740 lines
41 KiB
PHP
740 lines
41 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'=>"Emeset 4 ODT/India/1 X 10'S", 'slug'=>'emeset_4_odtindia1_x_10s_units','pseudoId'=>'emeset_4_odtindia1_x_10s_value'],
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['brand'=>"EMESET 4MG (10'S)", 'slug'=>'emeset_4mg_10s_units','pseudoId'=>'emeset_4mg_10s_value'],
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['brand'=>"EMESET 8MG (10'S)", 'slug'=>'emeset_8mg_10s_units','pseudoId'=>'emeset_8mg_10s_value'],
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['brand'=>"EMESET SYRUP", 'slug'=>'emeset_syrup_units','pseudoId'=>'emeset_syrup_value'],
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['brand'=>"EMESET SYRUP STRAWBERRY 30 ML", 'slug'=>'emeset_syrup_strawberry_30_ml_units','pseudoId'=>'emeset_syrup_strawberry_30_ml_value'],
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['brand'=>"OFLOX 100mg REDIUSE 60ML", 'slug'=>'oflox_100mg_rediuse_60ml_units','pseudoId'=>'oflox_100mg_rediuse_60ml_value'],
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['brand'=>"OFLOX 200 TAB (10'S)", 'slug'=>'oflox_200_tab_10s_units','pseudoId'=>'oflox_200_tab_10s_value'],
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['brand'=>"OFLOX 400 10'S", 'slug'=>'oflox_400_10s_units','pseudoId'=>'oflox_400_10s_value'],
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['brand'=>'OFLOX 50MG REDIUSE 60ML', 'slug'=>'oflox_50mg_rediuse_60ml_units','pseudoId'=>'oflox_50mg_rediuse_60ml_value'],
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/* ['brand'=>'OFLOX EYE DROPS', 'slug'=>'oflox_eye_drops_units','pseudoId'=>'oflox_eye_drops_value'],
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*/
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['brand'=>'OFLOX OZ TABLETS IP', 'slug'=>'oflox_oz_tablets_ip_units','pseudoId'=>'oflox_oz_tablets_ip_value'],
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['brand'=>'OFLOX REDIUSE', 'slug'=>'oflox_rediuse_units','pseudoId'=>'oflox_rediuse_value'],
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['brand'=>"OFLOX-200 MG 10's TABLETS (IP)", 'slug'=>'oflox_200_mg_10s_tablets_ip_units','pseudoId'=>'oflox_200_mg_10s_tablets_ip_value'],
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['brand'=>"OFLOX-400 MG 10's TABLETS (IP)", 'slug'=>'oflox_400_mg_10s_tablets_ip_units','pseudoId'=>'oflox_400_mg_10s_tablets_ip_value'],
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['brand'=>"CEFOPROX 100 30ML(60", 'slug'=>'cefoprox_100_30ml60_units','pseudoId'=>'cefoprox_100_30ml60_value'],
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['brand'=>'CEFOPROX 100DT', 'slug'=>'cefoprox_100dt_units','pseudoId'=>'cefoprox_100dt_value'],
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['brand'=>"CEFOPROX 200 10'S", 'slug'=>'cefoprox_200_10s_units','pseudoId'=>'cefoprox_200_10s_value'],
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['brand'=>'CEFOPROX 50 30ml', 'slug'=>'cefoprox_50_30ml_units','pseudoId'=>'cefoprox_50_30ml_value'],
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['brand'=>'CEFOPROX CV 325 TAB', 'slug'=>'cefoprox_cv_325_tab_units','pseudoId'=>'cefoprox_cv_325_tab_value'],
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['brand'=>'Cheston DUO 100ml Syrup', 'slug'=>'cheston_duo_100ml_syrup_units','pseudoId'=>'cheston_duo_100ml_syrup_value'],
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['brand'=>"Cheston LS Junior 100 ML", 'slug'=>'cheston_ls_junior_100_ml_units','pseudoId'=>'cheston_ls_junior_100_ml_value'],
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['brand'=>'Cheston-D Cough Syrup 100 ML', 'slug'=>'cheston_d_cough_syrup_100_ml_units','pseudoId'=>'cheston_d_cough_syrup_100_ml_value'],
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['brand'=>"Cheston-D Plus 1 x 10'S", 'slug'=>'cheston_d_plus_1_x_10s_units','pseudoId'=>'cheston_d_plus_1_x_10s_value'],
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['brand'=>'Cheston-LS Cough Syrup 100 ML', 'slug'=>'cheston_ls_cough_syrup_100_ml_units','pseudoId'=>'cheston_ls_cough_syrup_100_ml_value'],
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['brand'=>'Cheston-LS Junior 60 ML', 'slug'=>'cheston_ls_junior_60_ml_units','pseudoId'=>'cheston_ls_junior_60_ml_value'],
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['brand'=>'DALACIN C 150MG CAPS 10s', 'slug'=>'dalacin_c_150mg_caps_10s_units','pseudoId'=>'dalacin_c_150mg_caps_10s_value'],
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['brand'=>'DALACIN C 300MG CAPS 10s', 'slug'=>'dalacin_c_300mg_caps_10s_units','pseudoId'=>'dalacin_c_300mg_caps_10s_value'],
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['brand'=>"DOLONEX DISP 20MG TABS (IP)", 'slug'=>'dolonex_disp_20mg_tabs_ip_units','pseudoId'=>'dolonex_disp_20mg_tabs_ip_value'],
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['brand'=>"DOLONEX IM 20MG/1ML INJ", 'slug'=>'dolonex_im_20mg1ml_inj_units','pseudoId'=>'dolonex_im_20mg1ml_inj_value'],
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['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'],
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['brand'=>"DOLONEX IM 40MG/2ML INJ (IP)", 'slug'=>'dolonex_im_40mg2ml_inj_ip_units','pseudoId'=>'dolonex_im_40mg2ml_inj_ip_value'],
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['brand'=>"DUONASE - F 70 MD", 'slug'=>'duonase_f_70_md_units','pseudoId'=>'duonase_f_70_md_value'],
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['brand'=>'DUONASE NASAL SPRAY', 'slug'=>'duonase_nasal_spray_units','pseudoId'=>'duonase_nasal_spray_value'],
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['brand'=>"IBUGESIC PLUS SUSP", 'slug'=>'ibugesic_plus_susp_units','pseudoId'=>'ibugesic_plus_susp_value'],
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['brand'=>"IBUGESIC PLUS SUSP 1", 'slug'=>'ibugesic_plus_susp_1_units','pseudoId'=>'ibugesic_plus_susp_1_value'],
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['brand'=>'IBUGESIC PLUS SUSPENSION 100ML - ORANGE', 'slug'=>'ibugesic_plus_suspension_100ml_orange_units','pseudoId'=>'ibugesic_plus_suspension_100ml_orange_value'],
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['brand'=>"MUCINAC 200 TABLET 1 X 10'S", 'slug'=>'mucinac_200_tablet_1_x_10s_units','pseudoId'=>'mucinac_200_tablet_1_x_10s_value'],
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['brand'=>"MUCINAC 600 TABLETS", 'slug'=>'mucinac_600_tablets_units','pseudoId'=>'mucinac_600_tablets_value'],
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['brand'=>"Mucinac AB 1 X 10 TABLETS", 'slug'=>'mucinac_ab_1_x_10_tablets_units','pseudoId'=>'mucinac_ab_1_x_10_tablets_value'],
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['brand'=>'Mucinac AB Tablet', 'slug'=>'mucinac_ab_tablet_units','pseudoId'=>'mucinac_ab_tablet_value'],
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/* ['brand'=>"MUCINAC C Tablets 1 x 15'S", 'slug'=>'mucinac_c_tablets_1_x_15s_units','pseudoId'=>'mucinac_c_tablets_1_x_15s_value'], */
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['brand'=>"Mucinac Oral Solution 100ml", 'slug'=>'mucinac_oral_solution_100ml_units','pseudoId'=>'mucinac_oral_solution_100ml_value'],
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['brand'=>'NOVAMOX 500', 'slug'=>'novamox_500_units','pseudoId'=>'novamox_500_value'],
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['brand'=>"NOVAMOX 125 REDIUSE 30 ML", 'slug'=>'novamox_125_rediuse_30_ml_units','pseudoId'=>'novamox_125_rediuse_30_ml_value'],
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['brand'=>"NOVAMOX 125 REDIUSE 60 ML", 'slug'=>'novamox_125_rediuse_60_ml_units','pseudoId'=>'novamox_125_rediuse_60_ml_value'],
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['brand'=>"NOVAMOX 250 DT 15's", 'slug'=>'novamox_250_dt_15s_units','pseudoId'=>'novamox_250_dt_15s_value'],
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['brand'=>'NOVAMOX 250 R/U 30', 'slug'=>'novamox_250_ru_30_units','pseudoId'=>'novamox_250_ru_30_value'],
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['brand'=>"NOVAMOX 250 REDIUSE", 'slug'=>'novamox_250_rediuse_units','pseudoId'=>'novamox_250_rediuse_value'],
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['brand'=>"NOVAMOX 30ML", 'slug'=>'novamox_30ml_units','pseudoId'=>'novamox_30ml_value'],
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['brand'=>"NOVAMOX 60ML", 'slug'=>'novamox_60ml_units','pseudoId'=>'novamox_60ml_value'],
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['brand'=>"NOVAMOX CV 1000 MG", 'slug'=>'novamox_cv_1000_mg_units','pseudoId'=>'novamox_cv_1000_mg_value'],
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['brand'=>"NOVAMOX CV 228.5 DT TABLETS", 'slug'=>'novamox_cv_2285_dt_tablets_units','pseudoId'=>'novamox_cv_2285_dt_tablets_value'],
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['brand'=>"NOVAMOX CV 228.5 MG SYRUP", 'slug'=>'novamox_cv_2285_mg_syrup_units','pseudoId'=>'novamox_cv_2285_mg_syrup_value'],
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['brand'=>"NOVAMOX CV 375 TAB 10s", 'slug'=>'novamox_cv_375_tab_10s_units','pseudoId'=>'novamox_cv_375_tab_10s_value'],
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['brand'=>"NOVAMOX CV 457 DT 10's", 'slug'=>'novamox_cv_457_dt_10s_units','pseudoId'=>'novamox_cv_457_dt_10s_value'],
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['brand'=>'NOVAMOX CV 625 TABLETS 10', 'slug'=>'novamox_cv_625_tablets_10_units','pseudoId'=>'novamox_cv_625_tablets_10_value'],
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['brand'=>'NOVAMOX CV DROPS', 'slug'=>'novamox_cv_drops_units','pseudoId'=>'novamox_cv_drops_value'],
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['brand'=>"Novamox CV Dry Syrup 30 ML", 'slug'=>'novamox_cv_dry_syrup_30_ml_units','pseudoId'=>'novamox_cv_dry_syrup_30_ml_value'],
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['brand'=>"NOVAMOX CV DS", 'slug'=>'novamox_cv_ds_units','pseudoId'=>'novamox_cv_ds_value'],
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['brand'=>"NOVAMOX CV FORTE SYP", 'slug'=>'novamox_cv_forte_syp_units','pseudoId'=>'novamox_cv_forte_syp_value'],
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['brand'=>"Novamox CV Forte Syp 60 ml", 'slug'=>'novamox_cv_forte_syp_60_ml_units','pseudoId'=>'novamox_cv_forte_syp_60_ml_value'],
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['brand'=>"NOVAMOX DROPS", 'slug'=>'novamox_drops_units','pseudoId'=>'novamox_drops_value'],
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['brand'=>"NOVAMOX LB 500", 'slug'=>'novamox_lb_500_units','pseudoId'=>'novamox_lb_500_value'],
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['brand'=>"NOVAMOX RDU DROPS", 'slug'=>'novamox_rdu_drops_units','pseudoId'=>'novamox_rdu_drops_value'],
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['brand'=>"NOVAMOX-125 DT 15'S", 'slug'=>'novamox_125_dt_15s_units','pseudoId'=>'novamox_125_dt_15s_value'],
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['brand'=>"NOVAMOX-250 [15'S]", 'slug'=>'novamox_250_15s_units','pseudoId'=>'novamox_250_15s_value'],
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['brand'=>"TEDISPAN 200 TABLETS 6S", 'slug'=>'tedispan_200_tablets_6s_units','pseudoId'=>'tedispan_200_tablets_6s_value'],
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['brand'=>"Bilafav M", 'slug'=>'bilafav_m_units','pseudoId'=>'bilafav_m_value'],
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['brand'=>"Bilafav M ODT Adult Tablets 1x10s - 20/10", 'slug'=>'bilafav_m_odt_adult_tablets_1x10s_2010_units','pseudoId'=>'bilafav_m_odt_adult_tablets_1x10s_2010_value'],
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['brand'=>"Bilafav M ODT Pedia Tablets 1X10s 10/4", 'slug'=>'bilafav_m_odt_pedia_tablets_1x10s_104_units','pseudoId'=>'bilafav_m_odt_pedia_tablets_1x10s_104_value'],
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['brand'=>"Bilafav M Oral suspension", 'slug'=>'bilafav_m_oral_suspension_units','pseudoId'=>'bilafav_m_oral_suspension_value'],
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/* ['brand'=>"NEKSIUM 20mg TAB (IP)", 'slug'=>'neksium_20mg_tab_ip_units','pseudoId'=>'neksium_20mg_tab_ip_value'], */
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/* ['brand'=>"NEKSIUM 40mg TAB", 'slug'=>'neksium_40mg_tab_units','pseudoId'=>'neksium_40mg_tab_value'], */
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/* ['brand'=>"NEKSIUM-D 20/30mg CAPS 15s (IP)", 'slug'=>'neksium_d_2030mg_caps_15s_ip_units','pseudoId'=>'neksium_d_2030mg_caps_15s_ip_value'], */
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/*['brand'=>"NEKSIUM-D 40/30mg CAPS 15s (IP)", 'slug'=>'neksium_d_4030mg_caps_15s_ip_units','pseudoId'=>'neksium_d_4030mg_caps_15s_ip_value'],*/
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['brand'=>"TASIRON 15 CHEW TABS 3X10'S (B12)", 'slug'=>'tasiron_15_chew_tabs_3x10s_b12_units','pseudoId'=>'tasiron_15_chew_tabs_3x10s_b12_value'],
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['brand'=>"TASIRON 30 CHEW TABS", 'slug'=>'tasiron_30_chew_tabs_units','pseudoId'=>'tasiron_30_chew_tabs_value'],
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['brand'=>"TASIRON DROPS 30ML WITH EXTERNAL DROPPER", 'slug'=>'tasiron_drops_30ml_with_external_dropper_units','pseudoId'=>'tasiron_drops_30ml_with_external_dropper_value'],
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['brand'=>"TASIRON SACHET(1X15'S)", 'slug'=>'tasiron_sachet1x15s_units','pseudoId'=>'tasiron_sachet1x15s_value'],
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['brand'=>"TASIRON SUSPENSION-150ML", 'slug'=>'tasiron_suspension_150ml_units','pseudoId'=>'tasiron_suspension_150ml_value'],
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['brand'=>"Pansec 80 MG Tablets", 'slug'=>'pansec_80_mg_tablets_units','pseudoId'=>'pansec_80_mg_tablets_value'],
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['brand'=>"PANSEC D SR CAPSULES 15'S", 'slug'=>'pansec_d_sr_capsules_15s_units','pseudoId'=>'pansec_d_sr_capsules_15s_value'],
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['brand'=>"PANSEC TABLETS 15'S", 'slug'=>'pansec_tablets_15s_units','pseudoId'=>'pansec_tablets_15s_value'],
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['brand'=>"PANSEC-L CAPSULES", 'slug'=>'pansec_l_capsules_units','pseudoId'=>'pansec_l_capsules_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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// $submission = null;
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// if(isset($submissions->data->submissions) && count($submissions->data->submissions) > 0) {
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// $submission = $submissions->data->submissions[0];
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// $formdata = $submission->formdata ?? (object)[];
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// } else {
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// $formdata = [];
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// }
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$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="{{$question->type}}" min="0" max="9999999999" step="0.01"
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id="field-{{$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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@php $spec = $option->contact->speciality ?? ''; @endphp
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<option value="{{ $option->value }}"
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{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
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msl_code="{{ $option->contact->msl_code ?? '' }}"
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speciality="{{ $spec }}">
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{{ $option->display }}
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</option>
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@endforeach
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</select>
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@break
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@case('checkbox')
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@foreach($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) && $form->is_approval
|
|
!= 'yes' ) )
|
|
<input type="file" id="field-{{$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)
|
|
<tr>
|
|
|
|
<td>{{ $brand['brand'] }}</td>
|
|
<td>
|
|
<input type="number" id="field-{{ $brand['slug'] }}"
|
|
name="{{ $brand['slug'] }}"
|
|
class="form-control form-control-large" value="{{ $id && isset($formdata) && isset($formdata->{$brand['slug']}) ? $formdata->{$brand['slug']} : 0 }}" >
|
|
</td>
|
|
<td>
|
|
<input type="number" id="field-{{ $brand['pseudoId'] }}"
|
|
name="{{ $brand['pseudoId'] }}"
|
|
class="form-control form-control-large" readonly="true" value="{{ $id && isset($formdata) && isset($formdata->{$brand['pseudoId']}) ? $formdata->{$brand['pseudoId']} : 0 }}">
|
|
</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);
|
|
|
|
$('#field-pob_type').on('change',function(){
|
|
let value=$(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 = {
|
|
"emeset_4_odtindia1_x_10s": 41.83,
|
|
"emeset_4mg_10s": 41.83,
|
|
"emeset_8mg_10s": 73.75,
|
|
"emeset_syrup": 30.71,
|
|
"emeset_syrup_strawberry_30_ml": 30.71,
|
|
"oflox_100mg_rediuse_60ml": 141.25,
|
|
"oflox_200_tab_10s": 84.19,
|
|
"oflox_400_10s": 305.58,
|
|
"oflox_50mg_rediuse_60ml": 66.78,
|
|
"oflox_eye_drops": 38.58,
|
|
|
|
"oflox_oz_tablets_ip": 157.25,
|
|
"oflox_rediuse": 66.78,
|
|
"oflox_200_mg_10s_tablets_ip": 84.19,
|
|
"oflox_400_mg_10s_tablets_ip": 305.58,
|
|
"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,
|
|
"bilafav_m": 167.31,
|
|
"bilafav_m_odt_adult_tablets_1x10s_2010": 100.62,
|
|
"bilafav_m_odt_pedia_tablets_1x10s_104": 55.31,
|
|
|
|
|
|
"bilafav_m_oral_suspension": 140.69,
|
|
"neksium_20mg_tab_ip": 114.08,
|
|
"neksium_40mg_tab": 167.35,
|
|
"neksium_d_2030mg_caps_15s_ip": 115.47,
|
|
"neksium_d_4030mg_caps_15s_ip": 192.46,
|
|
"tasiron_15_chew_tabs_3x10s_b12": 352.76,
|
|
"tasiron_30_chew_tabs": 840.68,
|
|
"tasiron_drops_30ml_with_external_dropper": 202.71,
|
|
"tasiron_sachet1x15s": 217.14,
|
|
"tasiron_suspension_150ml": 202.71,
|
|
|
|
|
|
"pansec_80_mg_tablets":226.2,
|
|
"pansec_d_sr_capsules_15s":235.2,
|
|
"pansec_tablets_15s":197.7,
|
|
"pansec_l_capsules":132.2,
|
|
|
|
|
|
// 👉 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(1));
|
|
|
|
totalValue += value;
|
|
totalUnits += units;
|
|
});
|
|
|
|
$('#field-total_pob_value').val(totalValue.toFixed(1));
|
|
$('#field-total_pob_units').val(totalUnits);
|
|
|
|
|
|
$.each(productGroups, function(groupName, keys) {
|
|
calculateGroupTotals(groupName, keys);
|
|
});
|
|
});
|
|
|
|
|
|
$('#field-total_pob_value,#field-total_pob_units').attr('readonly',true);
|
|
|
|
$('#field-pob_type').trigger('change');
|
|
|
|
$(document).on('input', '[id$="_units"]', function () {
|
|
// Remove anything that is not a digit
|
|
this.value = this.value.replace(/[^0-9]/g, '');
|
|
});
|
|
|
|
$('#field-upload_supporting_document').on('change', function () {
|
|
let file = this.files[0];
|
|
if (file) {
|
|
let allowedTypes = ['image/png', 'image/jpg', 'image/jpeg'];
|
|
|
|
if (!allowedTypes.includes(file.type)) {
|
|
alert('Only PNG, JPG, and JPEG files are allowed.');
|
|
$(this).val(''); // reset input
|
|
}
|
|
}
|
|
});
|
|
|
|
|
|
const productGroups = {
|
|
emeset: ["emeset_4_odtindia1_x_10s","emeset_4mg_10s","emeset_8mg_10s","emeset_syrup","emeset_syrup_strawberry_30_ml"],
|
|
oflox: [
|
|
"oflox_100mg_rediuse_60ml",
|
|
"oflox_200_tab_10s",
|
|
"oflox_400_10s",
|
|
"oflox_50mg_rediuse_60ml",
|
|
"oflox_eye_drops",
|
|
"oflox_oz_tablets_ip",
|
|
"oflox_rediuse",
|
|
"oflox_200_mg_10s_tablets_ip",
|
|
"oflox_400_mg_10s_tablets_ip"
|
|
],
|
|
cefoprox: ["cefoprox_100_30ml60","cefoprox_100dt","cefoprox_200_10s","cefoprox_50_30ml","cefoprox_cv_325_tab"],
|
|
cheston: ["cheston_duo_100ml_syrup","cheston_ls_junior_100_ml","cheston_d_cough_syrup_100_ml","cheston_d_plus_1_x_10s","cheston_ls_cough_syrup_100_ml","cheston_ls_junior_60_ml"],
|
|
|
|
dalacin:["dalacin_c_150mg_caps_10s","dalacin_c_300mg_caps_10s"],
|
|
dolonex:["dolonex_disp_20mg_tabs_ip","dolonex_im_20mg1ml_inj","dolonex_im_40mg_2ml_inj_hosp_ip","dolonex_im_40mg2ml_inj_ip"],
|
|
duonase:["duonase_f_70_md","duonase_nasal_spray"],
|
|
ibugesic:["ibugesic_plus_susp","ibugesic_plus_susp_1","ibugesic_plus_suspension_100ml_orange"],
|
|
mucinac:["mucinac_200_tablet_1_x_10s","mucinac_600_tablets","mucinac_ab_1_x_10_tablets","mucinac_ab_tablet","mucinac_c_tablets_1_x_15s","mucinac_oral_solution_100ml"],
|
|
novamox:["novamox_500","novamox_125_rediuse_30_ml","novamox_125_rediuse_60_ml","novamox_250_dt_15s","novamox_250_ru_30","novamox_250_rediuse","novamox_30ml","novamox_60ml","novamox_cv_1000_mg","novamox_cv_2285_dt_tablets","novamox_cv_2285_mg_syrup","novamox_cv_375_tab_10s","novamox_cv_457_dt_10s","novamox_cv_625_tablets_10","novamox_cv_drops","novamox_cv_dry_syrup_30_ml","novamox_cv_ds","novamox_cv_forte_syp","novamox_cv_forte_syp_60_ml","novamox_drops","novamox_lb_500","novamox_rdu_drops","novamox_125_dt_15s","novamox_250_15s"],
|
|
|
|
tedispan:["tedispan_200_tablets_6s"],
|
|
bilafav:["bilafav_m","bilafav_m_odt_adult_tablets_1x10s_2010","bilafav_m_odt_pedia_tablets_1x10s_104","bilafav_m_oral_suspension"],
|
|
neksium:["neksium_20mg_tab_ip","neksium_40mg_tab","neksium_d_2030mg_caps_15s_ip","neksium_d_4030mg_caps_15s_ip"],
|
|
tasiron:["tasiron_15_chew_tabs_3x10s_b12","tasiron_30_chew_tabs","tasiron_drops_30ml_with_external_dropper","tasiron_sachet1x15s","tasiron_suspension_150ml"],
|
|
pansec:["pansec_80_mg_tablets","pansec_d_sr_capsules_15s","pansec_tablets_15s","pansec_l_capsules"],
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
};
|
|
|
|
|
|
function calculateGroupTotals(groupName, keys) {
|
|
let totalUnits = 0;
|
|
let totalValue = 0;
|
|
|
|
keys.forEach(key => {
|
|
totalUnits += parseInt($(`#field-${key}_units`).val()) || 0;
|
|
totalValue += parseFloat($(`#field-${key}_value`).val()) || 0;
|
|
});
|
|
|
|
$(`#field-${groupName}_units`).val(totalUnits);
|
|
$(`#field-${groupName}_value`).val(totalValue.toFixed(1));
|
|
}
|
|
|
|
|
|
|
|
$('#report-form').append('<input type="hidden" id="field-emeset_units" name="emeset_units" />');
|
|
$('#report-form').append('<input type="hidden" id="field-emeset_value" name="emeset_value" />');
|
|
|
|
$('#report-form').append('<input type="hidden" id="field-oflox_units" name="oflox_units" />');
|
|
$('#report-form').append('<input type="hidden" id="field-oflox_value" name="oflox_value" />');
|
|
|
|
$('#report-form').append('<input type="hidden" id="field-cefoprox_units" name="cefoprox_units" />');
|
|
$('#report-form').append('<input type="hidden" id="field-cefoprox_value" name="cefoprox_value" />');
|
|
|
|
$('#report-form').append('<input type="hidden" id="field-cheston_units" name="cheston_units" />');
|
|
$('#report-form').append('<input type="hidden" id="field-cheston_value" name="cheston_value" />');
|
|
|
|
|
|
$('#report-form').append('<input type="hidden" id="field-dalacin_units" name="dalacin_units" />');
|
|
$('#report-form').append('<input type="hidden" id="field-dalacin_value" name="dalacin_value" />');
|
|
|
|
|
|
$('#report-form').append('<input type="hidden" id="field-dolonex_units" name="dolonex_units" />');
|
|
$('#report-form').append('<input type="hidden" id="field-dolonex_value" name="dolonex_value" />');
|
|
|
|
$('#report-form').append('<input type="hidden" id="field-duonase_units" name="duonase_units" />');
|
|
$('#report-form').append('<input type="hidden" id="field-duonase_value" name="duonase_value" />');
|
|
|
|
$('#report-form').append('<input type="hidden" id="field-ibugesic_units" name="ibugesic_units" />');
|
|
$('#report-form').append('<input type="hidden" id="field-ibugesic_value" name="ibugesic_value" />');
|
|
|
|
$('#report-form').append('<input type="hidden" id="field-mucinac_units" name="mucinac_units" />');
|
|
$('#report-form').append('<input type="hidden" id="field-mucinac_value" name="mucinac_value" />');
|
|
|
|
$('#report-form').append('<input type="hidden" id="field-novamox_units" name="novamox_units" />');
|
|
$('#report-form').append('<input type="hidden" id="field-novamox_value" name="novamox_value" />');
|
|
|
|
$('#report-form').append('<input type="hidden" id="field-tedispan_units" name="tedispan_units" />');
|
|
$('#report-form').append('<input type="hidden" id="field-tedispan_value" name="tedispan_value" />');
|
|
|
|
$('#report-form').append('<input type="hidden" id="field-bilafav_units" name="bilafav_units" />');
|
|
$('#report-form').append('<input type="hidden" id="field-bilafav_value" name="bilafav_value" />');
|
|
|
|
$('#report-form').append('<input type="hidden" id="field-tasiron_units" name="tasiron_units" />');
|
|
$('#report-form').append('<input type="hidden" id="field-tasiron_value" name="tasiron_value" />');
|
|
|
|
$('#report-form').append('<input type="hidden" id="field-pansec_units" name="pansec_units" />');
|
|
$('#report-form').append('<input type="hidden" id="field-pansec_value" name="pansec_value" />');
|
|
|
|
|
|
|
|
|
|
$('#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> |