465 lines
24 KiB
PHP
465 lines
24 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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@php
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$submissions = Formhelper::getMultiformData( $form->partition, $form_id, $form->user_id);
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$submissions = $submissions->data->submissions;
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@endphp
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@if(count($submissions) <=4)
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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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@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" 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->legacy_code) ? $option->contact->legacy_code : '') }}"
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speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
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@endif
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>
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{{ $option->display }}
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</option>
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@elseif($question->code != 'contact_id')
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<option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'pcode= ' . (isset($option->contact->pcode)?$option->contact->pcode:'') . ' ' : '' }} {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
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{{ $option->display }}
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</option>
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@endif
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@endforeach
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</select>
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@break
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@case('checkbox')
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@foreach($question->options as $option)
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<div class="form-check mb-2 form-check-primary">
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<input class="form-check-input" type="checkbox" id="field-{{$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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@else
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<div class="alert alert-danger">You have already submitted 5 Doctors <div>
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@endif
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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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$('[data-toggle="select2"]').select2();
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var hierarcies = [];
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var contacts = [];
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@if(isset($form->manager_can_submit) && $form->manager_can_submit == true)
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@foreach($form->users as $option)
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hierarcies.push('{{$option->hierarchy_id}}');
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@endforeach
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$("#pageloader").fadeIn();
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Promise.all(
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hierarcies.map(hierarchy => {
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return $.ajax({
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type: "GET",
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url: '/form/getdoctorlist?partition={{$form->partition}}&hierarchy=' + hierarchy,
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processData: false,
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contentType: false
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}).then(data => {
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console.log(data);
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contacts = contacts.concat(data);
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}).catch(function(err) {
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console.log(err);
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});
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})
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).then(function() {
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// All contacts loaded for each hierarchy
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// Example usage: console.log(contacts);
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// Filter out contacts where value == 'sample'
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contacts = contacts.filter(function(itm) { return itm.value !== 'sample'; });
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console.log(contacts);
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// Loop through contacts and append options to select elements whose id starts with 'field-contact_id'
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// We assume contact_id fields may be suffixed, e.g. field-contact_id_1, field-contact_id, etc.
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function applySelect2ToDoctorDropdowns() {
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$("[id^='field-contact_id']").each(function () {
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var select = $(this);
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// Avoid re-initializing select2
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if (select.data("select2")) return;
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select.select2({
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width: "100%",
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placeholder: "-- Select --",
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allowClear: true
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});
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});
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}
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function enforceUniqueDoctorSelections() {
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var selectedValues = [];
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// Collect selected values (ignore empty)
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$("[id^='field-contact_id']").each(function () {
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var v = $(this).val();
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if (v) selectedValues.push(String(v));
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});
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// Reset all option disabled states, then disable duplicates across selects
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$("[id^='field-contact_id']").each(function () {
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var currentSelect = $(this);
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var currentVal = currentSelect.val() ? String(currentSelect.val()) : "";
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currentSelect.find("option").prop("disabled", false);
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// Disable values selected in OTHER selects (keep current selection enabled)
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selectedValues.forEach(function (v) {
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if (v && v !== currentVal) {
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currentSelect
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.find("option[value=\"" + v.replace(/"/g, '\\"') + "\"]")
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.prop("disabled", true);
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}
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});
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// Refresh select2 UI if present
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if (currentSelect.data("select2")) {
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currentSelect.trigger("change.select2");
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}
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});
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}
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$("[id^='field-contact_id']").each(function() {
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var select = $(this);
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// Clear previous options
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select.html('');
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// Add a default 'Select' option
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select.append(
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$("<option></option>")
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.attr("value", '')
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.text('-- Select --')
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);
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// Append options from contacts
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contacts.forEach(function(itm) {
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var option = $("<option></option>")
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.attr("value", itm.value)
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.text(itm.display);
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// If doctor options have extra attributes
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if (itm.contact && itm.contact.msl_code) {
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option.attr("msl_code", itm.contact.msl_code);
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}
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if (itm.contact && itm.contact.speciality) {
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option.attr("speciality", itm.contact.speciality);
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}
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select.append(option);
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});
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// For each select element, add a change event handler to populate `msl_code` and `speciality`
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// We assume dropdowns and targets follow the pattern:
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// - select: field-contact_id_1, field-contact_id_2, ..., field-contact_id
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// - result: field-msl_code_1, field-speciality_1, etc.
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// Remove any old event handlers first to prevent duplicate bindings
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select.off('change').on('change', function () {
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var selected = $(this).find(':selected');
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var selectId = $(this).attr('id'); // e.g., field-contact_id_1
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// Extract the suffix (e.g., _1 or empty)
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var match = selectId.match(/^field-contact_id(_\d+)?$/);
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var suffix = match && match[1] ? match[1] : '';
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// Build the target msl_code and speciality field ids
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var mslCodeField = $('#field-msl_code' + suffix);
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var specialityField = $('#field-speciality' + suffix);
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if (mslCodeField.length) {
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mslCodeField.val(selected.attr('msl_code') || '');
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}
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if (specialityField.length) {
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specialityField.val(selected.attr('speciality') || '');
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}
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// Prevent selecting the same doctor across multiple dropdowns
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enforceUniqueDoctorSelections();
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});
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// Ensure unique selection is enforced after initial render
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enforceUniqueDoctorSelections();
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});
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// Enable search on doctor dropdowns
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applySelect2ToDoctorDropdowns();
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$("#pageloader").fadeOut();
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});
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@endif
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// Loop through hierarcies and fetch contacts for each hierarchy, store in contacts variable
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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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// for (let i = 1; i <= 10; i++) {
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// let contactField = $('#field-contact_id_' + i);
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// // Skip if field does not exist
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// if (!contactField.length) continue;
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// contactField.html('');
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// contactField.append(
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// $("<option></option>")
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// .attr("value", '')
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// .text('-- Select --')
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// );
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// for (let itm of data) {
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// contactField.append(
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// $("<option></option>")
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// .attr("value", itm.value)
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// .text(itm.display)
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// .attr("msl_code", itm.contact.msl_code)
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// .attr("speciality", itm.contact.speciality)
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// );
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// }
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// // Remove old change events before binding again
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// contactField.off('change').on('change', function () {
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// let selected = $(this).find(':selected');
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// $('#field-msl_code_' + i).val(selected.attr('msl_code') || '');
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// $('#field-speciality_' + i).val(selected.attr('speciality') || '');
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// console.log(selected.text()); // selected doctor name
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// });
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// contactField.select2({
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// placeholder: "-- Select --",
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// allowClear: true,
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// width: '100%'
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// });
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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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// for (let i = 1; i <= 10; i++) {
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// $('#field-msl_code_' + i).attr('readonly',true);
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// $('#field-speciality_' + i).attr('readonly',true);
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// }
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$('#report-form').on('submit', function(event){
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event.preventDefault();
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const formData = new FormData($('#report-form')[0]);
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// Log form data to console
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for (let [key, value] of formData.entries()) {
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console.log(key, value);
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}
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$("#pageloader").fadeIn();
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$.ajax({
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type: "POST",
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url: '/form/ajaxsubmit',
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data: new FormData($('#report-form')[0]),
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processData: false,
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contentType: false,
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success: function( data ) {
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$("#pageloader").fadeOut();
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if(data.status == 'success') {
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Swal.fire({
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title: 'Great!',
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text: 'Your data is successfully submitted!',
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icon: 'success'
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}).then(() => {
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location.reload(); // 🔥 page refresh here
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});
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$('#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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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('min', "2026-11-01");
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plandateField.setAttribute('max', today);
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});
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</script>
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</body>
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</html> |