CHANGE_UI_FIX - VADIVEL J 2025-09-02
This commit is contained in:
vadivelJ96
parent
9697dbf569
commit
5c8e58c421
@ -124,6 +124,7 @@ option:disabled {
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</div>
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<div id="full-width-modal" class="modal fade" tabindex="-1" role="dialog" aria-labelledby="fullWidthModalLabel"
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aria-hidden="true">
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<div class="modal-dialog modal-full-width">
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@ -14,145 +14,149 @@
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}
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</style>
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<div class="row">
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<div class="col-xl-12">
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<div id="accordion" class="mb-3">
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<div class="card mb-1">
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<h5 class="m-1">
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<a id="toggleIcon" class="text-dark float-right" data-toggle="collapse" href="#collapseOne" aria-expanded="true">
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<i id="icon" class="mdi mdi-chevron-down mr-1 text-primary" style="font-size: 28px;"></i>
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</a>
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</h5>
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<div id="collapseOne" class="collapse show" aria-labelledby="headingOne" data-parent="#accordion">
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<div class="card-body">
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<!-- <div class="text-center"> -->
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<div class="form-row">
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<div class="form-group col-md-4">
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<label>Client</label> <br />
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<select class="form-control" id="clients">
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<option value="0">Select</option>
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</select>
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<div class="container-fluid">
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<h2>Endorsement</h2>
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<div class="row">
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<div class="col-xl-12">
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<div id="accordion" class="mb-3">
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<div class="card mb-1">
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<h5 class="m-1">
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<a id="toggleIcon" class="text-dark float-right" data-toggle="collapse" href="#collapseOne" aria-expanded="true">
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<i id="icon" class="mdi mdi-chevron-down mr-1 text-primary" style="font-size: 28px;"></i>
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</a>
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</h5>
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<div id="collapseOne" class="collapse show" aria-labelledby="headingOne" data-parent="#accordion">
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<div class="card-body">
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<!-- <div class="text-center"> -->
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<div class="form-row">
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<div class="form-group col-md-4">
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<label>Client</label> <br />
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<select class="form-control" id="clients">
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<option value="0">Select</option>
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</select>
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</div>
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<div class="form-group col-md-4">
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<label>Branch</label> <br />
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<select name="branch_id" class="form-control" id="branch_id">
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<option value="0">Select</option>
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</select>
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</div>
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<div class="form-group col-md-4">
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<label>Policy</label> <br />
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<select class="form-control" id="policies">
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<option value="0">Select</option>
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</select>
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</div>
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<div class="form-group col-md-4">
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<label>Status</label> <br />
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<select class="form-control" id="status1">
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<option value="0">Select</option>
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<?php foreach ($status as $key => $value) { ?>
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<option value="<?= $key ?>" <?= (isset($getData) && $getData['status'] == $key) ? 'selected' : '' ?>>
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<?= $value ?>
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</option>
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<?php } ?>
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</select>
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</div>
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</div>
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<div class="form-group col-md-4">
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<label>Branch</label> <br />
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<select name="branch_id" class="form-control" id="branch_id">
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<option value="0">Select</option>
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</select>
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<div class="row">
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<div class="col-12" style="text-align: right;">
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<a href="<?= base_url("employee/endorsement-list"); ?>" class="btn btn-primary waves-effect waves-light" id="get-emp-list" onclick="fetchEmpolyeeList(event);">Submit</a>
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</div>
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</div>
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<div class="form-group col-md-4">
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<label>Policy</label> <br />
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<select class="form-control" id="policies">
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<option value="0">Select</option>
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</select>
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</div>
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<div class="form-group col-md-4">
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<label>Status</label> <br />
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<select class="form-control" id="status1">
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<option value="0">Select</option>
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<?php foreach ($status as $key => $value) { ?>
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<option value="<?= $key ?>" <?= (isset($getData) && $getData['status'] == $key) ? 'selected' : '' ?>>
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<?= $value ?>
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</option>
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<?php } ?>
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</select>
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</div>
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<!-- </div> -->
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</div>
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<div class="row">
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<div class="col-12" style="text-align: right;">
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<a href="<?= base_url("employee/endorsement-list"); ?>" class="btn btn-primary waves-effect waves-light" id="get-emp-list" onclick="fetchEmpolyeeList(event);">Submit</a>
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</div>
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</div>
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<!-- </div> -->
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="row" id="client_list">
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<div class="col-12">
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<div class="card">
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<div class="card-body">
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<div class="row" style="padding-bottom: 10px;">
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<div class="col-6" style="align-self: center;">
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<h4 style="position: relative;">Endorsement List</h4>
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</div>
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<div class="row" id="client_list">
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<div class="col-12">
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<div class="card">
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<div class="card-body">
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<div class="row" style="padding-bottom: 10px;">
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<div class="col-6" style="align-self: center;">
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<h4 style="position: relative;">Endorsement List</h4>
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</div>
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<table data-custom-table-css="table" class="table table-hover m-0 table-centered dt-responsive w-100" cellspacing="0" id="tickets-table">
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<thead class="bg-light">
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<tr>
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<th class="font-weight-medium">SNO</th>
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<th class="font-weight-medium">Name/code</th>
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<th class="font-weight-medium">Policy name</th>
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<th class="font-weight-medium">Endorsement ID</th>
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<th class="font-weight-medium">Insurer name</th>
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<th class="font-weight-medium">Remarks</th>
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<th class="font-weight-medium">Endorsement Type</th>
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<th class="font-weight-medium">Status</th>
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<th class="font-weight-medium">Action</th>
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</tr>
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</thead>
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<tbody class="font-12">
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<?php
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if (isset($employees)) {
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foreach ($employees as $key => $employee) { ?>
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<tr>
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<td><b><?php echo ($key + 1) ?></b></td>
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<td><?php echo $employee['name'] ?>( <?php echo $employee['emp_code'] ?> )</td>
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<!-- <td><?php echo isset($employee['policy_name']) ? $employee['policy_name'] : '' ?> - <?php echo isset($employee['policy_no']) ? $employee['policy_no'] : '' ?> - <?php echo isset($employee['policy_type']) ? $employee['policy_type'] : '' ?></td> -->
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<td><?php echo isset($employee['policy_type']) ? $employee['policy_type'] : '' ?> - <?php echo isset($employee['policy_no']) ? $employee['policy_no'] : '' ?></td>
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<td><?php echo $employee['endorsement_id'] ?></td>
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<td><?php echo isset($employee['insurer_short_name']) ? $employee['insurer_short_name'] : '' ?>
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</td>
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<td><?php echo $employee['remarks'] ?></td>
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<td>
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<?php
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if ($employee['actions'] == 'c') {
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echo 'Correction';
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} elseif ($employee['actions'] == 'si') {
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echo 'SI Enhancement';
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} elseif ($employee['actions'] == 'd') {
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echo 'Deletion';
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}
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?>
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</td>
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<td>
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<?php
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if ($employee['status'] == 'pending') {
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echo '<span class="badge badge-danger">' . $employee['status'] . '</span>';
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} elseif ($employee['status'] == 'inprogress') {
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echo '<span class="badge badge-warning">' . $employee['status'] . '</span>';
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} elseif ($employee['status'] == 'complete') {
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echo '<span class="badge badge-success">' . $employee['status'] . '</span>';
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}
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?>
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</td>
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<td class="text-center"><a href="#" data-id="<?php echo $employee['id'] ?>" class="mdi mdi-eye emp_data_model" aria-hidden="true" data-toggle="modal" data-target="#centermodal"></a>
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</td>
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</tr>
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<?php }
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} ?>
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</tbody>
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</table>
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</div>
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<table data-custom-table-css="table" class="table table-hover m-0 table-centered dt-responsive w-100" cellspacing="0" id="tickets-table">
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<thead class="bg-light">
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<tr>
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<th class="font-weight-medium">SNO</th>
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<th class="font-weight-medium">Name/code</th>
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<th class="font-weight-medium">Policy name</th>
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<th class="font-weight-medium">Endorsement ID</th>
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<th class="font-weight-medium">Insurer name</th>
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<th class="font-weight-medium">Remarks</th>
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<th class="font-weight-medium">Endorsement Type</th>
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<th class="font-weight-medium">Status</th>
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<th class="font-weight-medium">Action</th>
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</tr>
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</thead>
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<tbody class="font-12">
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<?php
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if (isset($employees)) {
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foreach ($employees as $key => $employee) { ?>
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<tr>
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<td><b><?php echo ($key + 1) ?></b></td>
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<td><?php echo $employee['name'] ?>( <?php echo $employee['emp_code'] ?> )</td>
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<!-- <td><?php echo isset($employee['policy_name']) ? $employee['policy_name'] : '' ?> - <?php echo isset($employee['policy_no']) ? $employee['policy_no'] : '' ?> - <?php echo isset($employee['policy_type']) ? $employee['policy_type'] : '' ?></td> -->
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<td><?php echo isset($employee['policy_type']) ? $employee['policy_type'] : '' ?> - <?php echo isset($employee['policy_no']) ? $employee['policy_no'] : '' ?></td>
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<td><?php echo $employee['endorsement_id'] ?></td>
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<td><?php echo isset($employee['insurer_short_name']) ? $employee['insurer_short_name'] : '' ?>
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</td>
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<td><?php echo $employee['remarks'] ?></td>
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<td>
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<?php
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if ($employee['actions'] == 'c') {
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echo 'Correction';
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} elseif ($employee['actions'] == 'si') {
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echo 'SI Enhancement';
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} elseif ($employee['actions'] == 'd') {
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echo 'Deletion';
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}
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?>
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</td>
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<td>
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<?php
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if ($employee['status'] == 'pending') {
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echo '<span class="badge badge-danger">' . $employee['status'] . '</span>';
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} elseif ($employee['status'] == 'inprogress') {
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echo '<span class="badge badge-warning">' . $employee['status'] . '</span>';
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} elseif ($employee['status'] == 'complete') {
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echo '<span class="badge badge-success">' . $employee['status'] . '</span>';
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}
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?>
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</td>
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<td class="text-center"><a href="#" data-id="<?php echo $employee['id'] ?>" class="mdi mdi-eye emp_data_model" aria-hidden="true" data-toggle="modal" data-target="#centermodal"></a>
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</td>
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</tr>
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<?php }
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} ?>
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</tbody>
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</table>
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</div>
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</div>
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</div><!-- end col -->
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</div><!-- end col -->
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</div>
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</div>
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<!-- Center modal content -->
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<div class="modal fade" id="centermodal" tabindex="-1" role="dialog" aria-hidden="true" aria-modal="true" data-backdrop="static">
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<div class="modal-dialog modal-dialog-centered">
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@ -40,15 +40,74 @@
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.card {
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border-radius: 10px;
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}
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.row.visa_status_count_view .card-header{
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background-color: #F5FFFF;
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padding: 25px;
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border: 2px solid #fff;
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border-radius: 10px;
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/* box-shadow: 2px 2px 2px; */
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box-shadow: 0px 1px 1px 0px #00000040;
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}
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.row.visa_status_count_view .card-header #categoryFilter_11 a{
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background-color: #D4F5F6 !important;
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font-weight:800;
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color:#000 !important;
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border : 1px solid #D4F5F6 !important;
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border-radius: 15px;
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padding : 5px 10px;
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}
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#categoryFilter_12 a ,
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#categoryFilter_13 a ,
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#categoryFilter_14 a
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{
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background-color: #00999E;
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box-shadow: 0px 2px 4px 0px #00000040;
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}
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#statusContent{
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background-color: #F5FFFF;
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border-radius: 10px;
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box-shadow: 0px 1px 1px 0px #00000040;
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}
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#statusContent .statusContent-flex{
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display:flex;
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flex-flow: row wrap;
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}
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.statusContent-flex .my-2{
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color:black !important;
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}
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#statusContent .custom-card{
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min-width:300px;
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min-height: 50px;
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padding:15px;
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background-color: white;
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color:black;
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margin-right:15px;
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margin-top :10px;
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border-radius: 10px;
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box-shadow: 0px 2px 4px 0px #00000024 !important;
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}
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</style>
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<div class="container-fluid">
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<h2>Enrollment</h2>
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<div class="row visa_status_count_view">
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<div class="col-12">
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<div class="card">
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<div class="card-header">
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<div class="row" style="margin-bottom: -22px;">
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<div class="row" >
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<div class="col-3">
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<div id="categoryFilter" style="display: flex;">
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<div id="categoryFilter" >
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<label for="">Client</label>
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<select class="form-control" id="clients" onchange="populateBranches()">
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<option value="0">Select Client</option>
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<?php foreach ($client_list as $client) { ?>
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@ -59,6 +118,7 @@
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</div>
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<div class="col-3">
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<div id="categoryFilter_11">
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<label for="">Branch</label>
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<select name="branch_id" class="form-control" id="branch_id" onchange="populatePolicies()">
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<option value="0">Select Branch</option>
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</select>
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@ -66,106 +126,82 @@
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</div>
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<div class="col-3">
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<div id="categoryFilter_14">
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<label for="">Policy</label>
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<select name="client_policy_id" class="form-control" id="client_policy_id">
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<option value="0">Select Policy</option>
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</select>
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</div>
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</div>
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<div class="col-1">
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<div id="categoryFilter_11">
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<a class="btn btn-primary waves-effect waves-light" onclick="fetchEmpolyeeList(event);" data-toggle="tooltip" data-placement="top" title="Search" id="get-emp-list"><i class="mdi mdi-magnify" aria-hidden="true"></i></a>
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<div class="col-3">
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<div id="categoryFilter_11" >
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<a class="btn btn-primary waves-effect waves-light"
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style="margin-top:30px !important"
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onclick="fetchEmpolyeeList(event);"
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data-toggle="tooltip" data-placement="top" title="Search"
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id="get-emp-list"><i class="mdi mdi-magnify" aria-hidden="true"></i></a>
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</div>
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</div>
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<div class="col-0" style="margin-right: 15px; ">
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<div id="categoryFilter_12">
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<a class="btn btn-primary waves-effect waves-light" onclick="sendManualReminder(this)" data-toggle="tooltip" data-placement="top" title="Send Reminder"><i class="mdi mdi-bell" aria-hidden="true"></i></a>
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</div>
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</div>
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<div class="col-0">
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<div id="categoryFilter_13">
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<a class="btn btn-primary waves-effect waves-light" onclick="uploadEnrollmentFile(this)" data-toggle="tooltip" data-placement="top" title="Enrollment File Upload"><i class="mdi mdi-file-export" ></i></a>
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</div>
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</div>
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<!-- </div> -->
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<div class="col-6" style="margin-right: 15px; margin-top:30px; ">
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<span id="categoryFilter_12" style="margin-right: 15px;">
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<a class="btn btn-primary waves-effect waves-light" onclick="sendManualReminder(this)" data-toggle="tooltip" data-placement="top" title="Send Reminder"><span >Send Remainder</span></a>
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</span>
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<span id="categoryFilter_13" style="margin-right: 15px;">
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<a class="btn btn-primary waves-effect waves-light" onclick="uploadEnrollmentFile(this)" data-toggle="tooltip" data-placement="top" title="Enrollment File Upload"><span >File Upload</span></a>
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</span>
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<!-- <div class="row" style="margin-bottom: 44px;"> -->
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<div class="col-1 text-right view-status-btn" style="position: relative;bottom: 7px;">
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<button type="button" class="btn btn-link visa_status_button" onclick="toggleContent()" style="color: #000;" data-toggle="tooltip" data-placement="top" title="View Status Card">
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Status <i id="toggleIcon" class="mdi mdi-minus" style="background-color:white"></i>
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<button id="categoryFilter_14" type="button" class="btn btn-link visa_status_button" onclick="toggleContent()" data-toggle="tooltip" data-placement="top" >
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<a class="btn btn-primary waves-effect waves-light" data-toggle="tooltip" data-placement="top" title="View Status"><span >View Status</span></a>
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</button>
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</div>
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</div>
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</div>
|
||||
<div class="card-body status-option" id="statusContent" style="padding: 1.5rem !important;background-color: darkgrey;">
|
||||
|
||||
<div class="card-body status-option" id="statusContent" >
|
||||
<h4>Status</h4>
|
||||
<div class="text-center">
|
||||
|
||||
<div class="row" style="margin-left: 125px; margin-bottom: -11px;">
|
||||
<div class="col-xl-2 col-md-2">
|
||||
<div class="card cardWidth">
|
||||
<div class="card-body" id="emp_count_view_click">
|
||||
<div class="d-flex justify-content-between" style="justify-content: center !important;">
|
||||
<div>
|
||||
<h5 class="text-muted font-weight-normal mt-0 text-truncate" title="Emp Count">Emp Count</h5>
|
||||
<h3 class="my-2 py-1"><span data-plugin="counterup" id="emp_count_view">0</span></h3>
|
||||
</div>
|
||||
|
||||
<div style="margin-left: 60px; margin-top: 0px;">
|
||||
<div class="statusContent-flex">
|
||||
<div class="custom-card d-flex justify-content-between" id="emp_count_view_click">
|
||||
<div>
|
||||
<span class="text-muted font-weight-normal mt-0 text-truncate my-2" title="Emp Count">Emp Count</span>
|
||||
</div>
|
||||
<div>
|
||||
<span class="my-2"><span data-plugin="counterup" id="emp_count_view" >0</span>
|
||||
</div>
|
||||
</div>
|
||||
</div>
|
||||
</div><!-- end col -->
|
||||
<div class="col-xl-2 col-md-2">
|
||||
<div class="card">
|
||||
<div class="card-body" id="emp_enrolled_view_click">
|
||||
<div class="d-flex justify-content-between" style="justify-content: center !important;">
|
||||
<div>
|
||||
<h5 class="text-muted font-weight-normal mt-0 text-truncate" title="Enrolled">Enroled</h5>
|
||||
<h3 class="my-2 py-1"><span data-plugin="counterup" id="emp_enrolled_view">0</span></h3>
|
||||
</div>
|
||||
|
||||
<div class="custom-card d-flex justify-content-between" id="emp_enrolled_view_click">
|
||||
<div>
|
||||
<span class="text-muted font-weight-normal mt-0 text-truncate my-2" title="Enrolled">Enroled</span>
|
||||
</div>
|
||||
<div>
|
||||
<span class="my-2"><span data-plugin="counterup" id="emp_enrolled_view" >0</span>
|
||||
</div>
|
||||
</div>
|
||||
</div>
|
||||
</div><!-- end col -->
|
||||
<div class="col-xl-2 col-md-2">
|
||||
<div class="card">
|
||||
<div class="card-body" id="emp_not_enrolled_view_click">
|
||||
<div class="d-flex justify-content-between" style="justify-content: center !important;">
|
||||
<div>
|
||||
<h5 class="text-muted font-weight-normal mt-0 text-truncate" title="Not Enrolled">Not Enroled</h5>
|
||||
<h3 class="my-2 py-1"><span data-plugin="counterup" id="emp_not_enrolled_view">0</span></h3>
|
||||
</div>
|
||||
|
||||
<div class="custom-card d-flex justify-content-between" id="emp_not_enrolled_view_click">
|
||||
<div>
|
||||
<span class="text-muted font-weight-normal mt-0 text-truncate my-2" title="Not Enrolled">Not Enroled</span>
|
||||
</div>
|
||||
<div>
|
||||
<span class="my-2"><span data-plugin="counterup" id="emp_not_enrolled_view">0</span>
|
||||
</div>
|
||||
</div>
|
||||
</div>
|
||||
</div><!-- end col -->
|
||||
<div class="col-xl-2 col-md-2">
|
||||
<div class="card">
|
||||
<div class="card-body" id="emp_logged_in_view_click">
|
||||
<div class="d-flex justify-content-between" style="justify-content: center !important;">
|
||||
<div>
|
||||
<h5 class="text-muted font-weight-normal mt-0 text-truncate" title="Logged-In">Logged-In</h5>
|
||||
<h3 class="my-2 py-1"><span data-plugin="counterup" id="emp_logged_in_view">0</span></h3>
|
||||
</div>
|
||||
|
||||
<div class="custom-card d-flex justify-content-between" id="emp_logged_in_view_click">
|
||||
<div>
|
||||
<span class="text-muted font-weight-normal mt-0 text-truncate my-2" title="Logged-In">Logged-In</span>
|
||||
</div>
|
||||
<div>
|
||||
<span class="my-2"><span data-plugin="counterup" id="emp_logged_in_view">0</span>
|
||||
</div>
|
||||
</div>
|
||||
</div>
|
||||
</div><!-- end col -->
|
||||
<div class="col-xl-2 col-md-2">
|
||||
<div class="card">
|
||||
<div class="card-body" id="emp_not_logged_in_view_click">
|
||||
<div class="d-flex justify-content-between" style="justify-content: center !important;">
|
||||
<div>
|
||||
<h5 class="text-muted font-weight-normal mt-0 text-truncate" title="Not Logged-In">Not Logged-In</h5>
|
||||
<h3 class="my-2 py-1"><span data-plugin="counterup" id="emp_not_logged_in_view">0</span></h3>
|
||||
</div>
|
||||
|
||||
<div class="custom-card d-flex justify-content-between" id="emp_not_logged_in_view_click">
|
||||
<div>
|
||||
<span class="text-muted font-weight-normal mt-0 text-truncate my-2" title="Not Logged-In">Not Logged-In</span>
|
||||
</div>
|
||||
<div>
|
||||
<span class="my-2"><span data-plugin="counterup" id="emp_not_logged_in_view">0</span>
|
||||
</div>
|
||||
</div>
|
||||
</div>
|
||||
</div><!-- end col -->
|
||||
</div>
|
||||
@ -200,6 +236,7 @@
|
||||
</div>
|
||||
</div>
|
||||
</div>
|
||||
</div>
|
||||
|
||||
<!-- Center modal content -->
|
||||
<div class="modal fade" id="upload_enrollment_model" tabindex="-1" role="dialog" aria-labelledby="exampleModalLabel" aria-hidden="false">
|
||||
|
||||
@ -55,8 +55,11 @@
|
||||
</script>
|
||||
|
||||
<div class="row" id="client_add" style="position: relative; bottom: 25px;">
|
||||
|
||||
<div class="col-12">
|
||||
<div class="card-body">
|
||||
<h3>Inception</h3>
|
||||
<br>
|
||||
<ul class="nav nav-pills navtab-bg">
|
||||
<li class="nav-item d-flex justify-content-center align-items-center">
|
||||
<a href="#general-q-tab" data-toggle="tab" aria-expanded="false" class="nav-link px-3 py-1 active-tab" id="general_tab">
|
||||
|
||||
@ -248,9 +248,6 @@
|
||||
margin: 0 5px 10px!important;
|
||||
}
|
||||
|
||||
.nav-pills{
|
||||
margin-left: 20px;
|
||||
}
|
||||
|
||||
.navbar-custom {
|
||||
top: -10px !important;
|
||||
@ -332,15 +329,15 @@
|
||||
|
||||
<!-- parsley-examples section starts -->
|
||||
<style>
|
||||
.parsley-examples
|
||||
/* .parsley-examples
|
||||
{
|
||||
background-color: #F5FFFF;
|
||||
padding: 25px;
|
||||
border: 2px solid #fff;
|
||||
border: 2px solid #F5FFFF;
|
||||
border-radius: 10px;
|
||||
/* box-shadow: 2px 2px 2px; */
|
||||
box-shadow: 0px 1px 1px 0px #00000040;
|
||||
}
|
||||
}
|
||||
*/
|
||||
|
||||
</style>
|
||||
|
||||
@ -707,6 +704,11 @@ a.app-badge-secondary:focus, a.app-badge-secondary.focus {
|
||||
font-weight: 500 !important;
|
||||
color:#000 !important;
|
||||
}
|
||||
|
||||
.buttons-html5{
|
||||
margin-right:10px !important;
|
||||
}
|
||||
|
||||
</style>
|
||||
|
||||
|
||||
@ -803,6 +805,13 @@ a.app-badge-secondary:focus, a.app-badge-secondary.focus {
|
||||
pointer-events: none; /* icon doesn’t block input clicks */
|
||||
}
|
||||
|
||||
|
||||
.modal input[type='file'] {
|
||||
padding:10px !important;
|
||||
background-color: #ECECEC !important;
|
||||
color:#000 !important;
|
||||
}
|
||||
|
||||
.modal .modal-dialog{
|
||||
margin:5px auto!important;
|
||||
}
|
||||
@ -954,10 +963,16 @@ a.app-badge-secondary:focus, a.app-badge-secondary.focus {
|
||||
|
||||
<!-- accordian -->
|
||||
<style>
|
||||
.collapse.show
|
||||
,.card #collapseOne .card-body
|
||||
|
||||
.card #collapseOne .card-body ,
|
||||
.card #collapseTwo .card-body
|
||||
{
|
||||
background-color: #F5FFFF !important;
|
||||
border: 2px solid #F5FFFF;
|
||||
border-radius: 10px;
|
||||
/* box-shadow: 2px 2px 2px; */
|
||||
box-shadow: 0px 1px 1px 0px #00000040;
|
||||
|
||||
}
|
||||
</style>
|
||||
|
||||
|
||||
@ -166,7 +166,8 @@
|
||||
class="underline-input min_age"
|
||||
value="<?php echo (isset($self_min_age) && $self_min_age > 0) ? $self_min_age : '18'; ?>"
|
||||
style="width: 35%;;" type="number" name="self_min_age" id="self_min_age"
|
||||
onchange="lowerIsEighteen(this)"></div>
|
||||
onchange="lowerIsEighteen(this)">
|
||||
</div>
|
||||
</td>
|
||||
<td style="width: 28%;">
|
||||
<div class="self-age"><span style="margin-right:20px;color:black;">Max Age:</span><input
|
||||
@ -181,15 +182,6 @@
|
||||
style="margin-right: 70px;" name="is_payable_employee_for_self"
|
||||
id="is_payable_employee_for_self"> </td> -->
|
||||
</tr>
|
||||
<tr>
|
||||
<td></td>
|
||||
</tr>
|
||||
<tr>
|
||||
<td></td>
|
||||
</tr>
|
||||
<tr>
|
||||
<td></td>
|
||||
</tr>
|
||||
<tr>
|
||||
<td style="width: 11%;"><span style="margin-right:20px;color:black;">Spouse:</span></td>
|
||||
<td style="width: 11%;"><input type="checkbox" style="margin-right: 70px;"
|
||||
@ -215,16 +207,7 @@
|
||||
id="is_payable_employee_for_spouse"> </td> -->
|
||||
</tr>
|
||||
<tr>
|
||||
<td></td>
|
||||
</tr>
|
||||
<tr>
|
||||
<td></td>
|
||||
</tr>
|
||||
<tr>
|
||||
<td></td>
|
||||
</tr>
|
||||
<tr>
|
||||
<td style="width: 11%;"><span for="children">Children:</span></td>
|
||||
<td style="width: 11%;"><span for="children" style="color:black;">Children:</span></td>
|
||||
<td style="width: 11%;"><select name="family_floaters[]" id="children">
|
||||
<option value="0">None</option>
|
||||
<option value="1">1</option>
|
||||
@ -253,15 +236,7 @@
|
||||
style="margin-right: 70px;" name="is_payable_employee_for_child"
|
||||
id="is_payable_employee_for_child"> </td> -->
|
||||
</tr>
|
||||
<tr>
|
||||
<td></td>
|
||||
</tr>
|
||||
<tr>
|
||||
<td></td>
|
||||
</tr>
|
||||
<tr>
|
||||
<td></td>
|
||||
</tr>
|
||||
|
||||
</tbody>
|
||||
</table>
|
||||
|
||||
@ -269,7 +244,7 @@
|
||||
<div style="margin-top:10px"></div>
|
||||
|
||||
<div style="margin-top:10px">
|
||||
<span for="family_floaters" style="color:black;">Select Other Members:</span>
|
||||
<span for="family_floaters" style="color:black;"><b>Select Other Members:</b></span>
|
||||
<select name="family_floaters[]" id="family_floaters" style="margin-left: 10px;">
|
||||
<option value="0">None</option>
|
||||
<option value="1P">Only one parent (Either Father / Mother)</option>
|
||||
@ -289,7 +264,7 @@
|
||||
<td style="width: 22%;">
|
||||
<div class="other-member-age"><span style="margin-right:20px;color:black;">Elders
|
||||
Count:</span><input class="underline-input" id="member_count"
|
||||
style="width: 30%; width: 30%;background: lightgray;" type="number"
|
||||
style="width: 30%; width: 30%;" type="number"
|
||||
name="elder_member_count" id="member_count" readonly></div>
|
||||
</td>
|
||||
<td style="width: 28%;">
|
||||
@ -861,10 +836,16 @@
|
||||
<label for="totalSumInsured">Sum Insured enhancement</label>
|
||||
</div>
|
||||
<div class="col-md-6">
|
||||
<input type="radio" name="suminsuredenhancement" class="suminsuredenhancement" value="1">
|
||||
<label for="">Yes</label>
|
||||
<input type="radio" name="suminsuredenhancement" class="suminsuredenhancement" value="0" style="margin-left:10px"> No
|
||||
<label for="">No</label>
|
||||
<span>
|
||||
<input type="radio" name="suminsuredenhancement" class="suminsuredenhancement" value="1">
|
||||
<span style="color:black;"><b>Yes</b></span>
|
||||
</span>
|
||||
<span>
|
||||
<input type="radio" name="suminsuredenhancement" class="suminsuredenhancement" value="0" style="margin-left:10px">
|
||||
<span style="color:black;"><b>No</b></span>
|
||||
</span>
|
||||
|
||||
|
||||
</div>
|
||||
</div>
|
||||
|
||||
|
||||
@ -132,7 +132,7 @@ th:first-child, td:first-child {
|
||||
<div class="card-body">
|
||||
<div class="row" style="padding-bottom: 10px;">
|
||||
<div class="col-6" style="align-self: center;">
|
||||
<h4 style="position: relative;">Employees</h4>
|
||||
<h3 style="position: relative;">Employees</h3>
|
||||
</div>
|
||||
</div>
|
||||
<table data-custom-table-css="table" class="table table-striped mb-0 nowrap" cellspacing="0" id="tickets-table">
|
||||
|
||||
Loading…
Reference in New Issue
Block a user