643 lines
36 KiB
PHP
643 lines
36 KiB
PHP
<!DOCTYPE html>
|
||
<html lang="en">
|
||
|
||
<head>
|
||
@include('layouts.shared/title-meta', ['title' => "Form"])
|
||
@include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
|
||
<link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
|
||
<link href="{{ asset('assets/libs/select2/select2.min.css') }}" rel="stylesheet" type="text/css" />
|
||
</head>
|
||
<div id="pageloader">
|
||
<img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
|
||
</div>
|
||
@php
|
||
$brandData = [
|
||
|
||
['brand'=>'JUNIOR LANZOL 15', 'slug'=>'junior_lanzol_15_units','pseudoId'=>'junior_lanzol_15_value'],
|
||
['brand'=>'JUNIOR LANZOL 30', 'slug'=>'junior_lanzol_30_units','pseudoId'=>'junior_lanzol_30_value'],
|
||
['brand'=>"LEVOFLOX 250 (10'S) IP", 'slug'=>'levoflox_250_10s_ip_units','pseudoId'=>'levoflox_250_10s_ip_value'],
|
||
['brand'=>"LEVOFLOX 250 TAB 10'", 'slug'=>'levoflox_250_tab_10_units','pseudoId'=>'levoflox_250_tab_10_value'],
|
||
['brand'=>"LEVOFLOX 500 (10'S) IP", 'slug'=>'levoflox_500_10s_ip_units','pseudoId'=>'levoflox_500_10s_ip_value'],
|
||
['brand'=>"LEVOFLOX 500 10'S", 'slug'=>'levoflox_500_10s_units','pseudoId'=>'levoflox_500_10s_value'],
|
||
['brand'=>"LEVOFLOX 750 (5'S) IP", 'slug'=>'levoflox_750_5s_ip_units','pseudoId'=>'levoflox_750_5s_ip_value'],
|
||
['brand'=>"LEVOFLOX 750 TAB 5'S", 'slug'=>'levoflox_750_tab_5s_units','pseudoId'=>'levoflox_750_tab_5s_value'],
|
||
['brand'=>'LEVOFLOX INFUSION', 'slug'=>'levoflox_infusion_units','pseudoId'=>'levoflox_infusion_value'],
|
||
['brand'=>'METASPRAY 100AQ', 'slug'=>'metaspray_100aq_units','pseudoId'=>'metaspray_100aq_value'],
|
||
|
||
['brand'=>'MONTAIR FX', 'slug'=>'montair_fx_units','pseudoId'=>'montair_fx_value'],
|
||
['brand'=>'Montair FX 15s', 'slug'=>'montair_fx_15s_units','pseudoId'=>'montair_fx_15s_value'],
|
||
['brand'=>'CEFOPROX 100 30ML(60)', 'slug'=>'cefoprox_100_30ml60_units','pseudoId'=>'cefoprox_100_30ml60_value'],
|
||
['brand'=>'CEFOPROX 100DT', 'slug'=>'cefoprox_100dt_units','pseudoId'=>'cefoprox_100dt_value'],
|
||
['brand'=>"CEFOPROX 200 10'S", 'slug'=>'cefoprox_200_10s_units','pseudoId'=>'cefoprox_200_10s_value'],
|
||
['brand'=>'CEFOPROX 50 30ml', 'slug'=>'cefoprox_50_30ml_units','pseudoId'=>'cefoprox_50_30ml_value'],
|
||
['brand'=>'CEFOPROX CV 325 TAB', 'slug'=>'cefoprox_cv_325_tab_units','pseudoId'=>'cefoprox_cv_325_tab_value'],
|
||
['brand'=>'Cheston DUO 100ml Syrup', 'slug'=>'cheston_duo_100ml_syrup_units','pseudoId'=>'cheston_duo_100ml_syrup_value'],
|
||
['brand'=>'Cheston LS Junior 100 ML', 'slug'=>'cheston_ls_junior_100_ml_units','pseudoId'=>'cheston_ls_junior_100_ml_value'],
|
||
['brand'=>'Cheston-D Cough Syrup 100 ML', 'slug'=>'cheston_d_cough_syrup_100_ml_units','pseudoId'=>'cheston_d_cough_syrup_100_ml_value'],
|
||
|
||
['brand'=>"Cheston-D Plus 1 x 10'S", 'slug'=>'cheston_d_plus_1_x_10s_units','pseudoId'=>'cheston_d_plus_1_x_10s_value'],
|
||
['brand'=>'Cheston-LS Cough Syrup 100 ML', 'slug'=>'cheston_ls_cough_syrup_100_ml_units','pseudoId'=>'cheston_ls_cough_syrup_100_ml_value'],
|
||
['brand'=>'Cheston-LS Junior 60 ML', 'slug'=>'cheston_ls_junior_60_ml_units','pseudoId'=>'cheston_ls_junior_60_ml_value'],
|
||
['brand'=>'DALACIN C 150MG CAPS 10s', 'slug'=>'dalacin_c_150mg_caps_10s_units','pseudoId'=>'dalacin_c_150mg_caps_10s_value'],
|
||
['brand'=>'DALACIN C 300MG CAPS 10s', 'slug'=>'dalacin_c_300mg_caps_10s_units','pseudoId'=>'dalacin_c_300mg_caps_10s_value'],
|
||
['brand'=>'DOLONEX DISP 20MG TABS (IP)', 'slug'=>'dolonex_disp_20mg_tabs_ip_units','pseudoId'=>'dolonex_disp_20mg_tabs_ip_value'],
|
||
['brand'=>'DOLONEX IM 20MG/1ML INJ', 'slug'=>'dolonex_im_20mg1ml_inj_units','pseudoId'=>'dolonex_im_20mg1ml_inj_value'],
|
||
['brand'=>"DOLONEX IM 40MG 2ML INJ HOSP (IP)", 'slug'=>'dolonex_im_40mg_2ml_inj_hosp_ip_units','pseudoId'=>'dolonex_im_40mg_2ml_inj_hosp_ip_value'],
|
||
['brand'=>"DOLONEX IM 40MG/2ML INJ (IP)", 'slug'=>'dolonex_im_40mg2ml_inj_ip_units','pseudoId'=>'dolonex_im_40mg2ml_inj_ip_value'],
|
||
['brand'=>'DUONASE - F 70 MD', 'slug'=>'duonase_f_70_md_units','pseudoId'=>'duonase_f_70_md_value'],
|
||
|
||
['brand'=>"DUONASE NASAL SPRAY", 'slug'=>'duonase_nasal_spray_units','pseudoId'=>'duonase_nasal_spray_value'],
|
||
['brand'=>"IBUGESIC PLUS SUSP", 'slug'=>'ibugesic_plus_susp_units','pseudoId'=>'ibugesic_plus_susp_value'],
|
||
['brand'=>'IBUGESIC PLUS SUSP 1', 'slug'=>'ibugesic_plus_susp_1_units','pseudoId'=>'ibugesic_plus_susp_1_value'],
|
||
['brand'=>"IBUGESIC PLUS SUSPENSION 100ML - ORANGE", 'slug'=>'ibugesic_plus_suspension_100ml_orange_units','pseudoId'=>'ibugesic_plus_suspension_100ml_orange_value'],
|
||
['brand'=>"MUCINAC 200 TABLET 1 X 10'S", 'slug'=>'mucinac_200_tablet_1_x_10s_units','pseudoId'=>'mucinac_200_tablet_1_x_10s_value'],
|
||
['brand'=>'MUCINAC 600 TABLETS', 'slug'=>'mucinac_600_tablets_units','pseudoId'=>'mucinac_600_tablets_value'],
|
||
['brand'=>'Mucinac AB 1 X 10 TABLETS', 'slug'=>'mucinac_ab_1_x_10_tablets_units','pseudoId'=>'mucinac_ab_1_x_10_tablets_value'],
|
||
['brand'=>"Mucinac AB Tablet", 'slug'=>'mucinac_ab_tablet_units','pseudoId'=>'mucinac_ab_tablet_value'],
|
||
['brand'=>"MUCINAC C Tablets 1 x 15'S", 'slug'=>'mucinac_c_tablets_1_x_15s_units','pseudoId'=>'mucinac_c_tablets_1_x_15s_value'],
|
||
['brand'=>'Mucinac Oral Solution 100ml', 'slug'=>'mucinac_oral_solution_100ml_units','pseudoId'=>'mucinac_oral_solution_100ml_value'],
|
||
|
||
|
||
['brand'=>"NOVAMOX - 500", 'slug'=>'novamox_500_units','pseudoId'=>'novamox_500_value'],
|
||
['brand'=>"NOVAMOX 125 REDIUSE 30 ML", 'slug'=>'novamox_125_rediuse_30_ml_units','pseudoId'=>'novamox_125_rediuse_30_ml_value'],
|
||
['brand'=>'NOVAMOX 125 REDIUSE 60 ML', 'slug'=>'novamox_125_rediuse_60_ml_units','pseudoId'=>'novamox_125_rediuse_60_ml_value'],
|
||
['brand'=>"NOVAMOX 250 DT 15's", 'slug'=>'novamox_250_dt_15s_units','pseudoId'=>'novamox_250_dt_15s_value'],
|
||
['brand'=>"NOVAMOX 250 R/U 30", 'slug'=>'novamox_250_ru_30_units','pseudoId'=>'novamox_250_ru_30_value'],
|
||
['brand'=>'NOVAMOX 250 REDIUSE', 'slug'=>'novamox_250_rediuse_units','pseudoId'=>'novamox_250_rediuse_value'],
|
||
['brand'=>'NOVAMOX 30ML', 'slug'=>'novamox_30ml_units','pseudoId'=>'novamox_30ml_value'],
|
||
['brand'=>"NOVAMOX 60ML", 'slug'=>'novamox_60ml_units','pseudoId'=>'novamox_60ml_value'],
|
||
['brand'=>"NOVAMOX CV 1000 MG", 'slug'=>'novamox_cv_1000_mg_units','pseudoId'=>'novamox_cv_1000_mg_value'],
|
||
['brand'=>"NOVAMOX CV 228.5 DT TABLETS", 'slug'=>'novamox_cv_2285_dt_tablets_units','pseudoId'=>'novamox_cv_2285_dt_tablets_value'],
|
||
|
||
['brand'=>"NOVAMOX CV 228.5 MG SYRUP", 'slug'=>'novamox_cv_2285_mg_syrup_units','pseudoId'=>'novamox_cv_2285_mg_syrup_value'],
|
||
['brand'=>"NOVAMOX CV 375 TAB 10s", 'slug'=>'novamox_cv_375_tab_10s_units','pseudoId'=>'novamox_cv_375_tab_10s_value'],
|
||
['brand'=>"NOVAMOX CV 457 DT 10's", 'slug'=>'novamox_cv_457_dt_10s_units','pseudoId'=>'novamox_cv_457_dt_10s_value'],
|
||
['brand'=>"NOVAMOX CV 625 TABLETS 10", 'slug'=>'novamox_cv_625_tablets_10_units','pseudoId'=>'novamox_cv_625_tablets_10_value'],
|
||
['brand'=>"NOVAMOX CV DROPS", 'slug'=>'novamox_cv_drops_units','pseudoId'=>'novamox_cv_drops_value'],
|
||
['brand'=>'Novamox CV Dry Syrup 30 ML', 'slug'=>'novamox_cv_dry_syrup_30_ml_units','pseudoId'=>'novamox_cv_dry_syrup_30_ml_value'],
|
||
['brand'=>'NOVAMOX CV DS', 'slug'=>'novamox_cv_ds_units','pseudoId'=>'novamox_cv_ds_value'],
|
||
['brand'=>"NOVAMOX CV FORTE SYP", 'slug'=>'novamox_cv_forte_syp_units','pseudoId'=>'novamox_cv_forte_syp_value'],
|
||
['brand'=>"Novamox CV Forte Syp 60 ml", 'slug'=>'novamox_cv_forte_syp_60_ml_units','pseudoId'=>'novamox_cv_forte_syp_60_ml_value'],
|
||
['brand'=>"NOVAMOX DROPS", 'slug'=>'novamox_drops_units','pseudoId'=>'novamox_drops_value'],
|
||
|
||
['brand'=>"NOVAMOX LB 500", 'slug'=>'novamox_lb_500_units','pseudoId'=>'novamox_lb_500_value'],
|
||
['brand'=>"NOVAMOX RDU DROPS", 'slug'=>'novamox_rdu_drops_units','pseudoId'=>'novamox_rdu_drops_value'],
|
||
['brand'=>"NOVAMOX-125 DT 15'S", 'slug'=>'novamox_125_dt_15s_units','pseudoId'=>'novamox_125_dt_15s_value'],
|
||
['brand'=>"NOVAMOX-250 [15'S]", 'slug'=>'novamox_250_15s_units','pseudoId'=>'novamox_250_15s_value'],
|
||
['brand'=>"TEDISPAN 200 TABLETS 6S", 'slug'=>'tedispan_200_tablets_6s_units','pseudoId'=>'tedispan_200_tablets_6s_value'],
|
||
['brand'=>"RABICIP - L CAPSULES", 'slug'=>'rabicip_l_capsules_units','pseudoId'=>'rabicip_l_capsules_value'],
|
||
['brand'=>"RABICIP 20 15'S", 'slug'=>'rabicip_20_15s_units','pseudoId'=>'rabicip_20_15s_value'],
|
||
['brand'=>"RABICIP 20 TABLETS 15S", 'slug'=>'rabicip_20_tablets_15s_units','pseudoId'=>'rabicip_20_tablets_15s_value'],
|
||
['brand'=>"RABICIP 20mg (IP) 1 x 15s TABLETS", 'slug'=>'rabicip_20mg_ip_1_x_15s_tablets_units','pseudoId'=>'rabicip_20mg_ip_1_x_15s_tablets_value'],
|
||
['brand'=>"RABICIP D CAPSULES 1 X 15'S", 'slug'=>'rabicip_d_capsules_1_x_15s_units','pseudoId'=>'rabicip_d_capsules_1_x_15s_value'],
|
||
['brand'=>"ANTIFLU SYRUP 75 ML", 'slug'=>'antiflu_syrup_75_ml_units','pseudoId'=>'antiflu_syrup_75_ml_value']
|
||
|
||
|
||
|
||
|
||
|
||
];
|
||
|
||
@endphp
|
||
|
||
|
||
@php
|
||
// echo "<pre>";
|
||
// print_r($submitted_formdata);
|
||
// echo "</pre>";
|
||
$skuData = [];
|
||
|
||
foreach($questions as $q){
|
||
if($q->code === 'sku'){
|
||
foreach($q->options as $opt){
|
||
$skuData[$opt->value] = $opt->submitted_value ?? 0;
|
||
}
|
||
}
|
||
}
|
||
|
||
@endphp
|
||
|
||
|
||
|
||
<body class="loading">
|
||
<div class="account-pages">
|
||
<div class="container">
|
||
<div class="row justify-content-center">
|
||
<div class="col-md-8 col-lg-6 col-xl-5 p-0">
|
||
<div class="card bg-pattern">
|
||
<div class="card-body p-3 row">
|
||
|
||
@if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
|
||
<br>@endif
|
||
@if(session('success'))<div class=" alert alert-success">{{ session('success') }}
|
||
</div>
|
||
<br>@endif
|
||
<div class="col-8">
|
||
<h4 class="page-title">{{$form->title}}</h4>
|
||
</div>
|
||
@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'
|
||
) )
|
||
<div class="col-4">
|
||
@if($form->link_type == 'form')
|
||
<a href="/form/history" class="float-end pt-1">View History</a>
|
||
@else
|
||
<a href="{{url()->previous()}}" class="float-end pt-1">Back</a>
|
||
@endif
|
||
</div>
|
||
@endif
|
||
@if(isset($form->user_info))
|
||
<div class="col-12">
|
||
<h6>Submitted By: {{$form->user_info->name}}</h6>
|
||
</div>
|
||
@endif
|
||
<form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
|
||
<input type="hidden" name="form_id" value="{{$form_id}}">
|
||
<input type="hidden" name="record_date" value="" id="field-record_date">
|
||
@csrf
|
||
@if($id)
|
||
<input type="hidden" name="id" value="{{$id}}">
|
||
@endif
|
||
@if(isset($form->manager_can_submit) && $form->manager_can_submit == true)
|
||
<div class="col-md-12 mb-2">
|
||
<label for="field-user_id" class="form-label"> Select User / Territory <span
|
||
class="text-danger">*</span> </label>
|
||
<select class="form-control" id="field-user_id" name="user_id" required>
|
||
<option value=""> -- Select -- </option>
|
||
@foreach($form->users as $option)
|
||
<option value="{{$option->value}}" hierarchy="{{$option->hierarchy_id}}"
|
||
{{isset($question->value) && $question->value == $option->value ? 'selected':''}}>
|
||
{{$option->display}}
|
||
</option>
|
||
@endforeach
|
||
</select>
|
||
<input type="hidden" id="field-hierarchy_id" name="hierarchy_id" value="">
|
||
</div>
|
||
@endif
|
||
|
||
@foreach($questions as $question)
|
||
@if (in_array($question->code, ['record_date', 'attendence','honorarium_amount','other_expenses','total_eas','no_of_patients_on_duolin','no_of_units_duolin_respules']))
|
||
@continue
|
||
@endif
|
||
<div class="col-md-12 mb-2">
|
||
|
||
|
||
<label for="field-{{$question->code}}" class="form-label">{{$question->question}}
|
||
{!!$question->required == 'yes' ? '<span class="text-danger">*</span>':''!!}
|
||
</label>
|
||
@switch($question->type)
|
||
@case('hidden')
|
||
<input type="{{$question->type}}" id="field-{{$question->code}}"
|
||
name="{{$question->code}}"
|
||
value="{{isset($question->value)?$question->value:''}}">
|
||
@break
|
||
@case('text')
|
||
@case('email')
|
||
@case('tel')
|
||
@case('date')
|
||
<input type="{{$question->type}}" id="field-{{$question->code}}"
|
||
name="{{$question->code}}" class="form-control"
|
||
{{$question->required == 'yes'?'required':'' }}
|
||
value="{{isset($question->value)?$question->value:''}}">
|
||
@break
|
||
@case('number')
|
||
<input type="{{$question->type}}" min="0" max="9999999999" step="0.01"
|
||
id="field-{{$question->code}}" name="{{$question->code}}" class="form-control"
|
||
{{$question->required == 'yes'?'required':'' }}
|
||
value="{{isset($question->value)?$question->value:0}}">
|
||
@break
|
||
@case('textarea')
|
||
<textarea id="field-{{$question->code}}" name="{{$question->code}}"
|
||
class="form-control"
|
||
{{$question->required == 'yes'?'required':'' }}>{{isset($question->value)?$question->value:''}}</textarea>
|
||
@break
|
||
@case('dropdown')
|
||
<select class="form-control" id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
|
||
<option value=""> -- Select -- </option>
|
||
@if ($question->code == 'name_of_the_speaker')
|
||
@foreach ($question->options as $option)
|
||
@if(!isset($option->value))
|
||
@continue
|
||
@endif
|
||
@if(isset($option->contact->doctor_activities_for_neb_2_top_30_next_30_doctors) && $option->contact->doctor_activities_for_neb_2_top_30_next_30_doctors == 'Yes')
|
||
<option value="{{ $option->value }}"
|
||
{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
|
||
msl_code="{{ isset($option->contact->msl_code) ? $option->contact->msl_code : '' }}"
|
||
speciality="{{ isset($option->contact->speciality) ? $option->contact->speciality : '' }}">
|
||
{{ $option->display ?? '' }}
|
||
</option>
|
||
@endif
|
||
@endforeach
|
||
<option value="other" msl_code="" speciality="" {{ isset($question->value) && $question->value == 'other' ? 'selected' : '' }}>Other</option>
|
||
@elseif ($question->code == 'other_speaker_name')
|
||
@foreach ($question->options as $option)
|
||
@if(!isset($option->value))
|
||
@continue
|
||
@endif
|
||
@if(!isset($option->contact->doctor_activities_for_neb_2_top_30_next_30_doctors) ||
|
||
$option->contact->doctor_activities_for_neb_2_top_30_next_30_doctors === null
|
||
)
|
||
<option value="{{ $option->value }}"
|
||
{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
|
||
msl_code="{{ isset($option->contact->msl_code) ? $option->contact->msl_code : '' }}"
|
||
speciality="{{ isset($option->contact->speciality) ? $option->contact->speciality : '' }}">
|
||
{{ $option->display ?? '' }}
|
||
</option>
|
||
@endif
|
||
@endforeach
|
||
@else
|
||
@foreach ($question->options as $option)
|
||
@if(!isset($option->value))
|
||
@continue
|
||
@endif
|
||
<option value="{{ $option->value }}"
|
||
{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
|
||
msl_code="{{ isset($option->contact) && isset($option->contact->msl_code) ? $option->contact->msl_code : '' }}"
|
||
speciality="{{ isset($option->contact) && isset($option->contact->speciality) ? $option->contact->speciality : '' }}">
|
||
{{ $option->display ?? '' }}
|
||
</option>
|
||
@endforeach
|
||
@endif
|
||
</select>
|
||
@break
|
||
@case('checkbox')
|
||
@foreach($question->options as $option)
|
||
@if(!isset($option->value))
|
||
@continue
|
||
@endif
|
||
<div class="form-check mb-2 form-check-primary">
|
||
<input class="form-check-input" type="checkbox"
|
||
id="field-{{$question->code}}-{{$option->value}}"
|
||
name="{{$question->code}}[]" value="{{$option->value}}"
|
||
{{isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked':''}}>
|
||
<label class="form-check-label"
|
||
for="field-{{$question->code}}-{{$option->value}}">{{$option->display ?? ''}}</label>
|
||
</div>
|
||
@endforeach
|
||
@break
|
||
@case('file')
|
||
@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval
|
||
!= 'yes' ) )
|
||
<input type="file" id="field-{{$question->code}}" name="{{$question->code}}"
|
||
class="form-control" value="" {{$question->required == 'yes'?'required':'' }}>
|
||
@elseif(isset($question->value))
|
||
<img src="{{$question->value}}" class="img-fluid">
|
||
@endif
|
||
|
||
@break
|
||
@case('multitextbox')
|
||
<div class="row">
|
||
<div style="width: auto; overflow-y: auto; overflow-x: auto;">
|
||
<table class="table tableclass">
|
||
<thead id="heading">
|
||
<tr>
|
||
<th>Brand</th>
|
||
<th>Units</th>
|
||
<th>Value</th>
|
||
</tr>
|
||
</thead>
|
||
<tbody>
|
||
@foreach($brandData as $brand)
|
||
@php
|
||
//$unitVal = $skuData[$brand['slug']] ?? 0;
|
||
$unitVal = $submitted_formdata->{$brand['slug']} ?? 0;
|
||
$valueVal = $submitted_formdata->{$brand['pseudoId']} ?? 0;
|
||
@endphp
|
||
<tr>
|
||
|
||
<td>{{ $brand['brand'] }}</td>
|
||
<td>
|
||
<input type="number" id="field-{{ $brand['slug'] }}"
|
||
name="{{ $brand['slug'] }}"
|
||
class="form-control form-control-large" readonly="true" value="{{$unitVal}}" >
|
||
</td>
|
||
<td>
|
||
<input type="number" id="field-{{ $brand['pseudoId'] }}"
|
||
name="{{ $brand['pseudoId'] }}"
|
||
class="form-control form-control-large" readonly="true" value="{{$valueVal}}" >
|
||
</td>
|
||
|
||
</tr>
|
||
@endforeach
|
||
</tbody>
|
||
</table>
|
||
</div>
|
||
|
||
<!-- @foreach($question->options as $option)
|
||
<div class="col-6">{{$option->display}}</div>
|
||
<div class="col-6 mb-1">
|
||
<input type="number" id="field-{{$option->value}}" name="{{$option->value}}" class="form-control" required value="{{isset($option->val)?$option->val:0}}">
|
||
</div>
|
||
@endforeach -->
|
||
</div>
|
||
@break
|
||
@endswitch
|
||
</div>
|
||
@endforeach
|
||
@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval !=
|
||
'yes' ) )
|
||
<div class="text-center d-grid mt-3">
|
||
<button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
|
||
</div>
|
||
@endif
|
||
</form>
|
||
|
||
</div> <!-- end card-body -->
|
||
</div>
|
||
<!-- end card -->
|
||
|
||
<!-- end row -->
|
||
|
||
</div> <!-- end col -->
|
||
</div>
|
||
<!-- end row -->
|
||
</div>
|
||
<!-- end container -->
|
||
</div>
|
||
<!-- end page -->
|
||
<style type="text/css">
|
||
#pageloader {
|
||
background: rgba(255, 255, 255, 0.8);
|
||
display: none;
|
||
height: 100%;
|
||
position: fixed;
|
||
width: 100%;
|
||
z-index: 9999;
|
||
}
|
||
|
||
#pageloader img {
|
||
left: 50%;
|
||
margin-left: -32px;
|
||
margin-top: -32px;
|
||
position: absolute;
|
||
top: 50%;
|
||
}
|
||
</style>
|
||
@include('layouts.shared/footer-script')
|
||
<script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
|
||
<script src="{{ asset('assets/libs/select2/select2.min.js') }}"></script>
|
||
<script type="text/javascript">
|
||
jQuery(document).ready(function($) {
|
||
$('[data-toggle="select2"]').select2();
|
||
let selected_user_id = ''
|
||
$('#field-user_id').change(function() {
|
||
$("#pageloader").fadeIn();
|
||
selected_user_id = $(this).val()
|
||
hierarchy = $('option:selected', this).attr('hierarchy');
|
||
$('#field-hierarchy_id').val(hierarchy)
|
||
event.preventDefault();
|
||
$.ajax({
|
||
type: "GET",
|
||
url: '/form/getdoctorlist?partition={{$form->partition}}&hierarchy=' +
|
||
hierarchy,
|
||
processData: false,
|
||
contentType: false,
|
||
success: function(data) {
|
||
$("#pageloader").fadeOut();
|
||
$('#field-contact_id').html('')
|
||
$('#field-contact_id').append($("<option></option>").attr("value", '')
|
||
.text('-- Select --'));
|
||
for (let itm of data) {
|
||
if(itm.contact.c2c == 'Yes') {
|
||
$('#field-contact_id').append($("<option></option>").attr("value",
|
||
itm.value).text(itm.display).attr("speciality", itm
|
||
.contact.speciality));
|
||
}
|
||
}
|
||
|
||
$('#field-contact_id').change(function() {
|
||
$('#field-speciality').val($('option:selected', this).attr(
|
||
'speciality'))
|
||
})
|
||
|
||
},
|
||
});
|
||
|
||
console.log(hierarchy)
|
||
})
|
||
|
||
$('#field-contact_id').change(function() {
|
||
$('#field-speciality').val($('option:selected', this).attr('speciality'))
|
||
});
|
||
|
||
$('#field-contact_id').change(function() {
|
||
$('#field-msl_code').val($('option:selected', this).attr('msl_code'))
|
||
});
|
||
|
||
|
||
$('#field-chemist_name,#field-contact_id,#field-msl_code,#field-speciality').parent().hide();
|
||
$('#field-chemist_name,#field-contact_id,#field-msl_code,#field-speciality').attr('required',false);
|
||
|
||
$('#field-speciality,#field-msl_code').attr('readonly',true);
|
||
// Hide Other Type of Meeting initially
|
||
$('#field-other_type_of_meeting').parent().hide();
|
||
$('#field-other_type_of_meeting').attr('required', false);
|
||
|
||
// Show only when Type of Meeting = Other
|
||
$('#field-type_of_meeting').on('change', function () {
|
||
|
||
if ($(this).val() === 'Other') {
|
||
|
||
$('#field-other_type_of_meeting').parent().show();
|
||
$('#field-other_type_of_meeting').attr('required', true);
|
||
|
||
} else {
|
||
|
||
$('#field-other_type_of_meeting').parent().hide();
|
||
$('#field-other_type_of_meeting').attr('required', false);
|
||
$('#field-other_type_of_meeting').val('');
|
||
}
|
||
});
|
||
|
||
// Apply on page load (important for preview/edit)
|
||
$('#field-type_of_meeting').trigger('change');
|
||
$('#field-pob_type').on('change',function(){
|
||
let value=$(this).val();
|
||
console.log("Value is : ",value);
|
||
if(value==='Doctor'){
|
||
$('#field-chemist_name').parent().hide();
|
||
$('#field-chemist_name').attr('required',false);
|
||
$('#field-contact_id,#field-msl_code,#field-speciality').parent().show();
|
||
$('#field-contact_id,#field-msl_code,#field-speciality').attr('required',true);
|
||
|
||
}
|
||
else if(value==='Chemist'){
|
||
$('#field-contact_id,#field-msl_code,#field-speciality').parent().hide();
|
||
$('#field-contact_id,#field-msl_code,#field-speciality').attr('required',false);
|
||
$('#field-chemist_name').parent().show();
|
||
$('#field-chemist_name').attr('required',true);
|
||
|
||
}
|
||
else{
|
||
$('#field-chemist_name,#field-contact_id,#field-msl_code,#field-speciality').parent().hide();
|
||
$('#field-chemist_name,#field-contact_id,#field-msl_code,#field-speciality').attr('required',false);
|
||
|
||
}
|
||
})
|
||
|
||
|
||
const products = {
|
||
"junior_lanzol_15": 154.63,
|
||
"junior_lanzol_30": 165.61,
|
||
"levoflox_250_10s_ip": 39.20,
|
||
"levoflox_250_tab_10": 39.20,
|
||
"levoflox_500_10s_ip": 73.19,
|
||
"levoflox_500_10s": 73.19,
|
||
"levoflox_750_5s_ip": 50.67,
|
||
"levoflox_750_tab_5s": 50.67,
|
||
"levoflox_infusion": 217.11,
|
||
"metaspray_100aq": 454.72,
|
||
|
||
"montair_fx": 158.96,
|
||
"montair_fx_15s": 307.73,
|
||
"cefoprox_100_30ml60": 195.91,
|
||
"cefoprox_100dt": 153.44,
|
||
"cefoprox_200_10s": 199.70,
|
||
"cefoprox_50_30ml": 105.24,
|
||
"cefoprox_cv_325_tab": 332.14,
|
||
"cheston_duo_100ml_syrup": 94.29,
|
||
"cheston_ls_junior_100_ml": 82.23,
|
||
"cheston_d_cough_syrup_100_ml": 96.62,
|
||
|
||
"cheston_d_plus_1_x_10s": 39.92,
|
||
"cheston_ls_cough_syrup_100_ml": 99.50,
|
||
"cheston_ls_junior_60_ml": 49.33,
|
||
"dalacin_c_150mg_caps_10s": 140.47,
|
||
"dalacin_c_300mg_caps_10s": 243.75,
|
||
"dolonex_disp_20mg_tabs_ip": 204.79,
|
||
"dolonex_im_20mg1ml_inj": 30.24,
|
||
"dolonex_im_40mg_2ml_inj_hosp_ip": 55.30,
|
||
"dolonex_im_40mg2ml_inj_ip": 55.30,
|
||
"duonase_f_70_md": 455.86,
|
||
|
||
|
||
"duonase_nasal_spray": 462.13,
|
||
"ibugesic_plus_susp": 37.48,
|
||
"ibugesic_plus_susp_1": 47.44,
|
||
"ibugesic_plus_suspension_100ml_orange": 47.44,
|
||
"mucinac_200_tablet_1_x_10s": 125.97,
|
||
"mucinac_600_tablets": 279.00,
|
||
"mucinac_ab_1_x_10_tablets": 109.81,
|
||
"mucinac_ab_tablet": 199.31,
|
||
"mucinac_c_tablets_1_x_15s": 369.15,
|
||
"mucinac_oral_solution_100ml": 111.86,
|
||
|
||
|
||
"novamox_500": 89.87,
|
||
"novamox_125_rediuse_30_ml": 24.95,
|
||
"novamox_125_rediuse_60_ml": 49.91,
|
||
"novamox_250_dt_15s": 147.57,
|
||
"novamox_250_ru_30": 38.16,
|
||
"novamox_250_rediuse": 76.31,
|
||
"novamox_30ml": 24.95,
|
||
"novamox_60ml": 49.91,
|
||
"novamox_cv_1000_mg": 421.74,
|
||
"novamox_cv_2285_dt_tablets": 158.79,
|
||
|
||
|
||
"novamox_cv_2285_mg_syrup": 98.87,
|
||
"novamox_cv_375_tab_10s": 234.08,
|
||
"novamox_cv_457_dt_10s": 257.26,
|
||
"novamox_cv_625_tablets_10": 148.95,
|
||
"novamox_cv_drops": 91.43,
|
||
"novamox_cv_dry_syrup_30_ml": 49.43,
|
||
"novamox_cv_ds": 49.43,
|
||
"novamox_cv_forte_syp": 184.18,
|
||
"novamox_cv_forte_syp_60_ml": 227.76,
|
||
"novamox_drops": 61.98,
|
||
|
||
|
||
"novamox_lb_500": 186.64,
|
||
"novamox_rdu_drops": 58.44,
|
||
"novamox_125_dt_15s": 85.14,
|
||
"novamox_250_15s": 29.75,
|
||
"tedispan_200_tablets_6s": 777.90,
|
||
"rabicip_l_capsules": 219.20,
|
||
"rabicip_20_15s": 139.12,
|
||
"rabicip_20_tablets_15s": 139.12,
|
||
"rabicip_20mg_ip_1_x_15s_tablets": 139.12,
|
||
"rabicip_d_capsules_1_x_15s": 263.05,
|
||
|
||
// 👉 Continue adding all products same way
|
||
};
|
||
|
||
$(document).on('change', '[id$="_units"]', function () {
|
||
|
||
let totalValue = 0;
|
||
let totalUnits = 0;
|
||
|
||
$.each(products, function (key, price) {
|
||
|
||
let unitField = $(`#field-${key}_units`);
|
||
let valueField = $(`#field-${key}_value`);
|
||
|
||
let units = parseFloat(unitField.val()) || 0;
|
||
let value = units * price;
|
||
|
||
// Set individual value
|
||
valueField.val(value.toFixed(2));
|
||
|
||
totalValue += value;
|
||
totalUnits += units;
|
||
});
|
||
|
||
$('#field-total_pob_value').val(totalValue.toFixed(2));
|
||
$('#field-total_pob_units').val(totalUnits);
|
||
});
|
||
|
||
|
||
$('#field-total_pob_value,#field-total_pob_units').attr('readonly',true);
|
||
|
||
$('#field-pob_type').trigger('change');
|
||
|
||
|
||
|
||
$('#report-form').on('submit', function(event) {
|
||
event.preventDefault();
|
||
$("#pageloader").fadeIn();
|
||
$.ajax({
|
||
type: "POST",
|
||
url: '/form/ajaxsubmit',
|
||
data: new FormData($('#report-form')[0]),
|
||
processData: false,
|
||
contentType: false,
|
||
success: function(data) {
|
||
$("#pageloader").fadeOut();
|
||
if (data.status == 'success') {
|
||
Swal.fire({
|
||
title: 'Great!',
|
||
text: 'Your data is successfully submitted!',
|
||
icon: 'success'
|
||
})
|
||
$('#report-form').trigger("reset");
|
||
$('#field-user_id').val(selected_user_id)
|
||
$('#field-user_id').trigger("change");
|
||
} else {
|
||
Swal.fire({
|
||
icon: 'error',
|
||
title: 'Data not submitted',
|
||
text: 'Something went wrong, please try again after some time!'
|
||
})
|
||
}
|
||
},
|
||
});
|
||
});
|
||
|
||
var today = new Date();
|
||
var dd = String(today.getDate()).padStart(2, '0');
|
||
var mm = String(today.getMonth() + 1).padStart(2, '0');
|
||
var yyyy = today.getFullYear();
|
||
today = yyyy + '-' + mm + '-' + dd;
|
||
|
||
var plandateField = document.getElementById('field-record_date');
|
||
|
||
plandateField.setAttribute('max', today);
|
||
});
|
||
|
||
|
||
|
||
|
||
|
||
</script>
|
||
</body>
|
||
|
||
</html> |