530 lines
27 KiB
PHP
530 lines
27 KiB
PHP
<!DOCTYPE html>
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<html lang="en">
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<head>
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@include('layouts.shared/title-meta', ['title' => "Form"])
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@include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
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<link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
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<link href="{{ asset('assets/libs/select2/select2.min.css') }}" rel="stylesheet" type="text/css" />
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</head>
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<div id="pageloader">
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<img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
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</div>
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<body class="loading">
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<div class="account-pages">
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<div class="container">
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<div class="row justify-content-center">
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<div class="col-md-8 col-lg-6 col-xl-5 p-0">
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<div class="card bg-pattern">
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<div class="card-body p-3 row">
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@if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
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<br>@endif
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@if(session('success'))<div class=" alert alert-success">{{ session('success') }}
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</div>
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<br>@endif
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<div class="col-8">
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<h4 class="page-title">{{$form->title}}</h4>
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</div>
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@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
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<div class="col-4">
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@if($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="{{$form_id}}">
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<input type="hidden" name="user_id" value="{{$form->user_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) && $form->manager_can_submit == true)
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<div class="col-md-12 mb-2">
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<label for="field-user_id" class="form-label"> Select User / Territory <span class="text-danger">*</span> </label>
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<select class="form-control" id="field-user_id" name="user_id" required>
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<option value=""> -- Select -- </option>
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@foreach($form->users as $option)
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<option value="{{$option->value}}" hierarchy="{{$option->hierarchy_id}}" {{isset($question->value) && $question->value == $option->value ? 'selected':''}}>{{$option->display}}</option>
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@endforeach
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</select>
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<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">{{$question->question}} {!!$question->required == 'yes' ? '<span class="text-danger">*</span>':''!!} </label>
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@switch($question->type)
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@case('hidden')
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<input type="{{$question->type}}" id="field-{{$question->code}}" name="{{$question->code}}" 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}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }} value="{{isset($question->value)?$question->value:''}}">
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@break
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@case('number')
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<input type="{{$question->type}}" min="0" max="9999999999" step="1" id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }} 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" {{$question->required == 'yes'?'required':'' }}>{{isset($question->value)?$question->value:''}}</textarea>
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@break
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@case('dropdown')
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<select class="form-control" {!!($question->code
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== 'contact_id')?'data-toggle="select2"':'' !!} id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
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<option value=""> -- Select -- </option>
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@foreach ($question->options as $option)
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@if($question->code == 'contact_id' && isset($option->contact->type) && $option->contact->type == 'doctor' )
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<option value="{{ $option->value }}"
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@if(isset($question->value) && $question->value == $option->value) selected @endif
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@if($question->code == 'contact_id')
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msl_code="{{ (isset($option->contact->msl_code) ? $option->contact->msl_code : '') }}"
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speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
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@endif
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>
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{{ $option->display }}
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</option>
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@elseif($question->code != 'contact_id')
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<option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'pcode= ' . (isset($option->contact->pcode)?$option->contact->pcode:'') . ' ' : '' }} {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
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{{ $option->display }}
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</option>
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@endif
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@endforeach
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{{-- @if($question->code=='contact_id')
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<option value="others" {{ isset($question->value) && $question->value == 'others' ? 'selected' : '' }}>Others</option>
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@endif --}}
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</select>
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@break
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@case('checkbox')
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@foreach($question->options as $option)
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<div class="form-check mb-2 form-check-primary">
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<input class="form-check-input" type="checkbox" id="field-{{$question->code}}-{{$option->value}}" name="{{$question->code}}[]" value="{{$option->value}}" {{isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked':''}}>
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<label class="form-check-label" for="field-{{$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) && $form->is_approval != 'yes' ) )
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<input type="file" id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" value="" {{$question->required == 'yes'?'required':'' }}>
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@elseif(isset($question->value))
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<img src="{{$question->value}}" class="img-fluid">
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@endif
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@break
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@case('multitextbox')
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<div class="row">
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@foreach($question->options as $option)
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<div class="col-6">{{$option->display}}</div>
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<div class="col-6 mb-1">
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<input type="number" id="field-{{$option->value}}" name="{{$option->value}}" class="form-control" required value="{{isset($option->val)?$option->val:0}}">
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</div>
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@endforeach
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</div>
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@break
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@case('time')
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<input type="time"
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id="field-{{$question->code}}"
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name="{{$question->code}}"
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class="form-control"
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{{$question->required == 'yes' ? 'required' : ''}}
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value="{{isset($question->value) ? $question->value : ''}}">
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@break
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@endswitch
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</div>
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@endforeach
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@if(!isset($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 </button>
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</div>
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@endif
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</form>
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</div> <!-- end card-body -->
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</div>
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<!-- end card -->
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<!-- end row -->
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</div> <!-- end col -->
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</div>
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<!-- end row -->
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</div>
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<!-- end container -->
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</div>
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<!-- end page -->
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<style type="text/css">
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#pageloader {
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background: rgba( 255, 255, 255, 0.8 );
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display: none;
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height: 100%;
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position: fixed;
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width: 100%;
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z-index: 9999;
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}
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#pageloader img {
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left: 50%;
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margin-left: -32px;
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margin-top: -32px;
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position: absolute;
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top: 50%;
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}
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</style>
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@include('layouts.shared/footer-script')
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<script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
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<script src="{{ asset('assets/libs/select2/select2.min.js') }}"></script>
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<script type="text/javascript">
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jQuery(document).ready(function($){
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$('[data-toggle="select2"]').select2();
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$('#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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$("#pageloader").fadeIn();
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$.ajax({
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type: "GET",
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url: '/form/getdoctorlist?partition={{$form->partition}}&hierarchy='+hierarchy,
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processData: false,
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contentType: false,
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success: function( data ) {
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$("#pageloader").fadeOut();
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$('#field-contact_id').html('')
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$('#field-contact_id').append($("<option></option>").attr("value",'').text('-- Select --'));
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for (let itm of data) {
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$('#field-contact_id').append($("<option></option>").attr("value",itm.value).text(itm.display).attr("msl_code", itm.contact.msl_code).attr('speciality',itm.contact.speciality));
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}
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$('#field-contact_id').change(function() {
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$('#field-msl_code').val($('option:selected', this).attr('msl_code'))
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})
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$('#field-contact_id').change(function() {
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$('#field-speciality').val($('option:selected', this).attr('speciality'))
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})
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},
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});
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console.log(hierarchy)
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})
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$('#field-contact_id').change(function() {
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$('#field-speciality').val($('option:selected', this).attr('speciality'))
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})
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$('#field-contact_id').change(function() {
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$('#field-msl_code').val($('option:selected', this).attr('msl_code'))
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})
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$('#field-msl_code,#field-speciality').attr('readonly',true);
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/* $('#field-pen_rx_count,#field-vial_rx_count,#field-pen_pob_units,#field-vial_pob_units,#field-sankalp_lead_received_penvial,#field-pmos_dr,#field-qbs_dr,#field-adboard_dr,#field-fb_live_dr,#field-ecme_dr,#field-rtm_dr,#field-sankalp_lead_enrolled_penvial').parent().hide();
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$('#field-pen_rx_count,#field-vial_rx_count,#field-pen_pob_units,#field-vial_pob_units,#field-sankalp_lead_received_penvial,#field-pmos_dr,#field-qbs_dr,#field-adboard_dr,#field-fb_live_dr,#field-ecme_dr,#field-rtm_dr,#field-sankalp_lead_enrolled_penvial').prop({"required":false});
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$('#field-rx_count,#field-pob_units,#field-brand_sku').parent().hide();
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$('#field-rx_count,#field-pob_units,#field-brand_sku').prop({"required":false});
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$('#field-select_brand').on('change',function(){
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let dropDown=$('#field-select_brand').val();
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if(dropDown==='GlipiQ'){
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$('#field-pen_rx_count,#field-vial_rx_count,#field-pen_pob_units,#field-vial_pob_units,#field-sankalp_lead_received_penvial,#field-pmos_dr,#field-qbs_dr,#field-adboard_dr,#field-fb_live_dr,#field-ecme_dr,#field-rtm_dr,#field-sankalp_lead_enrolled_penvial').parent().show();
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$('#field-pen_rx_count,#field-vial_rx_count,#field-pen_pob_units,#field-vial_pob_units,#field-sankalp_lead_received_penvial,#field-pmos_dr,#field-qbs_dr,#field-adboard_dr,#field-fb_live_dr,#field-ecme_dr,#field-rtm_dr,#field-sankalp_lead_enrolled_penvial').prop({"required":true});
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$('#field-rx_count,#field-pob_units,#field-brand_sku').parent().hide();
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$('#field-rx_count,#field-pob_units,#field-brand_sku').prop({"required":false});
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}
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else if(dropDown==='Sitazit'){
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$('#field-pen_rx_count,#field-vial_rx_count,#field-pen_pob_units,#field-vial_pob_units,#field-sankalp_lead_received_penvial,#field-pmos_dr,#field-qbs_dr,#field-adboard_dr,#field-fb_live_dr,#field-ecme_dr,#field-rtm_dr,#field-sankalp_lead_enrolled_penvial').parent().hide();
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$('#field-pen_rx_count,#field-vial_rx_count,#field-pen_pob_units,#field-vial_pob_units,#field-sankalp_lead_received_penvial,#field-pmos_dr,#field-qbs_dr,#field-adboard_dr,#field-fb_live_dr,#field-ecme_dr,#field-rtm_dr,#field-sankalp_lead_enrolled_penvial').prop({"required":false});
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$('#field-rx_count,#field-pob_units,#field-brand_sku').parent().show();
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$('#field-rx_count,#field-pob_units,#field-brand_sku').prop({"required":true});
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}else{
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$('#field-pen_rx_count,#field-vial_rx_count,#field-pen_pob_units,#field-vial_pob_units,#field-sankalp_lead_received_penvial,#field-pmos_dr,#field-qbs_dr,#field-adboard_dr,#field-fb_live_dr,#field-ecme_dr,#field-rtm_dr,#field-sankalp_lead_enrolled_penvial').parent().hide();
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$('#field-pen_rx_count,#field-vial_rx_count,#field-pen_pob_units,#field-vial_pob_units,#field-sankalp_lead_received_penvial,#field-pmos_dr,#field-qbs_dr,#field-adboard_dr,#field-fb_live_dr,#field-ecme_dr,#field-rtm_dr,#field-sankalp_lead_enrolled_penvial').prop({"required":false});
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$('#field-rx_count,#field-pob_units,#field-brand_sku').parent().hide();
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$('#field-rx_count,#field-pob_units,#field-brand_sku').prop({"required":false});
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}
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}) */
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const glipiFields = [
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'#field-pen_rx_count','#field-vial_rx_count','#field-pen_pob_units',
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'#field-vial_pob_units','#field-sankalp_lead_received_penvial',
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'#field-pmos_dr','#field-qbs_dr','#field-adboard_dr',
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'#field-fb_live_dr','#field-ecme_dr','#field-rtm_dr',
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'#field-sankalp_lead_enrolled_penvial'
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].join(',');
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const sitazitFields = [
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'#field-rx_count','#field-pob_units','#field-brand_sku'
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].join(',');
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function toggleFields(selector, show) {
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$(selector).parent().toggle(show);
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$(selector).prop('required', show);
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}
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// Initial hide
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toggleFields(glipiFields, false);
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toggleFields(sitazitFields, false);
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$('#field-select_brand').on('change', function () {
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const brand = $(this).val();
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toggleFields(glipiFields, brand === 'Glipiq');
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toggleFields(sitazitFields, brand === 'Sitazit');
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});
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// $('#field-contact_id').append('<option value="others">Others</option>');
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$('#field-file_upload').on('change', function () {
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let file = this.files[0];
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if (file) {
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let allowedTypes = ['image/png', 'image/jpg', 'image/jpeg'];
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let maxSize = 10 * 1024 * 1024; // 10 MB
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// Type validation
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if (!allowedTypes.includes(file.type)) {
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alert('Only PNG, JPG, and JPEG files are allowed.');
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$(this).val('');
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return;
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}
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// Size validation
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if (file.size > maxSize) {
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alert('File size should not exceed 10 MB.');
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$(this).val('');
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return;
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}
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}
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});
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$(document).ready(function () {
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$('#field-contact_id').trigger('change');
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});
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$('#field-city,#field-state,#field-departmental_head_name').on('input', function () {
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this.value = this.value.replace(/[^a-zA-Z\s]/g, '');
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});
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let sku_brand_maps = [
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{sku_code:'sitazit', brand:'SITAZIT', sku:'Sitazit', material_code:'421112261'},
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{sku_code:'sitazit_dm', brand:'SITAZIT', sku:'Sitazit DM', material_code:'421112413'},
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{sku_code:'sitazit_d', brand:'SITAZIT', sku:'Sitazit D', material_code:'421112413'},
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{sku_code:'sitazit_m', brand:'SITAZIT', sku:'Sitazit M', material_code:'421112413'},
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{sku_code:'sitazit_trio', brand:'SITAZIT', sku:'Sitazit Trio', material_code:'421112413'},
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]
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$(document).ready(function () {
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$('#field-select_brand').trigger('change');
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});
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$('#field-sankalp_lead_received_penvial').on('change', function () {
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let value = $(this).val();
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// Pehle existing hidden input hata do
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$('input[name="sankalp_recieved"]').remove();
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// Sirf Yes pe value bhejo
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if (value === 'Yes') {
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$('#report-form').append(
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'<input type="hidden" name="sankalp_recieved" value="1">'
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);
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}
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});
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$('#field-sankalp_lead_enrolled_penvial').on('change', function () {
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let value = $(this).val();
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// Pehle existing hidden input hata do
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$('input[name="sankalp_enrolled"]').remove();
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// Sirf Yes pe value bhejo
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if (value === 'Yes') {
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$('#report-form').append(
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'<input type="hidden" name="sankalp_enrolled" value="1">'
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);
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}
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});
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$('#field-pmos_dr').on('change', function () {
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let value = $(this).val();
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// Pehle existing hidden input hata do
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$('input[name="pmos_dr"]').remove();
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// Sirf Yes pe value bhejo
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if (value === 'Yes') {
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$('#report-form').append(
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'<input type="hidden" name="pmos_dr" value="1">'
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);
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}
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});
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$('#field-qbs_dr').on('change', function () {
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let value = $(this).val();
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// Pehle existing hidden input hata do
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$('input[name="qbs_dr"]').remove();
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|
// Sirf Yes pe value bhejo
|
|
if (value === 'Yes') {
|
|
$('#report-form').append(
|
|
'<input type="hidden" name="qbs_dr" value="1">'
|
|
);
|
|
}
|
|
});
|
|
|
|
$('#field-adboard_dr').on('change', function () {
|
|
let value = $(this).val();
|
|
|
|
// Pehle existing hidden input hata do
|
|
$('input[name="adboard_dr"]').remove();
|
|
|
|
// Sirf Yes pe value bhejo
|
|
if (value === 'Yes') {
|
|
$('#report-form').append(
|
|
'<input type="hidden" name="adboard_dr" value="1">'
|
|
);
|
|
}
|
|
});
|
|
|
|
$('#field-fb_live_dr').on('change', function () {
|
|
let value = $(this).val();
|
|
|
|
// Pehle existing hidden input hata do
|
|
$('input[name="fb_live_dr"]').remove();
|
|
|
|
// Sirf Yes pe value bhejo
|
|
if (value === 'Yes') {
|
|
$('#report-form').append(
|
|
'<input type="hidden" name="fb_live_dr" value="1">'
|
|
);
|
|
}
|
|
});
|
|
|
|
$('#field-ecme_dr').on('change', function () {
|
|
let value = $(this).val();
|
|
|
|
// Pehle existing hidden input hata do
|
|
$('input[name="ecme_dr"]').remove();
|
|
|
|
// Sirf Yes pe value bhejo
|
|
if (value === 'Yes') {
|
|
$('#report-form').append(
|
|
'<input type="hidden" name="ecme_dr" value="1">'
|
|
);
|
|
}
|
|
});
|
|
|
|
|
|
$('#field-rtm_dr').on('change', function () {
|
|
let value = $(this).val();
|
|
|
|
// Pehle existing hidden input hata do
|
|
$('input[name="rtm_dr"]').remove();
|
|
|
|
// Sirf Yes pe value bhejo
|
|
if (value === 'Yes') {
|
|
$('#report-form').append(
|
|
'<input type="hidden" name="rtm_dr" value="1">'
|
|
);
|
|
}
|
|
});
|
|
|
|
|
|
|
|
$('#report-form').on('submit', function(event){
|
|
event.preventDefault();
|
|
const formData = new FormData($('#report-form')[0]);
|
|
// Log form data to console
|
|
for (let [key, value] of formData.entries()) {
|
|
console.log(key, value);
|
|
}
|
|
$("#pageloader").fadeIn();
|
|
|
|
if ($('#field-select_brand').val() === 'Sitazit') {
|
|
|
|
$('#report-form').append(
|
|
'<input type="hidden" name="' + $('#field-brand_sku').val() + '_rx_count" value="' + $('#field-rx_count').val() + '">'
|
|
);
|
|
|
|
$('#report-form').append(
|
|
'<input type="hidden" name="' + $('#field-brand_sku').val() + '_pob_units" value="' + $('#field-pob_units').val() + '">'
|
|
);
|
|
|
|
let sku_brand_map = sku_brand_maps.find(
|
|
sb => sb.sku_code === $('#field-brand_sku').val()
|
|
);
|
|
|
|
if (sku_brand_map) {
|
|
$('#report-form').append(
|
|
'<input type="hidden" name="sku_name" value="' + sku_brand_map.sku + '">'
|
|
);
|
|
}
|
|
}
|
|
$.ajax({
|
|
type: "POST",
|
|
url: '/form/ajaxsubmit',
|
|
data: new FormData($('#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'
|
|
}).then(() => {
|
|
location.reload(); // 🔥 page refresh here
|
|
});
|
|
$('#report-form').trigger("reset");
|
|
} 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> |