311 lines
18 KiB
PHP
311 lines
18 KiB
PHP
<style>
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.readonly-select {
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pointer-events: none;
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background-color: #e0e0e0;
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color: #666;
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}
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</style>
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<div class="row">
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<div class="col-12">
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<div class="<?= !isset($ticket_data) ? "card" : "" ?>" style="margin-right: 23px;">
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<div class="card-body">
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<?php if(!isset($ticket_data)){ ?>
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<!-- Header Section -->
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<div class="row mb-3">
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<div class="col-6 d-flex align-items-center">
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<h4 class="mb-0">Claim <?= $ticket_form ?></h4>
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</div>
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<div class="col-6 text-right">
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<a href="<?= base_url('ticket/list'); ?>" aria-label="Back to ticket list">
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<i class="fas fa-arrow-left" style="font-size: 17px;"></i>
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</a>
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</div>
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</div>
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<?php } ?>
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<form role="form" class="parsley-examples" method="post" id="ticket_form_data" onsubmit="submitClaimForm(event, this)"
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enctype="multipart/form-data">
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<div class="form-group">
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<div class="form-row">
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<input type="hidden" id="ticket_master_id" name="ticket_master_id" value="<?= isset($ticket_data['id']) ? $ticket_data['id'] : '' ?>">
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<input type="hidden" id="is_head_approved" name="is_head_approved" value="<?= isset($ticket_data['is_head_approved']) ? $ticket_data['is_head_approved'] : '' ?>">
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<div class="form-group col-md-3">
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<label for="claim_status">Status<span class="text-danger"></span></label>
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<select class="form-control" id="claim_status_id" name="claim_status_id">
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<!-- <option value="0">Select status</option> -->
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<?php
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if (isset($claim_status) && count($claim_status)) {
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foreach ($claim_status as $key => $value) {
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$selected = (isset($ticket_data) && $ticket_data['claim_status_id'] == $value['id']) ? 'selected' : '';
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echo "<option value=" . $value['id'] . " $selected>" . $value['claim_status'] . "</option>";
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}
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}
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?>
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</select>
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</div>
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<div class="form-group col-md-3">
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<label for="acm_id">Account Manager<span class="text-danger"></span></label>
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<select class="form-control" id="acm_id" name="acm_id">
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<!-- <option value="0">Select Account Manager</option> -->
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<?php
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if (isset($acms) && count($acms)) {
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foreach ($acms as $key => $value) {
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$selected = (isset($ticket_data) && $ticket_data['acm_id'] == $value['id']) ? 'selected' : '';
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echo "<option value=" . $value['id'] . " $selected>" . $value['first_name'] . "</option>";
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}
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}
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?>
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</select>
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</div>
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<div class="form-group col-md-3">
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<label for="client_name">Corporate Name<span class="text-danger"></span></label>
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<input type="hidden" id="client_id" name="client_id" value="<?= isset($ticket_data['client_id']) ? $ticket_data['client_id'] : '' ?>">
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<input type="text" class="form-control" id="client_name" placeholder="Client" value="<?= isset($ticket_data['client_name']) ? $ticket_data['client_name'] : '' ?>" readonly>
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</div>
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<div class="form-group col-md-3">
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<label for="insurer_id">Insurer<span class="text-danger"></span></label>
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<input type=hidden id="insurer_id" name="insurer_id" value="<?= isset($ticket_data['insurer_id']) ? $ticket_data['insurer_id'] : '' ?>">
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<input type=text class="form-control" id="insurer_name" placeholder="Insurer" value="<?= isset($ticket_data['insurer_name']) ? $ticket_data['insurer_name'] : '' ?>" readonly>
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</div>
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<div class="form-group col-md-3">
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<label for="policy_no">Policy No<span class="text-danger"></span></label>
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<input type="text" class="form-control" id="policy_no"
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value="<?= isset($ticket_data['policy_no']) ? $ticket_data['policy_no'] : '' ?>"
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name="policy_no">
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</div>
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<div class="form-group col-md-3">
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<label for="ticket_type_id"> Policy Type <span class="text-danger"></span></label>
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<select class="form-control readonly-select" id="ticket_type_id" name="ticket_type_id" readonly>
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<?php
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if (isset($ticket_type) && count($ticket_type)) {
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foreach ($ticket_type as $key => $value) {
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if($key != 1){
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$selected = (isset($ticket_data) && $ticket_data['ticket_type_id'] == $key) ? 'selected' : ((isset($selected_ticket_type) && $selected_ticket_type == $key) ? 'selected' : '');
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echo "<option value='" . $key . "' $selected>" . $value . "</option>";
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}
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}
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}
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?>
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</select>
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</div>
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<div class="form-group col-md-3">
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<label for="claim_type"> Claim Type <span class="text-danger"></span></label>
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<select class="form-control" id="claim_type" name="claim_type">
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<!-- <option value="0">Select claim Type</option> -->
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<?php
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if (isset($claim_type) && count($claim_type)) {
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foreach ($claim_type as $key => $value) {
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$selected = (isset($ticket_data) && $ticket_data['claim_type'] == $key) ? 'selected' : '';
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echo "<option value='" . $key . "' $selected>" . $value . "</option>";
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}
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}
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?>
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</select>
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</div>
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<div class="form-group col-md-3">
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<label for="emp_code">Employee ID <i class="fa fa-search text-danger"
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aria-hidden="true" onclick="openFetchEmpDataodal(this)"></i> <span class="text-danger"></span></label>
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<input type="text" class="form-control" id="emp_code" placeholder="Enter Employee ID"
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value="<?= isset($ticket_data['emp_code']) ? $ticket_data['emp_code'] : '' ?>"
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name="emp_code">
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</div>
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<div class="form-group col-md-3">
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<label for="emp_name">Employee Name<span class="text-danger"></span></label>
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<input type=hidden id="emp_id" name="emp_id" value="<?= isset($ticket_data['emp_id']) ? $ticket_data['emp_id'] : '' ?>">
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<input type="text" class="form-control" id="emp_name" placeholder="Enter Employee Name"
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value="<?= isset($ticket_data['emp_name']) ? $ticket_data['emp_name'] : '' ?>"
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name="emp_name">
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</div>
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<div class="form-group col-md-3">
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<label for="emp_mobile">Employee Mobile No<span class="text-danger"></span></label>
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<input type="text" class="form-control" id="emp_mobile" placeholder="Enter EMP Mobile"
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value="<?= isset($ticket_data['emp_mobile']) ? $ticket_data['emp_mobile'] : '' ?>"
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name="emp_mobile">
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</div>
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<div class="form-group col-md-3">
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<label for="emp_mail">Employee Mail ID<span class="text-danger"></span></label>
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<input type="text" class="form-control" id="emp_mail" placeholder="Enter EMP Mail"
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value="<?= isset($ticket_data['emp_mail']) ? $ticket_data['emp_mail'] : '' ?>"
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name="emp_mail">
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</div>
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<div class="form-group col-md-3">
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<label for="date_of_join">Date of joining<span class="text-danger"></span></label>
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<input type="text" class="form-control" id="date_of_join"
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placeholder="Enter Joining Date"
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value="<?= isset($ticket_data['date_of_join']) ? $ticket_data['date_of_join'] : '' ?>"
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name="date_of_join">
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</div>
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<div class="form-group col-md-3">
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<label for="date_of_incep">Date of Inception<span class="text-danger"></span></label>
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<input type="text" class="form-control" id="date_of_incep"
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placeholder="Enter Inception Date"
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value="<?= isset($ticket_data['date_of_incep']) ? $ticket_data['date_of_incep'] : '' ?>"
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name="date_of_incep">
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</div>
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<div class="form-group col-md-3">
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<label for="dob">Date of Birth<span class="text-danger"></span></label>
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<input type="text" class="form-control" id="dob" placeholder="Enter Birth Date"
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value="<?= isset($ticket_data['dob']) ? $ticket_data['dob'] : '' ?>" name="dob">
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</div>
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<div class="form-group col-md-3">
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<label for="date_of_accident">Date of Accident<span class="text-danger"></span></label>
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<input type="text" class="form-control" id="date_of_accident"
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placeholder="Enter Accident Date"
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value="<?= isset($ticket_data['date_of_accident']) ? $ticket_data['date_of_accident'] : '' ?>"
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name="date_of_accident">
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</div>
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<div class="form-group col-md-3">
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<label for="date_of_death">Date of Death<span class="text-danger"></span></label>
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<input type="date_of_death" class="form-control" id="date_of_death"
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placeholder="Enter Death Date"
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value="<?= isset($ticket_data['date_of_death']) ? $ticket_data['date_of_death'] : '' ?>"
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name="date_of_death">
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</div>
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<div class="form-group col-md-3">
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<label for="date_of_intimat">Date of Intimation<span class="text-danger"></span></label>
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<input type="text" class="form-control" id="date_of_intimat"
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placeholder="Enter Intimation Date"
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value="<?= isset($ticket_data['date_of_intimat']) ? $ticket_data['date_of_intimat'] : '' ?>"
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name="date_of_intimat">
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</div>
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<div class="form-group col-md-3">
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<label for="si_amt">Sum insured<span class="text-danger"></span></label>
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<input type="text" class="form-control" id="si_amt" placeholder="Enter SI"
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value="<?= isset($ticket_data['si_amt']) ? $ticket_data['si_amt'] : '' ?>"
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name="si_amt">
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</div>
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<div class="form-group col-md-3 approved" style="display: none;">
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<label for="approved_amount">Approved Amount</label>
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<input type="text" class="form-control" id="approved_amount" placeholder="Enter Approved Amount"
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value="<?= isset($ticket_data['approved_amount']) ? $ticket_data['approved_amount'] : '' ?>" name="approved_amount">
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</div>
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<div class="form-group col-md-3 approved" style="display: none;">
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<label for="approved_date">Approved Date</label>
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<input type="text" class="form-control datepicker" id="approved_date" placeholder="Select Approved Date"
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value="<?= isset($ticket_data['approved_date']) ? $ticket_data['approved_date'] : '' ?>" name="approved_date">
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</div>
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<div class="form-group col-md-9 approved" style="display: none;">
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<label for="approved_letter">Approved Letter</label>
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<input type="text" class="form-control" id="approved_letter" placeholder="Enter Approved Letter"
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value="<?= isset($ticket_data['approved_letter']) ? $ticket_data['approved_letter'] : '' ?>" name="approved_letter">
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</div>
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<div class="form-group col-md-3 settled" style="display: none;">
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<label for="utr_details">UTR Details</label>
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<input type="text" class="form-control" id="utr_details" placeholder="Enter UTR Details"
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value="<?= isset($ticket_data['utr_details']) ? $ticket_data['utr_details'] : '' ?>" name="utr_details">
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</div>
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<div class="form-group col-md-3 settled" style="display: none;">
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<label for="settled_date">Settled Date</label>
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<input type="text" class="form-control datepicker" id="settled_date" placeholder="Select Settled Date"
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value="<?= isset($ticket_data['settled_date']) ? $ticket_data['settled_date'] : '' ?>" name="settled_date">
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</div>
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<div class="form-group col-md-9 settled" style="display: none;">
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<label for="settle_letter">Settle Letter</label>
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<input type="text" class="form-control" id="settle_letter" placeholder="Enter Settle Letter"
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value="<?= isset($ticket_data['settle_letter']) ? $ticket_data['settle_letter'] : '' ?>" name="settle_letter">
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</div>
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</div>
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</div>
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<div class="form-group col-md-12 text-right m-b-0" style="margin-top: 29px;">
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<button type="submit" class="btn btn-primary waves-effect waves-light mr-1"
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id="btnSubmit">Submit</button>
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<?php if(get_role_id() == 5 && isset($ticket_data) && in_array($ticket_data['claim_status_id'],[23,33,43])) { ?>
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<a class="btn btn-secondary waves-effect waves-light mr-1" onclick="showConfirmationModal(event)">Rejected Approve</a>
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<?php } ?>
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</div>
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</div>
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</form>
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</div>
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</div>
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</div>
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<script>
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$(document).ready(function() {
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var date_of_join = flatpickr("#date_of_join", {
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dateFormat: "d/m/Y",
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allowInput: false
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});
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var dob = flatpickr("#dob", {
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dateFormat: "d/m/Y",
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allowInput: false
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});
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var date_of_incep = flatpickr("#date_of_incep", {
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dateFormat: "d/m/Y",
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allowInput: false
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});
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var date_of_accident = flatpickr("#date_of_accident", {
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dateFormat: "d/m/Y",
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allowInput: false
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});
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var date_of_death = flatpickr("#date_of_death", {
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dateFormat: "d/m/Y",
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allowInput: false
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});
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var date_of_intimat = flatpickr("#date_of_intimat", {
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dateFormat: "d/m/Y",
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allowInput: false
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});
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flatpickr("#approved_date", { dateFormat: "d/m/Y", allowInput: false });
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flatpickr("#settled_date", { dateFormat: "d/m/Y", allowInput: false });
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updateClaimStatusDisplay("<?= isset($ticket_data['claim_status_id']) ? $ticket_data['claim_status_id'] : 0 ?>")
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})
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function updateClaimStatusDisplay(value) {
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console.log('value', value);
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// Hide all sections first
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$('.settled, .approved').hide();
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// Show relevant section based on value
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if (value == 20 || value == 30 || value == 40) { // APPROVED
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$('.approved').show();
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} else if (value == 24 || value == 34 || value == 44) { // SETTLED
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$('.settled').show();
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}
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}
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$('#claim_status_id').on('change', function() {
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updateClaimStatusDisplay($(this).val());
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});
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</script>
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