diff --git a/resources/views/form/rapport-zenova/1788239728-6f7f3c27-c5dc-4e6e-a042-aefd5681af3a.blade.php b/resources/views/form/rapport-zenova/1788239728-6f7f3c27-c5dc-4e6e-a042-aefd5681af3a.blade.php
index b3e177b1..725bf36b 100644
--- a/resources/views/form/rapport-zenova/1788239728-6f7f3c27-c5dc-4e6e-a042-aefd5681af3a.blade.php
+++ b/resources/views/form/rapport-zenova/1788239728-6f7f3c27-c5dc-4e6e-a042-aefd5681af3a.blade.php
@@ -759,6 +759,72 @@
             $('#report-form').on('submit', function(event){
                 event.preventDefault();
 
+                let brand = $('#field-select_brand').val();
+                let conversion = $('#field-conversion_status').val();
+
+            
+                let glipiq_rx_total = 0;
+                let glipiq_pob_total = 0;
+                let glipiq_new_conversion = 0;
+                let glipiq_existing_conversion = 0;
+                let sitazit_new_conversion = 0;
+                let sitazit_existing_conversion = 0;
+
+                if (brand === 'Glipiq') {
+                
+                    let pen_rx = parseInt($('#field-pen_rx_count').val()) || 0;
+                    let vial_rx = parseInt($('#field-vial_rx_count').val()) || 0;
+                    let pen_pob = parseInt($('#field-pen_pob_units').val()) || 0;
+                    let vial_pob = parseInt($('#field-vial_pob_units').val()) || 0;
+
+                    glipiq_rx_total = pen_rx + vial_rx;
+                    glipiq_pob_total = pen_pob + vial_pob;
+
+                    // Glipiq Conversion Status
+                    if (conversion === 'New Conversion') {
+                        glipiq_new_conversion = 1;
+                    } else if (conversion === 'Existing Prescriber') {
+                        glipiq_existing_conversion = 1;
+                    }
+
+                } else if (brand === 'Sitazit') {
+                    // Sitazit Conversion Status
+                    if (conversion === 'New Conversion') {
+                        sitazit_new_conversion = 1;
+                    } else if (conversion === 'Existing Prescriber') {
+                        sitazit_existing_conversion = 1;
+                    }
+
+                    
+                    let skuVal = $('#field-brand_sku').val();
+                    if (skuVal) {
+                        $('#report-form').append(
+                            '<input type="hidden" name="' + skuVal + '_rx_count" value="' + ($('#field-rx_count').val() || 0) + '">'
+                        );
+                        $('#report-form').append(
+                            '<input type="hidden" name="' + skuVal + '_pob_units" value="' + ($('#field-pob_units').val() || 0) + '">'
+                        );
+
+                        let sku_brand_map = sku_brand_maps.find(sb => sb.sku_code === skuVal);
+                        if (sku_brand_map) {
+                            $('#report-form').append(
+                                '<input type="hidden" name="sku_name" value="' + sku_brand_map.sku + '">'
+                            );
+                        }
+                    }
+                }
+
+            
+                $('input[name="glipiq_rx_total"]').val(glipiq_rx_total);
+                $('input[name="glipiq_pob_total"]').val(glipiq_pob_total);
+                $('input[name="glipiq_new_conversion"]').val(glipiq_new_conversion);
+                $('input[name="glipiq_existing_conversion"]').val(glipiq_existing_conversion);
+                $('input[name="sitazit_new_conversion"]').val(sitazit_new_conversion);
+                $('input[name="sitazit_existing_conversion"]').val(sitazit_existing_conversion);
+
+
+
+
                 if($('#field-sankalp_lead_received_penvial').val() === 'Yes') {
                     $('#report-form').append('<input type="hidden" name="sankalp_lead_recieved" value="1">');
                 }