From a380dc78a82eb6805b522d2e11248deff44e7792 Mon Sep 17 00:00:00 2001
From: Farhan Pathan <farhan@stratawiz.com>
Date: Wed, 27 May 2026 12:52:35 +0530
Subject: [PATCH] Updated 4 form minor changes(added Search Bar for Doctor
 name) and New Form CV POB Tracker

---
 ...068f-ad9a-4279-afed-71c5f9e89eeb.blade.php |   2 +-
 ...8e84-aeba-4ab8-b468-eb470ee6cc35.blade.php |   9 +-
 ...260b-40d2-4f1f-950c-3b327701ec2d.blade.php |  10 +-
 ...54e2-5551-46fe-9603-9591728bc15c.blade.php |   9 +-
 ...7b57-287e-419c-9413-fbee9a2ac88a.blade.php |   9 +-
 ...9925-b986-4dc6-b867-0e18922c1f88.blade.php | 546 ++++++++++++++++++
 6 files changed, 580 insertions(+), 5 deletions(-)
 create mode 100644 resources/views/form/rapport-glenmarkcv/1779787418-c5969925-b986-4dc6-b867-0e18922c1f88.blade.php

diff --git a/resources/views/form/rapport-copd/1725611704-e406068f-ad9a-4279-afed-71c5f9e89eeb.blade.php b/resources/views/form/rapport-copd/1725611704-e406068f-ad9a-4279-afed-71c5f9e89eeb.blade.php
index 4fa8d17e..ca243d55 100644
--- a/resources/views/form/rapport-copd/1725611704-e406068f-ad9a-4279-afed-71c5f9e89eeb.blade.php
+++ b/resources/views/form/rapport-copd/1725611704-e406068f-ad9a-4279-afed-71c5f9e89eeb.blade.php
@@ -117,7 +117,7 @@ $brandData = [
                                         {{$question->required == 'yes'?'required':'' }}>{{isset($question->value)?$question->value:''}}</textarea>
                                     @break
                                     @case('dropdown')
-                                    <select class="form-control" id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
+                                    <select class="form-control " id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
                                             <option value=""> -- Select -- </option>
                                             @foreach ($question->options as $option)
                                             <option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'msl_code= ' . $option->contact->msl_code . ' ' : '' }} {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'speciality= ' . $option->contact->speciality . ' ' : '' }} >
diff --git a/resources/views/form/rapport-glenmarkcv/1779081113-c6488e84-aeba-4ab8-b468-eb470ee6cc35.blade.php b/resources/views/form/rapport-glenmarkcv/1779081113-c6488e84-aeba-4ab8-b468-eb470ee6cc35.blade.php
index fbb34309..4f270485 100644
--- a/resources/views/form/rapport-glenmarkcv/1779081113-c6488e84-aeba-4ab8-b468-eb470ee6cc35.blade.php
+++ b/resources/views/form/rapport-glenmarkcv/1779081113-c6488e84-aeba-4ab8-b468-eb470ee6cc35.blade.php
@@ -4,6 +4,7 @@
     @include('layouts.shared/title-meta', ['title' => "Form"])
     @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
     <link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
+    <link href="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/css/select2.min.css" rel="stylesheet" />
 </head>
 <div id="pageloader">
    <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
@@ -96,7 +97,7 @@
                                             <textarea id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }}>{{isset($question->value)?$question->value:''}}</textarea>
                                             @break
                                         @case('dropdown')
-                                            <select class="form-control" id="field-{{$question->code}}" name="{{$question->code}}" {{$question->required == 'yes'?'required':'' }}>
+                                            <select class="form-control select2" id="field-{{$question->code}}" name="{{$question->code}}" {{$question->required == 'yes'?'required':'' }}>
                                                 <option value=""> -- Select -- </option>
                                                 @foreach($question->options as $option)
                                                 <option value="{{$option->value}}"
@@ -234,8 +235,14 @@
 </style>
 @include('layouts.shared/footer-script')
 <script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+<script src="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/js/select2.min.js"></script>
 <script type="text/javascript">
     jQuery(document).ready(function($){
+        $('.select2').select2({
+            placeholder: '-- Select Doctor --',
+            allowClear: true,
+            width: '100%'
+        });
 
 
 
diff --git a/resources/views/form/rapport-glenmarkcv/1779081191-58b7260b-40d2-4f1f-950c-3b327701ec2d.blade.php b/resources/views/form/rapport-glenmarkcv/1779081191-58b7260b-40d2-4f1f-950c-3b327701ec2d.blade.php
index b500d3f4..df663a06 100644
--- a/resources/views/form/rapport-glenmarkcv/1779081191-58b7260b-40d2-4f1f-950c-3b327701ec2d.blade.php
+++ b/resources/views/form/rapport-glenmarkcv/1779081191-58b7260b-40d2-4f1f-950c-3b327701ec2d.blade.php
@@ -4,6 +4,7 @@
     @include('layouts.shared/title-meta', ['title' => "Form"])
     @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
     <link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
+    <link href="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/css/select2.min.css" rel="stylesheet" />
 </head>
 <div id="pageloader">
    <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
@@ -87,7 +88,7 @@
                                             <textarea id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }}>{{isset($question->value)?$question->value:''}}</textarea>
                                             @break
                                         @case('dropdown')
-                                            <select class="form-control" id="field-{{$question->code}}" name="{{$question->code}}" {{$question->required == 'yes'?'required':'' }}>
+                                            <select class="form-control select2" id="field-{{$question->code}}" name="{{$question->code}}" {{$question->required == 'yes'?'required':'' }}>
                                                 <option value=""> -- Select -- </option>
                                                 @foreach($question->options as $option)
                                                 <option value="{{$option->value}}"
@@ -228,8 +229,15 @@
 </style>
 @include('layouts.shared/footer-script')
 <script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+<script src="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/js/select2.min.js"></script>
 <script type="text/javascript">
     jQuery(document).ready(function($){
+
+    $('.select2').select2({
+        placeholder: '-- Select Doctor --',
+        allowClear: true,
+        width: '100%'
+    });
         
 
         $(document).on(
diff --git a/resources/views/form/rapport-glenmarkcv/1779082388-17bb54e2-5551-46fe-9603-9591728bc15c.blade.php b/resources/views/form/rapport-glenmarkcv/1779082388-17bb54e2-5551-46fe-9603-9591728bc15c.blade.php
index f3c0ad10..ec8d07f8 100644
--- a/resources/views/form/rapport-glenmarkcv/1779082388-17bb54e2-5551-46fe-9603-9591728bc15c.blade.php
+++ b/resources/views/form/rapport-glenmarkcv/1779082388-17bb54e2-5551-46fe-9603-9591728bc15c.blade.php
@@ -4,6 +4,7 @@
     @include('layouts.shared/title-meta', ['title' => "Form"])
     @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
     <link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
+    <link href="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/css/select2.min.css" rel="stylesheet" />
 </head>
 <div id="pageloader">
    <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
@@ -80,7 +81,7 @@
                                             <textarea id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }}>{{isset($question->value)?$question->value:''}}</textarea>
                                             @break
                                         @case('dropdown')
-                                        <select class="form-control" id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
+                                        <select class="form-control select2" id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
                                             <option value=""> -- Select -- </option>
                                             @foreach ($question->options as $option)
                                             @if($question->code == 'contact_id'  && isset($option->contact->type) && $option->contact->type == 'doctor' )
@@ -186,8 +187,14 @@
 </style>
 @include('layouts.shared/footer-script')
 <script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+<script src="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/js/select2.min.js"></script>
 <script type="text/javascript">
     jQuery(document).ready(function($){
+        $('.select2').select2({
+            placeholder: '-- Select Doctor --',
+            allowClear: true,
+            width: '100%'
+        });
         $('#field-user_id').change(function(){
             let hierarchy = $('option:selected', this).attr('hierarchy');
             $('#field-hierarchy_id').val(hierarchy)
diff --git a/resources/views/form/rapport-glenmarkcv/1779085729-a0fa7b57-287e-419c-9413-fbee9a2ac88a.blade.php b/resources/views/form/rapport-glenmarkcv/1779085729-a0fa7b57-287e-419c-9413-fbee9a2ac88a.blade.php
index c8af097f..62e47250 100644
--- a/resources/views/form/rapport-glenmarkcv/1779085729-a0fa7b57-287e-419c-9413-fbee9a2ac88a.blade.php
+++ b/resources/views/form/rapport-glenmarkcv/1779085729-a0fa7b57-287e-419c-9413-fbee9a2ac88a.blade.php
@@ -4,6 +4,7 @@
     @include('layouts.shared/title-meta', ['title' => "Form"])
     @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
     <link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
+    <link href="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/css/select2.min.css" rel="stylesheet" />
 </head>
 <div id="pageloader">
    <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
@@ -80,7 +81,7 @@
                                             <textarea id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }}>{{isset($question->value)?$question->value:''}}</textarea>
                                             @break
                                         @case('dropdown')
-                                        <select class="form-control" id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
+                                        <select class="form-control select2" id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
                                             <option value=""> -- Select -- </option>
                                             @foreach ($question->options as $option)
                                             @if($question->code == 'contact_id'  && isset($option->contact->type) && $option->contact->type == 'doctor' )
@@ -186,8 +187,14 @@
 </style>
 @include('layouts.shared/footer-script')
 <script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+<script src="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/js/select2.min.js"></script>
 <script type="text/javascript">
     jQuery(document).ready(function($){
+        $('.select2').select2({
+            placeholder: '-- Select Doctor --',
+            allowClear: true,
+            width: '100%'
+        });
         $('#field-user_id').change(function(){
             let hierarchy = $('option:selected', this).attr('hierarchy');
             $('#field-hierarchy_id').val(hierarchy)
diff --git a/resources/views/form/rapport-glenmarkcv/1779787418-c5969925-b986-4dc6-b867-0e18922c1f88.blade.php b/resources/views/form/rapport-glenmarkcv/1779787418-c5969925-b986-4dc6-b867-0e18922c1f88.blade.php
new file mode 100644
index 00000000..282ac9e1
--- /dev/null
+++ b/resources/views/form/rapport-glenmarkcv/1779787418-c5969925-b986-4dc6-b867-0e18922c1f88.blade.php
@@ -0,0 +1,546 @@
+<!DOCTYPE html>
+<html lang="en">
+<head>
+    @include('layouts.shared/title-meta', ['title' => "Form"])
+    @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
+    <link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
+</head>
+<div id="pageloader">
+   <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
+   <link href="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/css/select2.min.css" rel="stylesheet" />
+</div>
+<body class="loading">
+    <div class="account-pages">
+        <div class="container">
+            <div class="row justify-content-center">
+                <div class="col-md-8 col-lg-6 col-xl-5 p-0">
+                    <div class="card bg-pattern">
+                        <div class="card-body p-3 row">
+
+                            @if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
+                            <br>@endif
+                            @if(session('success'))<div class=" alert alert-success">{{ session('success') }}
+                            </div>
+                            <br>@endif
+                            <div class="col-8">
+                                <h4 class="page-title">{{$form->title}}</h4>
+                            </div>
+                            @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
+                            <div class="col-4">
+                                @if($form->link_type == 'form')
+                                <a href="/form/history" class="float-end pt-1">View History</a>
+                                @else
+                                <a href="{{url()->previous()}}" class="float-end pt-1">Back</a>
+                                @endif
+                            </div>
+                            @endif
+                            @if(isset($form->user_info))
+                            <div class="col-12">
+                                <h6>Submitted By: {{$form->user_info->name}}</h6>
+                            </div>
+                            @endif
+                            <form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
+                                <input type="hidden" name="form_id" value="{{$form_id}}">
+                                @csrf
+                                @if($id)
+                                <input type="hidden" name="id" value="{{$id}}">
+                                @endif
+                                @if(isset($form->manager_can_submit) && $form->manager_can_submit == true)
+                                <div class="col-md-12 mb-2">
+                                    <label for="field-user_id" class="form-label"> Select User / Territory <span class="text-danger">*</span> </label>
+                                    <select class="form-control" id="field-user_id" name="user_id" required>
+                                        <option value=""> -- Select -- </option>
+                                        @foreach($form->users as $option)
+                                        <option value="{{$option->value}}" hierarchy="{{$option->hierarchy_id}}" {{isset($question->value) && $question->value == $option->value ? 'selected':''}}>{{$option->display}}</option>
+                                        @endforeach
+                                    </select>
+                                    <input type="hidden" id="field-hierarchy_id" name="hierarchy_id" value="">
+                                </div>
+                                @endif
+
+                                @foreach($questions as $question)
+                                    <div class="col-md-12 mb-2">
+                                    <label for="field-{{$question->code}}" class="form-label">{{$question->question}} {!!$question->required == 'yes' ? '<span class="text-danger">*</span>':''!!} </label>
+                                    @switch($question->type)
+                                        @case('hidden')
+                                            <input type="{{$question->type}}" id="field-{{$question->code}}" name="{{$question->code}}" value="{{isset($question->value)?$question->value:''}}">
+                                            @break
+                                        @case('text')
+                                        @case('email')
+                                        @case('tel')
+                                        @case('date')
+                                           <input type="{{$question->type}}" id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }}
+                                             {{ in_array($question->code, ['msl_code', 'speciality']) ? 'readonly' : '' }}
+                                              value="{{isset($question->value)?$question->value:''}}">
+                                            @break
+                                        @case('number')
+                                            <input type="{{$question->type}}" min="0" max="9999999999" step="1"
+                                            id="field-{{$question->code}}"
+                                            name="{{$question->code}}"
+                                            class="form-control"
+                                            {{$question->required == 'yes'?'required':'' }}
+                                            value="{{isset($question->value)?$question->value:0}}"
+                                            {{ $question->code == 'total_lobg_rx' ? 'readonly' : '' }}>
+                                            @break
+                                        @case('textarea')
+                                            <textarea id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }}>{{isset($question->value)?$question->value:''}}</textarea>
+                                            @break
+                                        @case('dropdown')
+                                            <select class="form-control select2" id="field-{{$question->code}}" name="{{$question->code}}" {{$question->required == 'yes'?'required':'' }}>
+                                                <option value=""> -- Select -- </option>
+                                                @foreach($question->options as $option)
+                                                <option value="{{$option->value}}"
+                                                    msl_code="{{isset($option->contact->msl_code) ? $option->contact->msl_code : ''}}"
+                                                     speciality="{{isset($option->contact->speciality) ? $option->contact->speciality : ''}}"
+                                                    {{isset($question->value) && $question->value == $option->value ? 'selected':''}}>
+                                                    {{$option->display}}
+                                                </option>
+                                                @endforeach
+                                            </select>
+                                            @break
+                                        @case('radio')
+                                            @foreach($question->options as $option)
+                                            <div class="form-check mb-2 form-check-success">
+                                                <input class="form-check-input" type="radio" name="{{$question->code}}" id="field-{{$question->code}}_{{$option->value}}" value="{{$option->value}}">
+                                                <label class="form-check-label" for="field-{{$question->code}}_{{$option->value}}">{{$option->display}}</label>
+                                            </div>
+                                            @endforeach
+                                            @break
+                                        @case('radiometrix')
+                                            @php
+                                                // Decode the first option's value to use as heading labels
+                                                $headings =
+                                                    count($question->options) > 0
+                                                        ? json_decode($question->options[0]->value)
+                                                        : [];
+                                            @endphp
+
+                                            {{-- Matrix Wrapper with Horizontal Scroll on Small Screens --}}
+                                            <div class="table-responsive">
+                                                <div class="d-table w-100">
+                                                    {{-- Table Headers --}}
+                                                    <div class="d-table-row font-weight-bold">
+                                                        <div class="d-table-cell p-2" style="width: 150px;"></div>
+                                                        {{-- Placeholder for row labels --}}
+                                                        @foreach ($headings as $head)
+                                                            <div class="d-table-cell text-center p-2">{{ $head }}
+                                                            </div>
+                                                        @endforeach
+                                                    </div>
+
+                                                    {{-- Table Rows --}}
+                                                    @foreach ($question->options as $option)
+                                                        @php $nn = json_decode($option->value); @endphp
+                                                        <div class="d-table-row align-middle">
+                                                            <div class="d-table-cell font-weight-bold p-2"
+                                                                style="width: 150px;">
+                                                                {{ $option->display }}
+                                                            </div>
+
+                                                            @foreach ($nn as $value)
+                                                                <div class="d-table-cell text-center p-2">
+                                                                    <input type="radio"
+                                                                id="field-{{ $option->display }}-{{ $value }}"
+                                                                name="{{ $question->code }}[{{$option->display}}]" value="{{$value}}" class="form-check-input"
+                                                                {{ isset($question->display) && $option->display != $option->display ? 'checked' : '' }}>
+
+                                                                </div>
+                                                            @endforeach
+                                                        </div>
+                                                    @endforeach
+                                                </div>
+                                            </div>
+                                        @break    
+                                        @case('checkbox')
+                                            @foreach($question->options as $option)
+                                            <div class="form-check mb-2 form-check-primary ms-2">
+                                                <input class="form-check-input" type="checkbox" id="field-{{$question->code}}-{{$option->value}}" name="{{$question->code}}[]" value="{{$option->value}}" {{isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked':''}}>
+                                                <label class="form-check-label" for="field-{{$question->code}}-{{$option->value}}">{{$option->display}}</label>
+                                            </div>
+                                            @endforeach
+                                            @break
+                                        @case('file')
+                                        @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
+                                             <input type="file" id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" value="" {{$question->required == 'yes'?'required':'' }}>
+                                        @elseif(isset($question->value))
+                                             <img src="{{$question->value}}" class="img-fluid">
+                                        @endif
+                                           
+                                            @break
+                                        @case('multitextbox')
+                                            <div class="row">
+                                                @foreach($question->options as $option)
+                                                <div class="col-6">{{$option->display}}</div>
+                                                <div class="col-6 mb-1">
+                                                    <input type="number" id="field-{{$option->value}}" name="{{$option->value}}" class="form-control" required value="{{isset($option->val)?$option->val:0}}">
+                                                </div>
+                                                @endforeach
+                                            </div>
+                                            @break
+                                    @endswitch
+                                    </div>
+                                @endforeach
+                                @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
+                                <div class="text-center d-grid mt-3">
+                                    <button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
+                                </div>
+                                @endif
+                            </form>
+
+                        </div> <!-- end card-body -->
+                    </div>
+                    <!-- end card -->
+
+                    <!-- end row -->
+
+                </div> <!-- end col -->
+            </div>
+            <!-- end row -->
+        </div>
+        <!-- end container -->
+    </div>
+    <!-- end page -->
+<style type="text/css">
+#pageloader {
+  background: rgba( 255, 255, 255, 0.8 );
+  display: none;
+  height: 100%;
+  position: fixed;
+  width: 100%;
+  z-index: 9999;
+}
+
+#pageloader img {
+  left: 50%;
+  margin-left: -32px;
+  margin-top: -32px;
+  position: absolute;
+  top: 50%;
+}
+.form-label {
+    font-weight:bold;
+    font-size:16px;
+}
+</style>
+@include('layouts.shared/footer-script')
+<script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+<script src="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/js/select2.min.js"></script>
+<script type="text/javascript">
+    jQuery(document).ready(function($){
+        $('.select2').select2({
+            placeholder: '-- Select Doctor --',
+            allowClear: true,
+            width: '100%'
+        });
+
+
+
+ 
+// Hide All Fields Initially
+
+
+            $('#field-sitazit_d_10100_pob_units, #field-sitazit_d_550_pob_units, #field-sitazit_dm_er_100010_pob_units, #field-sitazit_dm_er_50010_pob_units, #field-sitazit_d_10100_pob_value, #field-sitazit_d_550_pob_value, #field-sitazit_dm_er_100010_pob_value, #field-sitazit_dm_er_50010_pob_value, #field-eptus_25mg_units, #field-eptus_50_mg_units, #field-eptus_t_10_kit_units, #field-eptus_t_20_kit_units, #field-eptus_25mg_value, #field-eptus_50_mg_value, #field-eptus_t_10_kit_value, #field-eptus_t_20_kit_value, #field-lo_bg_05_mg_units, #field-lo_bg_05_mg_value, #field-ziten_m_20_mg_1000_mg_units, #field-ziten_m_20_mg_500_mg_units, #field-ziten_units, #field-ziten_m_20_mg_1000_mg_value, #field-ziten_m_20_mg_500_mg_value, #field-ziten_value, #field-total_pob_units, #field-total_pob_value').prop({"required":false});
+
+            $('#field-sitazit_d_10100_pob_units, #field-sitazit_d_550_pob_units, #field-sitazit_dm_er_100010_pob_units, #field-sitazit_dm_er_50010_pob_units, #field-sitazit_d_10100_pob_value, #field-sitazit_d_550_pob_value, #field-sitazit_dm_er_100010_pob_value, #field-sitazit_dm_er_50010_pob_value, #field-eptus_25mg_units, #field-eptus_50_mg_units, #field-eptus_t_10_kit_units, #field-eptus_t_20_kit_units, #field-eptus_25mg_value, #field-eptus_50_mg_value, #field-eptus_t_10_kit_value, #field-eptus_t_20_kit_value, #field-lo_bg_05_mg_units, #field-lo_bg_05_mg_value, #field-ziten_m_20_mg_1000_mg_units, #field-ziten_m_20_mg_500_mg_units, #field-ziten_units, #field-ziten_m_20_mg_1000_mg_value, #field-ziten_m_20_mg_500_mg_value, #field-ziten_value, #field-total_pob_units, #field-total_pob_value').parent().hide();
+
+
+                // Reset Total Fields Immediately
+            $('#field-total_pob_units').val(0);
+            $('#field-total_pob_value').val(0);
+
+            // Reset all fields
+            $('#field-sitazit_d_10100_pob_units, #field-sitazit_d_550_pob_units, #field-sitazit_dm_er_100010_pob_units, #field-sitazit_dm_er_50010_pob_units, #field-sitazit_d_10100_pob_value, #field-sitazit_d_550_pob_value, #field-sitazit_dm_er_100010_pob_value, #field-sitazit_dm_er_50010_pob_value, #field-eptus_25mg_units, #field-eptus_50_mg_units, #field-eptus_t_10_kit_units, #field-eptus_t_20_kit_units, #field-eptus_25mg_value, #field-eptus_50_mg_value, #field-eptus_t_10_kit_value, #field-eptus_t_20_kit_value, #field-lo_bg_05_mg_units, #field-lo_bg_05_mg_value, #field-ziten_m_20_mg_1000_mg_units, #field-ziten_m_20_mg_500_mg_units, #field-ziten_units, #field-ziten_m_20_mg_1000_mg_value, #field-ziten_m_20_mg_500_mg_value, #field-ziten_value, #field-total_pob_units, #field-total_pob_value').prop({"required":false});
+
+            $('#field-sitazit_d_10100_pob_units, #field-sitazit_d_550_pob_units, #field-sitazit_dm_er_100010_pob_units, #field-sitazit_dm_er_50010_pob_units, #field-sitazit_d_10100_pob_value, #field-sitazit_d_550_pob_value, #field-sitazit_dm_er_100010_pob_value, #field-sitazit_dm_er_50010_pob_value, #field-eptus_25mg_units, #field-eptus_50_mg_units, #field-eptus_t_10_kit_units, #field-eptus_t_20_kit_units, #field-eptus_25mg_value, #field-eptus_50_mg_value, #field-eptus_t_10_kit_value, #field-eptus_t_20_kit_value, #field-lo_bg_05_mg_units, #field-lo_bg_05_mg_value, #field-ziten_m_20_mg_1000_mg_units, #field-ziten_m_20_mg_500_mg_units, #field-ziten_units, #field-ziten_m_20_mg_1000_mg_value, #field-ziten_m_20_mg_500_mg_value, #field-ziten_value, #field-total_pob_units, #field-total_pob_value').parent().hide();
+
+            // Reset Total Immediately
+            $('#field-total_pob_units').val(0);
+            $('#field-total_pob_value').val(0);
+
+
+
+             
+            // Make Value & Total Fields Readonly
+             
+
+            $('#field-sitazit_d_10100_pob_value, #field-sitazit_d_550_pob_value, #field-sitazit_dm_er_100010_pob_value, #field-sitazit_dm_er_50010_pob_value, #field-eptus_25mg_value, #field-eptus_50_mg_value, #field-eptus_t_10_kit_value, #field-eptus_t_20_kit_value, #field-lo_bg_05_mg_value, #field-ziten_m_20_mg_1000_mg_value, #field-ziten_m_20_mg_500_mg_value, #field-ziten_value, #field-total_pob_units, #field-total_pob_value').prop('readonly', true);
+
+
+             
+            // Brand Dropdown Change
+             
+
+            $('#field-select_brand').on('change',function(){
+
+                let dropDown = $('#field-select_brand').val();
+
+                // Reset all fields
+                $('#field-sitazit_d_10100_pob_units, #field-sitazit_d_550_pob_units, #field-sitazit_dm_er_100010_pob_units, #field-sitazit_dm_er_50010_pob_units, #field-sitazit_d_10100_pob_value, #field-sitazit_d_550_pob_value, #field-sitazit_dm_er_100010_pob_value, #field-sitazit_dm_er_50010_pob_value, #field-eptus_25mg_units, #field-eptus_50_mg_units, #field-eptus_t_10_kit_units, #field-eptus_t_20_kit_units, #field-eptus_25mg_value, #field-eptus_50_mg_value, #field-eptus_t_10_kit_value, #field-eptus_t_20_kit_value, #field-lo_bg_05_mg_units, #field-lo_bg_05_mg_value, #field-ziten_m_20_mg_1000_mg_units, #field-ziten_m_20_mg_500_mg_units, #field-ziten_units, #field-ziten_m_20_mg_1000_mg_value, #field-ziten_m_20_mg_500_mg_value, #field-ziten_value, #field-total_pob_units, #field-total_pob_value').prop({"required":false});
+
+                $('#field-sitazit_d_10100_pob_units, #field-sitazit_d_550_pob_units, #field-sitazit_dm_er_100010_pob_units, #field-sitazit_dm_er_50010_pob_units, #field-sitazit_d_10100_pob_value, #field-sitazit_d_550_pob_value, #field-sitazit_dm_er_100010_pob_value, #field-sitazit_dm_er_50010_pob_value, #field-eptus_25mg_units, #field-eptus_50_mg_units, #field-eptus_t_10_kit_units, #field-eptus_t_20_kit_units, #field-eptus_25mg_value, #field-eptus_50_mg_value, #field-eptus_t_10_kit_value, #field-eptus_t_20_kit_value, #field-lo_bg_05_mg_units, #field-lo_bg_05_mg_value, #field-ziten_m_20_mg_1000_mg_units, #field-ziten_m_20_mg_500_mg_units, #field-ziten_units, #field-ziten_m_20_mg_1000_mg_value, #field-ziten_m_20_mg_500_mg_value, #field-ziten_value, #field-total_pob_units, #field-total_pob_value').parent().hide();
+
+
+                // =====================
+                // Sitazit
+                // =====================
+                if(dropDown === 'Sitazit'){
+
+                    $('#field-sitazit_d_10100_pob_units, #field-sitazit_d_550_pob_units, #field-sitazit_dm_er_100010_pob_units, #field-sitazit_dm_er_50010_pob_units, #field-sitazit_d_10100_pob_value, #field-sitazit_d_550_pob_value, #field-sitazit_dm_er_100010_pob_value, #field-sitazit_dm_er_50010_pob_value').prop({"required":true});
+
+                    $('#field-sitazit_d_10100_pob_units, #field-sitazit_d_550_pob_units, #field-sitazit_dm_er_100010_pob_units, #field-sitazit_dm_er_50010_pob_units, #field-sitazit_d_10100_pob_value, #field-sitazit_d_550_pob_value, #field-sitazit_dm_er_100010_pob_value, #field-sitazit_dm_er_50010_pob_value').parent().show();
+
+                    $('#field-total_pob_units, #field-total_pob_value').prop({"required":true});
+                    $('#field-total_pob_units, #field-total_pob_value').parent().show();
+                }
+
+
+                // =====================
+                // Eptus
+                // =====================
+                else if(dropDown === 'Eptus'){
+
+                    $('#field-eptus_25mg_units, #field-eptus_50_mg_units, #field-eptus_t_10_kit_units, #field-eptus_t_20_kit_units, #field-eptus_25mg_value, #field-eptus_50_mg_value, #field-eptus_t_10_kit_value, #field-eptus_t_20_kit_value').prop({"required":true});
+
+                    $('#field-eptus_25mg_units, #field-eptus_50_mg_units, #field-eptus_t_10_kit_units, #field-eptus_t_20_kit_units, #field-eptus_25mg_value, #field-eptus_50_mg_value, #field-eptus_t_10_kit_value, #field-eptus_t_20_kit_value').parent().show();
+
+                    $('#field-total_pob_units, #field-total_pob_value').prop({"required":true});
+                    $('#field-total_pob_units, #field-total_pob_value').parent().show();
+                }
+
+
+                // =====================
+                // LOBG
+                // =====================
+                else if(dropDown === 'LOBG'){
+
+                    $('#field-lo_bg_05_mg_units, #field-lo_bg_05_mg_value').prop({"required":true});
+
+                    $('#field-lo_bg_05_mg_units, #field-lo_bg_05_mg_value').parent().show();
+
+                    $('#field-total_pob_units, #field-total_pob_value').prop({"required":true});
+                    $('#field-total_pob_units, #field-total_pob_value').parent().show();
+                }
+
+
+                // =====================
+                // Ziten
+                // =====================
+                else if(dropDown === 'Ziten'){
+
+                    $('#field-ziten_m_20_mg_1000_mg_units, #field-ziten_m_20_mg_500_mg_units, #field-ziten_units, #field-ziten_m_20_mg_1000_mg_value, #field-ziten_m_20_mg_500_mg_value, #field-ziten_value').prop({"required":true});
+
+                    $('#field-ziten_m_20_mg_1000_mg_units, #field-ziten_m_20_mg_500_mg_units, #field-ziten_units, #field-ziten_m_20_mg_1000_mg_value, #field-ziten_m_20_mg_500_mg_value, #field-ziten_value').parent().show();
+
+                    $('#field-total_pob_units, #field-total_pob_value').prop({"required":true});
+                    $('#field-total_pob_units, #field-total_pob_value').parent().show();
+                }
+
+            });
+
+
+             
+            // Auto Calculation Function
+            // Formula = Units * 100
+             
+
+            function calculateField(unitField, valueField){
+
+                $(unitField).on('input', function(){
+                    const pts_value = 100;
+                    let units = parseFloat($(this).val()) || 0;
+                    let value = units * pts_value;
+
+                    $(valueField).val(value);
+
+                    calculateTotals();
+                });
+            }
+
+
+             
+            // Total Calculation
+             
+
+            function calculateTotals(){
+
+            let totalUnits = 0;
+            let totalValue = 0;
+
+             
+            // Total Units (Visible Only)
+             
+            $('input[id*="_units"]:visible').each(function(){
+
+                if($(this).attr('id') !== 'field-total_pob_units'){
+
+                    totalUnits += parseFloat($(this).val()) || 0;
+                }
+            });
+
+             
+            // Total Value (Visible Only)
+             
+            $('input[id*="_value"]:visible').each(function(){
+
+                if($(this).attr('id') !== 'field-total_pob_value'){
+
+                    totalValue += parseFloat($(this).val()) || 0;
+                }
+            });
+
+            $('#field-total_pob_units').val(totalUnits);
+            $('#field-total_pob_value').val(totalValue);
+        }
+
+
+             
+            // Bind Calculations
+             
+
+            // Sitazit
+            calculateField('#field-sitazit_d_10100_pob_units', '#field-sitazit_d_10100_pob_value');
+            calculateField('#field-sitazit_d_550_pob_units', '#field-sitazit_d_550_pob_value');
+            calculateField('#field-sitazit_dm_er_100010_pob_units', '#field-sitazit_dm_er_100010_pob_value');
+            calculateField('#field-sitazit_dm_er_50010_pob_units', '#field-sitazit_dm_er_50010_pob_value');
+
+            // Eptus
+            calculateField('#field-eptus_25mg_units', '#field-eptus_25mg_value');
+            calculateField('#field-eptus_50_mg_units', '#field-eptus_50_mg_value');
+            calculateField('#field-eptus_t_10_kit_units', '#field-eptus_t_10_kit_value');
+            calculateField('#field-eptus_t_20_kit_units', '#field-eptus_t_20_kit_value');
+
+            // LOBG
+            calculateField('#field-lo_bg_05_mg_units', '#field-lo_bg_05_mg_value');
+
+            // Ziten
+            calculateField('#field-ziten_m_20_mg_1000_mg_units', '#field-ziten_m_20_mg_1000_mg_value');
+            calculateField('#field-ziten_m_20_mg_500_mg_units', '#field-ziten_m_20_mg_500_mg_value');
+            calculateField('#field-ziten_units', '#field-ziten_value');
+
+            // Allow Only Positive Whole Numbers
+            // No Decimal & No Negative
+
+            $('input[id*="_units"]').on('input', function () {
+
+                // Remove non-numeric characters
+                let value = $(this).val().replace(/[^0-9]/g, '');
+
+                // Prevent leading zeros like 0005
+                value = value.replace(/^0+(?=\d)/, '');
+
+                $(this).val(value);
+            });
+
+
+            // Block Special Keys
+
+            $('input[id*="_units"]').on('keydown', function (e) {
+
+                // Block decimal, minus, plus
+                if (
+                    e.key === '.' ||
+                    e.key === '-' ||
+                    e.key === '+' ||
+                    e.key === 'e'
+                ) {
+                    e.preventDefault();
+                }
+            });
+
+
+
+// -------------------------------------------------------------------------------------------------------
+
+        // $('#field-user_id').change(function(){
+        //     let hierarchy = $('option:selected', this).attr('hierarchy');
+        //     $('#field-hierarchy_id').val(hierarchy)
+        //     event.preventDefault();
+        //     $.ajax({
+        //         type: "GET",
+        //         url: '/form/getdoctorlist?partition={{$form->partition}}&hierarchy='+hierarchy,
+        //         processData: false,
+        //         contentType: false,
+        //         success: function( data ) {
+        //             $("#pageloader").fadeOut();
+        //             $('#field-contact_id').html('')
+        //             $('#field-contact_id').append($("<option></option>").attr("value",'').text('-- Select --'));
+        //             for(let itm of data) {
+        //                 $('#field-contact_id').append($("<option></option>").attr("value",itm.value).text(itm.display));
+        //             }                    
+        //         },
+        //     });
+
+        //     console.log(hierarchy)
+        // })
+
+        $('#report-form').on('submit', function(event){
+            event.preventDefault();
+            $("#pageloader").fadeIn();
+            $.ajax({
+                type: "POST",
+                url: '/form/ajaxsubmit',
+                data: new FormData($('#report-form')[0]),
+                processData: false,
+                contentType: false,
+                success: function( data ) {
+                    $("#pageloader").fadeOut();
+                    if(data.status == 'success') {
+                        Swal.fire({
+                          title: 'Great!',
+                          text: 'Your data is successfully submitted!',
+                          icon: 'success'
+                        })
+                        $('#report-form').trigger("reset");
+                    } else {
+                        Swal.fire({
+                            icon: 'error',
+                            title: data.hasOwnProperty('message') ? 'You are not mapped to any position code' : 'Data not submitted',
+                            text: data.hasOwnProperty('message') ? 'for resolution please email Position code, L1 Manager and L2 Manager details to support1@stratawiz.com':'Something went wrong, please try again after some time!'
+                        })
+                    }
+                },
+            });
+        });
+
+
+
+            $("#field-contact_id").change(function(){
+
+            let selected = $('option:selected', this);
+
+            console.log(selected.attr('msl_code'));
+            console.log(selected.attr('speciality'));
+
+            $('#field-msl_code').val(selected.attr('msl_code'));
+            $('#field-speciality').val(selected.attr('speciality'));
+
+            });
+
+            // Auto populate Total LOBG Rx from LO-BG 0.5 mg Rx
+
+            function calculateTotalLOBGRx() {
+
+                let loBgRx = parseFloat($('#field-lo_bg_05_mg_rx').val()) || 0;
+
+                $('#field-total_lobg_rx').val(loBgRx);
+            }
+
+            // Trigger on typing/change
+            $('#field-lo_bg_05_mg_rx').on('keyup change', function () {
+                calculateTotalLOBGRx();
+            });
+
+            var today = new Date();
+            var dd = String(today.getDate()).padStart(2, '0');
+            var mm = String(today.getMonth() + 1).padStart(2, '0');
+            var yyyy = today.getFullYear();
+            today = yyyy + '-' + mm + '-' + dd;
+
+            var plandateField = document.getElementById('field-record_date');
+
+            plandateField.setAttribute('max', today);
+    });
+</script>
+</body>
+
+</html>
\ No newline at end of file