Merge branch 'dev' of bitbucket.org:jubilian/nhance into dev

This commit is contained in:
Gowtham M 2025-08-28 18:24:14 +05:30
commit 94a625fdcf
10 changed files with 189 additions and 127 deletions

View File

@ -123,13 +123,21 @@ class VidalApiController extends BaseController
}
public function newClaim(){
public function newClaim()
{
$postData = $this->request->getPost();
if (empty($postData)) {
return $this->response->setJSON([
'status' => false,
'message' => 'Empty Data Given.',
'data' => $postData
]);
}
helper('api');
$url = ''. getenv('VIDAL_API_BASE_URL').'/submitClaim';
$url = getenv('VIDAL_API_BASE_URL') . '/submitClaim';
$method = 'POST';
$headers = [
@ -138,27 +146,38 @@ class VidalApiController extends BaseController
];
$body = [
'username:' .getenv('VIDAL_API_USERNAME').'',
'password:' .getenv('VIDAL_API_PASSWORD').'',
'PolicyNo:' .$postData['policyNo'] ?? '',
'enrollmentId:' .$postData['enrollmentId'] ?? '',
'typeOfClaim:' .$postData['typeOfClaim'] ?? '',
'claimSubType:' .$postData['claimSubType'] ?? '',
'requestedAmount:' .$postData['requestedAmount'] ?? '',
'ailmentType:' .$postData['ailmentType'] ?? '',
'admissionDate:' .$postData['admissionDate'] ?? '',
'dischargeDate:' .$postData['dischargeDate'] ?? '',
'hospitalName:' .$postData['hospitalName'] ?? '',
'empanelmentNo:' .$postData['empanelmentNo'] ?? '',
'documentType:' .$postData['documentType'] ?? '',
'ailmentName:' .$postData['ailmentName'] ?? '',
'hospitalAddress:' .$postData['hospitalAddress'] ?? '',
'hospitalState:' .$postData['hospitalState'] ?? '',
'hospitalCity:' .$postData['hospitalCity'] ?? '',
'hospitalPinCode:' .$postData['hospitalPinCode'] ?? '',
'hospitalPhoneNo:' .$postData['hospitalPhoneNo'] ?? ''
'username' => getenv('VIDAL_API_USERNAME'),
'password' => getenv('VIDAL_API_PASSWORD'),
'policyNo' => $postData['policyNo'] ?? '',
'enrollmentId' => $postData['enrollmentId'] ?? '',
'typeOfClaim' => $postData['typeOfClaim'] ?? '',
'claimSubType' => $postData['claimSubType'] ?? '',
'requestedAmount' => $postData['requestedAmount'] ?? '',
'ailmentType' => $postData['ailmentType'] ?? '',
'admissionDate' => $postData['admissionDate'] ?? '',
'dischargeDate' => $postData['dischargeDate'] ?? '',
'hospitalName' => $postData['hospitalName'] ?? '',
'empanelmentNo' => $postData['empanelmentNo'] ?? '',
'documentType' => $postData['documentType'] ?? '',
'ailmentName' => $postData['ailmentName'] ?? '',
'hospitalAddress' => $postData['hospitalAddress'] ?? '',
'hospitalState' => $postData['hospitalState'] ?? '',
'hospitalCity' => $postData['hospitalCity'] ?? '',
'hospitalPinCode' => $postData['hospitalPinCode'] ?? '',
'hospitalPhoneNo' => $postData['hospitalPhoneNo'] ?? '',
];
// ✅ Handle file upload
if ($file = $this->request->getFile('File')) {
if ($file->isValid() && !$file->hasMoved()) {
$filePath = $file->getTempName();
$originalName = $file->getClientName();
$mimeType = $file->getMimeType();
$body['File'] = new \CURLFile($filePath, $mimeType, $originalName);
}
}
$response = call_third_party_api($url, $method, $headers, $body);
if($response['status'] != true){
@ -170,10 +189,10 @@ class VidalApiController extends BaseController
}
return $this->response->setJSON($response);
}
public function enrollment(){
$postData = $this->request->getJSON(true);

View File

@ -59,6 +59,7 @@ if (!function_exists('call_third_party_api')) {
}
$decoded = json_decode($response, true);
return [
'status' => ($httpCode >= 200 && $httpCode < 300),
'data' => $decoded ?: $response, // fallback to raw response

View File

@ -249,7 +249,7 @@
/* Force all text across the entire app to black */
html, body, * {
color: #000 !important;
/* color: #000 !important; */
}
@ -496,7 +496,7 @@
<style>
*{
font-family: Inter, sans-serif !important;
font-family: 'Poppins' !important;
}
.content{
min-height: 70vh;
@ -552,7 +552,12 @@ rgba(0, 153, 158, 0.5) (transparent)
font-style: normal;
font-size: 18px;
line-height: 1;
letter-spacing: 0;
letter-spacing: 0;
color:black;
}
.font-color-black{
color:black;
}
.app-text-left {
@ -583,7 +588,7 @@ rgba(0, 153, 158, 0.5) (transparent)
a.app-text-primary:hover, a.app-text-primary:focus {
color: rgba(0, 153, 158, 0.5); !important; }
color: rgba(0, 153, 158, 0.5) !important; }
a.app-text-secondary:hover, a.app-text-secondary:focus {
color: rgba(226, 103, 40, 0.5) !important; }
@ -701,7 +706,25 @@ a.app-badge-secondary:focus, a.app-badge-secondary.focus {
</style>
<style>
label{
font-weight: 500 !important;
font-size:0.875rem !important;
}
</style>
<style>
.dataTables_info{
font-weight: 500 !important;
color:#000 !important;
}
</style>
<style>
.right-bar{
right : -300px;
}
</style>

View File

@ -88,9 +88,6 @@ tbody tr {
white-space: nowrap !important;
} */
.app-text-black{
color: #000000 !important;
}
.text-custom-grey{
font-size: 0.85em;
color: #6c757d !important;
@ -215,7 +212,7 @@ table thead th {
</div>
</div>
<div>
<table id="scroll-horizontal-datatable" class="table w-100 nowrap app-text-black text-custom app-font-family">
<table id="scroll-horizontal-datatable" class="table w-100 nowrap text-custom-black text-custom app-font-family">
<thead class="app-table-head">
<tr>
<th>Ticket ID</th>
@ -257,15 +254,17 @@ table thead th {
<td class="app-text-left"><?php echo $row['assignee_name'] ? $row['assignee_name'] : '-'; ?></td>
<td class="app-text-left">
<?php if (!empty($row['created_at'])):
$cdt = new DateTime($row['created_at']);
echo $cdt->format('d/m/Y') . "<br><span class='time'> " . $cdt->format('h:i a') . "</span>";
$cd = date("j F Y", strtotime($row['created_at']));
$ct = date("h:i a", strtotime($row['created_at']));
echo $cd . "<br><span class='time'> " . $ct . "</span>";
endif;
?>
</td>
<td class="app-text-left">
<?php if (!empty($row['updated_at'])):
$udt = new DateTime($row['updated_at']);
echo $udt->format('d/m/Y') . "<br><span class='time'> " . $udt->format('h:i a') . "</span>";
$ud = date("j F Y", strtotime($row['updated_at']));
$ut = date("h:i a", strtotime($row['updated_at']));
echo $ud . "<br><span class='time'> " . $ut . "</span>";
endif;
?>
</td>
@ -359,7 +358,7 @@ table thead th {
<select class="form-control" id="ticket_type" name="ticket_type" required onchange="hideandshowpolicy()">
<option value="">Select Ticket Type</option>
<option value="Sales" selected >Sales</option>
<option value="Service">Service</option>
<option value="Service">Service</option>
<!-- <option value="0">+ Add New</option>
<?php if (!empty($ticket_type)): ?>
<?php foreach ($ticket_type as $t): ?>

View File

@ -49,7 +49,7 @@
}
.conversation-card{
border-radius: 15px !important;
border-radius: 25px !important;
box-shadow: 0 2px 4px 0 #00000040;
}
@ -196,7 +196,7 @@ hr{
</div>
<div class="row mb-2">
<div class="col-4 app-subtitle app-text-grey app-font-family">Policy Number</div>
<div class="col-8 app-text text-end app-font-family" style="font-weight: 500 !important;">
<div class="col-8 app-text text-end app-font-family app-text-black" style="font-weight: 500 !important;">
<?= (!empty($master[0]['policy_no']) && strtolower($master[0]['policy_no']) !== 'null')
? '<u class="app-text-black">
<a href="javascript:void(0);"
@ -272,7 +272,7 @@ hr{
<!-- Conversation Card -->
<div class="card mb-3 conversation-card">
<div class="card-header d-flex justify-content-between align-items-center" style="background:none; border:none; padding-bottom: 0px;">
<p class="sub-title-text app-font-family" >Conversation</p>
<p class="sub-title-text app-font-family app-text-black" >Conversation</p>
</div>
<div class="card-body recard-scroll" style="padding:0 27px !important; margin:0 !important; background:#F5FFFF;">
<?php if(!empty($notes)): ?>
@ -304,7 +304,7 @@ hr{
<?php else: ?>
<div class="d-flex justify-content-center align-items-center app-font-family"
style="height: 45vh; width:100%;">
<p class="text-center app-font-family"><i>No Data Found</i></p>
<p class="text-center app-font-family font-color-black"><i>No Data Found</i></p>
</div>
<?php endif; ?>
</div>
@ -419,9 +419,11 @@ hr{
<h5 class="app-font-family app-text"><?php echo '# '.$rt['thz_id']." / ".$rt['ticket_type']; ?></h5>
<small classs="app-font-family" style="font-size:7px;">
<?php if (!empty($rt['created_at'])):
$cdt = new DateTime($rt['created_at']);
echo $cdt->format('d/m/Y') . "<span class='time'> " . $cdt->format('h:i a') . "</span>";
endif; ?>
$cd = date("j F Y", strtotime($rt['created_at']));
$ct = date("h:i a", strtotime($rt['created_at']));
echo $cd . " " . $ct;
endif;
?>
</small>
</div>
<p class="mt-1 app-font-family"
@ -435,7 +437,7 @@ hr{
else: ?>
<div class="d-flex justify-content-center align-items-center"
style="height: 50vh; width:100%;">
<p class="text-center"><i>No Data Found</i></p>
<p class="text-center font-color-black" ><i>No Data Found</i></p>
</div>
<?php endif; ?>
</div>
@ -459,7 +461,7 @@ hr{
else: ?>
<div class="d-flex justify-content-center align-items-center"
style="height: 50vh; width:100%;">
<p class="text-center"><i>No Data Found</i></p>
<p class="text-center font-color-black"><i>No Data Found</i></p>
</div>
<?php endif; ?>
</div>

View File

@ -13,7 +13,7 @@
<div class="row">
<div class="col-12">
<div class="card-body">
<form role="form" class="parsley-examples" method="post" id="ticket_auto_query"
<form role="form" class="parsley-examples" style="color:black;" method="post" id="ticket_auto_query"
enctype="multipart/form-data">
<div class="form-group">
<div class="form-row">

View File

@ -2,6 +2,11 @@
.bg-staff {
background-color: #FFF5E5;
}
.label-font-size{
font-size:0.875rem;
}
</style>
<div class="row">
<div class="col-12">
@ -22,49 +27,49 @@
<!-- Navigation Tabs -->
<ul class="nav nav-pills navtab-bg">
<li class="nav-item">
<a href="#general-tab" data-toggle="tab" class="nav-link px-2 py-1 active" id="general_tab"
<a href="#general-tab" data-toggle="tab" class="nav-link px-2 py-1 active label-font-size" id="general_tab"
aria-expanded="true">
<i class="mdi mdi-ticket-account"></i>
<span class="d-none d-sm-inline-block">General</span>
<span class="d-none d-sm-inline-block ">General</span>
</a>
</li>
<li class="nav-item">
<a href="#reply-tab" data-toggle="tab" class="nav-link px-2 py-1" id="reply_tab"
<a href="#reply-tab" data-toggle="tab" class="nav-link px-2 py-1 label-font-size" id="reply_tab"
aria-expanded="false">
<i class="mdi mdi-message-processing"></i>
<span class="d-none d-sm-inline-block">Reply</span>
</a>
</li>
<li class="nav-item">
<a href="#note-tab" data-toggle="tab" class="nav-link px-2 py-1" id="note_tab"
<a href="#note-tab" data-toggle="tab" class="nav-link px-2 py-1 label-font-size" id="note_tab"
aria-expanded="false">
<i class="mdi mdi-note-text"></i>
<span class="d-none d-sm-inline-block">Notes</span>
</a>
</li>
<li class="nav-item">
<a href="#history-tab" data-toggle="tab" class="nav-link px-2 py-1" id="history_tab"
<a href="#history-tab" data-toggle="tab" class="nav-link px-2 py-1 label-font-size" id="history_tab"
aria-expanded="false">
<i class="mdi mdi-history"></i>
<span class="d-none d-sm-inline-block">History</span>
</a>
</li>
<li class="nav-item">
<a href="#autoQuery-tab" data-toggle="tab" class="nav-link px-2 py-1" id="auto_query_tab"
<a href="#autoQuery-tab" data-toggle="tab" class="nav-link px-2 py-1 label-font-size" id="auto_query_tab"
aria-expanded="false">
<i class="mdi mdi-robot mr-1"></i>
<span class="d-none d-sm-inline-block">Auto Query Content</span>
</a>
</li>
<li class="nav-item">
<a href="#uploads-tab" data-toggle="tab" class="nav-link px-2 py-1" id="uploads_tab"
<a href="#uploads-tab" data-toggle="tab" class="nav-link px-2 py-1 label-font-size" id="uploads_tab"
aria-expanded="false">
<i class="mdi mdi-file mr-1"></i>
<span class="d-none d-sm-inline-block">Claim Files</span>
</a>
</li>
<li class="nav-item">
<a href="#viewpolicyterms-tab" data-toggle="tab" class="nav-link px-2 py-1" id="viewpolicyterms_tab"
<a href="#viewpolicyterms-tab" data-toggle="tab" class="nav-link px-2 py-1 label-font-size" id="viewpolicyterms_tab"
aria-expanded="false">
<i class="mdi mdi-eye mr-1"></i>
<span class="d-none d-sm-inline-block">View Policy Terms</span>

View File

@ -23,6 +23,14 @@
color: #0056b3;
font-size: 24px;
}
.label-font-size{
font-size:0.875rem;
}
</style>
<div class="row">
<div class="col-12">
@ -51,14 +59,14 @@
<div class="form-group">
<h5>Employee Details</h5>
<h4>Employee Details</h4>
<hr>
<!-- first_data_points -->
<div class="form-row">
<div class="form-group col-md-3">
<label for="emp_code">Employee ID <span class="text-danger">*</span> &nbsp; &nbsp; <i class="mdi mdi-magnify text-danger"
<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"
@ -67,7 +75,7 @@
</div>
<div class="form-group col-md-3">
<label for="emp_name">Employee Name <span class="text-danger">*</span></label>
<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']) ? $ticket_data['emp_name'] : '' ?>"
@ -75,13 +83,13 @@
</div>
<div class="form-group col-md-3">
<label for="insured_name"> Insured Name <span class="text-danger">*</span></label>
<label for="insured_name" class="label-font-size"> Insured Name <span class="text-danger">*</span></label>
<input type=hidden id="insured_emp_id" name="insured_emp_id" value="<?= isset($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']) ? $ticket_data['insured_name'] : '' ?>" required>
</div>
<div class="form-group col-md-3">
<label for="relationship"> Relationship <span class="text-danger">*</span></label>
<label for="relationship" class="label-font-size"> Relationship <span class="text-danger">*</span></label>
<select class="form-control" id="relationship" name="relationship" required>
<option value="">Select Relationship</option>
<?php
@ -96,54 +104,54 @@
</div>
<div class="form-group col-md-3">
<label for="policy_no">Policy No <span class="text-danger"></span></label>
<label for="policy_no" class="label-font-size">Policy No <span class="text-danger"></span></label>
<input type="text" class="form-control" id="policy_no"
value="<?= isset($ticket_data['policy_no']) ? $ticket_data['policy_no'] : '' ?>"
name="policy_no" placeholder="Policy Number">
</div>
<div class="form-group col-md-3">
<label for="tpa_no">TPA ID <span class="text-danger"></span></label>
<label for="tpa_no" class="label-font-size">TPA ID <span class="text-danger"></span></label>
<input type="text" class="form-control" id="tpa_no" placeholder="Enter TPA ID"
value="<?= isset($ticket_data['tpa_no']) ? $ticket_data['tpa_no'] : '' ?>"
name="tpa_no">
</div>
<div class="form-group col-md-3">
<label for="emp_mobile">Employee Mobile No <span class="text-danger">*</span></label>
<label for="emp_mobile" class="label-font-size">Employee Mobile No <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="emp_mobile" placeholder="Enter EMP Mobile"
value="<?= isset($ticket_data['emp_mobile']) ? $ticket_data['emp_mobile'] : '' ?>"
name="emp_mobile" required>
</div>
<div class="form-group col-md-3">
<label for="emp_mail">Employee Mail ID <span class="text-danger">*</span></label>
<label for="emp_mail" class="label-font-size">Employee Mail ID <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="emp_mail" placeholder="Enter EMP Mail"
value="<?= isset($ticket_data['emp_mail']) ? $ticket_data['emp_mail'] : '' ?>"
name="emp_mail" required>
</div>
<div class="form-group col-md-3">
<label for="emp_personal_mail">Employee Personal Mail ID</label>
<label for="emp_personal_mail" class="label-font-size">Employee Personal Mail ID</label>
<input type="text" class="form-control" id="emp_personal_mail" placeholder="Enter EMP Personal Mail"
value="<?= isset($ticket_data['emp_personal_mail']) ? $ticket_data['emp_personal_mail'] : '' ?>"
name="emp_personal_mail">
</div>
<div class="form-group col-md-3">
<label for="client_name">Corporate Name <span class="text-danger">*</span></label>
<label for="client_name" class="label-font-size">Corporate Name <span class="text-danger">*</span></label>
<input type="hidden" id="client_id" name="client_id" value="<?= isset($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']) ? $ticket_data['client_name'] : '' ?>" readonly required>
</div>
<div class="form-group col-md-3">
<label for="insurer_id">Insurer <span class="text-danger">*</span></label>
<label for="insurer_id" class="label-font-size">Insurer <span class="text-danger">*</span></label>
<input type=hidden id="insurer_id" name="insurer_id" value="<?= isset($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']) ? $ticket_data['insurer_name'] : '' ?>" readonly required>
</div>
<input type="hidden" id="empIDHidden" onchange="getClientPolicy()">
<div class="col-md-3">
<div class="form-group">
<label>Policy <span class="text-danger">*</span></label>
<label class="label-font-size">Policy <span class="text-danger">*</span></label>
<select id="emp_client_policy" name="client_policy_id"
class="form-control custom-select" required onchange="setMinDateDOA(this.value); setInsurerAndTPAData(this)">
<?php if (!empty($ticket_data['client_policy_id'])) { ?>
@ -156,13 +164,13 @@
</div>
<div class="form-group col-md-3">
<label for="tpa_name">TPA <span class="text-danger"></span></label>
<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 for="acm_id">Account Manager <span class="text-danger">*</span></label>
<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
@ -195,7 +203,7 @@
<div class="form-row">
<div class="form-group col-md-3">
<label for="claim_status">Status <span class="text-danger">*</span></label>
<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
@ -210,7 +218,7 @@
</div>
<div class="form-group col-md-3">
<label for="priority">Priority <span class="text-danger">*</span></label>
<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
@ -225,7 +233,7 @@
</div>
<div class="form-group col-md-3">
<label for="mode_of_intimation"> Mode of Submission <span
<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> -->
@ -241,7 +249,7 @@
</div>
<div class="form-group col-md-3">
<label for="claim_type"> Claim Type <span class="text-danger">*</span></label>
<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
@ -256,7 +264,7 @@
</div>
<div class="form-group col-md-3">
<label for="hospital_name">Hospital Name <span class="text-danger">*</span></label>
<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']) ? $ticket_data['hospital_name'] : '' ?>"
@ -264,20 +272,20 @@
</div>
<div class="form-group col-md-3">
<label for="doa">DOA <span class="text-danger">*</span></label>
<label class="label-font-size" for="doa">DOA <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="doa" placeholder="Enter DOA"
value="<?= isset($ticket_data['doa']) ? $ticket_data['doa'] : '' ?>"
name="doa" required>
</div>
<div class="form-group col-md-3">
<label for="dod">DOD <span class="text-danger">*</span></label>
<label class="label-font-size" for="dod">DOD <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="dod" placeholder="Enter DOD"
value="<?= isset($ticket_data['dod']) ? $ticket_data['dod'] : '' ?>" name="dod" required>
</div>
<div class="form-group col-md-3">
<label for="claim_amount">Claim Amount <span class="text-danger">*</span></label>
<label class="label-font-size" for="claim_amount">Claim Amount <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="claim_amount"
placeholder="Enter Claim Amount"
value="<?= isset($ticket_data['claim_amount']) ? $ticket_data['claim_amount'] : '' ?>"
@ -285,7 +293,7 @@
</div>
<div class="form-group col-md-3">
<label id="pod_no_label_1" for="pod_no">POD No with Courier Name <span id="pod_no_label_1_span" class="text-danger"></span></label>
<label class="label-font-size" id="pod_no_label_1" for="pod_no">POD No with Courier Name <span id="pod_no_label_1_span" class="text-danger"></span></label>
<input type="text" class="form-control" id="pod_no" placeholder="Enter POD NO"
value="<?= isset($ticket_data['pod_no']) ? $ticket_data['pod_no'] : '' ?>"
name="pod_no">
@ -302,108 +310,108 @@
<div class="form-row">
<div class="form-group col-md-3 up_cnu" style="display: none;">
<label for="claim_number">Claim Number <span class="text-danger"></span></label>
<label class="label-font-size" for="claim_number">Claim Number <span class="text-danger"></span></label>
<input type="text" class="form-control" id="claim_number" placeholder="Enter Claim NO"
value="<?= isset($ticket_data['claim_number']) ? $ticket_data['claim_number'] : '' ?>"
name="claim_number">
</div>
<div class="form-group col-md-3 up_cnu" style="display: none;">
<label for="registration_date">Registration Date</label>
<label class="label-font-size" for="registration_date">Registration Date</label>
<input type="text" class="form-control datepicker" id="registration_date" placeholder="Select Registration Date"
value="<?= isset($ticket_data['registration_date']) ? $ticket_data['registration_date'] : '' ?>" name="registration_date">
</div>
<div class="form-group col-md-3 cda_ir" style="display: none;">
<label for="raised_date">Raised Date</label>
<label class="label-font-size" for="raised_date">Raised Date</label>
<input type="text" class="form-control datepicker" id="raised_date" placeholder="Select Raised Date"
value="<?= isset($ticket_data['raised_date']) ? $ticket_data['raised_date'] : '' ?>" name="raised_date">
</div>
<div class="form-group col-md-3 up_qdr" style="display: none;">
<label for="query_received_date">Query Received Date</label>
<label class="label-font-size" for="query_received_date">Query Received Date</label>
<input type="text" class="form-control datepicker" id="query_received_date" placeholder="Select Query Received Date"
value="<?= isset($ticket_data['query_received_date']) ? $ticket_data['query_received_date'] : '' ?>" name="query_received_date">
</div>
<div class="form-group col-md-3 rejected" style="display: none;">
<label for="denial_reason">Denial Reason</label>
<label class="label-font-size" for="denial_reason">Denial Reason</label>
<input type="text" class="form-control" id="denial_reason" placeholder="Enter Denial Reason"
value="<?= isset($ticket_data['denial_reason']) ? $ticket_data['denial_reason'] : '' ?>" name="denial_reason">
</div>
<div class="form-group col-md-3 rejected" style="display: none;">
<label for="denial_date">Denial Date</label>
<label class="label-font-size" for="denial_date">Denial Date</label>
<input type="text" class="form-control datepicker" id="denial_date" placeholder="Select Denial Date"
value="<?= isset($ticket_data['denial_date']) ? $ticket_data['denial_date'] : '' ?>" name="denial_date">
</div>
<div class="form-group col-md-3 approved" style="display: none;">
<label for="approved_amount">Approved Amount</label>
<label class="label-font-size" for="approved_amount">Approved Amount</label>
<input type="text" class="form-control" id="approved_amount" placeholder="Enter Approved Amount"
value="<?= isset($ticket_data['approved_amount']) ? $ticket_data['approved_amount'] : '' ?>" name="approved_amount">
</div>
<div class="form-group col-md-3 approved" style="display: none;">
<label for="approved_date">Approved Date</label>
<label class="label-font-size" for="approved_date">Approved Date</label>
<input type="text" class="form-control datepicker" id="approved_date" placeholder="Select Approved Date"
value="<?= isset($ticket_data['approved_date']) ? $ticket_data['approved_date'] : '' ?>" name="approved_date">
</div>
<div class="form-group col-md-6 approved" style="display: none;">
<label for="approved_letter">Approved Letter</label>
<label class="label-font-size" for="approved_letter">Approved Letter</label>
<input type="text" class="form-control" id="approved_letter" placeholder="Enter Approved Letter"
value="<?= isset($ticket_data['approved_letter']) ? $ticket_data['approved_letter'] : '' ?>" name="approved_letter">
</div>
<div class="form-group col-md-6 approved" style="display: none;">
<label for="approved_description">Approved Description</label>
<label class="label-font-size" for="approved_description">Approved Description</label>
<input type="text" class="form-control" id="approved_description" placeholder="Enter Approved Description"
value="<?= isset($ticket_data['approved_description']) ? $ticket_data['approved_description'] : '' ?>" name="approved_description">
</div>
<div class="form-group col-md-3 settled" style="display: none;">
<label for="utr_details">UTR Details</label>
<label class="label-font-size" for="utr_details">UTR Details</label>
<input type="text" class="form-control" id="utr_details" placeholder="Enter UTR Details"
value="<?= isset($ticket_data['utr_details']) ? $ticket_data['utr_details'] : '' ?>" name="utr_details">
</div>
<div class="form-group col-md-3 settled" style="display: none;">
<label for="settled_date">Settled Date</label>
<label class="label-font-size" for="settled_date">Settled Date</label>
<input type="text" class="form-control datepicker" id="settled_date" placeholder="Select Settled Date"
value="<?= isset($ticket_data['settled_date']) ? $ticket_data['settled_date'] : '' ?>" name="settled_date">
</div>
<div class="form-group col-md-6 settled" style="display: none;">
<label for="settle_letter">Settle Letter</label>
<label class="label-font-size" for="settle_letter">Settle Letter</label>
<input type="text" class="form-control" id="settle_letter" placeholder="Enter Settle Letter"
value="<?= isset($ticket_data['settle_letter']) ? $ticket_data['settle_letter'] : '' ?>" name="settle_letter">
</div>
<div class="form-group col-md-3 payment" style="display: none;">
<label for="pay_initiate_date">Payment Initiate Date</label>
<label class="label-font-size" for="pay_initiate_date">Payment Initiate Date</label>
<input type="text" class="form-control datepicker" id="pay_initiate_date" placeholder="Select Payment Initiate Date"
value="<?= isset($ticket_data['pay_initiate_date']) ? $ticket_data['pay_initiate_date'] : '' ?>" name="pay_initiate_date">
</div>
<div class="form-group col-md-3 canceled" style="display: none;">
<label for="cancel_remark">Cancel Remark</label>
<label class="label-font-size" for="cancel_remark">Cancel Remark</label>
<textarea class="form-control" id="cancel_remark" rows="1" placeholder="Enter Cancel Remark" name="cancel_remark"><?= isset($ticket_data['cancel_remark']) ? $ticket_data['cancel_remark'] : '' ?></textarea>
</div>
<div class="form-group col-md-3 returned" style="display: none;">
<label for="return_remark">Return Remark</label>
<label class="label-font-size" for="return_remark">Return Remark</label>
<textarea class="form-control" id="return_remark" rows="1" placeholder="Enter Return Remark" name="return_remark"><?= isset($ticket_data['return_remark']) ? $ticket_data['return_remark'] : '' ?></textarea>
</div>
<div class="form-group col-md-6 returned" style="display: none;">
<label for="awb_no_courier_name">Return AWB No with Courier Name</label>
<label class="label-font-size" for="awb_no_courier_name">Return AWB No with Courier Name</label>
<input type="text" class="form-control" id="awb_no_courier_name" placeholder="eg : 0001/ST Courier"
value="<?= isset($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 for="non_id_reason">Non ID Reason <span id="non_id_reason_lable_id" class="text-danger"></span></label>
<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

View File

@ -16,6 +16,11 @@
color: #0056b3;
font-size: 24px;
}
.label-font-size{
font-size:0.875rem;
}
</style>
<div class="row">
@ -51,7 +56,7 @@
<div class="form-row">
<div class="form-group col-md-3">
<label for="emp_code">Employee ID <span class="text-danger">*</span> &nbsp; &nbsp; <i class="mdi mdi-magnify text-danger"
<label class="label-font-size" for="emp_code">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']) ? $ticket_data['emp_code'] : '' ?>"
@ -59,7 +64,7 @@
</div>
<div class="form-group col-md-3">
<label for="emp_name">Employee Name <span class="text-danger">*</span></label>
<label class="label-font-size" for="emp_name">Employee Name <span class="text-danger">*</span></label>
<input type=hidden id="emp_id" name="emp_id" value="<?= isset($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']) ? $ticket_data['emp_name'] : '' ?>"
@ -67,41 +72,41 @@
</div>
<div class="form-group col-md-3">
<label for="emp_mobile">Employee Mobile No <span class="text-danger">*</span></label>
<label class="label-font-size" for="emp_mobile">Employee Mobile No <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="emp_mobile" placeholder="Enter EMP Mobile"
value="<?= isset($ticket_data['emp_mobile']) ? $ticket_data['emp_mobile'] : '' ?>"
name="emp_mobile" required>
</div>
<div class="form-group col-md-3">
<label for="emp_mail">Employee Mail ID <span class="text-danger">*</span></label>
<label class="label-font-size" for="emp_mail">Employee Mail ID <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="emp_mail" placeholder="Enter EMP Mail"
value="<?= isset($ticket_data['emp_mail']) ? $ticket_data['emp_mail'] : '' ?>"
name="emp_mail" required>
</div>
<div class="form-group col-md-3">
<label for="emp_personal_mail">Employee Personal Mail ID</label>
<label class="label-font-size" for="emp_personal_mail">Employee Personal Mail ID</label>
<input type="text" class="form-control" id="emp_personal_mail" placeholder="Enter EMP Personal Mail"
value="<?= isset($ticket_data['emp_personal_mail']) ? $ticket_data['emp_personal_mail'] : '' ?>"
name="emp_personal_mail">
</div>
<div class="form-group col-md-3">
<label for="policy_no">Policy No <span class="text-danger"></span></label>
<label class="label-font-size" for="policy_no">Policy No <span class="text-danger"></span></label>
<input type="text" class="form-control" id="policy_no"
value="<?= isset($ticket_data['policy_no']) ? $ticket_data['policy_no'] : '' ?>"
name="policy_no">
</div>
<div class="form-group col-md-3">
<label for="client_name">Corporate Name <span class="text-danger">*</span></label>
<label class="label-font-size" for="client_name">Corporate Name <span class="text-danger">*</span></label>
<input type="hidden" id="client_id" name="client_id" value="<?= isset($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']) ? $ticket_data['client_name'] : '' ?>" readonly required>
</div>
<div class="form-group col-md-3">
<label for="insurer_id">Insurer <span class="text-danger">*</span></label>
<label class="label-font-size" for="insurer_id">Insurer <span class="text-danger">*</span></label>
<input type=hidden id="insurer_id" name="insurer_id" value="<?= isset($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']) ? $ticket_data['insurer_name'] : '' ?>" readonly required>
</div>
@ -109,7 +114,7 @@
<div class="col-md-3">
<div class="form-group">
<label>Policy <span class="text-danger">*</span></label>
<label class="label-font-size">Policy <span class="text-danger">*</span></label>
<select id="emp_client_policy" name="client_policy_id"
class="form-control custom-select" required onchange="setDateValidation(this.value,true); setInsurerAndTPAData(this)"
<?= isset($ticket_data['client_policy_id'])?" class = 'readonly-select'":'' ?>
@ -124,7 +129,7 @@
</div>
<div class="form-group col-md-3">
<label for="acm_id">Account Manager <span class="text-danger">*</span></label>
<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
@ -149,7 +154,7 @@
<div class="form-row">
<div class="form-group col-md-3">
<label for="ticket_type_id"> Policy Type <span class="text-danger"></span></label>
<label class="label-font-size" for="ticket_type_id"> Policy Type <span class="text-danger"></span></label>
<select class="form-control readonly-select" id="ticket_type_id" name="ticket_type_id" readonly>
<?php
if (isset($ticket_type) && count($ticket_type)) {
@ -165,7 +170,7 @@
</div>
<div class="form-group col-md-3">
<label for="claim_status">Status <span class="text-danger">*</span></label>
<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
@ -180,7 +185,7 @@
</div>
<div class="form-group col-md-3">
<label for="claim_type"> Claim Type <span class="text-danger">*</span></label>
<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
@ -195,7 +200,7 @@
</div>
<div class="form-group col-md-3">
<label for="date_of_join">Date of joining<span class="text-danger"></span></label>
<label class="label-font-size" for="date_of_join">Date of joining<span class="text-danger"></span></label>
<input type="text" class="form-control" id="date_of_join"
placeholder="Enter Joining Date"
value="<?= isset($ticket_data['date_of_join']) ? $ticket_data['date_of_join'] : '' ?>"
@ -203,7 +208,7 @@
</div>
<div class="form-group col-md-3">
<label for="date_of_incep">Date of Inception<span class="text-danger"></span></label>
<label class="label-font-size" for="date_of_incep">Date of Inception<span class="text-danger"></span></label>
<input type="text" class="form-control" id="date_of_incep"
placeholder="Enter Inception Date"
value="<?= isset($ticket_data['date_of_incep']) ? $ticket_data['date_of_incep'] : '' ?>"
@ -211,13 +216,13 @@
</div>
<div class="form-group col-md-3">
<label for="dob">Date of Birth <span class="text-danger">*</span></label>
<label class="label-font-size" for="dob">Date of Birth <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="dob" placeholder="Enter Birth Date"
value="<?= isset($ticket_data['dob']) ? $ticket_data['dob'] : '' ?>" name="dob" required>
</div>
<div class="form-group col-md-3">
<label for="date_of_accident">Date of Accident <span class="text-danger"></span></label>
<label class="label-font-size" for="date_of_accident">Date of Accident <span class="text-danger"></span></label>
<input type="text" class="form-control" id="date_of_accident"
placeholder="Enter Accident Date"
value="<?= isset($ticket_data['date_of_accident']) ? $ticket_data['date_of_accident'] : '' ?>"
@ -225,7 +230,7 @@
</div>
<div class="form-group col-md-3">
<label for="date_of_death">Date of Death <span class="text-danger"></span></label>
<label class="label-font-size" for="date_of_death">Date of Death <span class="text-danger"></span></label>
<input type="date_of_death" class="form-control" id="date_of_death"
placeholder="Enter Death Date"
value="<?= isset($ticket_data['date_of_death']) ? $ticket_data['date_of_death'] : '' ?>"
@ -233,7 +238,7 @@
</div>
<div class="form-group col-md-3">
<label for="date_of_intimat">Date of Intimation <span class="text-danger">*</span></label>
<label class="label-font-size" for="date_of_intimat">Date of Intimation <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="date_of_intimat"
placeholder="Enter Intimation Date"
value="<?= isset($ticket_data['date_of_intimat']) ? $ticket_data['date_of_intimat'] : '' ?>"
@ -241,7 +246,7 @@
</div>
<div class="form-group col-md-3">
<label for="si_amt">Sum insured <span class="text-danger">*</span></label>
<label class="label-font-size" for="si_amt">Sum insured <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="si_amt" placeholder="Enter SI"
value="<?= isset($ticket_data['si_amt']) ? $ticket_data['si_amt'] : '' ?>"
name="si_amt" required>
@ -257,59 +262,59 @@
<div class="form-row">
<div class="form-group col-md-3 approved" style="display: none;">
<label for="approved_amount">Approved Amount</label>
<label class="label-font-size" for="approved_amount">Approved Amount</label>
<input type="text" class="form-control" id="approved_amount" placeholder="Enter Approved Amount"
value="<?= isset($ticket_data['approved_amount']) ? $ticket_data['approved_amount'] : '' ?>" name="approved_amount">
</div>
<div class="form-group col-md-3 approved" style="display: none;">
<label for="approved_date">Approved Date</label>
<label class="label-font-size" for="approved_date">Approved Date</label>
<input type="text" class="form-control datepicker" id="approved_date" placeholder="Select Approved Date"
value="<?= isset($ticket_data['approved_date']) ? $ticket_data['approved_date'] : '' ?>" name="approved_date">
</div>
<div class="form-group col-md-6 approved" style="display: none;">
<label for="approved_letter">Approved Letter</label>
<label class="label-font-size" for="approved_letter">Approved Letter</label>
<input type="text" class="form-control" id="approved_letter" placeholder="Enter Approved Letter"
value="<?= isset($ticket_data['approved_letter']) ? $ticket_data['approved_letter'] : '' ?>" name="approved_letter">
</div>
<div class="form-group col-md-6 approved" style="display: none;">
<label for="approved_description">Approved Description</label>
<label class="label-font-size" for="approved_description">Approved Description</label>
<input type="text" class="form-control" id="approved_description" placeholder="Enter Approved Description"
value="<?= isset($ticket_data['approved_description']) ? $ticket_data['approved_description'] : '' ?>" name="approved_description">
</div>
<div class="form-group col-md-3 settled" style="display: none;">
<label for="utr_details">UTR Details</label>
<label class="label-font-size" for="utr_details">UTR Details</label>
<input type="text" class="form-control" id="utr_details" placeholder="Enter UTR Details"
value="<?= isset($ticket_data['utr_details']) ? $ticket_data['utr_details'] : '' ?>" name="utr_details">
</div>
<div class="form-group col-md-3 settled" style="display: none;">
<label for="settled_date">Settled Date</label>
<label class="label-font-size" for="settled_date">Settled Date</label>
<input type="text" class="form-control datepicker" id="settled_date" placeholder="Select Settled Date"
value="<?= isset($ticket_data['settled_date']) ? $ticket_data['settled_date'] : '' ?>" name="settled_date">
</div>
<div class="form-group col-md-6 settled" style="display: none;">
<label for="settle_letter">Settle Letter</label>
<label class="label-font-size" for="settle_letter">Settle Letter</label>
<input type="text" class="form-control" id="settle_letter" placeholder="Enter Settle Letter"
value="<?= isset($ticket_data['settle_letter']) ? $ticket_data['settle_letter'] : '' ?>" name="settle_letter">
</div>
<div class="form-group col-md-3 canceled" style="display: none;">
<label for="cancel_remark">Cancel Remark</label>
<label class="label-font-size" for="cancel_remark">Cancel Remark</label>
<textarea class="form-control" id="cancel_remark" rows="1" placeholder="Enter Cancel Remark" name="cancel_remark"><?= isset($ticket_data['cancel_remark']) ? $ticket_data['cancel_remark'] : '' ?></textarea>
</div>
<div class="form-group col-md-3 returned" style="display: none;">
<label for="return_remark">Return Remark</label>
<label class="label-font-size" for="return_remark">Return Remark</label>
<textarea class="form-control" id="return_remark" rows="1" placeholder="Enter Return Remark" name="return_remark"><?= isset($ticket_data['return_remark']) ? $ticket_data['return_remark'] : '' ?></textarea>
</div>
<div class="form-group col-md-6 returned" style="display: none;">
<label for="awb_no_courier_name">AWB No with Courier Name</label>
<label class="label-font-size" for="awb_no_courier_name">AWB No with Courier Name</label>
<input type="text" class="form-control" id="awb_no_courier_name" placeholder="eg : 0001/ST Courier"
value="<?= isset($ticket_data['awb_no_courier_name']) ? $ticket_data['awb_no_courier_name'] : '' ?>" name="awb_no_courier_name">
</div>

View File

@ -1,7 +1,7 @@
<div class="row">
<div class="col-12">
<div class="card-body">
<form role="form" class="parsley-examples" method="post" id="ticket_reply_form" enctype="multipart/form-data">
<form role="form" class="parsley-examples" style="color:black;" method="post" id="ticket_reply_form" enctype="multipart/form-data">
<div class="form-group">
<div class="form-row">
<!-- Email To Field -->