464 lines
27 KiB
PHP
464 lines
27 KiB
PHP
<!DOCTYPE html>
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<html lang="en">
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<head>
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@include('layouts.shared/title-meta', ['title' => 'Form'])
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@include('layouts.shared/head-css', ['mode' => $mode ?? '', 'demo' => $demo ?? ''])
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<link href="{{ asset('assets/libs/sweetalert2/sweetalert2.min.css') }}" rel="stylesheet" type="text/css" />
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<link href="{{ asset('assets/libs/flatpickr/flatpickr.min.css') }}" rel="stylesheet" type="text/css" />
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</head>
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<div id="pageloader">
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<img src="/images/loader-large.gif" alt="processing..." />
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</div>
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<body class="loading">
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<div class="account-pages">
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<div class="container">
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<div class="row justify-content-center">
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<div class="col-md-8 col-lg-6 col-xl-5 p-0">
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<div class="card">
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<div class="card-body p-3 row">
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@if (Session::has('error'))
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<div class="alert alert-danger">{{ Session::get('error') }}</div>
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<br>
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@endif
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@if (session('success'))
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<div class=" alert alert-success">{{ session('success') }}
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</div>
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<br>
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@endif
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<div class="col-8">
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<h4 class="page-title">Neuropathy Detection Camps</h4>
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</div>
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@if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'))
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<div class="col-4">
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@if ($form->link_type == 'form')
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<!-- <a href="/form/history" class="float-end pt-1">View History</a> -->
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<button type="button" class="btn btn-primary btn-xs" id="add-camp-btn">Add
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Plan</button>
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@else
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<a href="{{ url()->previous() }}" class="float-end pt-1">Back</a>
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@endif
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</div>
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@endif
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@php
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$history = Formhelper::getMultiformData($form->partition, $form->form_id, $form->user_id);
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@endphp
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<div class="col-12" id="table-wrapper">
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<div class="table-responsive">
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<table class="table table-borderless table-nowrap table-hover table-centered m-0">
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<thead class="table-light">
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<tr>
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<th>Action</th>
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<th>Plan Date</th>
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<th>Executed Date</th>
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<th>Doctor Name</th>
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<th>No. of Patients Detected</th>
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<th>Rx generated for product</th>
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<th>No. of Rx generated</th>
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</tr>
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</thead>
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<tbody>
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@foreach ($history->data->submissions as $sub)
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@php
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$sub->formdata->id = $sub->id;
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@endphp
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<tr>
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<td>
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<button type="button" class="btn btn-xs btn-info edit-btn"
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plan_details="{{ json_encode($sub->formdata) }}"><i
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class="mdi mdi-pencil"></i> Edit</button>
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</td>
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<td>{{ $sub->formdata->plan_date }}
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</td>
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<td>{{ $sub->formdata->execution_date }}
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</td>
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<td>
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<h5 class="m-0 fw-normal">{{ $sub->formdata->contact_id }}</h5>
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</td>
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<td>{{ $sub->formdata->no_of_patients_detected }}
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<td>{{ $sub->formdata->rx_generated_for_product }}
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<td>{{ $sub->formdata->no_of_rx_generated }}
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</tr>
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@endforeach
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</tbody>
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</table>
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</div>
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</div>
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<div id="form-wrapper">
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<form method="POST" action="/form/submit" id="report-form"
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enctype="multipart/form-data">
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<input type="hidden" name="form_id" value="{{ $form_id }}">
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@csrf
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@if ($id)
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<input type="hidden" name="id" value="{{ $id }}">
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@endif
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@foreach ($questions as $question)
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@if (in_array($question->code, [
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'execution_date',
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'no_of_patients_detected',
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'rx_generated_for_product',
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'no_of_rx_generated',
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'attach_prescription',
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]))
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@continue
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@endif
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<div class="col-md-12 mb-2">
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<label for="field-{{ $question->code }}"
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class="form-label">{{ $question->question }} {!! $question->required == 'yes' ? '<span class="text-danger">*</span>' : '' !!}
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</label>
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@switch($question->type)
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@case('hidden')
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<input type="{{ $question->type }}" id="field-{{ $question->code }}"
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name="{{ $question->code }}"
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value="{{ isset($question->value) ? $question->value : '' }}">
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@break
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@case('text')
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@case('email')
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@case('tel')
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<input type="{{ $question->type }}" id="field-{{ $question->code }}"
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name="{{ $question->code }}" class="form-control"
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{{ $question->required == 'yes' ? 'required' : '' }}
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{{ $question->code == 'camp_date' ? 'min="' . date('Y-m-d', strtotime('now') + 604800) . '"' : '' }}
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value="{{ isset($question->value) ? $question->value : '' }}">
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@break
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@case('date')
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<input type="{{ $question->type }}" id="field-{{ $question->code }}"
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name="{{ $question->code }}" class="form-control datepicker"
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{{ $question->required == 'yes' ? 'required' : '' }}
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value="{{ isset($question->value) ? $question->value : '' }}">
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@break
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@case('number')
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<input type="{{ $question->type }}" min="0" max="9999999999"
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step="1" id="field-{{ $question->code }}"
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name="{{ $question->code }}" class="form-control"
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{{ $question->required == 'yes' ? 'required' : '' }}
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value="{{ isset($question->value) ? $question->value : 0 }}">
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@break
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@case('textarea')
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<textarea id="field-{{ $question->code }}" name="{{ $question->code }}" class="form-control"
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{{ $question->required == 'yes' ? 'required' : '' }}>{{ isset($question->value) ? $question->value : '' }}</textarea>
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@break
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@case('dropdown')
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<select class="form-control" id="field-{{ $question->code }}"
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name="{{ $question->code }}"
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{{ $question->required == 'yes' ? 'required' : '' }}>
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<option value=""> -- Select -- </option>
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@foreach ($question->options as $option)
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<option value="{{ $option->value }}"{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>{{ $option->display }}</option>
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@endforeach
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</select>
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@break
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@case('checkbox')
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@foreach ($question->options as $option)
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<div class="form-check mb-2 form-check-primary">
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<input class="form-check-input" type="checkbox"
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id="field-{{ $question->code }}-{{ $option->value }}"
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name="{{ $question->code }}[]" value="{{ $option->value }}"
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{{ isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked' : '' }}>
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<label class="form-check-label"
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for="field-{{ $question->code }}-{{ $option->value }}">{{ $option->display }}</label>
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</div>
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@endforeach
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@break
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@case('file')
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<input type="file" id="field-{{ $question->code }}"
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name="{{ $question->code }}" class="form-control" value=""
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accept="image/jpg, image/jpeg, image/png" required>
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@break
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@endswitch
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</div>
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@endforeach
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@if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'))
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<div class="text-center d-grid mt-3">
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<button class="btn btn-primary" type="submit" id="submit-btn"> Submit
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</button>
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</div>
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@endif
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</form>
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</div>
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<div id="execution-form-wrapper">
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<form method="POST" action="/form/submit" id="execution-form"
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enctype="multipart/form-data">
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<input type="hidden" name="form_id" value="{{ $form_id }}">
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@csrf
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<input type="hidden" name="id" value="" id="execution-id">
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@foreach ($questions as $question)
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<div class="col-md-12 mb-2">
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<label for="execution-{{ $question->code }}"
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class="form-label">{{ $question->question }} {!! $question->required == 'yes' ? '<span class="text-danger">*</span>' : '' !!}
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</label>
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@switch($question->type)
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@case('hidden')
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<input type="{{ $question->type }}" id="execution-{{ $question->code }}"
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name="{{ $question->code }}"
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value="{{ isset($question->value) ? $question->value : '' }}">
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@break
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@case('text')
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@case('email')
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@case('tel')
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@case('date')
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<input type="{{ $question->type }}" id="execution-{{ $question->code }}"
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name="{{ $question->code }}" class="form-control"
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{{ $question->required == 'yes' ? 'required' : '' }}
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value="{{ isset($question->value) ? $question->value : '' }}">
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@break
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@case('number')
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<input type="{{ $question->type }}" min="0" max="9999999999"
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step="1" id="execution-{{ $question->code }}"
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name="{{ $question->code }}" class="form-control"
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{{ $question->required == 'yes' ? 'required' : '' }}
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value="{{ isset($question->value) ? $question->value : 0 }}">
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@break
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@case('textarea')
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<textarea id="execution-{{ $question->code }}" name="{{ $question->code }}" class="form-control"
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{{ $question->required == 'yes' ? 'required' : '' }}>{{ isset($question->value) ? $question->value : '' }}</textarea>
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@break
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@case('dropdown')
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<select class="form-control" id="execution-{{ $question->code }}"
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name="{{ $question->code }}"
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{{ $question->required == 'yes' ? 'required' : '' }}>
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<option value=""> -- Select -- </option>
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@foreach ($question->options as $option)
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<option value="{{ $option->value }}"{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>{{ $option->display }}</option>
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@endforeach
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</select>
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@break
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@case('checkbox')
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@foreach ($question->options as $option)
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<div class="form-check mb-2 form-check-primary">
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<input class="form-check-input" type="checkbox"
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id="execution-{{ $question->code }}-{{ $option->value }}"
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name="{{ $question->code }}[]" value="{{ $option->value }}"
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{{ isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked' : '' }}>
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<label class="form-check-label"
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for="execution-{{ $question->code }}-{{ $option->value }}">{{ $option->display }}</label>
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</div>
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@endforeach
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@break
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@case('file')
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<input type="file" id="execution-{{ $question->code }}"
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name="{{ $question->code }}" class="form-control" value=""
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accept="image/jpg, image/jpeg, image/png" {{ $question->required == 'yes' ? 'required' : '' }}>
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@break
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@endswitch
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</div>
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@endforeach
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@if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'))
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<div class="text-center d-grid mt-3">
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<button class="btn btn-primary" type="submit" id="submit-btn"> Submit
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</button>
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</div>
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@endif
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</form>
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</div>
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</div> <!-- end card-body -->
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</div>
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<!-- end card -->
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<!-- end row -->
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</div> <!-- end col -->
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</div>
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<!-- end row -->
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</div>
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<!-- end container -->
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</div>
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<!-- end page -->
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<style type="text/css">
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#pageloader {
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background: rgba(255, 255, 255, 0.8);
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display: none;
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height: 100%;
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position: fixed;
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width: 100%;
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z-index: 9999;
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}
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#pageloader img {
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left: 50%;
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margin-left: -32px;
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margin-top: -32px;
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position: absolute;
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top: 50%;
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}
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</style>
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@include('layouts.shared/footer-script')
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<script src="{{ asset('assets/libs/sweetalert2/sweetalert2.min.js') }}"></script>
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<script src="{{ asset('assets/libs/flatpickr/flatpickr.min.js') }}"></script>
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<script type="text/javascript">
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jQuery(document).ready(function($) {
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$('#form-wrapper').hide()
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$('#execution-form-wrapper').hide()
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$('#add-camp-btn').click(function() {
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$('#execution-form-wrapper').hide()
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$('#form-wrapper').show()
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$('#table-wrapper').hide()
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})
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$('#field-other_doctor_name').parent().hide();
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$('#field-other_doctor_code').parent().hide();
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$('#field-contact_id').append($("<option></option>").attr("value",'other').text('Other'));
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$('#field-contact_id').change(function(){
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if($('#field-contact_id').val() == 'other') {
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$('#field-other_doctor_name').parent().show();
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$('#field-other_doctor_code').parent().show();
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$('#field-other_doctor_name').prop('required', true)
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$('#field-other_doctor_code').prop('required', true)
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} else {
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$('#field-other_doctor_name').parent().hide();
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$('#field-other_doctor_code').parent().hide();
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$('#field-other_doctor_name').removeAttr('required')
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$('#field-other_doctor_code').removeAttr('required')
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}
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})
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$('.edit-btn').click(function() {
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let selected = JSON.parse($(this).attr('plan_details'))
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for (let k of Object.keys(selected)) {
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if (selected[k] != '') {
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if (k == 'attach_prescription')
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continue;
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if (k == 'contact_id')
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$('#execution-contact_id')
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.val($("#execution-contact_id option:contains(" + selected[k] + ")")
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.attr('value'))
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.trigger('change');
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else
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$('#execution-' + k).val(selected[k]);
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}
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}
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$('#execution-contact_id').prop('disabled',true)
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$('#execution-id').val(selected['id'])
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$('#execution-form-wrapper').show()
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$('#table-wrapper').hide()
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})
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$('#report-form').on('submit', function(event) {
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event.preventDefault();
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$("#pageloader").fadeIn();
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$.ajax({
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type: "POST",
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url: '/form/ajaxsubmit',
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data: new FormData($('#report-form')[0]),
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processData: false,
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contentType: false,
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success: function(data) {
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$("#pageloader").fadeOut();
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if (data.status == 'success') {
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Swal.fire({
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title: 'Great!',
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text: 'Your data is successfully submitted!',
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icon: 'success'
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})
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window.location.reload();
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//$('#report-form').trigger("reset");
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} else {
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Swal.fire({
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icon: 'error',
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title: 'Data not submitted',
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text: 'Something went wrong, please try again after some time!'
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})
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}
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},
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});
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});
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$('#execution-form').on('submit', function(event) {
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event.preventDefault();
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$('#execution-contact_id').prop('disabled',false)
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//$('#execution-form').append('contact_id', $('#execution-contact_id').val());
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$('#execution-form').append('<input type="hidden" name="contact_id" value="'+ $('#execution-contact_id').val() +'">')
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$('#execution-form').append('<input type="hidden" name="'+ $('#execution-rx_generated_for_product').val() +'" value="'+ $('#execution-no_of_rx_generated').val() +'">')
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$("#pageloader").fadeIn();
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$.ajax({
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type: "POST",
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url: '/form/ajaxsubmit',
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data: new FormData($('#execution-form')[0]),
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processData: false,
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contentType: false,
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success: function(data) {
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$("#pageloader").fadeOut();
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if (data.status == 'success') {
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Swal.fire({
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title: 'Great!',
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text: 'Your data is successfully submitted!',
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icon: 'success'
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})
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window.location.reload();
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//$('#report-form').trigger("reset");
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} else {
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Swal.fire({
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icon: 'error',
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title: 'Data not submitted',
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text: 'Something went wrong, please try again after some time!'
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})
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}
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},
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});
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});
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var today = new Date();
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var dd = String(today.getDate()).padStart(2, '0');
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var mm = String(today.getMonth() + 1).padStart(2, '0');
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var yyyy = today.getFullYear();
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today = yyyy + '-' + mm + '-' + dd;
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// commented for only few days.
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// var recordDateField = document.getElementById('field-plan_date');
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// recordDateField.setAttribute('min', today);
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var executionDateField = document.getElementById('execution-plan_date');
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$('.edit-btn').click(function() {
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var executionexeField = document.getElementById('execution-execution_date');
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executionexeField.setAttribute('min', executionDateField.value);
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});
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executionDateField.addEventListener('change', function() {
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console.log('gg');
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var executionexeField = document.getElementById('execution-execution_date');
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executionexeField.setAttribute('min', executionDateField.value);
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});
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});
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</script>
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</body>
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</html>
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