439 lines
23 KiB
PHP
439 lines
23 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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</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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<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'))
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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">{{ $form->title }}</h4>
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</div>
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@if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'))
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<div class="col-4">
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@if ($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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<input type="hidden" name="expert_forum_gfb_clinics_zvt_camp"
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id="expert_forum_gfb_clinics_zvt_camp" value="0">
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<input type="hidden" name="expert_forum_gfb_clinics_zvt" id="expert_forum_gfb_clinics_zvt"
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value="0">
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<input type="hidden" name="gfb_clinics_zvt" id="gfb_clinics_zvt" value="0">
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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="{{ $form_id }}">
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@csrf
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@if ($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 }}"
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hierarchy="{{ $option->hierarchy_id }}"
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{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
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{{ $option->display }}</option>
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@endforeach
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</select>
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<input type="hidden" id="field-hierarchy_id" name="hierarchy_id"
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value="">
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</div>
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@endif
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@foreach ($questions as $question)
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<div class="col-md-12 mb-2">
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<label for="field-{{ $question->code }}"
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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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@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"
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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->code == 'no_of_rx_count' || $question->code == 'no_of_attachments' ? 'readonly' : '' }}
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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 $option)
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@if ($question->code == 'contact_id')
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@if (isset($option->contact->gfb_mdi) && $option->contact->gfb_mdi == 'Yes')
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<option value="{{ $option->value }}"
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{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
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{{ $question->code == 'contact_id' ? ' msl_code=' . $option->contact->msl_code : '' }}>
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{{ $option->display }}</option>
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@endif
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@else
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<option value="{{ $option->value }}"
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{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
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{{ $option->display }}</option>
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@endif
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@endforeach
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@if ($question->code == 'contact_id')
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<option value="other">other</option>
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@else
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@endif
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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="execution-{{ $question->code }}"
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name="{{ $question->code }}" class="form-control file-box"
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value="" accept="image/jpg, image/jpeg, image/png">
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@break
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@case('multitextbox')
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<div class="row">
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@foreach ($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 }}"
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name="{{ $option->value }}" class="form-control" required
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value="{{ isset($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 != '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> <!-- 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 type="text/javascript">
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jQuery(document).ready(function($) {
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$('#report-form').trigger("reset");
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$('#field-user_id').change(function() {
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let 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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$.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($("<option></option>").attr("value", '')
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.text('-- Select --'));
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for (let itm of data) {
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$('#field-contact_id').append($("<option></option>").attr("value",
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itm.value).text(itm.display));
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}
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},
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});
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console.log(hierarchy)
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})
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$('#report-form').on('submit', function(event) {
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event.preventDefault();
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$("#pageloader").fadeIn();
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// result();
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var formData = new FormData($('#report-form')[0]);
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// formData.append('expert_forum_gfb_clinics_zvt_camp', $('#expert_forum_gfb_clinics_zvt_camp')
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// .val());
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// formData.append('expert_forum_gfb_clinics_zvt', $('#expert_forum_gfb_clinics_zvt').val());
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// formData.append('gfb_clinics_zvt', $('#gfb_clinics_zvt').val());
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$.ajax({
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type: "POST",
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url: '/form/ajaxsubmit',
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data: formData,
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processData: false,
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contentType: false,
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success: function(data) {
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// resetval();
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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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} 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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// $('#field-engagement_commitment_1').on('change', function() {
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// var engagement_commitment_1_val = $('#field-engagement_commitment_1 option:selected').val();
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// $('#engagement_1').val(engagement_commitment_1_val)
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// });
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// $('#field-engagement_commitment_2').on('change', function() {
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// var engagement_commitment_2_val = $('#field-engagement_commitment_2 option:selected').val();
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// $('#engagement_2').val(engagement_commitment_2_val)
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// });
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// $('#field-engagement_commitment_3').on('change', function() {
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// var engagement_commitment_3_val = $('#field-engagement_commitment_3 option:selected').val();
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// $('#engagement_3').val(engagement_commitment_3_val)
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// });
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// function result() {
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// var valueCounts = {};
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// for (var i = 1; i <= 3; i++) {
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// var engagementValue = $('#engagement_' + i).val();
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// if (!(engagementValue in valueCounts)) {
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// valueCounts[engagementValue] = 0;
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// }
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// valueCounts[engagementValue]++;
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// }
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// for (var value in valueCounts) {
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// if (valueCounts.hasOwnProperty(value)) {
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// console.log('Value: ' + value + ', Count: ' + valueCounts[value]);
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// $('#' + value).val(valueCounts[value])
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// }
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// }
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// }
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$('#field-gfb_mdi_clinics_execution_date').hide();
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$('label[for="field-gfb_mdi_clinics_execution_date"]').hide();
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$('#field-gfb_mdi_clinic_execution').on('change', function() {
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if ($(this).val() == 'Yes') {
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$('#field-gfb_mdi_clinics_execution_date').show();
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$('label[for="field-gfb_mdi_clinics_execution_date"]').show();
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} else {
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$('#field-gfb_mdi_clinics_execution_date').hide();
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$('label[for="field-gfb_mdi_clinics_execution_date"]').hide();
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}
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});
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$('#field-msl_code').prop('readonly', true)
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$('#field-contact_id').change(function() {
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$('#field-msl_code').val($('option:selected', this).attr('msl_code'))
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})
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$('#field-other_doctor_name').hide();
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$('label[for="field-other_doctor_name"]').hide();
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$('#field-contact_id').on('change', function() {
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if ($(this).val() == 'other') {
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$('#field-other_doctor_name').show();
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$('label[for="field-other_doctor_name"]').show();
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$('#field-msl_code').prop('readonly', false)
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} else {
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$('#field-other_doctor_name').hide();
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$('label[for="field-other_doctor_name"]').hide();
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$('#field-msl_code').prop('readonly', true)
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}
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});
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$('#field-chemist_1_pob_unit, #field-chemist_2_pob_unit, #field-chemist_3_pob_unit, #field-chemist_4_pob_unit, #field-chemist_5_pob_unit')
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.on('keyup', function() {
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var val1 = Number($('#field-chemist_1_pob_unit').val());
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var val2 = Number($('#field-chemist_2_pob_unit').val());
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var val3 = Number($('#field-chemist_3_pob_unit').val());
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var val4 = Number($('#field-chemist_4_pob_unit').val());
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var val5 = Number($('#field-chemist_5_pob_unit').val());
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$('#field-total_pob_unit').val(val1 + val2 + val3 + val4 + val5);
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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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var plandateField = document.getElementById('field-record_date');
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plandateField.setAttribute('max', today);
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// function result() {
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// var selectedVal = $('#field-engagement_commitment').find(":selected").val();
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// var unit = $('#field-pob_received_no_inhaler_unit').val();
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// if (selectedVal == 'expert_forum_gfb_clinics_zvt_camp') {
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// $('#expert_forum_gfb_clinics_zvt_camp').val(unit);
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// } else if (selectedVal == 'expert_forum_gfb_clinics_zvt') {
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// $('#expert_forum_gfb_clinics_zvt').val(unit);
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// } else if (selectedVal == 'gfb_clinics_zvt') {
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// $('#gfb_clinics_zvt').val(unit);
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// } else {
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// }
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// }
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// function resetval() {
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// $('#expert_forum_gfb_clinics_zvt_camp').val('0');
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// $('#expert_forum_gfb_clinics_zvt').val('0');
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// $('#gfb_clinics_zvt').val('0');
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// }
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});
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// var fileInputCount = 0;
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// var attachmentcount = 0;
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// var addedFiles = [];
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// $('#field-no_of_rx_count').val(attachmentcount)
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// $('#btn-add-file').click(function() {
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// fileInputCount++;
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// attachmentcount++;
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// var fileInputId = 'field-{{ $question->code }}_' + fileInputCount;
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// $('.image-block').append(
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// '<div class="row"><div class="col-9 mt-2"><input type="file" name="field-{{ $question->code }}_' +
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// fileInputCount + '" id="field-{{ $question->code }}_' + fileInputCount +
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// '" class="form-control" required></div><div class="col-3 mt-2"><button type="button" class="btn btn-danger waves-effect waves-light btn-remove">Remove</button></div></div>'
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// );
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// addedFiles.push(fileInputId);
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// console.log(addedFiles);
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// $('.btn-remove').unbind();
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// $('.btn-remove').click(function() {
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// $(this).parent().parent().remove();
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// attachmentcount--;
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// $('#field-no_of_rx_count').val(attachmentcount)
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// });
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// $('#field-no_of_rx_count').val(attachmentcount)
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// });
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var fileCount = 0;
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$('#execution-upload_rx_file_1, #execution-upload_rx_file_2, #execution-upload_rx_file_3, #execution-upload_rx_file_4, #execution-upload_rx_file_5, #execution-upload_rx_file_6, #execution-upload_rx_file_7, #execution-upload_rx_file_8, #execution-upload_rx_file_9, #execution-upload_rx_file_10')
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.change(function() {
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if ($(this)[0].files.length > 0) {
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fileCount++;
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}else{
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fileCount--;
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}
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$("#field-no_of_rx_count").val(fileCount);
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$("#field-no_of_attachments").val(fileCount);
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});
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</script>
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</body>
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</html>
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