mode ?? '', 'demo' => $demo ?? ''])
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<link href="{{ asset('assets/libs/sweetalert2/sweetalert2.min.css') }}" rel="stylesheet" type="text/css" />
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</head>
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<div id="pageloader">
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<img src="/images/loader-large.gif" alt="processing..." />
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</div>
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<body class="loading">
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<div class="account-pages">
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<div class="container">
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<div class="row justify-content-center">
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<div class="col-md-8 col-lg-6 col-xl-5 p-0">
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<div class="card">
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<div class="card-body p-3 row">
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@if (Session::has('error'))
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<div class="alert alert-danger">{{ Session::get('error') }}</div>
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<br>
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@endif
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@if (session('success'))
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<div class=" alert alert-success">{{ session('success') }}
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</div>
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<br>
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@endif
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<div class="col-8">
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<h4 class="page-title">Report Camp</h4>
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</div>
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@if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'))
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<div class="col-4">
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@if ($form->link_type == 'form')
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<!-- <a href="/form/history" class="float-end pt-1">View History</a> -->
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<button type="button" class="btn btn-primary btn-xs" id="add-camp-btn">Enroll Doctor</button>
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@else
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<a href="{{ url()->previous() }}" class="float-end pt-1">Back</a>
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@endif
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</div>
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@endif
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@php
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$history = Formhelper::getMultiformData(
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$form->partition,
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$form->form_id,
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$form->user_id,
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);
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@endphp
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<div class="col-12" id="table-wrapper">
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<div class="table-responsive">
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<table class="table table-borderless table-nowrap table-hover table-centered m-0">
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<thead class="table-light">
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<tr>
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<th>Action.</th>
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<th>Name of the Practitioner</th>
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<th>WFSA Code</th>
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<th>WhatsApp Mobile Number</th>
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<th>Email ID</th>
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<th>Age (in completed years)</th>
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<th>Years of Practice</th>
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<th>Type of Practice</th>
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<th>City/Town</th>
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<th>State</th>
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<th>Qualification</th>
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<th>Other Qualification</th>
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</tr>
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</thead>
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<tbody>
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@foreach (collect($history->data->submissions)->sortByDesc('formdata.record_date') as $sub)
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@php
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$sub->formdata->id = $sub->id;
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@endphp
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<tr>
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<td>
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<button type="button" class="btn btn-xs btn-info edit-btn"
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plan_details="{{ json_encode($sub->formdata) }}"><i
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class="mdi mdi-pencil"></i> Edit</button>
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</td>
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<td>
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@if (isset($sub->formdata->contact_id) && $sub->formdata->contact_id !== '')
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{{ $sub->formdata->contact_id }}
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@elseif (isset($sub->formdata->doctor_name))
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{{ $sub->formdata->doctor_name }}
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@else
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{{-- Default value or empty string, adjust as needed --}}
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{{ '' }}
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@endif
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</td>
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<td>{{ isset($sub->formdata->wfsa_code) ? $sub->formdata->wfsa_code : '' }}
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</td>
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<td>{{ isset($sub->formdata->whatsapp_mobile_number) ? $sub->formdata->whatsapp_mobile_number : '' }}
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</td>
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<td>{{ isset($sub->formdata->email_id) ? $sub->formdata->email_id : '' }}
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</td>
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<td>{{ isset($sub->formdata->age) ? $sub->formdata->age : '' }}
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</td>
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<td>{{ isset($sub->formdata->years_of_practice) ? $sub->formdata->years_of_practice : '' }}
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</td>
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<td>{{ isset($sub->formdata->type_of_practice) ? $sub->formdata->type_of_practice : '' }}
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</td>
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<td>{{ isset($sub->formdata->city_town) ? $sub->formdata->city_town : '' }}
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</td>
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<td>{{ isset($sub->formdata->state) ? $sub->formdata->state : '' }}
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</td>
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<td>{{ isset($sub->formdata->qualification) ? $sub->formdata->qualification : '' }}
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</td>
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<td>{{ isset($sub->formdata->other_qualification) ? $sub->formdata->other_qualification : '' }}
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</td>
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</tr>
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@endforeach
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</tbody>
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</table>
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</div>
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</div>
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<div id="form-wrapper">
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<form method="POST" action="/form/submit" id="report-form"
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enctype="multipart/form-data">
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<input type="hidden" name="form_id" value="{{ $form_id }}">
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@csrf
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@if ($id)
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<input type="hidden" name="id" value="{{ $id }}">
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@endif
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@foreach ($questions as $question)
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@if (in_array($question->code, [
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'execution_date',
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'no_of_attendees',
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'total_amount_spent_in_rs',
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'upload_photo_1',
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'upload_photo_2',
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'ziten_m_rx',
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'total_camp_rx',
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'no_of_strips_left_with_fso',
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]))
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@continue
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@endif
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<div class="col-md-12 mb-2">
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<label for="field-{{ $question->code }}"
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class="form-label">{{ $question->question }} {!! $question->required == 'yes' ? '<span class="text-danger">*</span>' : '' !!}
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</label>
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@switch($question->type)
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@case('hidden')
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<input type="{{ $question->type }}" id="field-{{ $question->code }}"
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name="{{ $question->code }}"
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value="{{ isset($question->value) ? $question->value : '' }}">
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@break
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@case('text')
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@case('email')
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@case('tel')
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@case('date')
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<input type="{{ $question->type }}" id="field-{{ $question->code }}"
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name="{{ $question->code }}" class="form-control"
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{{ $question->required == 'yes' ? 'required' : '' }}
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value="{{ isset($question->value) ? $question->value : '' }}">
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@break
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@case('number')
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<input type="{{ $question->type }}" min="0" max="9999999999"
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step="1" id="field-{{ $question->code }}"
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name="{{ $question->code }}" class="form-control"
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{{ $question->required == 'yes' ? 'required' : '' }}
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value="{{ isset($question->value) ? $question->value : 0 }}">
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@break
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@case('textarea')
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<textarea id="field-{{ $question->code }}" name="{{ $question->code }}" class="form-control"
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{{ $question->required == 'yes' ? 'required' : '' }}>{{ isset($question->value) ? $question->value : '' }}</textarea>
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@break
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@case('dropdown')
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<select class="form-control" id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
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<option value=""> -- Select -- </option>
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@foreach ($question->options as $option)
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@if($question->code == 'contact_id' && isset($option->contact->type) && $option->contact->type != 'Chemist' )
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<option value="{{ $option->value }}"
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@if(isset($question->value) && $question->value == $option->value) selected @endif
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@if($question->code == 'contact_id')
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msl_code="{{ (isset($option->contact->msl_code) ? $option->contact->msl_code : '') }}"
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speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
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@endif
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>
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{{ $option->display }}
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</option>
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@elseif($question->code != 'contact_id')
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<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 :'') . ' ' : '' }} >
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{{ $option->display }}
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</option>
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@endif
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@endforeach
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</select>
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@break
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@case('checkbox')
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@foreach ($question->options as $option)
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<div class="form-check mb-2 form-check-primary">
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<input class="form-check-input" type="checkbox"
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id="field-{{ $question->code }}-{{ $option->value }}"
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name="{{ $question->code }}[]" value="{{ $option->value }}"
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{{ isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked' : '' }}>
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<label class="form-check-label"
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for="field-{{ $question->code }}-{{ $option->value }}">{{ $option->display }}</label>
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</div>
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@endforeach
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@break
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@case('file')
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<input type="file" id="field-{{ $question->code }}"
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name="{{ $question->code }}" class="form-control" value=""
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accept="image/jpg, image/jpeg, image/png" required>
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@break
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@endswitch
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</div>
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@endforeach
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@if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'))
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<div class="text-center d-grid mt-3">
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<button class="btn btn-primary" type="submit" id="submit-btn"> Submit
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</button>
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</div>
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@endif
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</form>
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</div>
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<div id="execution-form-wrapper">
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<form method="POST" action="/form/submit" id="execution-form"
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enctype="multipart/form-data">
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<input type="hidden" name="form_id" value="{{ $form_id }}">
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@csrf
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<input type="hidden" name="id" value="" id="execution-id">
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<input type="hidden" name="execution_done" value="yes">
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@foreach ($questions as $question)
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<div class="col-md-12 mb-2">
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<label for="execution-{{ $question->code }}"
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class="form-label">{{ $question->question }} {!! $question->required == 'yes' ? '<span class="text-danger">*</span>' : '' !!}
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</label>
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@switch($question->type)
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@case('hidden')
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<input type="{{ $question->type }}" id="execution-{{ $question->code }}"
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name="{{ $question->code }}"
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value="{{ isset($question->value) ? $question->value : '' }}">
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@break
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@case('text')
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@case('email')
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@case('tel')
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@case('date')
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<input type="{{ $question->type }}" id="execution-{{ $question->code }}"
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name="{{ $question->code }}" class="form-control"
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{{ $question->required == 'yes' ? 'required' : '' }}
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value="{{ isset($question->value) ? $question->value : '' }}">
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@break
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@case('number')
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<input type="{{ $question->type }}" min="0" max="9999999999"
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step="1" id="execution-{{ $question->code }}"
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name="{{ $question->code }}" class="form-control"
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{{ $question->required == 'yes' ? 'required' : '' }}
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value="{{ isset($question->value) ? $question->value : 0 }}">
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@break
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@case('textarea')
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<textarea id="execution-{{ $question->code }}" name="{{ $question->code }}" class="form-control"
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{{ $question->required == 'yes' ? 'required' : '' }}>{{ isset($question->value) ? $question->value : '' }}</textarea>
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@break
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@case('dropdown')
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<select class="form-control" id="execution-{{ $question->code }}"
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name="{{ $question->code }}"
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{{ $question->required == 'yes' ? 'required' : '' }}>
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<option value=""> -- Select -- </option>
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@foreach ($question->options as $option)
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@if($question->code == 'contact_id' && isset($option->contact->type) && $option->contact->type != 'Chemist' )
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<option value="{{ $option->value }}"
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@if(isset($question->value) && $question->value == $option->value) selected @endif
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@if($question->code == 'contact_id')
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msl_code="{{ (isset($option->contact->msl_code) ? $option->contact->msl_code : '') }}"
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speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
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@endif
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>
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{{ $option->display }}
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</option>
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@elseif($question->code != 'contact_id')
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<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 :'') . ' ' : '' }} >
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{{ $option->display }}
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</option>
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@endif
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@endforeach
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</select>
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@break
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@case('checkbox')
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@foreach ($question->options as $option)
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<div class="form-check mb-2 form-check-primary">
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<input class="form-check-input" type="checkbox"
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id="execution-{{ $question->code }}-{{ $option->value }}"
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name="{{ $question->code }}[]" value="{{ $option->value }}"
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{{ isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked' : '' }}>
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<label class="form-check-label"
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for="execution-{{ $question->code }}-{{ $option->value }}">{{ $option->display }}</label>
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</div>
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@endforeach
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@break
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@case('file')
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<input type="file" id="execution-{{ $question->code }}"
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name="{{ $question->code }}" class="form-control" value=""
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accept="image/jpg, image/jpeg, image/png">
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@break
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@endswitch
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</div>
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@endforeach
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@if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'))
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<div class="text-center d-grid mt-3">
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<button class="btn btn-primary" type="submit" id="submit-btn"> Submit
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</button>
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</div>
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@endif
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</form>
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</div>
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</div> <!-- end card-body -->
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</div>
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<!-- end card -->
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<!-- end row -->
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</div> <!-- end col -->
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</div>
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<!-- end row -->
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</div>
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<!-- end container -->
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</div>
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<!-- end page -->
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<style type="text/css">
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#pageloader {
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background: rgba(255, 255, 255, 0.8);
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display: none;
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height: 100%;
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position: fixed;
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width: 100%;
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z-index: 9999;
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}
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#pageloader img {
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left: 50%;
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margin-left: -32px;
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margin-top: -32px;
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position: absolute;
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top: 50%;
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}
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</style>
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@include('layouts.shared/footer-script')
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<script src="{{ asset('assets/libs/sweetalert2/sweetalert2.min.js') }}"></script>
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<script type="text/javascript">
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jQuery(document).ready(function($) {
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$('#form-wrapper').hide()
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$('#execution-form-wrapper').hide()
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// $('#add-camp-btn').click(function() {
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// $('#form-wrapper').show()
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// $('#table-wrapper').hide()
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// })
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$('#add-camp-btn').click(function() {
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$('#table-wrapper').hide(0)
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$('#form-wrapper').show(100, () => {
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$('#add-camp-btn').hide(0);
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})
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})
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$('.edit-btn').click(function() {
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$('#execution-form-wrapper').show(100, () => {
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$('#add-camp-btn').hide(0);
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})
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$('#table-wrapper').hide()
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$('#execution-speciality').prop('readonly', true)
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$('#execution-plan_date').prop('readonly', true)
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$('#execution-uid').prop('readonly', true);
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//$('#execution-time').prop('disabled', true)
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let selected = JSON.parse($(this).attr('plan_details'));
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console.log("Plan Detail : ", selected);
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if (selected['contact_id']) {
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selected['contact_id'] = selected['contact_id'].trim();
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}
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console.log("Selected Doctor:", selected['contact_id']);
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for (let k of Object.keys(selected)) {
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//console.log("k",k);
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if (selected[k] != '') {
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if (k == 'contact_id_') {
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//$("#execution-contact_id option:contains(" + selected[k] + ")").prop('selected', true)
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// console.log($("#execution-contact_id option:contains(" + selected[k] + ")").attr('value'))
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$('#execution-contact_id').val($("#execution-contact_id option:contains(" +
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selected[k] + ")").attr('value'));
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} else if (k == 'upload_photo_1' || k == 'upload_photo_2') {
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continue;
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} else {
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$('#execution-' + k).val(selected[k]);
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}
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}
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// if(selected[k] != '')
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// $('#execution-'+k).val(selected[k]);
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}
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/* let docid = $('#execution-contact_id option').map(function() {
|
||||
if ($(this).text().trim() == selected['contact_id'] || $(this).val().trim() == selected['cont_id']) return this;
|
||||
}).attr('value')
|
||||
|
||||
$('#execution-contact_id').val(docid) */
|
||||
$('#execution-id').val(selected['id'])
|
||||
|
||||
|
||||
|
||||
|
||||
|
||||
})
|
||||
|
||||
$('#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) {
|
||||
$("#pageloader").fadeOut();
|
||||
if (data.status == 'success') {
|
||||
Swal.fire({
|
||||
title: 'Great!',
|
||||
text: 'Your data is successfully submitted!',
|
||||
icon: 'success'
|
||||
})
|
||||
window.location.reload();
|
||||
//$('#report-form').trigger("reset");
|
||||
} else {
|
||||
Swal.fire({
|
||||
icon: 'error',
|
||||
title: 'Data not submitted',
|
||||
text: 'Something went wrong, please try again after some time!'
|
||||
})
|
||||
}
|
||||
},
|
||||
});
|
||||
});
|
||||
|
||||
|
||||
|
||||
|
||||
|
||||
|
||||
|
||||
|
||||
$('#field-other_qualification').prop({"required":false});
|
||||
$('#field-other_qualification').parent().hide();
|
||||
|
||||
|
||||
$('#field-qualification').on('change',function(){
|
||||
let dropDown=$('#field-qualification').val();
|
||||
if(dropDown==='Others'){
|
||||
$('#field-other_qualification').parent().show();
|
||||
$('#field-other_qualification').prop({"required":true});
|
||||
}
|
||||
else{
|
||||
$('#field-other_qualification').parent().hide();
|
||||
$('#field-other_qualification').prop({"required":false});
|
||||
}
|
||||
})
|
||||
|
||||
|
||||
$('#field-contact_id,#field-city_town,#field-state,#field-other_qualification').on('input', function () {
|
||||
this.value = this.value.replace(/[^a-zA-Z\s]/g, '');
|
||||
});
|
||||
|
||||
$('#field-age').attr('max',"105");
|
||||
$('#field-years_of_practice').attr('max',"85");
|
||||
|
||||
$('#field-wfsa_code').on('input', function () {
|
||||
|
||||
let value = $(this).val();
|
||||
|
||||
// Remove all non-numeric characters
|
||||
value = value.replace(/[^0-9]/g, '');
|
||||
|
||||
// Remove leading zeros
|
||||
value = value.replace(/^0+/, '');
|
||||
|
||||
// Allow maximum 10 digits
|
||||
value = value.substring(0, 10);
|
||||
|
||||
$(this).val(value);
|
||||
});
|
||||
|
||||
$('#field-whatsapp_mobile_number').on('input', function () {
|
||||
|
||||
let value = $(this).val();
|
||||
|
||||
// Remove non-numeric characters
|
||||
value = value.replace(/[^0-9]/g, '');
|
||||
|
||||
// Allow only 10 digits
|
||||
value = value.substring(0, 10);
|
||||
|
||||
// First digit must be 6, 7, 8 or 9
|
||||
if (value.length > 0 && !/^[6-9]/.test(value)) {
|
||||
value = '';
|
||||
}
|
||||
|
||||
$(this).val(value);
|
||||
});
|
||||
|
||||
|
||||
|
||||
|
||||
|
||||
$(document).ready(function () {
|
||||
$('#field-contact_id').trigger('change');
|
||||
});
|
||||
|
||||
$('#execution-form').on('submit', function(event) {
|
||||
event.preventDefault();
|
||||
$("#pageloader").fadeIn();
|
||||
$.ajax({
|
||||
type: "POST",
|
||||
url: '/form/ajaxsubmit',
|
||||
data: new FormData($('#execution-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 recordDateField = document.getElementById('field-plan_date');
|
||||
recordDateField.setAttribute('min', today);
|
||||
|
||||
var executionDateField = document.getElementById('execution-plan_date');
|
||||
//executionDateField.setAttribute('min', today);
|
||||
|
||||
// $('.edit-btn').click(function() {
|
||||
// var executionexeField = document.getElementById('execution-record_date');
|
||||
// executionexeField.setAttribute('min', executionDateField.value);
|
||||
// });
|
||||
|
||||
$('.edit-btn').click(function() {
|
||||
var executionexeField = document.getElementById('execution-execution_date');
|
||||
executionexeField.setAttribute('min', executionDateField.value);
|
||||
});
|
||||
|
||||
|
||||
|
||||
executionDateField.addEventListener('change', function() {
|
||||
console.log('gg');
|
||||
var executionexeField = document.getElementById('execution-record_date');
|
||||
executionexeField.setAttribute('min', executionDateField.value);
|
||||
});
|
||||
|
||||
});
|
||||
</script>
|
||||
|
||||
</body>
|
||||
|
||||
</html>
|
||||
Loading…
Reference in New Issue