@include('layouts.shared/title-meta', ['title' => 'Form']) @include('layouts.shared/head-css', ['mode' => $mode ?? '', 'demo' => $demo ?? ''])
processing...
@if (Session::has('error'))
{{ Session::get('error') }}

@endif @if (session('success'))
{{ session('success') }}

@endif

Planned HBA1C Camps

@if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'))
@if ($form->link_type == 'form') @else Back @endif
@endif @php $history = Formhelper::getMultiformData($form->partition, $form->form_id, $form->user_id); @endphp
@foreach ($history->data->submissions as $sub) @php $sub->formdata->id = $sub->id; @endphp @endforeach
Action Execution Done Date of Camp finalised Doctor Gforce ID/UID No. Time Document
{{ isset($sub->formdata->hba1c_total_rx) && $sub->formdata->hba1c_total_rx > 0 ? 'Yes' : 'No' }} {{ $sub->formdata->camp_date }}
{{ $sub->formdata->contact_id }}
 {{ $sub->formdata->gforce_id }} {{ $sub->formdata->start_time_of_camp }} {{ $sub->formdata->camp_to_be_executed_by }} Download
@csrf @if ($id) @endif @foreach ($questions as $question) @if (in_array($question->code, [ 'record_date', 'no_of_patients', 'hba1c_zitamet_zita_rx', 'hba1c_zita_pio_met_rx', 'hba1c_zita_d_rx', 'hba1c_telma_ln_range_rx', 'hba1c_total_rx', 'hba1c_zita_dm_rx', 'executed_as_planned', 'supported_document', 'upload_support_docimage', 'upload_any_other_supporting_document' ])) @continue @endif
@switch($question->type) @case('hidden') @break @case('text') @case('email') @case('tel') required == 'yes' ? 'required' : '' }} {{-- {{ $question->code == 'camp_location_pincode' ? 'pattern="\d*" maxlength="6"' : '' }} --}} {{ $question->code == 'camp_date' ? 'min="' . date('Y-m-d', strtotime('now') + 604800) . '"' : '' }} value="{{ isset($question->value) ? $question->value : '' }}"> @break @case('date') required == 'yes' ? 'required' : '' }} value="{{ isset($question->value) ? $question->value : '' }}"> @break @case('number') required == 'yes' ? 'required' : '' }} value="{{ isset($question->value) ? $question->value : 0 }}"> @break @case('textarea') @break @case('dropdown') @break @case('checkbox') @foreach ($question->options as $option)
value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked' : '' }}>
@endforeach @break @case('file') @break @endswitch
@endforeach @if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'))
@endif
@csrf @foreach ($questions as $question) @if (in_array($question->code, [ 'hba1c_zitamet_zita_rx', 'hba1c_zita_pio_met_rx', 'hba1c_zita_d_rx', 'hba1c_telma_ln_range_rx', 'hba1c_total_rx', 'hba1c_zita_dm_rx', 'supported_document', ])) @continue @endif
@switch($question->type) @case('hidden') @break @case('text') @case('email') @case('tel') @case('date') required == 'yes' ? 'required' : '' }} value="{{ isset($question->value) ? $question->value : '' }}"> @break @case('number') code == 'camp_location_pincode' ? 'min=0 max=999999' : 'min=0 max=9999999999' }} step="1" id="execution-{{ $question->code }}" name="{{ $question->code }}" class="form-control" {{ $question->required == 'yes' ? 'required' : '' }} value="{{ isset($question->value) ? $question->value : 0 }}"> @break @case('textarea') @break @case('dropdown') @break @case('checkbox') @foreach ($question->options as $option)
value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked' : '' }}>
@endforeach @break @case('file') @break @endswitch
@endforeach
Focus Brands / SKU
@foreach ($questions as $question) @if (in_array($question->code, [ 'record_date', 'no_of_patients', 'doctor_email', 'camp_location_pincode', 'camp_date', 'camp_to_be_executed_by', 'hba1c_zita_pio_met_rx', 'hba1c_zita_d_rx', 'hba1c_telma_ln_range_rx', 'hba1c_total_rx', 'fso_mobile_no', 'fso_whatsapp_no', 'contact_id', 'speciality', 'gforce_id', 'camp_address', 'start_time_of_camp', 'tentative_closing_time', 'expected_no_of_testing', 'hba1c_zita_dm_rx', 'executed_as_planned', 'supported_document', 'upload_support_docimage', 'upload_any_other_supporting_document' ])) @continue @endif
@switch($question->type) @case('hidden') @break @case('number') required == 'yes' ? 'required' : '' }} value="{{ isset($question->value) ? $question->value : 0 }}"> @break @endswitch
@endforeach
Other Brands / SKU
@foreach ($questions as $question) @if (in_array($question->code, [ 'record_date', 'no_of_patients', 'doctor_email', 'camp_location_pincode', 'camp_date', 'camp_to_be_executed_by', 'fso_mobile_no', 'fso_whatsapp_no', 'contact_id', 'speciality', 'gforce_id', 'camp_address', 'start_time_of_camp', 'tentative_closing_time', 'expected_no_of_testing', 'hba1c_zitamet_zita_rx', 'hba1c_total_rx', 'executed_as_planned', 'supported_document', 'upload_support_docimage', 'upload_any_other_supporting_document' ])) @continue @endif
@switch($question->type) @case('hidden') @break @case('number') required == 'yes' ? 'required' : '' }} value="{{ isset($question->value) ? $question->value : 0 }}"> @break @endswitch
@endforeach
@foreach ($questions as $question) @if (in_array($question->code, [ 'record_date', 'no_of_patients', 'doctor_email', 'camp_location_pincode', 'camp_date', 'camp_to_be_executed_by', 'hba1c_zita_pio_met_rx', 'hba1c_zita_d_rx', 'hba1c_telma_ln_range_rx', 'fso_mobile_no', 'fso_whatsapp_no', 'contact_id', 'speciality', 'gforce_id', 'camp_address', 'start_time_of_camp', 'tentative_closing_time', 'expected_no_of_testing', 'hba1c_zitamet_zita_rx', 'hba1c_zita_dm_rx', 'executed_as_planned', 'upload_support_docimage', 'upload_any_other_supporting_document' ])) @continue @endif
@switch($question->type) @case('hidden') @break @case('number') required == 'yes' ? 'required' : '' }} value="{{ isset($question->value) ? $question->value : 0 }}"> @break @case('file') @break @endswitch
@endforeach @if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'))
@endif
@include('layouts.shared/footer-script')