428 lines
21 KiB
PHP
428 lines
21 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" => $demo ?? ''])
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<link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
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<link href="{{ asset('assets/libs/select2/select2.min.css') }}" rel="stylesheet" type="text/css" />
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</head>
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<div id="pageloader">
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<img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
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</div>
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@php
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$brandData = [
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['brand'=>'ERDOMAC AB (Macleods)', 'slug'=>'erdomac_ab_macleods','pseudoId'=>'erdomac_ab_macleods_value'],
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['brand'=>'Ab Phylline E (SUN)', 'slug'=>'ab_phylline_e_sun','pseudoId'=>'ab_phylline_e_sun_value'],
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['brand'=>'AB FLO E (Lupin)', 'slug'=>'ab_flo_e_lupin','pseudoId'=>'ab_flo_e_lupin_value'],
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['brand'=>'Bronstedo (Sun)', 'slug'=>'bronstedo_sun','pseudoId'=>'bronstedo_sun_value'],
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['brand'=>'Erdozet AB (Glenmark)', 'slug'=>'erdozet_ab_glenmark','pseudoId'=>'erdozet_ab_glenmark_value'],
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['brand'=>'Erdozyd AB (Zydus)', 'slug'=>'erdozyd_ab_zydus','pseudoId'=>'erdozyd_ab_zydus_value'],
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['brand'=>'ABEVIA E (MANKIND)', 'slug'=>'abevia_e_mankind','pseudoId'=>'abevia_e_mankind_value'],
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['brand'=>'Others', 'slug'=>'others','pseudoId'=>'others_value'],
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];
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@endphp
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@php
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$submissions = Formhelper::getMultiformData($form->partition, $form_id, $form->user_id);
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$formdata = null;
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if (!empty($submissions->data->submissions)) {
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foreach ($submissions->data->submissions as $submission) {
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if ($submission->id == $id) {
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$formdata = $submission->formdata ?? null;
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break;
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}
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}
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}
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@endphp
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<body class="loading">
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<div class="account-pages">
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<div class="container">
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<div class="row justify-content-center">
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<div class="col-md-8 col-lg-6 col-xl-5 p-0">
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<div class="card bg-pattern">
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<div class="card-body p-3 row">
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@if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
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<br>@endif
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@if(session('success'))<div class=" alert alert-success">{{ session('success') }}
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</div>
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<br>@endif
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<div class="col-8">
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<h4 class="page-title">{{$form->title}}</h4>
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</div>
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@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'
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) )
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<div class="col-4">
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@if($form->link_type == 'form')
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<a href="/form/history" class="float-end pt-1">View History</a>
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@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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@if(isset($form->user_info))
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<div class="col-12">
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<h6>Submitted By: {{$form->user_info->name}}</h6>
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</div>
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@endif
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<form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
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<input type="hidden" name="form_id" value="{{$form_id}}">
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{{-- <input type="hidden" name="record_date" value="" id="field-record_date"> --}}
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@csrf
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@if($id)
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<input type="hidden" name="id" value="{{$id}}">
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@endif
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@if(isset($form->manager_can_submit) && $form->manager_can_submit == true)
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<div class="col-md-12 mb-2">
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<label for="field-user_id" class="form-label"> Select User / Territory <span
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class="text-danger">*</span> </label>
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<select class="form-control" id="field-user_id" name="user_id" required>
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<option value=""> -- Select -- </option>
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@foreach($form->users as $option)
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<option value="{{$option->value}}" hierarchy="{{$option->hierarchy_id}}"
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{{isset($question->value) && $question->value == $option->value ? 'selected':''}}>
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{{$option->display}}
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</option>
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@endforeach
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</select>
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<input type="hidden" id="field-hierarchy_id" name="hierarchy_id" value="">
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</div>
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@endif
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@foreach($questions as $question)
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<div class="col-md-12 mb-2">
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<label for="field-{{$question->code}}" class="form-label">{{$question->question}}
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{!!$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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@case('date')
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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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value="{{isset($question->value)?$question->value:''}}">
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@break
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@case('number')
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<input type="{{$question->type}}" min="0" max="9999999999" step="1"
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id="field-{{$question->code}}" 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}}"
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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 }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
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<option value=""> -- Select -- </option>
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@foreach ($question->options as $option)
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@if($question->code == 'contact_id' && isset($option->contact->type) && $option->contact->type != 'Chemist' )
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<option value="{{ $option->value }}"
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@if(isset($question->value) && $question->value == $option->value) selected @endif
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@if($question->code == 'contact_id')
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msl_code="{{ (isset($option->contact->msl_code) ? $option->contact->msl_code : '') }}"
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speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
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@endif
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>
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{{ $option->display }}
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</option>
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@elseif($question->code != 'contact_id')
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<option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'pcode= ' . (isset($option->contact->pcode)?$option->contact->pcode:'') . ' ' : '' }} {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
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{{ $option->display }}
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</option>
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@endif
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@endforeach
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</select>
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@break
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@case('checkbox')
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@foreach($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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@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval
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!= 'yes' ) )
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<input type="file" id="field-{{$question->code}}" name="{{$question->code}}"
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class="form-control" value="" {{$question->required == 'yes'?'required':'' }}>
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@elseif(isset($question->value))
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<img src="{{$question->value}}" class="img-fluid">
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@endif
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@break
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@case('multitextbox')
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<div class="row">
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<div style="width: auto; overflow-y: auto; overflow-x: auto;">
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<table class="table tableclass">
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<thead id="heading">
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<tr>
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<th>Competitor Name</th>
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<th>Rx in QTY/Month</th>
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{{-- <th>Value</th> --}}
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</tr>
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</thead>
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<tbody>
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@foreach($brandData as $brand)
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<tr>
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<td>{{ $brand['brand'] }}</td>
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<td>
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<input type="number" id="field-{{ $brand['slug'] }}"
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name="{{ $brand['slug'] }}"
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class="form-control form-control-large" value="{{ $id && isset($formdata) && isset($formdata->{$brand['slug']}) ? $formdata->{$brand['slug']} : 0 }}" >
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</td>
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{{-- <td>
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<input type="number" id="field-{{ $brand['pseudoId'] }}"
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name="{{ $brand['pseudoId'] }}"
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class="form-control form-control-large" readonly="true" value="{{ $id && isset($formdata) && isset($formdata->{$brand['pseudoId']}) ? $formdata->{$brand['pseudoId']} : 0 }}">
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</td> --}}
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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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<!-- @foreach($question->options as $option)
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<div class="col-6">{{$option->display}}</div>
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<div class="col-6 mb-1">
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<input type="number" id="field-{{$option->value}}" name="{{$option->value}}" class="form-control" required value="{{isset($option->val)?$option->val:0}}">
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</div>
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@endforeach -->
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</div>
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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 !=
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'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 </button>
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</div>
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@endif
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</form>
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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/select2/select2.min.js') }}"></script>
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<script type="text/javascript">
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jQuery(document).ready(function($) {
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$('[data-toggle="select2"]').select2();
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let selected_user_id = ''
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$('#field-user_id').change(function() {
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$("#pageloader").fadeIn();
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selected_user_id = $(this).val()
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hierarchy = $('option:selected', this).attr('hierarchy');
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$('#field-hierarchy_id').val(hierarchy)
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event.preventDefault();
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$("#pageloader").fadeOut();
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$.ajax({
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type: "GET",
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url: '/form/getdoctorlist?partition={{$form->partition}}&hierarchy=' +
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hierarchy,
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processData: false,
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contentType: false,
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success: function(data) {
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$("#pageloader").fadeOut();
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$('#field-contact_id').html('')
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$('#field-contact_id').append($("<option></option>").attr("value", '')
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.text('-- Select --'));
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for (let itm of data) {
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if(itm.contact.c2c == 'Yes') {
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$('#field-contact_id').append($("<option></option>").attr("value",
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itm.value).text(itm.display).attr("speciality", itm.contact.speciality));
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}
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}
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$('#field-contact_id').change(function() {
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$('#field-speciality').val($('option:selected', this).attr('speciality'))
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})
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$('#field-contact_id').change(function() {
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$('#field-msl_code').val($('option:selected', this).attr('msl_code'));
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})
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},
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});
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console.log(hierarchy)
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})
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$('label[for="field-brand"]').hide();
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$(document).ready(function() {
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$('#field-msl_code').on('input', function() {
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var value = $(this).val().replace(/[^0-9]/g, '');
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value = value.replace(/^0+/, '');
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$(this).val(value);
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});
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});
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$(document).ready(function() {
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$('#field-contact_id').on('input', function() {
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var value = $(this).val().replace(/[0-9]/g, '');
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$(this).val(value);
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});
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});
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$(document).ready(function() {
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var today = new Date();
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var maxDate = today.toLocaleDateString('en-CA'); // YYYY-MM-DD
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var minDate = '2026-10-01';
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var $recordDate = $('#field-record_date');
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$recordDate.attr({
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min: minDate,
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max: maxDate
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});
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// Date validation function
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function validateFutureDate() {
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var selectedDate = $recordDate.val();
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if (selectedDate && selectedDate > maxDate) {
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alert('Future date is not allowed. Please select today or a past date.');
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$recordDate.val(''); // Clear the input field
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return false;
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}
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return true;
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}
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// Android वर instant trigger होण्यासाठी input, change, आणि blur
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$recordDate.on('input change blur', function() {
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validateFutureDate();
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});
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});
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$('#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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$('#report-form').trigger("reset");
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$('#field-user_id').val(selected_user_id)
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$('#field-user_id').trigger("change");
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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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});
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</script>
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</body>
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</html> |