From 419fdde419a8335d1d869605cd8de323f0e8e5ae Mon Sep 17 00:00:00 2001
From: "venkatesh.r" <venkatesh.r@venbainfotech.com>
Date: Thu, 27 Feb 2025 18:00:03 +0530
Subject: [PATCH] CHANGE_CLAIMS_MODULE : RV

---
 .../policy_transaction_inception_form.php     | 58 +++++++++++--
 app/Views/ticket_form_gmc.php                 | 84 ++++++++++---------
 app/Views/ticket_form_gpa.php                 | 56 +++++++------
 3 files changed, 123 insertions(+), 75 deletions(-)

diff --git a/app/Views/policy_transaction_inception_form.php b/app/Views/policy_transaction_inception_form.php
index 2c06d68b..5b7ebdd3 100644
--- a/app/Views/policy_transaction_inception_form.php
+++ b/app/Views/policy_transaction_inception_form.php
@@ -1748,18 +1748,46 @@ function checkAndDistributeTax(input)
     let sgst = parseFloat($('#sgst_' + input).val());
     let igst = parseFloat($('#igst_' + input).val());
 
-    if(((event.target.id).startsWith('cgst') || (event.target.id).startsWith('sgst') ))
-    {
-        if(cgst !== 0) { $('#sgst_' + input).val(cgst); }
-        else if(sgst !== 0) { $('#cgst_' + input).val(sgst); }
+    // if(((event.target.id).startsWith('cgst') || (event.target.id).startsWith('sgst') ))
+    // {
+    //     if(cgst !== 0) { $('#sgst_' + input).val(cgst); }
+    //     else if(sgst !== 0) { $('#cgst_' + input).val(sgst); }
         
+    //     $('#igst_' + input).val(0);
+    // }
+    // else if((event.target.id).startsWith('igst'))
+    // {
+    //     $('#cgst_' + input).val(0);
+    //     $('#sgst_' + input).val(0);
+    // }
+
+    if (((event.target.id).startsWith('cgst') || (event.target.id).startsWith('sgst'))) {
+
+        if (!isFinite(cgst) || isNaN(cgst) || cgst === undefined) {
+            cgst = 0;
+        }
+        if (!isFinite(sgst) || isNaN(sgst) || sgst === undefined) {
+            sgst = 0;
+        }
+
+        if (cgst !== 0) {
+            $('#sgst_' + input).val(cgst);
+        } else if (sgst !== 0) {
+            $('#cgst_' + input).val(sgst);
+        }
+
         $('#igst_' + input).val(0);
-    }
-    else if((event.target.id).startsWith('igst'))
-    {
+    } 
+    else if ((event.target.id).startsWith('igst')) {
         $('#cgst_' + input).val(0);
         $('#sgst_' + input).val(0);
     }
+
+    // Ensure IGST, CGST, and SGST are never NaN, undefined, or Infinity
+    $('#igst_' + input).val(isFinite($('#igst_' + input).val()) ? $('#igst_' + input).val() : 0);
+    $('#cgst_' + input).val(isFinite($('#cgst_' + input).val()) ? $('#cgst_' + input).val() : 0);
+    $('#sgst_' + input).val(isFinite($('#sgst_' + input).val()) ? $('#sgst_' + input).val() : 0);
+
 }
 
 function amountCalculation(input) {
@@ -2293,11 +2321,21 @@ $(document).on('change', '[name="base_premium[]"], [name="co_share_per[]"]', fun
     let basePremium = $('input[name="base_premium[]"]').toArray()
         .map(input => parseFloat($(input).val()) || 0)
         .find(value => value > 0) || 0;
+        
+    let tpPremium = $('input[name="tp_premium[]"]').toArray()
+        .map(input => parseFloat($(input).val()) || 0)
+        .find(value => value > 0) || 0;
+        
+    let terPremium = $('input[name="tp_premium[]"]').toArray()
+        .map(input => parseFloat($(input).val()) || 0)
+        .find(value => value > 0) || 0;
 
     console.log('Base Premium:', basePremium);
+    console.log('TP Premium:', tpPremium);
 
     // Loop through all co_share_per[] fields
     $('input[name="co_share_per[]"]').each(function(index) {
+
         const coSharePer = parseFloat($(this).val()) || 0; // Get co_share_per value
         const coPremium = (basePremium * coSharePer) / 100; // Calculate co_premium
 
@@ -3536,6 +3574,9 @@ var insurerCount = 0;
 $('#setInsurerCount').on('click', function() {
 
     addInsurerColumn();  // Ensure this function is defined properly
+    setTimeout(() => {
+        getColumnIndexes();
+    }, 2000);
 
 });
 
@@ -3840,6 +3881,9 @@ function addInsurerColumn() {
         const index = $(this).closest('th').index();
         let count_index = $(this).data('count');
         removeInsurerColumn(index, count_index);
+        setTimeout(() => {
+            getColumnIndexes();
+        }, 2000);
     });
 
     // hidePermiumDetailsBasedOnTheTeam()
diff --git a/app/Views/ticket_form_gmc.php b/app/Views/ticket_form_gmc.php
index 099cf7ad..0c7a4a75 100644
--- a/app/Views/ticket_form_gmc.php
+++ b/app/Views/ticket_form_gmc.php
@@ -32,32 +32,32 @@
                         <div class="form-row">
 
                             <div class="form-group col-md-3">
-                                <label for="emp_code">Employee ID &nbsp; <i class="fa fa-search text-danger"
+                                <label for="emp_code">Employee ID <span class="text-danger">*</span> &nbsp; &nbsp; <i class="fa fa-search 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">
+                                    name="emp_code" required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="emp_name">Employee Name<span class="text-danger"></span></label>
+                                <label for="emp_name">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">
+                                    name="emp_name" required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="insured_name"> Insured Name <span class="text-danger"></span></label>
+                                <label for="insured_name"> 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']) ? $ticket_data['insured_name'] : '' ?>">
+                                <input class="form-control" id="insured_name" name="insured_name" value="<?= isset($ticket_data['insured_name']) ? $ticket_data['insured_name'] : '' ?>" required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="relationship"> Relationship <span class="text-danger"></span></label>
-                                <select class="form-control" id="relationship" name="relationship">
-                                    <option value="0">Select Relationship</option>
+                                <label for="relationship"> 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) {
@@ -70,54 +70,54 @@
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="policy_no">Policy No<span class="text-danger"></span></label>
+                                <label for="policy_no">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_id">TPA ID<span class="text-danger"></span></label>
+                                <label for="tpa_id">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">Employee Mobile No<span class="text-danger"></span></label>
+                                <label for="emp_mobile">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">
+                                    name="emp_mobile" required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="emp_mail">Employee Mail ID<span class="text-danger"></span></label>
+                                <label for="emp_mail">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">
+                                    name="emp_mail" required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="client_name">Corporate Name<span class="text-danger"></span></label>
+                                <label for="client_name">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']) ? $ticket_data['client_name'] : '' ?>" readonly>
+                                <input type="text" class="form-control" id="client_name" placeholder="Client" value="<?= isset($ticket_data['client_name']) ? $ticket_data['client_name'] : '' ?>" readonly required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="insurer_id">Insurer<span class="text-danger"></span></label>
+                                <label for="insurer_id">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']) ? $ticket_data['insurer_name'] : '' ?>" readonly>
+                                <input type=text class="form-control" id="insurer_name" placeholder="Insurer" value="<?= isset($ticket_data['insurer_name']) ? $ticket_data['insurer_name'] : '' ?>" readonly required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="tpa_id">TPA<span class="text-danger"></span></label>
+                                <label for="tpa_id">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 for="acm_id">Account Manager<span class="text-danger"></span></label>
-                                <select class="form-control" id="acm_id" name="acm_id">
+                                <label 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)) {
@@ -133,6 +133,7 @@
                         </div>
                         <!-- end first_data_points -->
 
+                        <br><br>
                         <h5>Claim Details</h5>
                         <hr>
 
@@ -140,8 +141,8 @@
                         <div class="form-row">
 
                             <div class="form-group col-md-3">
-                                <label for="claim_status">Status<span class="text-danger"></span></label>
-                                <select class="form-control" id="claim_status_id" name="claim_status_id">
+                                <label 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)) {
@@ -155,8 +156,8 @@
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="priority">Priority<span class="text-danger"></span></label>
-                                <select class="form-control" id="priority" name="priority">
+                                <label 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)) {
@@ -170,9 +171,9 @@
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="mode_of_intimation"> Mode of Intimation <span
-                                        class="text-danger"></span></label>
-                                <select class="form-control" id="mode_of_intimation" name="mode_of_intimation">
+                                <label 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)) {
@@ -186,8 +187,8 @@
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="claim_type"> Claim Type <span class="text-danger"></span></label>
-                                <select class="form-control" id="claim_type" name="claim_type">
+                                <label 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)) {
@@ -201,36 +202,36 @@
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="hospital_name">Hospital Name<span class="text-danger"></span></label>
+                                <label 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">
+                                    name="hospital_name" required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="doa">DOA<span class="text-danger"></span></label>
+                                <label 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">
+                                    name="doa" required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="dod">DOD<span class="text-danger"></span></label>
+                                <label 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']) ? $ticket_data['dod'] : '' ?>" name="dod">
+                                    value="<?= isset($ticket_data['dod']) ? $ticket_data['dod'] : '' ?>" name="dod" required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="claim_amount">Claim Amount<span class="text-danger"></span></label>
+                                <label 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">
+                                    name="claim_amount" required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label id="pod_no_label_1" for="pod_no">POD No<span id="pod_no_label_1_span" class="text-danger"></span></label>
+                                <label id="pod_no_label_1" for="pod_no">POD No <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">
@@ -239,6 +240,7 @@
                         </div>
                         <!-- end second_data_points -->
 
+                        <br><br>
                         <h5>Additional Details</h5>
                         <hr>
 
@@ -246,7 +248,7 @@
                         <div class="form-row">
 
                             <div class="form-group col-md-3 up_cnu" style="display: none;">
-                                <label for="claim_number">Claim Number<span class="text-danger"></span></label>
+                                <label 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">
diff --git a/app/Views/ticket_form_gpa.php b/app/Views/ticket_form_gpa.php
index 798a625c..01e3f37d 100644
--- a/app/Views/ticket_form_gpa.php
+++ b/app/Views/ticket_form_gpa.php
@@ -39,57 +39,57 @@
                         <div class="form-row">
 
                             <div class="form-group col-md-3">
-                                <label for="emp_code">Employee ID &nbsp; <i class="fa fa-search text-danger"
+                                <label for="emp_code">Employee ID <span class="text-danger">*</span> &nbsp; &nbsp; <i class="fa fa-search 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">
+                                    name="emp_code" required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="emp_name">Employee Name<span class="text-danger"></span></label>
+                                <label for="emp_name">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">
+                                    name="emp_name" required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="emp_mobile">Employee Mobile No<span class="text-danger"></span></label>
+                                <label for="emp_mobile">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">
+                                    name="emp_mobile" required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="emp_mail">Employee Mail ID<span class="text-danger"></span></label>
+                                <label for="emp_mail">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">
+                                    name="emp_mail" required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="policy_no">Policy No<span class="text-danger"></span></label>
+                                <label for="policy_no">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">
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="client_name">Corporate Name<span class="text-danger"></span></label>
+                                <label for="client_name">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']) ? $ticket_data['client_name'] : '' ?>" readonly>
+                                <input type="text" class="form-control" id="client_name" placeholder="Client" value="<?= isset($ticket_data['client_name']) ? $ticket_data['client_name'] : '' ?>" readonly required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="insurer_id">Insurer<span class="text-danger"></span></label>
+                                <label for="insurer_id">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']) ? $ticket_data['insurer_name'] : '' ?>" readonly>
+                                <input type=text class="form-control" id="insurer_name" placeholder="Insurer" value="<?= isset($ticket_data['insurer_name']) ? $ticket_data['insurer_name'] : '' ?>" readonly required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="acm_id">Account Manager<span class="text-danger"></span></label>
-                                <select class="form-control" id="acm_id" name="acm_id">
+                                <label 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)) {
@@ -105,6 +105,7 @@
                         </div>
                         <!-- end first_data_points -->
 
+                        <br><br>
                         <h5>Claim Details</h5>
                         <hr>
 
@@ -128,8 +129,8 @@
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="claim_status">Status<span class="text-danger"></span></label>
-                                <select class="form-control" id="claim_status_id" name="claim_status_id">
+                                <label 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)) {
@@ -143,8 +144,8 @@
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="claim_type"> Claim Type <span class="text-danger"></span></label>
-                                <select class="form-control" id="claim_type" name="claim_type">
+                                <label 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)) {
@@ -174,13 +175,13 @@
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="dob">Date of Birth<span class="text-danger"></span></label>
+                                <label for="dob">Date of Birth <span class="text-danger">*</span></label>
                                 <input type="text" class="form-control" id="dob" placeholder="Enter Birth Date"
-                                    value="<?= isset($ticket_data['dob']) ? $ticket_data['dob'] : '' ?>" name="dob">
+                                    value="<?= isset($ticket_data['dob']) ? $ticket_data['dob'] : '' ?>" name="dob" required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="date_of_accident">Date of Accident<span class="text-danger"></span></label>
+                                <label for="date_of_accident">Date of Accident <span class="text-danger"></span></label>
                                 <input type="text" class="form-control" id="date_of_accident"
                                     placeholder="Enter Accident Date"
                                     value="<?= isset($ticket_data['date_of_accident']) ? $ticket_data['date_of_accident'] : '' ?>"
@@ -188,7 +189,7 @@
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="date_of_death">Date of Death<span class="text-danger"></span></label>
+                                <label for="date_of_death">Date of Death <span class="text-danger"></span></label>
                                 <input type="date_of_death" class="form-control" id="date_of_death"
                                     placeholder="Enter Death Date"
                                     value="<?= isset($ticket_data['date_of_death']) ? $ticket_data['date_of_death'] : '' ?>"
@@ -196,22 +197,23 @@
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="date_of_intimat">Date of Intimation<span class="text-danger"></span></label>
+                                <label for="date_of_intimat">Date of Intimation <span class="text-danger">*</span></label>
                                 <input type="text" class="form-control" id="date_of_intimat"
                                     placeholder="Enter Intimation Date"
                                     value="<?= isset($ticket_data['date_of_intimat']) ? $ticket_data['date_of_intimat'] : '' ?>"
-                                    name="date_of_intimat">
+                                    name="date_of_intimat" required>
                             </div>
 
                             <div class="form-group col-md-3">
-                                <label for="si_amt">Sum insured<span class="text-danger"></span></label>
+                                <label for="si_amt">Sum insured <span class="text-danger">*</span></label>
                                 <input type="text" class="form-control" id="si_amt" placeholder="Enter SI"
                                     value="<?= isset($ticket_data['si_amt']) ? $ticket_data['si_amt'] : '' ?>"
-                                    name="si_amt">
+                                    name="si_amt" required>
                             </div>
                         </div>
                         <!-- end second_data_points -->
 
+                        <br><br>
                         <h5>Additional Details</h5>
                         <hr>