From 66e0038543426958854c4e24a7861b593d807c9c Mon Sep 17 00:00:00 2001
From: Farhan Pathan <farhan@stratawiz.com>
Date: Wed, 17 Jun 2026 09:48:58 +0530
Subject: [PATCH 1/4] Team4 - Molecule Identification Form - New Changes (15
 submission at a time)

---
 ...f382-9fbb-45ac-896b-94de9104a11b.blade.php | 482 +++++++++---------
 1 file changed, 228 insertions(+), 254 deletions(-)

diff --git a/resources/views/form/rapport-team4/1781090899-2cedf382-9fbb-45ac-896b-94de9104a11b.blade.php b/resources/views/form/rapport-team4/1781090899-2cedf382-9fbb-45ac-896b-94de9104a11b.blade.php
index e4da92b1..5c509d5d 100644
--- a/resources/views/form/rapport-team4/1781090899-2cedf382-9fbb-45ac-896b-94de9104a11b.blade.php
+++ b/resources/views/form/rapport-team4/1781090899-2cedf382-9fbb-45ac-896b-94de9104a11b.blade.php
@@ -33,6 +33,12 @@
         'nac + acebrophylline' => 'nac_acebrophylline',
     ];
 
+    $categoryMoleculeUse = [
+        'erdosteine' => 'Erdosteine Prescriber',
+        'erdosteine + acebrophylline' => 'Erdosteine + Acebrophylline',
+        'nac + acebrophylline' => 'NAC + Acebrophylline',
+    ];
+
     $moleculeUseToCategory = [
         'erdosteine prescriber' => 'erdosteine',
         'erdosteine' => 'erdosteine',
@@ -183,10 +189,10 @@
                                     @php
 
                                     $hideFields = [
-                                        
                                         'contact_id',
                                         'rx_support',
-                                        'other_molecule_use'
+                                        'other_molecule_use',
+                                        'molecule_use',
                                     ];
 
                                     @endphp
@@ -328,117 +334,72 @@
                                 @endforeach
                                 @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
                                 <div class="text-center d-gri mt-3">
+                                    @php $globalRowIndex = 0; @endphp
+                                    @foreach($categoryAttributes as $categoryLabel => $categoryPrefix)
                                     <div class="col-md-12 mt-3">
-                                    <div class="card">
-                                        {{-- <div class="card-header">
-                                            <h5 class="mb-0">Tagged Doctors</h5>
-                                        </div> --}}
-                                        <div class="card-body p-0">
-                                            <div class="table-responsive">
-                                            @php
-                                            $doctors = [];
-
-                                            foreach($questions as $question){
-                                                if($question->code == 'contact_id'){
-                                                    $doctors = $question->options ?? [];
-                                                    break;
-                                                }
-                                            }
-                                            @endphp
-                                       <table class="table table-bordered  mb-0">
-                                                    <thead>
-                                                        <tr>
-                                                            <th>Doctor Name</th>
-                                                            
-                                                            <th>Rxn/Week Support</th>
-                                                            
-                                                            <th>Other Molecule Use</th>
-                                                        </tr>
-                                                    </thead>
-                                                    <tbody id="doctor-table-body">
-
-                                                    @for($i=1; $i<=5; $i++)
-
-                                                    <tr>
-
-                                                        <td>
-                                                            <select
-                                                                name="contact_id[]"
-                                                                class="form-control doctor-select"
-                                                                required
-                                                            >
-                                                                <option value="">-- Select Doctor --</option>
-
-                                                                @foreach($questions as $question)
-
-                                                                    @if($question->code == 'contact_id')
-
-                                                                        @foreach($question->options as $doctor)
-
-                                                                            <option value="{{$doctor->value}}">
-                                                                                {{$doctor->display}}
-                                                                            </option>
-
+                                        <div class="card">
+                                            <div class="card-header">
+                                                <h5 class="mb-0">{{ ucwords($categoryLabel) }}</h5>
+                                            </div>
+                                            <div class="card-body p-0">
+                                                <div class="table-responsive">
+                                                    <table class="table table-bordered mb-0">
+                                                        <thead>
+                                                            <tr>
+                                                                <th>Doctor Name</th>
+                                                                <th>Rxn/Week Support</th>
+                                                                <th>Other Molecule Use</th>
+                                                            </tr>
+                                                        </thead>
+                                                        <tbody
+                                                            class="doctor-table-body"
+                                                            data-category="{{ $categoryPrefix }}"
+                                                            data-molecule-use="{{ $categoryMoleculeUse[$categoryLabel] }}"
+                                                        >
+                                                            @for($i = 1; $i <= 5; $i++)
+                                                            <tr class="doctor-row" data-row-index="{{ $globalRowIndex }}">
+                                                                <td>
+                                                                    <select
+                                                                        class="form-control doctor-select"
+                                                                        required
+                                                                    >
+                                                                        <option value="">-- Select Doctor --</option>
+                                                                        @foreach($doctors as $doctor)
+                                                                        <option value="{{ $doctor->value }}">{{ $doctor->display }}</option>
                                                                         @endforeach
-
-                                                                    @endif
-
-                                                                @endforeach
-
-                                                            </select>
-                                                        </td>
-
-                                                        <td>
-                                                        
-                                                            <select
-                                                                name="rx_support[]"
-                                                                class="form-control"
-                                                                required
-                                                            >
-                                                                <option value="">-- Select --</option>
-                                                                <option value="1-3 Rxn/Week">1-3 Rxn/Week</option>
-                                                                <option value="4-7 Rxn/Week">4-7 Rxn/Week</option>
-                                                                <option value="8-11 Rxn/Week">8-11 Rxn/Week</option>
-                                                                <option value=">11 Rxn/Week">&gt;11 Rxn/Week</option>
-                                                            </select>
-                                                        </td>
-
-                                                        <td>
-                                                        
-                                                            <select
-                                                                name="other_molecule_use[]"
-                                                                class="form-control"
-                                                                required
-                                                            >
-                                                                <option value="">-- Select --</option>
-                                                                <option value="Erdosteine Prescriber">
-                                                                    Erdosteine Prescriber
-                                                                </option>
-                                                                <option value="Erdosteine + Acebrophylline">
-                                                                    Erdosteine + Acebrophylline Prescriber
-                                                                </option>
-                                                                <option value="NAC + Acebrophylline">
-                                                                    NAC + Acebrophylline Prescriber
-                                                                </option>
-                                                                <option value="No">
-                                                                    No
-                                                                </option>
-                                                            </select>
-                                                        </td>
-
-                                                    </tr>
-
-                                                    @endfor
-
-                                                    </tbody>
-                                                </table>
+                                                                    </select>
+                                                                </td>
+                                                                <td>
+                                                                    <select class="form-control rx-support-select" required>
+                                                                        <option value="">-- Select --</option>
+                                                                        <option value="1-3 Rxn/Week">1-3 Rxn/Week</option>
+                                                                        <option value="4-7 Rxn/Week">4-7 Rxn/Week</option>
+                                                                        <option value="8-11 Rxn/Week">8-11 Rxn/Week</option>
+                                                                        <option value=">11 Rxn/Week">&gt;11 Rxn/Week</option>
+                                                                    </select>
+                                                                </td>
+                                                                <td>
+                                                                    <select class="form-control other-molecule-select" required>
+                                                                        <option value="">-- Select --</option>
+                                                                        <option value="Erdosteine Prescriber">Erdosteine Prescriber</option>
+                                                                        <option value="Erdosteine + Acebrophylline">Erdosteine + Acebrophylline</option>
+                                                                        <option value="NAC + Acebrophylline">NAC + Acebrophylline</option>
+                                                                        <option value="No">No</option>
+                                                                    </select>
+                                                                </td>
+                                                            </tr>
+                                                            @php $globalRowIndex++; @endphp
+                                                            @endfor
+                                                        </tbody>
+                                                    </table>
+                                                </div>
                                             </div>
                                         </div>
                                     </div>
-                                 </div>
-                                 
+                                    @endforeach
+
                                     <button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
-                                </div> 
+                                </div>
                                 @endif
                             </form>
                             <!-- SAMPLE FORM MODAL -->
@@ -500,78 +461,61 @@ select option:disabled {
 <script src="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/js/select2.min.js"></script>
 <script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
 <script type="text/javascript">
-    var allDoctors = {!! json_encode($doctors) !!};
-    var categoryAttributes = {!! json_encode($categoryAttributes) !!};
-    var moleculeUseToCategory = {!! json_encode($moleculeUseToCategory) !!};
-    var categorySubmissions = {!! json_encode($categorySubmissions) !!};
     var categoryDoctorSubmissions = {!! json_encode($categoryDoctorSubmissions) !!};
 
     jQuery(document).ready(function($){
-        function resolveCategoryIndex(moleculeUse) {
-            if (!moleculeUse) {
-                return null;
-            }
+        function getDoctorRows() {
+            let rows = [];
 
-            let normalized = moleculeUse.toLowerCase().trim();
-            let categoryKey = moleculeUseToCategory[normalized] || normalized;
+            $('.doctor-table-body').each(function() {
+                let $tbody = $(this);
+                let moleculeUse = $tbody.data('molecule-use');
 
-            return categoryAttributes[categoryKey] || null;
+                $tbody.find('tr.doctor-row').each(function() {
+                    rows.push({
+                        $row: $(this),
+                        moleculeUse: moleculeUse,
+                        rowIndex: $(this).data('row-index')
+                    });
+                });
+            });
+
+            return rows;
         }
 
         function removeSubmissionId($row) {
+            $row.removeAttr('data-submission-id');
             $row.find('.submission-id').remove();
         }
 
         function setSubmissionId($row, submissionId) {
-            let $input = $row.find('.submission-id');
-
-            if (!$input.length) {
-                $input = $('<input>', {
-                    type: 'hidden',
-                    class: 'submission-id',
-                    name: 'id[]'
-                });
-                $row.find('td').first().prepend($input);
+            if (submissionId) {
+                $row.attr('data-submission-id', submissionId);
             } else {
-                $input.attr('name', 'id[]');
+                removeSubmissionId($row);
             }
-
-            $input.val(submissionId || '');
         }
 
         function clearDoctorTableRow($row) {
             removeSubmissionId($row);
             $row.find('.doctor-select').val('').trigger('change');
-            $row.find('select[name="rx_support[]"]').val('');
-            $row.find('select[name="other_molecule_use[]"]').val('');
+            $row.find('.rx-support-select').val('');
+            $row.find('.other-molecule-select').val('');
         }
 
-        function clearDoctorTable() {
-            $('#doctor-table-body tr').each(function() {
-                clearDoctorTableRow($(this));
-            });
-            $('#field-record_date').val('');
-        }
-
-        function prefillDoctorTableFromCategory(categoryIndex) {
-            clearDoctorTable();
-
-            if (!categoryIndex) {
-                return;
-            }
-
-            let categoryDoctors = categoryDoctorSubmissions[categoryIndex] || {};
+        function prefillDoctorTableSection($tbody, categoryPrefix) {
+            let categoryDoctors = categoryDoctorSubmissions[categoryPrefix] || {};
             let submissions = Object.values(categoryDoctors);
 
             if (!submissions.length) {
                 return;
             }
 
-            if (submissions[0].record_date) {
+            if (submissions[0].record_date && !$('#field-record_date').val()) {
                 $('#field-record_date').val(submissions[0].record_date);
             }
 
-            $('#doctor-table-body tr').each(function(index) {
+            $tbody.find('tr.doctor-row').each(function(index) {
                 let submission = submissions[index];
                 if (!submission) {
                     return false;
@@ -581,137 +525,175 @@ select option:disabled {
                 $row.find('.doctor-select')
                     .val(submission.doctor_id)
                     .trigger('change');
-                $row.find('select[name="rx_support[]"]')
+                $row.find('.rx-support-select')
                     .val(submission.rx_support || '');
-                $row.find('select[name="other_molecule_use[]"]')
+                $row.find('.other-molecule-select')
                     .val(submission.other_molecule_use || '');
                 setSubmissionId($row, submission.submission_id);
             });
         }
 
-        function updateDoctorDropdowns() {
-
-    let selectedDoctors = [];
-
-    $('.doctor-select').each(function(){
-
-        let value = $(this).val();
-
-        if(value){
-            selectedDoctors.push(value);
+        function prefillAllDoctorTables() {
+            $('.doctor-table-body').each(function() {
+                prefillDoctorTableSection($(this), $(this).data('category'));
+            });
         }
 
-    });
+        function updateDoctorDropdowns($tbody) {
+            let selectedDoctors = [];
 
-    $('.doctor-select').each(function(){
+            $tbody.find('.doctor-select').each(function() {
+                let value = $(this).val();
+                if (value) {
+                    selectedDoctors.push(value);
+                }
+            });
 
-        let currentDropdown = $(this);
-        let currentValue = currentDropdown.val();
+            $tbody.find('.doctor-select').each(function() {
+                let currentDropdown = $(this);
+                let currentValue = currentDropdown.val();
 
-        currentDropdown.find('option').each(function(){
+                currentDropdown.find('option').each(function() {
+                    let option = $(this);
+                    let originalText = option.data('original-text') || option.text();
 
-            let option = $(this);
+                    option.data('original-text', originalText);
+                    option.text(originalText);
+                    option.prop('disabled', false);
 
-            let originalText =
-                option.data('original-text') || option.text();
+                    let optionValue = option.val();
 
-            option.data('original-text', originalText);
+                    if (
+                        optionValue &&
+                        optionValue !== currentValue &&
+                        selectedDoctors.includes(optionValue)
+                    ) {
+                        option.prop('disabled', true);
+                        option.text(originalText + ' (Already Added)');
+                    }
+                });
+            });
+        }
 
-            option.text(originalText);
+        function updateOtherMoleculeDropdowns($tbody) {
+            let sectionMolecule = $tbody.data('molecule-use');
 
-            option.prop('disabled', false);
+            $tbody.find('.other-molecule-select').each(function() {
+                let ddl = $(this);
 
-            let optionValue = option.val();
+                ddl.find('option').each(function() {
+                    let option = $(this);
+                    let originalText = option.data('original-text') || option.text();
 
-            if(
-                optionValue &&
-                optionValue !== currentValue &&
-                selectedDoctors.includes(optionValue)
-            ){
-                option.prop('disabled', true);
+                    option.data('original-text', originalText);
+                    option.text(originalText);
+                    option.prop('disabled', false);
 
-                option.text(
-                    originalText +
-                    ' (Already Added)'
-                );
-            }
+                    if (sectionMolecule && option.val() === sectionMolecule) {
+                        option.prop('disabled', true);
+                        option.text(originalText + ' (Already Added)');
+                    }
+                });
+            });
+        }
 
+        function buildSubmitFormData() {
+            let fd = new FormData();
+            let form = $('#report-form')[0];
+            let rowFieldClasses = ['doctor-select', 'rx-support-select', 'other-molecule-select'];
+
+            Array.from(form.elements).forEach(function(el) {
+                if (!el.name || el.disabled) {
+                    return;
+                }
+
+                if (el.name.match(/^id(\[|$)/)) {
+                    return;
+                }
+
+                if (rowFieldClasses.some(function(cls) { return el.classList.contains(cls); })) {
+                    return;
+                }
+
+                if (el.type === 'file') {
+                    if (el.files.length) {
+                        fd.append(el.name, el.files[0]);
+                    }
+                    return;
+                }
+
+                if (el.type === 'checkbox') {
+                    if (el.checked) {
+                        fd.append(el.name, el.value);
+                    }
+                    return;
+                }
+
+                if (el.type === 'radio') {
+                    if (el.checked) {
+                        fd.append(el.name, el.value);
+                    }
+                    return;
+                }
+
+                if (el.tagName === 'SELECT' && el.multiple) {
+                    Array.from(el.selectedOptions).forEach(function(option) {
+                        fd.append(el.name, option.value);
+                    });
+                    return;
+                }
+
+                fd.append(el.name, el.value);
+            });
+
+            getDoctorRows().forEach(function(item) {
+                let $row = item.$row;
+
+                fd.append('contact_id[]', $row.find('.doctor-select').val());
+                fd.append('rx_support[]', $row.find('.rx-support-select').val());
+                fd.append('other_molecule_use[]', $row.find('.other-molecule-select').val());
+                fd.append('molecule_use[]', item.moleculeUse);
+
+                let submissionId = $row.attr('data-submission-id');
+                if (submissionId) {
+                    fd.append('id[' + item.rowIndex + ']', submissionId);
+                }
+            });
+
+            return fd;
+        }
+
+        $(document).on('change', '.doctor-select', function() {
+            updateDoctorDropdowns($(this).closest('.doctor-table-body'));
         });
 
-    });
-
-}
-$(document).on(
-    'change',
-    '.doctor-select',
-    updateDoctorDropdowns
-);
-
-updateDoctorDropdowns();
-
-function updateOtherMoleculeDropdowns() {
-    let selectedMolecule = $('#field-molecule_use').val();
-    let categoryIndex = resolveCategoryIndex(selectedMolecule);
-
-    $('select[name="other_molecule_use[]"]').each(function(){
-        let ddl = $(this);
-
-        ddl.find('option').each(function(){
-            let option = $(this);
-            let originalText =
-                option.data('original-text') || option.text();
-
-            option.data('original-text', originalText);
-            option.text(originalText);
-            option.prop('disabled', false);
-
-            if(
-                selectedMolecule &&
-                option.val() === selectedMolecule
-            ){
-                option.prop('disabled', true);
-                option.text(
-                    originalText + ' (Already Added)'
-                );
-            }
-        });
-    });
-
-    prefillDoctorTableFromCategory(categoryIndex);
-    updateDoctorDropdowns();
-}
-
-$('#field-molecule_use').on('change', updateOtherMoleculeDropdowns);
-
         $('.doctor-select').select2({
-    width: '100%',
-    placeholder: 'Search Doctor',
-    allowClear: true
-});
+            width: '100%',
+            placeholder: 'Search Doctor',
+            allowClear: true
+        });
 
-if ($('#field-molecule_use').val()) {
-    updateOtherMoleculeDropdowns();
-} else {
-    clearDoctorTable();
-}
-        $('#report-form').on('submit', function(event){
-            
+        prefillAllDoctorTables();
+
+        $('.doctor-table-body').each(function() {
+            let $tbody = $(this);
+            updateOtherMoleculeDropdowns($tbody);
+            updateDoctorDropdowns($tbody);
+        });
+
+        $('#report-form').on('submit', function(event) {
             event.preventDefault();
-            let fd = new FormData($('#report-form')[0]);
 
-for (let pair of fd.entries()) {
-    console.log(pair[0], pair[1]);
-}
             $("#pageloader").fadeIn();
             $.ajax({
                 type: "POST",
                 url: '/form/ajaxsubmitmultiple',
-                data: new FormData($('#report-form')[0]),
+                data: buildSubmitFormData(),
                 processData: false,
                 contentType: false,
                 success: function(data) {
                     $("#pageloader").fadeOut();
-                    if(data.status == 'success') {
+                    if (data.status == 'success') {
                         Swal.fire({
                             title: 'Great!',
                             text: 'Your data is successfully submitted!',
@@ -735,14 +717,6 @@ for (let pair of fd.entries()) {
                 }
             });
         });
-
-         @if($id)
-            setTimeout(function () {
-                console.log("EDIT MODE TRIGGERED");
-                $('#field-select-category').trigger('change');
-            }, 300);
-            @endif
-    
     });
 </script>
 </body>

From e00e07c0c6b03465d554f1386ad9110849286f91 Mon Sep 17 00:00:00 2001
From: Farhan Pathan <farhan@stratawiz.com>
Date: Wed, 17 Jun 2026 09:53:08 +0530
Subject: [PATCH 2/4] Team4 - Molecule Identification Form - added Prescriber
 word in Dropdown options

---
 .../1781090899-2cedf382-9fbb-45ac-896b-94de9104a11b.blade.php | 4 ++--
 1 file changed, 2 insertions(+), 2 deletions(-)

diff --git a/resources/views/form/rapport-team4/1781090899-2cedf382-9fbb-45ac-896b-94de9104a11b.blade.php b/resources/views/form/rapport-team4/1781090899-2cedf382-9fbb-45ac-896b-94de9104a11b.blade.php
index 5c509d5d..e18a0ad8 100644
--- a/resources/views/form/rapport-team4/1781090899-2cedf382-9fbb-45ac-896b-94de9104a11b.blade.php
+++ b/resources/views/form/rapport-team4/1781090899-2cedf382-9fbb-45ac-896b-94de9104a11b.blade.php
@@ -382,8 +382,8 @@
                                                                     <select class="form-control other-molecule-select" required>
                                                                         <option value="">-- Select --</option>
                                                                         <option value="Erdosteine Prescriber">Erdosteine Prescriber</option>
-                                                                        <option value="Erdosteine + Acebrophylline">Erdosteine + Acebrophylline</option>
-                                                                        <option value="NAC + Acebrophylline">NAC + Acebrophylline</option>
+                                                                        <option value="Erdosteine + Acebrophylline">Erdosteine + Acebrophylline Prescriber</option>
+                                                                        <option value="NAC + Acebrophylline">NAC + Acebrophylline Prescriber</option>
                                                                         <option value="No">No</option>
                                                                     </select>
                                                                 </td>

From 5e686241812fa9e730dcdc8547dd709ac64bf1be Mon Sep 17 00:00:00 2001
From: Tanuja Pansare <tanuja@stratawiz.com>
Date: Wed, 17 Jun 2026 10:29:41 +0530
Subject: [PATCH 3/4] Updated iva blade file

---
 ...d831-b02a-49f1-8724-e60f9d966fb5.blade.php | 368 ++++++++++++++++++
 1 file changed, 368 insertions(+)
 create mode 100644 resources/views/form/rapport-iva/1781611760-316ed831-b02a-49f1-8724-e60f9d966fb5.blade.php

diff --git a/resources/views/form/rapport-iva/1781611760-316ed831-b02a-49f1-8724-e60f9d966fb5.blade.php b/resources/views/form/rapport-iva/1781611760-316ed831-b02a-49f1-8724-e60f9d966fb5.blade.php
new file mode 100644
index 00000000..07af323f
--- /dev/null
+++ b/resources/views/form/rapport-iva/1781611760-316ed831-b02a-49f1-8724-e60f9d966fb5.blade.php
@@ -0,0 +1,368 @@
+<!DOCTYPE html>
+<html lang="en">
+<head>
+    @include('layouts.shared/title-meta', ['title' => "Form"])
+    @include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
+    <link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
+</head>
+<div id="pageloader">
+   <img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
+</div>
+<body class="loading">
+    <div class="account-pages">
+        <div class="container">
+            <div class="row justify-content-center">
+                <div class="col-md-8 col-lg-6 col-xl-5 p-0">
+                    <div class="card bg-pattern">
+                        <div class="card-body p-3 row">
+
+                            @if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
+                            <br>@endif
+                            @if(session('success'))<div class=" alert alert-success">{{ session('success') }}
+                            </div>
+                            <br>@endif
+                            <div class="col-8">
+                                <h4 class="page-title">{{$form->title}}</h4>
+                            </div>
+                            @if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
+                            <div class="col-4">
+                                @if($form->link_type == 'form')
+                                <a href="/form/history" class="float-end pt-1">View History</a>
+                                @else
+                                <a href="{{url()->previous()}}" class="float-end pt-1">Back</a>
+                                @endif
+                            </div>
+                            @endif
+                            @if(isset($form->user_info))
+                            <div class="col-12">
+                                <h6>Submitted By: {{$form->user_info->name}}</h6>
+                            </div>
+                            @endif
+                            <form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
+                                <input type="hidden" name="form_id" value="{{$form_id}}">
+                                @csrf
+                                @if($id)
+                                <input type="hidden" name="id" value="{{$id}}">
+                                @endif
+                                @if(isset($form->manager_can_submit) && $form->manager_can_submit == true)
+                                <div class="col-md-12 mb-2">
+                                    <label for="field-user_id" class="form-label"> Select User / Territory <span class="text-danger">*</span> </label>
+                                    <select class="form-control" id="field-user_id" name="user_id" required>
+                                        <option value=""> -- Select -- </option>
+                                        @foreach($form->users as $option)
+                                        <option value="{{$option->value}}" hierarchy="{{$option->hierarchy_id}}" {{isset($question->value) && $question->value == $option->value ? 'selected':''}}>{{$option->display}}</option>
+                                        @endforeach
+                                    </select>
+                                    <input type="hidden" id="field-hierarchy_id" name="hierarchy_id" value="">
+                                </div>
+                                @endif
+
+                                @foreach($questions as $question)
+                                    <div class="col-md-12 mb-2">
+                                    <label for="field-{{$question->code}}" class="form-label">{{$question->question}} {!!$question->required == 'yes' ? '<span class="text-danger">*</span>':''!!} </label>
+                                    @switch($question->type)
+                                        @case('hidden')
+                                            <input type="{{$question->type}}" id="field-{{$question->code}}" name="{{$question->code}}" value="{{isset($question->value)?$question->value:''}}">
+                                            @break
+                                        @case('text')
+                                        @case('email')
+                                        @case('tel')
+                                             <input type="{{$question->type}}"
+                                                id="field-{{$question->code}}"
+                                                name="{{$question->code}}"
+                                                class="form-control"
+                                                {{$question->required == 'yes'?'required':'' }}
+                                                {{ in_array($question->code, ['uid_code','sbu_code','value_plan']) ? 'readonly' : '' }}
+                                                value="{{isset($question->value)?$question->value:''}}">
+                                        @break
+                                        @case('date')
+                                            <input type="date"
+                                                id="field-{{$question->code}}"
+                                                name="{{$question->code}}"
+                                                class="form-control"
+                                                {{$question->required == 'yes' ? 'required' : ''}}
+                                                max="{{ date('Y-m-d') }}"
+                                                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 == 'value_plan' ? 'readonly' : ''}}>
+                                            @break
+                                        @case('textarea')
+                                            <textarea id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }}>{{isset($question->value)?$question->value:''}}</textarea>
+                                            @break
+                                        @case('dropdown')
+                                            <select class="form-control" id="field-{{$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) ? $option->contact->msl_code : ''}}"
+                                                    uid_number="{{isset($option->contact->uid_number) ? $option->contact->uid_number : ''}}"
+                                                    {{isset($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) && $form->is_approval != 'yes' ) )
+                                <div class="text-center d-grid mt-3">
+                                    <button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
+                                </div>
+                                @endif
+                            </form>
+
+                        </div> <!-- end card-body -->
+                    </div>
+                    <!-- end card -->
+
+                    <!-- end row -->
+
+                </div> <!-- end col -->
+            </div>
+            <!-- end row -->
+        </div>
+        <!-- end container -->
+    </div>
+    <!-- end page -->
+<style type="text/css">
+#pageloader {
+  background: rgba( 255, 255, 255, 0.8 );
+  display: none;
+  height: 100%;
+  position: fixed;
+  width: 100%;
+  z-index: 9999;
+}
+
+#pageloader img {
+  left: 50%;
+  margin-left: -32px;
+  margin-top: -32px;
+  position: absolute;
+  top: 50%;
+}
+.form-label {
+    font-weight:bold;
+    font-size:16px;
+}
+</style>
+@include('layouts.shared/footer-script')
+<script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
+<script type="text/javascript">
+    jQuery(document).ready(function($){
+        // var today = new Date().toISOString().split('T')[0];
+        // $('#field-record_date').attr('max', today);
+        $('#field-user_id').change(function(){
+            let hierarchy = $('option:selected', this).attr('hierarchy');
+            $('#field-hierarchy_id').val(hierarchy)
+            event.preventDefault();
+            $("#pageloader").fadeIn();
+            $.ajax({
+                type: "GET",
+                url: '/form/getdoctorlist?partition={{$form->partition}}&hierarchy='+hierarchy,
+                processData: false,
+                contentType: false,
+                success: function( data ) {
+                    $("#pageloader").fadeOut();
+                    $('#field-contact_id').html('')
+                    $('#field-contact_id').append($("<option></option>").attr("value",'').text('-- Select --'));
+                    for (let itm of data) {
+                        $('#field-contact_id').append($("<option></option>").attr("value",itm.value).text(itm.display).attr("msl_code", itm.contact.msl_code).attr('speciality',itm.contact.speciality));
+                    }
+
+                    $('#field-contact_id').change(function() {
+                        $('#field-msl_code').val($('option:selected', this).attr('msl_code'))
+                    })    
+                    
+                    $('#field-contact_id').change(function() {
+                        $('#field-speciality').val($('option:selected', this).attr('speciality'))
+                    })    
+                },
+            });
+
+            console.log(hierarchy)
+        })
+        $("#field-contact_id").change(function(){
+
+            let selected = $('option:selected', this);
+
+            // console.log(selected.attr('msl_code'));
+            // console.log(selected.attr('uid_number'));
+
+            $('#field-msl_code').val(selected.attr('msl_code'));
+            $('#field-uid_number').val(selected.attr('uid_number'));
+
+        });
+        $("#field-contact_id").change(function(){
+
+            let selected = $('option:selected', this);
+
+            $('#field-uid_code').val(
+                selected.attr('uid_code')
+            );
+
+            $('#field-sbu_code').val(
+                selected.attr('sbu_code')
+            );
+
+        });
+
+    
+
+        function calculateValuePlan() {
+
+            let unitPlan =
+                parseFloat($('#field-unit_plan').val()) || 0;
+
+            let ratePlan =
+                parseFloat($('#field-rate_plan').val()) || 0;
+
+            let valuePlan = unitPlan * ratePlan;
+
+            $('#field-value_plan').val(valuePlan);
+        }
+  
+        $('#field-unit_plan, #field-rate_plan')
+        .on('keyup change', function () {
+
+            calculateValuePlan();
+
+        });
+
+        $('#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!'
+                        })
+                    }
+                },
+            });
+        });
+
+             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

From bc1a3f5d33ed68a5191839dc86cd28840f167918 Mon Sep 17 00:00:00 2001
From: Tanuja Pansare <tanuja@stratawiz.com>
Date: Wed, 17 Jun 2026 10:43:09 +0530
Subject: [PATCH 4/4] Updated blade file

---
 .../1781611760-316ed831-b02a-49f1-8724-e60f9d966fb5.blade.php   | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/resources/views/form/rapport-iva/1781611760-316ed831-b02a-49f1-8724-e60f9d966fb5.blade.php b/resources/views/form/rapport-iva/1781611760-316ed831-b02a-49f1-8724-e60f9d966fb5.blade.php
index 07af323f..8f2c12c7 100644
--- a/resources/views/form/rapport-iva/1781611760-316ed831-b02a-49f1-8724-e60f9d966fb5.blade.php
+++ b/resources/views/form/rapport-iva/1781611760-316ed831-b02a-49f1-8724-e60f9d966fb5.blade.php
@@ -76,7 +76,7 @@
                                                 value="{{isset($question->value)?$question->value:''}}">
                                         @break
                                         @case('date')
-                                            <input type="date"
+                                            <input type="date"    
                                                 id="field-{{$question->code}}"
                                                 name="{{$question->code}}"
                                                 class="form-control"