549 lines
25 KiB
PHP
549 lines
25 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" => $demo ?? ''])
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<link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
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</head>
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<div id="pageloader">
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<img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
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</div>
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<body class="loading">
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<div class="account-pages">
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<div class="container">
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<div class="row justify-content-center">
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<div class="col-md-8 col-lg-6 col-xl-5 p-0">
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<div class="card bg-pattern">
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<div class="card-body p-3 row">
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@if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
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<br>@endif
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@if(session('success'))<div class=" alert alert-success">{{ session('success') }}
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</div>
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<br>@endif
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<div class="d-flex justify-content-between align-items-center">
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<h4 class="page-title mb-0">{{$form->title}}</h4>
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@if(!isset($form->is_approval) || $form->is_approval != 'yes')
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@if($form->link_type == 'form')
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<a href="/form/history" class="text-nowrap ms-2">View History</a>
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@else
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<a href="{{url()->previous()}}" class="text-nowrap ms-2">Back</a>
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@endif
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@endif
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</div>
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@if($form->title == 'User Mapping')
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<div class="user-mapping-help mt-2 mb-3">
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<i class="mdi mdi-information-outline me-1"></i>
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<span>
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To understand how to raise new user mapping request, please
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<a href="https://did94hhhcgq1d.cloudfront.net/rapport/videos/pulmocare-form-usage.mp4"
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target="_blank"
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rel="noopener noreferrer">click here</a>.
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</span>
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</div>
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@endif
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@if(isset($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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@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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@if($question->code == 'mobile_number')
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<h6>10-digit mobile number (starting with 6, 7, 8, or 9)</h6>
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@endif
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@switch($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 $option)
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<option value="{{$option->value}}" {{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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@break
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@case('radio')
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@foreach($question->options as $option)
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<div class="form-check mb-2 form-check-success">
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<input class="form-check-input" type="radio" name="{{$question->code}}" id="field-{{$question->code}}_{{$option->value}}" value="{{$option->value}}">
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<label class="form-check-label" for="field-{{$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('radiometrix')
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@php
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// Decode the first option's value to use as heading labels
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$headings =
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count($question->options) > 0
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? json_decode($question->options[0]->value)
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: [];
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@endphp
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{{-- Matrix Wrapper with Horizontal Scroll on Small Screens --}}
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<div class="table-responsive">
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<div class="d-table w-100">
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{{-- Table Headers --}}
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<div class="d-table-row font-weight-bold">
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<div class="d-table-cell p-2" style="width: 150px;"></div>
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{{-- Placeholder for row labels --}}
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@foreach ($headings as $head)
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<div class="d-table-cell text-center p-2">{{ $head }}
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</div>
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@endforeach
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</div>
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{{-- Table Rows --}}
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@foreach ($question->options as $option)
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@php $nn = json_decode($option->value); @endphp
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<div class="d-table-row align-middle">
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<div class="d-table-cell font-weight-bold p-2"
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style="width: 150px;">
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{{ $option->display }}
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</div>
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@foreach ($nn as $value)
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<div class="d-table-cell text-center p-2">
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<input type="radio"
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id="field-{{ $option->display }}-{{ $value }}"
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name="{{ $question->code }}[{{$option->display}}]" value="{{$value}}" class="form-check-input"
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{{ isset($question->display) && $option->display != $option->display ? 'checked' : '' }}>
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</div>
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@endforeach
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</div>
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@endforeach
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</div>
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</div>
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@break
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@case('checkbox')
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@foreach($question->options as $option)
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<div class="form-check mb-2 form-check-primary ms-2">
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<input class="form-check-input" type="checkbox" id="field-{{$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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@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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.form-label {
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font-weight:bold;
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font-size:16px;
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}
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.user-mapping-help {
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display: flex;
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align-items: flex-start;
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gap: 4px;
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font-size: 13px;
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line-height: 1.5;
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color: #667085;
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}
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.user-mapping-help i {
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flex-shrink: 0;
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margin-top: 2px;
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}
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.user-mapping-help span {
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min-width: 0;
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}
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.user-mapping-help a {
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color: #1683d8;
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font-weight: 600;
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text-decoration: none;
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white-space: nowrap;
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}
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.user-mapping-help a:hover {
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text-decoration: underline;
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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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$(document).ready(function () {
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const states = [
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"Andhra Pradesh",
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"Arunachal Pradesh",
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"Assam",
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"Bihar",
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"Chhattisgarh",
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"Goa",
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"Gujarat",
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"Haryana",
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"Himachal Pradesh",
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"Jharkhand",
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"Karnataka",
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"Kerala",
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"Madhya Pradesh",
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"Maharashtra",
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"Manipur",
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"Meghalaya",
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"Mizoram",
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"Nagaland",
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"Odisha",
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"Punjab",
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"Rajasthan",
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"Sikkim",
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"Tamil Nadu",
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"Telangana",
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"Tripura",
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"Uttar Pradesh",
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"Uttarakhand",
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"West Bengal",
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"Andaman and Nicobar Islands",
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"Chandigarh",
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"Dadra and Nagar Haveli and Daman and Diu",
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"Delhi",
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"Jammu and Kashmir",
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"Ladakh",
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"Lakshadweep",
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"Puducherry"
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];
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let $stateDropdown = $("#field-state");
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$.each(states, function (index, state) {
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$stateDropdown.append(
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$("<option>", {
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value: state,
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text: state
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})
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);
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});
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});
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function validateDuplicateEmpCode(currentField) {
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let empCode = $('#field-employee_code_01').val().trim();
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let l1Code = $('#field-l1_managers_emp_code').val().trim();
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let l2Code = $('#field-l2_managers_emp_code').val().trim();
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let currentValue = $(currentField).val().trim();
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if (currentValue === '') return;
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let duplicate = false;
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if (currentField.id === 'field-employee_code_01') {
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duplicate = (currentValue === l1Code || currentValue === l2Code);
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} else if (currentField.id === 'field-l1_managers_emp_code') {
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duplicate = (currentValue === empCode || currentValue === l2Code);
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} else if (currentField.id === 'field-l2_managers_emp_code') {
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duplicate = (currentValue === empCode || currentValue === l1Code);
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}
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if (duplicate) {
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$(currentField).val('');
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Swal.fire({
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icon: 'error',
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title: 'Duplicate Employee Code',
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text: 'Employee Code, L1 Manager Employee Code, and L2 Manager Employee Code must all be different.'
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}).then(() => {
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$(currentField).focus();
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});
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}
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}
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$('#field-employee_code_01, #field-l1_managers_emp_code, #field-l2_managers_emp_code')
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.on('blur', function () {
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validateDuplicateEmpCode(this);
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});
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$('#field-employee_code_01, #field-emp_code_previous_employee, #field-l1_managers_emp_code, #field-l2_managers_emp_code').on('input', function () {
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this.value = this.value.replace(/[^0-9]/g, '');
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});
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$('#field-employee_name_last_name, #field-employee_name_first_name, #field-state, #field-hq, #field-l1_managers_name, #field-l2_managers_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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$('#field-email_01').on('blur', function () {
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let $this = $(this);
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let email = $this.val().trim().toLowerCase();
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let designation = $('#field-designation_01').val();
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if (email === '') return;
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// General email format validation
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let emailPattern = /^[^\s@]+@[^\s@]+\.[^\s@]+$/;
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if (!emailPattern.test(email)) {
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$this.val('');
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Swal.fire({
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icon: 'error',
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title: 'Invalid Email',
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text: 'Please enter a valid email address.'
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}).then(() => {
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$this.focus();
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});
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return;
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}
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// For non-Physical Educators, only @alkem.com is allowed
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if (
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designation !== 'Physical Educator' &&
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designation !== 'Physical Educator Part Time' &&
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!email.endsWith('@alkem.com')
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) {
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$this.val('');
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Swal.fire({
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icon: 'error',
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title: 'Invalid Email',
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text: 'Please enter a valid Alkem email address (e.g., username@alkem.com). Personal email IDs are not allowed.'
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}).then(() => {
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$this.focus();
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});
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return;
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}
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});
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$('#field-mobile_number').on('input', function () {
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this.value = this.value.replace(/\D/g, '').slice(0, 10);
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// First digit must be 6,7,8,9
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if (this.value.length > 0 && !/^[6-9]/.test(this.value)) {
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this.value = '';
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}
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});
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$('#field-upload_doctor_list').on('change', function () {
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let file = this.files[0];
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if (file) {
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let allowedExtensions = /(\.xls|\.xlsx)$/i;
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if (!allowedExtensions.exec(file.name)) {
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Swal.fire({
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icon: 'error',
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title: 'Invalid File',
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text: 'Only Excel files (.xls, .xlsx) are allowed.'
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});
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$(this).val('');
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return false;
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}
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}
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});
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$('#field-emp_code_previous_employee').closest('.col-md-12').hide();
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$('#field-upload_doctor_list').closest('.col-md-12').hide();
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$('#field-expansion_position_replacement').on('change', function () {
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let selectedValue = $(this).val();
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if (selectedValue === 'Replacement') {
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$('#field-emp_code_previous_employee')
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.closest('.col-md-12').show();
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$('#field-emp_code_previous_employee').prop('required', true);
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$('#field-upload_doctor_list')
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.closest('.col-md-12').hide();
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$('#field-upload_doctor_list').prop('required', false).val('');
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} else if (selectedValue === 'Expansion') {
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$('#field-upload_doctor_list')
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.closest('.col-md-12').show();
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$('#field-upload_doctor_list').prop('required', true);
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$('#field-emp_code_previous_employee')
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.closest('.col-md-12').hide();
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$('#field-emp_code_previous_employee').prop('required', false).val('');
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}
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});
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$('#field-expansion_position_replacement').trigger('change');
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$('#field-user_id').change(function(){
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let hierarchy = $('option:selected', this).attr('hierarchy');
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$('#field-hierarchy_id').val(hierarchy)
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event.preventDefault();
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$.ajax({
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type: "GET",
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url: '/form/getdoctorlist?partition={{$form->partition}}&hierarchy='+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));
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}
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},
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});
|
|
|
|
console.log(hierarchy)
|
|
})
|
|
|
|
$('#report-form').on('submit', function(event){
|
|
event.preventDefault();
|
|
let mobile = $('#field-mobile_number').val().trim();
|
|
|
|
if (!/^[6-9]\d{9}$/.test(mobile)) {
|
|
Swal.fire({
|
|
icon: 'error',
|
|
title: 'Invalid Mobile Number',
|
|
text: 'Please enter a valid 10-digit mobile number starting with 6, 7, 8, or 9.'
|
|
}).then(() => {
|
|
$('#field-mobile_number').focus();
|
|
});
|
|
|
|
return false;
|
|
}
|
|
|
|
$("#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");
|
|
} else {
|
|
Swal.fire({
|
|
icon: 'error',
|
|
title: data.hasOwnProperty('message') ? 'You are not mapped to any position code' : 'Data not submitted',
|
|
text: data.hasOwnProperty('message') ? 'for resolution please email Position code, L1 Manager and L2 Manager details to support1@stratawiz.com':'Something went wrong, please try again after some time!'
|
|
})
|
|
}
|
|
},
|
|
});
|
|
});
|
|
|
|
let today = new Date();
|
|
let dd = String(today.getDate()).padStart(2, '0');
|
|
let mm = String(today.getMonth() + 1).padStart(2, '0');
|
|
let yyyy = today.getFullYear();
|
|
|
|
let currentDate = yyyy + '-' + mm + '-' + dd;
|
|
|
|
$('#field-record_date')
|
|
.val(currentDate) // Auto-fill today's date
|
|
.attr('max', currentDate)
|
|
.prop('readonly', true); // Prevent manual editing
|
|
});
|
|
</script>
|
|
</body>
|
|
|
|
</html> |