Nhances/nhance
5
0
Fork 0
Code Issues Pull Requests Actions Packages Projects Releases Wiki Activity

CHANGE_logo_fix_final - VADIVEL J 2025-09-17

Browse Source
This commit is contained in:
vadivelJ96 2025-09-17 12:02:53 +05:30
parent 33b24399c2
commit 0f6eae214d
2 changed files with 398 additions and 381 deletions
Show Stats Download Patch File Download Diff File Expand all files Collapse all files

19
app/Views/layout/header.php
View File

@ -336,18 +336,7 @@
/* end of loaders */
</style>
<!-- parsley-examples section starts -->
<style>
/* .parsley-examples
{
background-color: #F5FFFF;
padding: 25px;
border: 2px solid #F5FFFF;
border-radius: 10px;
box-shadow: 0px 1px 1px 0px #00000040;
}
*/
</style>
<!-- ticket list specific code -->
<style>
@ -746,6 +735,10 @@
table[data-custom-table-css="table"].dataTable thead th {
padding: 15px !important;
}
table[data-custom-table="table"] thead.bg-light tr[role="row"]{
display:none !important;
}
</style>
<!-- Datatable section starts -->
@ -1267,7 +1260,6 @@
</style>
<style>
.custom-form .parsley-examples {
background-color: transparent !important;
@ -1327,6 +1319,7 @@
text-align: center;
}
</style>
<style>
/* Common wrapper (works for text/file inputs) */
.input-icon {

760
app/Views/ticket_form_gmc.php
View File

@ -24,13 +24,9 @@
font-size: 24px;
}
.label-font-size{
font-size:0.875rem;
.label-font-size {
font-size: 0.875rem;
}
</style>
<div class="row">
<div class="col-12">
@ -57,378 +53,406 @@
<input type="hidden" id="extra_fields_array_for_validate" name="extra_fields_array_for_validate" value='<?= isset($extra_fields_array_for_validate) && !empty($extra_fields_array_for_validate) ? json_encode($extra_fields_array_for_validate) : "[]" ?>'>
<input type="hidden" id="head_rejection_reason" name="head_rejection_reason">
<div class="form-group">
<h4>Employee Details</h4>
<hr>
<div id="accordion1" class="mb-3">
<div class="card mb-1">
<h4 class="m-1">
Employee details
<a id="toggleIcon1" class="text-dark float-right" data-toggle="collapse" href="#collapseOne" aria-expanded="true">
<i id="icon1" class="mdi mdi-chevron-down mr-1 text-primary" style="font-size: 28px;"></i>
</a>
</h4>
<div id="collapseOne" class="collapse show" aria-labelledby="headingOne" data-parent="#accordion1">
<div class="card-body">
<!-- first_data_points -->
<div class="form-row">
<!-- first_data_points -->
<div class="form-row">
<div class="form-group col-md-3">
<label for="emp_code" class="label-font-size">Employee ID <span class="text-danger">*</span> &nbsp; &nbsp; <i class="mdi mdi-magnify text-danger"
aria-hidden="true" onclick="openFetchEmpDataodal(this)"></i> <span
class="text-danger"></span></label>
<input type="text" class="form-control" id="emp_code" placeholder="Enter Employee ID"
value="<?= isset($ticket_data['emp_code']) ? $ticket_data['emp_code'] : '' ?>"
name="emp_code" required>
</div>
<div class="form-group col-md-3">
<label for="emp_code" class="label-font-size">Employee ID <span class="text-danger">*</span> &nbsp; &nbsp; <i class="mdi mdi-magnify text-danger"
aria-hidden="true" onclick="openFetchEmpDataodal(this)"></i> <span
class="text-danger"></span></label>
<input type="text" class="form-control" id="emp_code" placeholder="Enter Employee ID"
value="<?= isset($ticket_data['emp_code']) ? $ticket_data['emp_code'] : '' ?>"
name="emp_code" required>
</div>
<div class="form-group col-md-3">
<label for="emp_name" class="label-font-size">Employee Name <span class="text-danger">*</span></label>
<input type=hidden id="emp_id" name="emp_id" value="<?= isset($ticket_data['emp_id']) ? $ticket_data['emp_id'] : '' ?>">
<input type="text" class="form-control" id="emp_name" placeholder="Enter Employee Name"
value="<?= isset($ticket_data['emp_name']) ? $ticket_data['emp_name'] : '' ?>"
name="emp_name" required>
</div>
<div class="form-group col-md-3">
<label for="emp_name" class="label-font-size">Employee Name <span class="text-danger">*</span></label>
<input type=hidden id="emp_id" name="emp_id" value="<?= isset($ticket_data['emp_id']) ? $ticket_data['emp_id'] : '' ?>">
<input type="text" class="form-control" id="emp_name" placeholder="Enter Employee Name"
value="<?= isset($ticket_data['emp_name']) ? $ticket_data['emp_name'] : '' ?>"
name="emp_name" required>
</div>
<div class="form-group col-md-3">
<label for="insured_name" class="label-font-size"> Insured Name <span class="text-danger">*</span></label>
<input type=hidden id="insured_emp_id" name="insured_emp_id" value="<?= isset($ticket_data['insured_emp_id']) ? $ticket_data['insured_emp_id'] : '' ?>">
<input class="form-control" id="insured_name" name="insured_name" value="<?= isset($ticket_data['insured_name']) ? $ticket_data['insured_name'] : '' ?>" required>
</div>
<div class="form-group col-md-3">
<label for="insured_name" class="label-font-size"> Insured Name <span class="text-danger">*</span></label>
<input type=hidden id="insured_emp_id" name="insured_emp_id" value="<?= isset($ticket_data['insured_emp_id']) ? $ticket_data['insured_emp_id'] : '' ?>">
<input class="form-control" id="insured_name" name="insured_name" value="<?= isset($ticket_data['insured_name']) ? $ticket_data['insured_name'] : '' ?>" required>
</div>
<div class="form-group col-md-3">
<label for="relationship" class="label-font-size"> Relationship <span class="text-danger">*</span></label>
<select class="form-control" id="relationship" name="relationship" required>
<option value="">Select Relationship</option>
<?php
if (isset($relationshipType) && count($relationshipType)) {
foreach ($relationshipType as $key => $value) {
$selected = (isset($ticket_data) && $ticket_data['relationship'] == $key) ? 'selected' : '';
echo "<option value='$key' $selected>$value</option>";
}
}
?>
</select>
</div>
<div class="form-group col-md-3">
<label for="relationship" class="label-font-size"> Relationship <span class="text-danger">*</span></label>
<select class="form-control" id="relationship" name="relationship" required>
<option value="">Select Relationship</option>
<?php
if (isset($relationshipType) && count($relationshipType)) {
foreach ($relationshipType as $key => $value) {
$selected = (isset($ticket_data) && $ticket_data['relationship'] == $key) ? 'selected' : '';
echo "<option value='$key' $selected>$value</option>";
}
}
?>
</select>
</div>
<div class="form-group col-md-3">
<label for="policy_no" class="label-font-size">Policy No <span class="text-danger"></span></label>
<input type="text" class="form-control" id="policy_no"
value="<?= isset($ticket_data['policy_no']) ? $ticket_data['policy_no'] : '' ?>"
name="policy_no" placeholder="Policy Number">
</div>
<div class="form-group col-md-3">
<label for="tpa_no" class="label-font-size">TPA ID <span class="text-danger"></span></label>
<input type="text" class="form-control" id="tpa_no" placeholder="Enter TPA ID"
value="<?= isset($ticket_data['tpa_no']) ? $ticket_data['tpa_no'] : '' ?>"
name="tpa_no">
</div>
<div class="form-group col-md-3">
<label for="policy_no" class="label-font-size">Policy No <span class="text-danger"></span></label>
<input type="text" class="form-control" id="policy_no"
value="<?= isset($ticket_data['policy_no']) ? $ticket_data['policy_no'] : '' ?>"
name="policy_no" placeholder="Policy Number">
</div>
<div class="form-group col-md-3">
<label for="tpa_no" class="label-font-size">TPA ID <span class="text-danger"></span></label>
<input type="text" class="form-control" id="tpa_no" placeholder="Enter TPA ID"
value="<?= isset($ticket_data['tpa_no']) ? $ticket_data['tpa_no'] : '' ?>"
name="tpa_no">
</div>
<div class="form-group col-md-3">
<label for="emp_mobile" class="label-font-size">Employee Mobile No <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="emp_mobile" placeholder="Enter EMP Mobile"
value="<?= isset($ticket_data['emp_mobile']) ? $ticket_data['emp_mobile'] : '' ?>"
name="emp_mobile" required>
</div>
<div class="form-group col-md-3">
<label for="emp_mobile" class="label-font-size">Employee Mobile No <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="emp_mobile" placeholder="Enter EMP Mobile"
value="<?= isset($ticket_data['emp_mobile']) ? $ticket_data['emp_mobile'] : '' ?>"
name="emp_mobile" required>
</div>
<div class="form-group col-md-3">
<label for="emp_mail" class="label-font-size">Employee Mail ID <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="emp_mail" placeholder="Enter EMP Mail"
value="<?= isset($ticket_data['emp_mail']) ? $ticket_data['emp_mail'] : '' ?>"
name="emp_mail" required>
</div>
<div class="form-group col-md-3">
<label for="emp_mail" class="label-font-size">Employee Mail ID <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="emp_mail" placeholder="Enter EMP Mail"
value="<?= isset($ticket_data['emp_mail']) ? $ticket_data['emp_mail'] : '' ?>"
name="emp_mail" required>
</div>
<div class="form-group col-md-3">
<label for="emp_personal_mail" class="label-font-size">Employee Personal Mail ID</label>
<input type="text" class="form-control" id="emp_personal_mail" placeholder="Enter EMP Personal Mail"
value="<?= isset($ticket_data['emp_personal_mail']) ? $ticket_data['emp_personal_mail'] : '' ?>"
name="emp_personal_mail">
</div>
<div class="form-group col-md-3">
<label for="emp_personal_mail" class="label-font-size">Employee Personal Mail ID</label>
<input type="text" class="form-control" id="emp_personal_mail" placeholder="Enter EMP Personal Mail"
value="<?= isset($ticket_data['emp_personal_mail']) ? $ticket_data['emp_personal_mail'] : '' ?>"
name="emp_personal_mail">
</div>
<div class="form-group col-md-3">
<label for="client_name" class="label-font-size">Corporate Name <span class="text-danger">*</span></label>
<input type="hidden" id="client_id" name="client_id" value="<?= isset($ticket_data['client_id']) ? $ticket_data['client_id'] : '' ?>">
<input type="text" class="form-control" id="client_name" placeholder="Client" value="<?= isset($ticket_data['client_name']) ? $ticket_data['client_name'] : '' ?>" readonly required>
</div>
<div class="form-group col-md-3">
<label for="client_name" class="label-font-size">Corporate Name <span class="text-danger">*</span></label>
<input type="hidden" id="client_id" name="client_id" value="<?= isset($ticket_data['client_id']) ? $ticket_data['client_id'] : '' ?>">
<input type="text" class="form-control" id="client_name" placeholder="Client" value="<?= isset($ticket_data['client_name']) ? $ticket_data['client_name'] : '' ?>" readonly required>
</div>
<div class="form-group col-md-3">
<label for="insurer_id" class="label-font-size">Insurer <span class="text-danger">*</span></label>
<input type=hidden id="insurer_id" name="insurer_id" value="<?= isset($ticket_data['insurer_id']) ? $ticket_data['insurer_id'] : '' ?>">
<input type=text class="form-control" id="insurer_name" placeholder="Insurer" value="<?= isset($ticket_data['insurer_name']) ? $ticket_data['insurer_name'] : '' ?>" readonly required>
</div>
<input type="hidden" id="empIDHidden" onchange="getClientPolicy()">
<div class="col-md-3">
<div class="form-group">
<label class="label-font-size">Policy <span class="text-danger">*</span></label>
<select id="emp_client_policy" name="client_policy_id"
class="form-control custom-select" required onchange="setMinDateDOA(this.value); setInsurerAndTPAData(this)">
<?php if (!empty($ticket_data['client_policy_id'])) { ?>
<option value="<?= $ticket_data['client_policy_id'] ?>"><?= $ticket_data['client_policy_id_text'] ?></option>
<?php } else { ?>
<option value="">Policy</option>
<?php } ?>
</select>
<div class="form-group col-md-3">
<label for="insurer_id" class="label-font-size">Insurer <span class="text-danger">*</span></label>
<input type=hidden id="insurer_id" name="insurer_id" value="<?= isset($ticket_data['insurer_id']) ? $ticket_data['insurer_id'] : '' ?>">
<input type=text class="form-control" id="insurer_name" placeholder="Insurer" value="<?= isset($ticket_data['insurer_name']) ? $ticket_data['insurer_name'] : '' ?>" readonly required>
</div>
<input type="hidden" id="empIDHidden" onchange="getClientPolicy()">
<div class="col-md-3">
<div class="form-group">
<label class="label-font-size">Policy <span class="text-danger">*</span></label>
<select id="emp_client_policy" name="client_policy_id"
class="form-control custom-select" required onchange="setMinDateDOA(this.value); setInsurerAndTPAData(this)">
<?php if (!empty($ticket_data['client_policy_id'])) { ?>
<option value="<?= $ticket_data['client_policy_id'] ?>"><?= $ticket_data['client_policy_id_text'] ?></option>
<?php } else { ?>
<option value="">Policy</option>
<?php } ?>
</select>
</div>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" for="tpa_name">TPA <span class="text-danger"></span></label>
<input type=hidden id="tpa_id" name="tpa_id" value="<?= isset($ticket_data['tpa_id']) ? $ticket_data['tpa_id'] : '' ?>">
<input type=text class="form-control" id="tpa_name" placeholder="TPA" value="<?= isset($ticket_data['tpa_name']) ? $ticket_data['tpa_name'] : '' ?>" readonly>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" for="acm_id">Account Manager <span class="text-danger">*</span></label>
<select class="form-control" id="acm_id" name="acm_id" required>
<!-- <option value="0">Select Account Manager</option> -->
<?php
if (isset($acms) && count($acms)) {
foreach ($acms as $key => $value) {
$selected = (isset($ticket_data) && $ticket_data['acm_id'] == $value['id']) ? 'selected' : '';
echo "<option value=" . $value['id'] . " $selected >" . $value['first_name'] . "</option>";
}
}
?>
</select>
</div>
</div>
<!-- end first_data_points -->
<!-- </div> -->
</div>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" for="tpa_name">TPA <span class="text-danger"></span></label>
<input type=hidden id="tpa_id" name="tpa_id" value="<?= isset($ticket_data['tpa_id']) ? $ticket_data['tpa_id'] : '' ?>">
<input type=text class="form-control" id="tpa_name" placeholder="TPA" value="<?= isset($ticket_data['tpa_name']) ? $ticket_data['tpa_name'] : '' ?>" readonly>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" for="acm_id">Account Manager <span class="text-danger">*</span></label>
<select class="form-control" id="acm_id" name="acm_id" required>
<!-- <option value="0">Select Account Manager</option> -->
<?php
if (isset($acms) && count($acms)) {
foreach ($acms as $key => $value) {
$selected = (isset($ticket_data) && $ticket_data['acm_id'] == $value['id']) ? 'selected' : '';
echo "<option value=" . $value['id'] . " $selected >" . $value['first_name'] . "</option>";
}
}
?>
</select>
</div>
</div>
<!-- end first_data_points -->
</div>
<br><br>
<div style="display: flex; align-items: center; gap: 10px;">
<h5 style="margin: 0;">
Claim Details
<div id="accordion2" class="mb-3">
<div class="card mb-1">
<h4 class="m-1">
Claim Details
<i id="infoIcon" class="mdi mdi-information-outline info-icon" title="Click for more details" style="margin-left: 5px;"></i>
<?= isset($ticket_data['claim_number']) && !empty($ticket_data['claim_number']) ? '( Claim No : ' . $ticket_data['claim_number'] . ' )' : '' ?>
</h5>
<a id="toggleIcon1" class="text-dark float-right" data-toggle="collapse" href="#collapseTwo" aria-expanded="true">
<i id="icon1" class="mdi mdi-chevron-down mr-1 text-primary" style="font-size: 28px;"></i>
</a>
</h4>
<div id="collapseTwo" class="collapse show" aria-labelledby="headingOne" data-parent="#accordion2">
<div class="card-body">
<!-- second_data_points -->
<div class="form-row">
<div class="form-group col-md-3">
<label class="label-font-size" for="claim_status">Status <span class="text-danger">*</span></label>
<select class="form-control" id="claim_status_id" name="claim_status_id" required>
<!-- <option value="0">Select status</option> -->
<?php
if (isset($claim_status) && count($claim_status)) {
foreach ($claim_status as $key => $value) {
$selected = (isset($ticket_data) && $ticket_data['claim_status_id'] == $value['id']) ? 'selected' : '';
echo "<option value=" . $value['id'] . " $selected>" . $value['claim_status'] . "</option>";
}
}
?>
</select>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" for="priority">Priority <span class="text-danger">*</span></label>
<select class="form-control" id="priority" name="priority" required>
<!-- <option value="0">Select Priority</option> -->
<?php
if (isset($priorityType) && count($priorityType)) {
foreach ($priorityType as $key => $value) {
$selected = (isset($ticket_data) && $ticket_data['priority'] == $key) ? 'selected' : '';
echo "<option value=" . $key . " $selected>" . $value . "</option>";
}
}
?>
</select>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" for="mode_of_intimation"> Mode of Submission <span
class="text-danger">*</span></label>
<select class="form-control" id="mode_of_intimation" name="mode_of_intimation" required>
<!-- <option value="0">Select Mode</option> -->
<?php
if (isset($modeOFIntimate) && count($modeOFIntimate)) {
foreach ($modeOFIntimate as $key => $value) {
$selected = (isset($ticket_data) && $ticket_data['mode_of_intimation'] == $key) ? 'selected' : '';
echo "<option value='" . $key . "' $selected>" . $value . "</option>";
}
}
?>
</select>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" for="claim_type"> Claim Type <span class="text-danger">*</span></label>
<select class="form-control" id="claim_type" name="claim_type" required>
<!-- <option value="0">Select claim Type</option> -->
<?php
if (isset($claim_type) && count($claim_type)) {
foreach ($claim_type as $key => $value) {
$selected = (isset($ticket_data) && $ticket_data['claim_type'] == $key) ? 'selected' : '';
echo "<option value='" . $key . "' $selected>" . $value . "</option>";
}
}
?>
</select>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" for="hospital_name">Hospital Name <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="hospital_name"
placeholder="Enter Hospital Name"
value="<?= isset($ticket_data['hospital_name']) ? $ticket_data['hospital_name'] : '' ?>"
name="hospital_name" required>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" for="doa">DOA <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="doa" placeholder="Enter DOA"
value="<?= isset($ticket_data['doa']) ? $ticket_data['doa'] : '' ?>"
name="doa" required>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" for="dod">DOD <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="dod" placeholder="Enter DOD"
value="<?= isset($ticket_data['dod']) ? $ticket_data['dod'] : '' ?>" name="dod" required>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" for="claim_amount">Claim Amount <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="claim_amount"
placeholder="Enter Claim Amount"
value="<?= isset($ticket_data['claim_amount']) ? $ticket_data['claim_amount'] : '' ?>"
name="claim_amount" required>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" id="pod_no_label_1" for="pod_no">POD No with Courier Name <span id="pod_no_label_1_span" class="text-danger"></span></label>
<input type="text" class="form-control" id="pod_no" placeholder="Enter POD NO"
value="<?= isset($ticket_data['pod_no']) ? $ticket_data['pod_no'] : '' ?>"
name="pod_no">
</div>
</div>
<!-- end second_data_points -->
</div>
</div>
</div>
<hr>
<!-- second_data_points -->
<div class="form-row">
<div class="form-group col-md-3">
<label class="label-font-size" for="claim_status">Status <span class="text-danger">*</span></label>
<select class="form-control" id="claim_status_id" name="claim_status_id" required>
<!-- <option value="0">Select status</option> -->
<?php
if (isset($claim_status) && count($claim_status)) {
foreach ($claim_status as $key => $value) {
$selected = (isset($ticket_data) && $ticket_data['claim_status_id'] == $value['id']) ? 'selected' : '';
echo "<option value=" . $value['id'] . " $selected>" . $value['claim_status'] . "</option>";
}
}
?>
</select>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" for="priority">Priority <span class="text-danger">*</span></label>
<select class="form-control" id="priority" name="priority" required>
<!-- <option value="0">Select Priority</option> -->
<?php
if (isset($priorityType) && count($priorityType)) {
foreach ($priorityType as $key => $value) {
$selected = (isset($ticket_data) && $ticket_data['priority'] == $key) ? 'selected' : '';
echo "<option value=" . $key . " $selected>" . $value . "</option>";
}
}
?>
</select>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" for="mode_of_intimation"> Mode of Submission <span
class="text-danger">*</span></label>
<select class="form-control" id="mode_of_intimation" name="mode_of_intimation" required>
<!-- <option value="0">Select Mode</option> -->
<?php
if (isset($modeOFIntimate) && count($modeOFIntimate)) {
foreach ($modeOFIntimate as $key => $value) {
$selected = (isset($ticket_data) && $ticket_data['mode_of_intimation'] == $key) ? 'selected' : '';
echo "<option value='" . $key . "' $selected>" . $value . "</option>";
}
}
?>
</select>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" for="claim_type"> Claim Type <span class="text-danger">*</span></label>
<select class="form-control" id="claim_type" name="claim_type" required>
<!-- <option value="0">Select claim Type</option> -->
<?php
if (isset($claim_type) && count($claim_type)) {
foreach ($claim_type as $key => $value) {
$selected = (isset($ticket_data) && $ticket_data['claim_type'] == $key) ? 'selected' : '';
echo "<option value='" . $key . "' $selected>" . $value . "</option>";
}
}
?>
</select>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" for="hospital_name">Hospital Name <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="hospital_name"
placeholder="Enter Hospital Name"
value="<?= isset($ticket_data['hospital_name']) ? $ticket_data['hospital_name'] : '' ?>"
name="hospital_name" required>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" for="doa">DOA <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="doa" placeholder="Enter DOA"
value="<?= isset($ticket_data['doa']) ? $ticket_data['doa'] : '' ?>"
name="doa" required>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" for="dod">DOD <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="dod" placeholder="Enter DOD"
value="<?= isset($ticket_data['dod']) ? $ticket_data['dod'] : '' ?>" name="dod" required>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" for="claim_amount">Claim Amount <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="claim_amount"
placeholder="Enter Claim Amount"
value="<?= isset($ticket_data['claim_amount']) ? $ticket_data['claim_amount'] : '' ?>"
name="claim_amount" required>
</div>
<div class="form-group col-md-3">
<label class="label-font-size" id="pod_no_label_1" for="pod_no">POD No with Courier Name <span id="pod_no_label_1_span" class="text-danger"></span></label>
<input type="text" class="form-control" id="pod_no" placeholder="Enter POD NO"
value="<?= isset($ticket_data['pod_no']) ? $ticket_data['pod_no'] : '' ?>"
name="pod_no">
</div>
</div>
<!-- end second_data_points -->
<br><br>
<h5>Additional Details</h5>
<hr>
<!-- third_data_points -->
<div class="form-row">
<div class="form-group col-md-3 up_cnu" style="display: none;">
<label class="label-font-size" for="claim_number">Claim Number <span class="text-danger"></span></label>
<input type="text" class="form-control" id="claim_number" placeholder="Enter Claim NO"
value="<?= isset($ticket_data['claim_number']) ? $ticket_data['claim_number'] : '' ?>"
name="claim_number">
</div>
<div class="form-group col-md-3 up_cnu" style="display: none;">
<label class="label-font-size" for="registration_date">Registration Date</label>
<input type="text" class="form-control datepicker" id="registration_date" placeholder="Select Registration Date"
value="<?= isset($ticket_data['registration_date']) ? $ticket_data['registration_date'] : '' ?>" name="registration_date">
</div>
<div class="form-group col-md-3 cda_ir" style="display: none;">
<label class="label-font-size" for="raised_date">Raised Date</label>
<input type="text" class="form-control datepicker" id="raised_date" placeholder="Select Raised Date"
value="<?= isset($ticket_data['raised_date']) ? $ticket_data['raised_date'] : '' ?>" name="raised_date">
</div>
<div class="form-group col-md-3 up_qdr" style="display: none;">
<label class="label-font-size" for="query_received_date">Query Received Date</label>
<input type="text" class="form-control datepicker" id="query_received_date" placeholder="Select Query Received Date"
value="<?= isset($ticket_data['query_received_date']) ? $ticket_data['query_received_date'] : '' ?>" name="query_received_date">
</div>
<div class="form-group col-md-3 rejected" style="display: none;">
<label class="label-font-size" for="denial_reason">Denial Reason</label>
<input type="text" class="form-control" id="denial_reason" placeholder="Enter Denial Reason"
value="<?= isset($ticket_data['denial_reason']) ? $ticket_data['denial_reason'] : '' ?>" name="denial_reason">
</div>
<div class="form-group col-md-3 rejected" style="display: none;">
<label class="label-font-size" for="denial_date">Denial Date</label>
<input type="text" class="form-control datepicker" id="denial_date" placeholder="Select Denial Date"
value="<?= isset($ticket_data['denial_date']) ? $ticket_data['denial_date'] : '' ?>" name="denial_date">
</div>
<div class="form-group col-md-3 approved" style="display: none;">
<label class="label-font-size" for="approved_amount">Approved Amount</label>
<input type="text" class="form-control" id="approved_amount" placeholder="Enter Approved Amount"
value="<?= isset($ticket_data['approved_amount']) ? $ticket_data['approved_amount'] : '' ?>" name="approved_amount">
</div>
<div class="form-group col-md-3 approved" style="display: none;">
<label class="label-font-size" for="approved_date">Approved Date</label>
<input type="text" class="form-control datepicker" id="approved_date" placeholder="Select Approved Date"
value="<?= isset($ticket_data['approved_date']) ? $ticket_data['approved_date'] : '' ?>" name="approved_date">
</div>
<div class="form-group col-md-6 approved" style="display: none;">
<label class="label-font-size" for="approved_letter">Approved Letter</label>
<input type="text" class="form-control" id="approved_letter" placeholder="Enter Approved Letter"
value="<?= isset($ticket_data['approved_letter']) ? $ticket_data['approved_letter'] : '' ?>" name="approved_letter">
</div>
<div class="form-group col-md-6 approved" style="display: none;">
<label class="label-font-size" for="approved_description">Approved Description</label>
<input type="text" class="form-control" id="approved_description" placeholder="Enter Approved Description"
value="<?= isset($ticket_data['approved_description']) ? $ticket_data['approved_description'] : '' ?>" name="approved_description">
</div>
<div class="form-group col-md-3 settled" style="display: none;">
<label class="label-font-size" for="utr_details">UTR Details</label>
<input type="text" class="form-control" id="utr_details" placeholder="Enter UTR Details"
value="<?= isset($ticket_data['utr_details']) ? $ticket_data['utr_details'] : '' ?>" name="utr_details">
</div>
<div class="form-group col-md-3 settled" style="display: none;">
<label class="label-font-size" for="settled_date">Settled Date</label>
<input type="text" class="form-control datepicker" id="settled_date" placeholder="Select Settled Date"
value="<?= isset($ticket_data['settled_date']) ? $ticket_data['settled_date'] : '' ?>" name="settled_date">
</div>
<div class="form-group col-md-6 settled" style="display: none;">
<label class="label-font-size" for="settle_letter">Settle Letter</label>
<input type="text" class="form-control" id="settle_letter" placeholder="Enter Settle Letter"
value="<?= isset($ticket_data['settle_letter']) ? $ticket_data['settle_letter'] : '' ?>" name="settle_letter">
</div>
<div class="form-group col-md-3 payment" style="display: none;">
<label class="label-font-size" for="pay_initiate_date">Payment Initiate Date</label>
<input type="text" class="form-control datepicker" id="pay_initiate_date" placeholder="Select Payment Initiate Date"
value="<?= isset($ticket_data['pay_initiate_date']) ? $ticket_data['pay_initiate_date'] : '' ?>" name="pay_initiate_date">
</div>
<div class="form-group col-md-3 canceled" style="display: none;">
<label class="label-font-size" for="cancel_remark">Cancel Remark</label>
<textarea class="form-control" id="cancel_remark" rows="1" placeholder="Enter Cancel Remark" name="cancel_remark"><?= isset($ticket_data['cancel_remark']) ? $ticket_data['cancel_remark'] : '' ?></textarea>
</div>
<div class="form-group col-md-3 returned" style="display: none;">
<label class="label-font-size" for="return_remark">Return Remark</label>
<textarea class="form-control" id="return_remark" rows="1" placeholder="Enter Return Remark" name="return_remark"><?= isset($ticket_data['return_remark']) ? $ticket_data['return_remark'] : '' ?></textarea>
</div>
<div class="form-group col-md-6 returned" style="display: none;">
<label class="label-font-size" for="awb_no_courier_name">Return AWB No with Courier Name</label>
<input type="text" class="form-control" id="awb_no_courier_name" placeholder="eg : 0001/ST Courier"
value="<?= isset($ticket_data['awb_no_courier_name']) ? $ticket_data['awb_no_courier_name'] : '' ?>" name="awb_no_courier_name">
</div>
<div class="form-group col-md-3 non_id" style="display: none;">
<label class="label-font-size" for="non_id_reason">Non ID Reason <span id="non_id_reason_lable_id" class="text-danger"></span></label>
<select class="form-control" id="non_id_reason" name="non_id_reason">
<option value="">Select Reason</option>
<?php
if (isset($nonIDReason) && count($nonIDReason)) {
foreach ($nonIDReason as $key => $value) {
$selected = (isset($ticket_data) && $ticket_data['non_id_reason'] == $key) ? 'selected' : '';
echo "<option value='" . $key . "' $selected>" . $value . "</option>";
}
}
?>
</select>
</div>
</div>
<!-- end third_data_points -->
</div>
<div id="accordion3" class="mb-3">
<div class="card mb-1">
<h4 class="m-1">
Additional Documents
<a id="toggleIcon1" class="text-dark float-right" data-toggle="collapse" href="#collapseThree" aria-expanded="true">
<i id="icon1" class="mdi mdi-chevron-down mr-1 text-primary" style="font-size: 28px;"></i>
</a>
</h4>
<div id="collapseThree" class="collapse show" aria-labelledby="headingOne" data-parent="#accordion3">
<div class="card-body">
<!-- third_data_points -->
<div class="form-row">
<div class="form-group col-md-3 up_cnu" style="display: none;">
<label class="label-font-size" for="claim_number">Claim Number <span class="text-danger"></span></label>
<input type="text" class="form-control" id="claim_number" placeholder="Enter Claim NO"
value="<?= isset($ticket_data['claim_number']) ? $ticket_data['claim_number'] : '' ?>"
name="claim_number">
</div>
<div class="form-group col-md-3 up_cnu" style="display: none;">
<label class="label-font-size" for="registration_date">Registration Date</label>
<input type="text" class="form-control datepicker" id="registration_date" placeholder="Select Registration Date"
value="<?= isset($ticket_data['registration_date']) ? $ticket_data['registration_date'] : '' ?>" name="registration_date">
</div>
<div class="form-group col-md-3 cda_ir" style="display: none;">
<label class="label-font-size" for="raised_date">Raised Date</label>
<input type="text" class="form-control datepicker" id="raised_date" placeholder="Select Raised Date"
value="<?= isset($ticket_data['raised_date']) ? $ticket_data['raised_date'] : '' ?>" name="raised_date">
</div>
<div class="form-group col-md-3 up_qdr" style="display: none;">
<label class="label-font-size" for="query_received_date">Query Received Date</label>
<input type="text" class="form-control datepicker" id="query_received_date" placeholder="Select Query Received Date"
value="<?= isset($ticket_data['query_received_date']) ? $ticket_data['query_received_date'] : '' ?>" name="query_received_date">
</div>
<div class="form-group col-md-3 rejected" style="display: none;">
<label class="label-font-size" for="denial_reason">Denial Reason</label>
<input type="text" class="form-control" id="denial_reason" placeholder="Enter Denial Reason"
value="<?= isset($ticket_data['denial_reason']) ? $ticket_data['denial_reason'] : '' ?>" name="denial_reason">
</div>
<div class="form-group col-md-3 rejected" style="display: none;">
<label class="label-font-size" for="denial_date">Denial Date</label>
<input type="text" class="form-control datepicker" id="denial_date" placeholder="Select Denial Date"
value="<?= isset($ticket_data['denial_date']) ? $ticket_data['denial_date'] : '' ?>" name="denial_date">
</div>
<div class="form-group col-md-3 approved" style="display: none;">
<label class="label-font-size" for="approved_amount">Approved Amount</label> #
<input type="text" class="form-control" id="approved_amount" placeholder="Enter Approved Amount"
value="<?= isset($ticket_data['approved_amount']) ? $ticket_data['approved_amount'] : '' ?>" name="approved_amount">
</div>
<div class="form-group col-md-3 approved" style="display: none;">
<label class="label-font-size" for="approved_date">Approved Date</label>
<input type="text" class="form-control datepicker" id="approved_date" placeholder="Select Approved Date"
value="<?= isset($ticket_data['approved_date']) ? $ticket_data['approved_date'] : '' ?>" name="approved_date">
</div>
<div class="form-group col-md-6 approved" style="display: none;">
<label class="label-font-size" for="approved_letter">Approved Letter</label>
<input type="text" class="form-control" id="approved_letter" placeholder="Enter Approved Letter"
value="<?= isset($ticket_data['approved_letter']) ? $ticket_data['approved_letter'] : '' ?>" name="approved_letter">
</div>
<div class="form-group col-md-6 approved" style="display: none;">
<label class="label-font-size" for="approved_description">Approved Description</label>
<input type="text" class="form-control" id="approved_description" placeholder="Enter Approved Description"
value="<?= isset($ticket_data['approved_description']) ? $ticket_data['approved_description'] : '' ?>" name="approved_description">
</div>
<div class="form-group col-md-3 settled" style="display: none;">
<label class="label-font-size" for="utr_details">UTR Details</label>
<input type="text" class="form-control" id="utr_details" placeholder="Enter UTR Details"
value="<?= isset($ticket_data['utr_details']) ? $ticket_data['utr_details'] : '' ?>" name="utr_details">
</div>
<div class="form-group col-md-3 settled" style="display: none;">
<label class="label-font-size" for="settled_date">Settled Date</label>
<input type="text" class="form-control datepicker" id="settled_date" placeholder="Select Settled Date"
value="<?= isset($ticket_data['settled_date']) ? $ticket_data['settled_date'] : '' ?>" name="settled_date">
</div>
<div class="form-group col-md-6 settled" style="display: none;">
<label class="label-font-size" for="settle_letter">Settle Letter</label>
<input type="text" class="form-control" id="settle_letter" placeholder="Enter Settle Letter"
value="<?= isset($ticket_data['settle_letter']) ? $ticket_data['settle_letter'] : '' ?>" name="settle_letter">
</div>
<div class="form-group col-md-3 payment" style="display: none;">
<label class="label-font-size" for="pay_initiate_date">Payment Initiate Date</label>
<input type="text" class="form-control datepicker" id="pay_initiate_date" placeholder="Select Payment Initiate Date"
value="<?= isset($ticket_data['pay_initiate_date']) ? $ticket_data['pay_initiate_date'] : '' ?>" name="pay_initiate_date">
</div>
<div class="form-group col-md-3 canceled" style="display: none;">
<label class="label-font-size" for="cancel_remark">Cancel Remark</label>
<textarea class="form-control" id="cancel_remark" rows="1" placeholder="Enter Cancel Remark" name="cancel_remark"><?= isset($ticket_data['cancel_remark']) ? $ticket_data['cancel_remark'] : '' ?></textarea>
</div>
<div class="form-group col-md-3 returned" style="display: none;">
<label class="label-font-size" for="return_remark">Return Remark</label>
<textarea class="form-control" id="return_remark" rows="1" placeholder="Enter Return Remark" name="return_remark"><?= isset($ticket_data['return_remark']) ? $ticket_data['return_remark'] : '' ?></textarea>
</div>
<div class="form-group col-md-6 returned" style="display: none;">
<label class="label-font-size" for="awb_no_courier_name">Return AWB No with Courier Name</label>
<input type="text" class="form-control" id="awb_no_courier_name" placeholder="eg : 0001/ST Courier"
value="<?= isset($ticket_data['awb_no_courier_name']) ? $ticket_data['awb_no_courier_name'] : '' ?>" name="awb_no_courier_name">
</div>
<div class="form-group col-md-3 non_id" style="display: none;">
<label class="label-font-size" for="non_id_reason">Non ID Reason <span id="non_id_reason_lable_id" class="text-danger"></span></label>
<select class="form-control" id="non_id_reason" name="non_id_reason">
<option value="">Select Reason</option>
<?php
if (isset($nonIDReason) && count($nonIDReason)) {
foreach ($nonIDReason as $key => $value) {
$selected = (isset($ticket_data) && $ticket_data['non_id_reason'] == $key) ? 'selected' : '';
echo "<option value='" . $key . "' $selected>" . $value . "</option>";
}
}
?>
</select>
</div>
</div>
<!-- end third_data_points -->
</div>
</div>
</div>
</div>
<div class="form-group col-md-12 text-right m-b-0" style="margin-top: 29px;">
<button type="submit" class="btn btn-primary waves-effect waves-light mr-1" id="btnSubmit">Submit</button>
<?php if (get_role_id() == 5 && isset($ticket_data) && $ticket_data['claim_status_id'] == 8) { ?>
@ -635,17 +659,17 @@
console.log('Selected Value:', selectedVal);
console.log('Element ID:', elementId);
if(selectedVal == 2 || selectedVal == 14){
if (selectedVal == 2 || selectedVal == 14) {
$field = $('#non_id_reason')
$field.prop('required', false);
}else if(selectedVal == 1){
} else if (selectedVal == 1) {
if($('#tpa_no').val() != ""){
if ($('#tpa_no').val() != "") {
$field = $('#non_id_reason')
$field.prop('required', false);
var $parentDiv = $field.closest("div");
$parentDiv.find("label[for='non_id_reason'] .text-danger").remove();
}else{
} else {
$field = $('#non_id_reason')
$field.prop('required', true);
}
@ -805,7 +829,7 @@
$field.prop('required', false);
var $parentDiv = $field.closest("div");
$parentDiv.find("label[for='approved_description'] .text-danger").remove();
});
// function addRequiredFieldSymbol(field_name) {
@ -1059,11 +1083,11 @@
if (ticket_type == 1 && item.policy_type_id != 1) {
$('#emp_client_policy').append($('<option>', {
value: item.client_policy_value,
text: item.client_policy_name,
'data-insurerid' : item.insurer_id ?? "",
'data-tpaid' : item.tpa_id ?? "",
'data-insurername' : item.insurer_name ?? "",
'data-tpaname' : item.tpa_name ?? "",
text: item.client_policy_name,
'data-insurerid': item.insurer_id ?? "",
'data-tpaid': item.tpa_id ?? "",
'data-insurername': item.insurer_name ?? "",
'data-tpaname': item.tpa_name ?? "",
}));
$("#policy_no").val("");
if (policyCount == 1) {