diff --git a/resources/views/form/rapport-pulmocare/1782369496-6603002f-f5ab-4352-86fc-b1b384cc2b60.blade.php b/resources/views/form/rapport-pulmocare/1782369496-6603002f-f5ab-4352-86fc-b1b384cc2b60.blade.php
index a4ae2cc7..28567ea3 100644
--- a/resources/views/form/rapport-pulmocare/1782369496-6603002f-f5ab-4352-86fc-b1b384cc2b60.blade.php
+++ b/resources/views/form/rapport-pulmocare/1782369496-6603002f-f5ab-4352-86fc-b1b384cc2b60.blade.php
@@ -212,6 +212,59 @@
 <script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
 <script type="text/javascript">
         jQuery(document).ready(function($){
+            $(document).ready(function () {
+
+            const states = [
+                "Andhra Pradesh",
+                "Arunachal Pradesh",
+                "Assam",
+                "Bihar",
+                "Chhattisgarh",
+                "Goa",
+                "Gujarat",
+                "Haryana",
+                "Himachal Pradesh",
+                "Jharkhand",
+                "Karnataka",
+                "Kerala",
+                "Madhya Pradesh",
+                "Maharashtra",
+                "Manipur",
+                "Meghalaya",
+                "Mizoram",
+                "Nagaland",
+                "Odisha",
+                "Punjab",
+                "Rajasthan",
+                "Sikkim",
+                "Tamil Nadu",
+                "Telangana",
+                "Tripura",
+                "Uttar Pradesh",
+                "Uttarakhand",
+                "West Bengal",
+                "Andaman and Nicobar Islands",
+                "Chandigarh",
+                "Dadra and Nagar Haveli and Daman and Diu",
+                "Delhi",
+                "Jammu and Kashmir",
+                "Ladakh",
+                "Lakshadweep",
+                "Puducherry"
+            ];
+
+            let $stateDropdown = $("#field-state");
+
+            $.each(states, function (index, state) {
+                $stateDropdown.append(
+                    $("<option>", {
+                        value: state,
+                        text: state
+                    })
+                );
+            });
+
+        });
 
         $('#field-employee_code, #field-emp_code_previous_employee, #field-l1_managers_emp_code,        #field-l2_managers_emp_code').on('input', function () {
             this.value = this.value.replace(/[^0-9]/g, '');