From 0f6eae214d089b1e459faf5d6adead24fd03042d Mon Sep 17 00:00:00 2001
From: vadivelJ96 <jvadivel.1996@gmail.com>
Date: Wed, 17 Sep 2025 12:02:53 +0530
Subject: [PATCH] CHANGE_logo_fix_final - VADIVEL J 2025-09-17

---
 app/Views/layout/header.php   |  19 +-
 app/Views/ticket_form_gmc.php | 760 ++++++++++++++++++----------------
 2 files changed, 398 insertions(+), 381 deletions(-)

diff --git a/app/Views/layout/header.php b/app/Views/layout/header.php
index 8857a211..783b6e7e 100755
--- a/app/Views/layout/header.php
+++ b/app/Views/layout/header.php
@@ -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 {
diff --git a/app/Views/ticket_form_gmc.php b/app/Views/ticket_form_gmc.php
index 25d15e5b..308d81c2 100644
--- a/app/Views/ticket_form_gmc.php
+++ b/app/Views/ticket_form_gmc.php
@@ -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) {