187 lines
9.9 KiB
PHP
187 lines
9.9 KiB
PHP
<!DOCTYPE html>
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<html lang="en">
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<head>
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@include('layouts.shared/title-meta', ['title' => "Form"])
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@include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
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<link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
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</head>
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<div id="pageloader">
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<img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
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</div>
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<body class="loading">
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<div class="account-pages">
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<div class="container">
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<div class="row justify-content-center">
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<div class="col-md-8 col-lg-6 col-xl-5 p-0">
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<div class="card bg-pattern">
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<div class="card-body p-3 row">
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@if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
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<br>@endif
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@if(session('success'))<div class=" alert alert-success">{{ session('success') }}
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</div>
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<br>@endif
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<div class="col-8">
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<h4 class="page-title">{{$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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@php
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$start = strtotime("1 Jan 2023");
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$till = strtotime("now");
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if( request()->get('record_date') ) {
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$target = strtotime(request()->get('record_date'));
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} else {
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$target = strtotime("now");
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}
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$history = Formhelper::getMultiformData($form->partition, $form->form_id, $form->user_id, date("m-01-Y", $target) , date("m-t-Y", $target) );
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$contacts = [];
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if(sizeof($history->data->submissions) > 0) {
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foreach($history->data->submissions as $sub){
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$contacts[$sub->formdata->contact_id] = ['id' => $sub->id, 'units' => isset($sub->formdata->units) ? $sub->formdata->units : 0 ];
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}
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}
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//echo '<pre>';print_r($history);print_r($contacts);echo '</pre>';
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@endphp
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<form method="POST" action="/form/submitmultiple" id="report-form">
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<input type="hidden" name="form_id" value="{{$form_id}}">
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@csrf
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@if($id)
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<input type="hidden" name="id" value="{{$id}}">
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@endif
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<div class="col-md-12 mb-2">
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<label for="field-date" class="form-label">Date<span class="text-danger">*</span></label>
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<input type="date" id="field-date" name="date" class="form-control" required value="{{ (sizeof($contacts) > 0 ) ? $history->data->submissions[1]->formdata->date : '' }}">
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</div>
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<div class="col-md-12 mb-2">
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<label for="field-record_date" class="form-label">Month<span class="text-danger">*</span></label>
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<select id="field-record_date" name="record_date" class="form-control" required>
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@while ($start < $till)
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<option value="{{ date("M Y", $start) }}" {{ date("M Y", $target)==date("M Y", $start)?'selected':'' }} >{{ date("M Y", $start) }}</option>
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{{ $start = $start = $start + 60*60*24*(date("t", $start)) }}
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@endwhile
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</select>
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</div>
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<div class="col-md-12 mb-2">
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<div class="table-responsive">
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<table class="table table-borderless table-hover table-nowrap table-centered m-0">
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<thead class="table-light">
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<tr>
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<th>HCP Name</th>
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<th>Units</th>
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<th>Brand</th>
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<th>Speciality</th>
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<th>Hospital</th>
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<th>City</th>
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</tr>
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</thead>
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<tbody>
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@foreach($questions[2]->options as $doctor)
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@if(sizeof($contacts) > 0 && isset($contacts[$doctor->display]) )
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<input type="hidden" name="id[]" value="{{$contacts[$doctor->display]['id']}}">
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@endif
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<input type="hidden" name="contact_id[]" value="{{$doctor->value}}">
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<input type="hidden" name="brand[]" value="{{isset($doctor->contact->brand) ? $doctor->contact->brand : ''}}">
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<tr>
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<td>{{$doctor->display}}</td>
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<td style="min-width: 100px;">
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<input type="number" id="" name="units[]" class="form-control" required value="{{ (sizeof($contacts)>0 && isset($contacts[$doctor->display]) ) ? $contacts[$doctor->display]['units'] : '0' }}">
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</td>
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<td>{{isset($doctor->contact->brand) ? $doctor->contact->brand : ''}}</td>
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<td>{{isset($doctor->contact->speciality) ? $doctor->contact->speciality : ''}}</td>
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<td>{{isset($doctor->contact->hospital) ? $doctor->contact->hospital : ''}}</td>
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<td>{{isset($doctor->contact->city) ? $doctor->contact->city : ''}}</td>
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</tr>
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@endforeach
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</tbody>
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</table>
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</div>
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</div>
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@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
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<div class="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 type="text/javascript">
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jQuery(document).ready(function($){
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$('#report-form').on('submit', function(event){
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event.preventDefault();
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$("#pageloader").fadeIn();
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$.ajax({
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type: "POST",
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url: '/form/ajaxsubmitmultiple',
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data: new FormData($('#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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$("#pageloader").fadeOut();
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if(data.status == 'success') {
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Swal.fire({
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title: 'Great!',
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text: 'Your data is successfully submitted!',
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icon: 'success'
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})
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} else {
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Swal.fire({
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icon: 'error',
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title: 'Data not submitted',
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text: 'Something went wrong, please try again after some time!'
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})
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}
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},
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});
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});
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$('#field-record_date').change(function(){
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window.location.href = window.location.href.split('?')[0] + '?record_date=' + $(this).val()
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})
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});
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</script>
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</body>
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</html> |