From b4368976a55c93547b874367e776b146a32c59ec Mon Sep 17 00:00:00 2001
From: zeeshan <zeeshan@stratawiz.com>
Date: Wed, 4 Nov 2026 19:13:13 +0530
Subject: [PATCH] Team 3 (TOBA TITANS Reporting)

---
 ...8dde-07b3-497d-b55c-4f34a08ad5d1.blade.php | 359 +++++++-----------
 1 file changed, 138 insertions(+), 221 deletions(-)

diff --git a/resources/views/form/rapport-team3/1793766025-480d8dde-07b3-497d-b55c-4f34a08ad5d1.blade.php b/resources/views/form/rapport-team3/1793766025-480d8dde-07b3-497d-b55c-4f34a08ad5d1.blade.php
index 3a34747b..23a0a240 100644
--- a/resources/views/form/rapport-team3/1793766025-480d8dde-07b3-497d-b55c-4f34a08ad5d1.blade.php
+++ b/resources/views/form/rapport-team3/1793766025-480d8dde-07b3-497d-b55c-4f34a08ad5d1.blade.php
@@ -4,6 +4,7 @@
     @include('layouts.shared/title-meta', ['title' => "Form"])
     @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
     <link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
+    <link href="{{ asset('assets/libs/select2/select2.min.css') }}" rel="stylesheet" type="text/css" />
 </head>
 <div id="pageloader">
    <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
@@ -40,6 +41,8 @@
                             @endif
                             <form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
                                 <input type="hidden" name="form_id" value="{{$form_id}}">
+                                <input type="hidden" name="user_id" value="{{$form->user_id}}">
+                                
                                 @csrf
                                 @if($id)
                                 <input type="hidden" name="id" value="{{$id}}">
@@ -56,6 +59,7 @@
                                     <input type="hidden" id="field-hierarchy_id" name="hierarchy_id" value="">
                                 </div>
                                 @endif
+                                
 
                                 @foreach($questions as $question)
                                     <div class="col-md-12 mb-2">
@@ -65,137 +69,48 @@
                                             <input type="{{$question->type}}" id="field-{{$question->code}}" name="{{$question->code}}" value="{{isset($question->value)?$question->value:''}}">
                                             @break
                                         @case('text')
-                                            <input
-                                                type="text"
-                                                id="field-{{$question->code}}"
-                                                name="{{$question->code}}"
-                                                class="form-control"
-                                                {{$question->required == 'yes' ? 'required' : ''}}
-                                                value="{{isset($question->value) ? $question->value : ''}}"
-                                                @if($form_id == '1793766025-480d8dde-07b3-497d-b55c-4f34a08ad5d1')
-                                                    @if(in_array($question->code, ['msl_code', 'pcode', 'speciality']))
-                                                        readonly
-                                                    @endif
-                                                    @if(in_array($question->question, ['Hospital/Clinic Name', 'City', 'Current NEB 1 Brand Prescribers']))
-                                                        oninput="this.value = this.value.replace(/[^a-zA-Z .'-]/g, '')"
-                                                    @endif
-                                                @endif
-                                            >
-                                            @break
-
                                         @case('email')
-                                            <input type="email"
-                                                id="field-{{$question->code}}"
-                                                name="{{$question->code}}"
-                                                class="form-control"
-                                                {{$question->required == 'yes' ? 'required' : ''}}
-                                                value="{{isset($question->value) ? $question->value : ''}}">
-                                            @break
-
                                         @case('tel')
-                                            <input type="tel"
-                                                id="field-{{$question->code}}"
-                                                name="{{$question->code}}"
-                                                class="form-control"
-                                                {{$question->required == 'yes' ? 'required' : ''}}
-                                                value="{{isset($question->value) ? $question->value : ''}}">
-                                            @break
-
                                         @case('date')
-                                            <input type="date"
-                                                id="field-{{$question->code}}"
-                                                name="{{$question->code}}"
-                                                class="form-control"
-                                                {{$question->required == 'yes' ? 'required' : ''}}
-                                                value="{{isset($question->value) ? $question->value : ''}}"
-                                                @if($form_id == '1793766025-480d8dde-07b3-497d-b55c-4f34a08ad5d1' && $question->code == 'record_date')
-                                                    min="2026-11-01"
-                                                    max="{{date('Y-m-d')}}"
-                                                @endif>
+                                            <input type="{{$question->type}}" id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }} value="{{isset($question->value)?$question->value:''}}">
                                             @break
                                         @case('number')
-                                            <input
-                                                type="text"
-                                                inputmode="numeric"
-                                                pattern="[0-9]*"
-                                                min="0"
-                                                id="field-{{$question->code}}"
-                                                name="{{$question->code}}"
-                                                class="form-control"
-                                                {{$question->required == 'yes' ? 'required' : ''}}
-                                                value="{{isset($question->value) ? $question->value : ''}}"
-                                                @if($form_id == '1793766025-480d8dde-07b3-497d-b55c-4f34a08ad5d1')
-                                                    oninput="this.value = this.value.replace(/[^0-9]/g, '')"
-                                                @endif
-                                            >
+                                            <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;">
+                                        <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) && $option->contact->type == 'doctor' && isset($option->contact->toba_titans_drs) && $option->contact->toba_titans_drs == 'Yes' )
+                                                    <option value="{{ $option->value }}"
+                                                        @if(isset($question->value) && $question->value == $option->value) selected @endif
+                                                            @if($question->code == 'contact_id')
+                                                                msl_code="{{ (isset($option->contact->legacy_code) ? $option->contact->legacy_code : '') }}"
+                                                                pcode="{{ (isset($option->contact->msl_code) ? $option->contact->msl_code : '') }}"
+                                                                speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
+                                                            @endif
+                                                    >
+                                                        {{ $option->display }}
+                                                    </option>
+                                                @elseif($question->code != 'contact_id')
+                                                            <option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'pcode= ' . (isset($option->contact->pcode)?$option->contact->pcode:'') . ' ' : '' }} {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
                                                                 {{ $option->display }}
-                                                            </div>
-
-                                                            @foreach ($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 != $option->display ? 'checked' : '' }}>
-
-                                                                </div>
-                                                            @endforeach
-                                                        </div>
-                                                    @endforeach
-                                                </div>
-                                            </div>
-                                        @break    
+                                                            </option>
+                                            @endif
+                                                        
+                                            
+                                            
+                                            @endforeach
+                                            
+                                        </select>
+                                            @break
                                         @case('checkbox')
                                             @foreach($question->options as $option)
-                                            <div class="form-check mb-2 form-check-primary ms-2">
+                                            <div class="form-check mb-2 form-check-primary">
                                                 <input class="form-check-input" type="checkbox" id="field-{{$question->code}}-{{$option->value}}" name="{{$question->code}}[]" value="{{$option->value}}" {{isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked':''}}>
                                                 <label class="form-check-label" for="field-{{$question->code}}-{{$option->value}}">{{$option->display}}</label>
                                             </div>
@@ -218,7 +133,17 @@
                                                 </div>
                                                 @endforeach
                                             </div>
-                                            @break
+                                        @break
+                                        
+                                        @case('time')
+                                            <input type="time" 
+                                                id="field-{{$question->code}}" 
+                                                name="{{$question->code}}" 
+                                                class="form-control" 
+                                                {{$question->required == 'yes' ? 'required' : ''}} 
+                                                value="{{isset($question->value) ? $question->value : ''}}">
+                                        @break
+                                        
                                     @endswitch
                                     </div>
                                 @endforeach
@@ -259,85 +184,106 @@
   position: absolute;
   top: 50%;
 }
-.form-label {
-    font-weight:bold;
-    font-size:16px;
-}
 </style>
 @include('layouts.shared/footer-script')
 <script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+<script src="{{ asset('assets/libs/select2/select2.min.js') }}"></script>
 <script type="text/javascript">
     jQuery(document).ready(function($){
-        $('#field-user_id').on('change', function () {
-
-            let hierarchy = $(this).find('option:selected').attr('hierarchy');
-
-            $('#field-hierarchy_id').val(hierarchy || '');
-
-            if (!hierarchy) return;
-
-            $('#pageloader').fadeIn();
-
+        $('[data-toggle="select2"]').select2();
+        $('#field-user_id').change(function(){
+            let hierarchy = $('option:selected', this).attr('hierarchy');
+            $('#field-hierarchy_id').val(hierarchy)
+            event.preventDefault();
+            $("#pageloader").fadeIn();
             $.ajax({
-                type: 'GET',
-                url: '/form/getdoctorlist',
-                data: {
-                    partition: @json($form->partition),
-                    hierarchy: hierarchy,
-                    @if($form_id == '1793766025-480d8dde-07b3-497d-b55c-4f34a08ad5d1')
-                        attribute: 'toba_titans_drs',
-                        attribute_value: 'Yes'
-                    @endif
+                type: "GET",
+                url: '/form/getdoctorlist?partition={{$form->partition}}&hierarchy='+hierarchy,
+                processData: false,
+                contentType: false,
+                success: function( data ) {
+                    $("#pageloader").fadeOut();
+                    $('#field-contact_id').html('')
+                    $('#field-contact_id').append($("<option></option>").attr("value",'').text('-- Select --'));
+                    for (let itm of data) {
+                        $('#field-contact_id').append($("<option></option>").attr("value",itm.value).text(itm.display).attr("msl_code", itm.contact.msl_code).attr('speciality',itm.contact.speciality));
+                    }
+
+                    $('#field-contact_id').change(function() {
+                        $('#field-msl_code').val($('option:selected', this).attr('msl_code'))
+                    })    
+                    
+                    $('#field-contact_id').change(function() {
+                        $('#field-speciality').val($('option:selected', this).attr('speciality'))
+                    })    
                 },
-
-                success: function (data) {
-
-                    $('#pageloader').fadeOut();
-
-                    console.log('Doctor API response:', data);
-
-                    let doctorDropdown = $('#field-contact_id');
-
-                    doctorDropdown.empty();
-                    doctorDropdown.append('<option value=""> -- Select -- </option>');
-
-                    $.each(data, function (index, itm) {
-
-                        let contact = itm.contact || itm;
-
-                        let option = $('<option></option>')
-                            .val(itm.value)
-                            .text(itm.display)
-                            .attr('msl_code', contact.legacy_code || '')
-                            .attr('pcode', contact.msl_code || '')
-                            .attr('speciality', contact.speciality || '');
-
-                        console.log('Creating doctor option:', {
-                            name: itm.display,
-                            legacy_code: contact.legacy_code,
-                            msl_code: contact.msl_code,
-                            speciality: contact.speciality
-                        });
-
-                        doctorDropdown.append(option);
-                    });
-
-                    $('#field-msl_code, #field-pcode, #field-speciality').val('');
-
-                    // Trigger only AFTER options are populated
-                    $('#field-contact_id').trigger('change');
-
-                },
-
-                error: function (xhr) {
-                    $('#pageloader').fadeOut();
-                    console.error('Doctor list request failed:', xhr.responseText);
-                }
             });
+
+            console.log(hierarchy)
+        })
+
+        $('#field-contact_id').change(function() {
+                        $('#field-speciality').val($('option:selected', this).attr('speciality'))
+                    })
+        
+        $('#field-contact_id').change(function() {
+               		 $('#field-msl_code').val($('option:selected', this).attr('msl_code'))
+        })
+
+         $('#field-contact_id').change(function() {
+               		 $('#field-pcode').val($('option:selected', this).attr('pcode'))
+        })
+
+        $('#field-msl_code,#field-pcode,#field-speciality').attr('readonly',true);
+        
+        
+        
+
+        
+
+        // $('#field-contact_id').append('<option value="others">Others</option>');
+             
+        
+
+        $('#field-file_upload').on('change', function () {
+            let file = this.files[0];
+
+            if (file) {
+                let allowedTypes = ['image/png', 'image/jpg', 'image/jpeg'];
+                let maxSize = 10 * 1024 * 1024; // 10 MB
+
+                // Type validation
+                if (!allowedTypes.includes(file.type)) {
+                    alert('Only PNG, JPG, and JPEG files are allowed.');
+                    $(this).val('');
+                    return;
+                }
+
+                // Size validation
+                if (file.size > maxSize) {
+                    alert('File size should not exceed 10 MB.');
+                    $(this).val('');
+                    return;
+                }
+            }
         });
 
+        $(document).ready(function () {
+            $('#field-contact_id').trigger('change');
+        });
+
+        $('#field-city,#field-hospitalclinic_name,#field-current_neb_1_brand_prescribers').on('input', function () {
+            this.value = this.value.replace(/[^a-zA-Z\s]/g, '');
+        });
+            
+
         $('#report-form').on('submit', function(event){
             event.preventDefault();
+            const formData = new FormData($('#report-form')[0]);
+            // Log form data to console
+            for (let [key, value] of formData.entries()) {
+                console.log(key, value);
+            }
             $("#pageloader").fadeIn();
             $.ajax({
                 type: "POST",
@@ -352,13 +298,15 @@
                           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.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!'
+                            title: 'Data not submitted',
+                            text: 'Something went wrong, please try again after some time!'
                         })
                     }
                 },
@@ -373,38 +321,7 @@
 
             var plandateField = document.getElementById('field-record_date');
 
-            if (plandateField && @json($form_id) === '1793766025-480d8dde-07b3-497d-b55c-4f34a08ad5d1') {
-                plandateField.min = '2026-11-01';
-                plandateField.max = today;
-            }
-
-            // Make fields readonly
-            $('#field-msl_code, #field-pcode, #field-speciality')
-                .prop('readonly', true);
-
-
-            $(document).on('change', '#field-contact_id', function () {
-
-                let selectedOption = $(this).find(':selected');
-
-                let legacyCode = selectedOption.attr('msl_code') || '';
-                let mslCode = selectedOption.attr('pcode') || '';
-                let speciality = selectedOption.attr('speciality') || '';
-
-                $('#field-msl_code').val(legacyCode);
-                $('#field-pcode').val(mslCode);
-                $('#field-speciality').val(speciality);
-
-                console.log('Doctor selected:', selectedOption.text());
-                console.log('Populated fields:', {
-                    legacyCode: legacyCode,
-                    mslCode: mslCode,
-                    speciality: speciality
-                });
-            });
-
-
-            
+            plandateField.setAttribute('max', today);
     });
 </script>
 </body>