286 lines
14 KiB
PHP
Executable File
286 lines
14 KiB
PHP
Executable File
<div class="tab-pane fade active show" id="general-q-tab">
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<div class="row">
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<div class="col-12">
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<div class="card-body">
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<form role="form" class="parsley-examples" method="post" id="tpa_general_form" enctype="multipart/form-data">
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<input type="hidden" value="<?= csrf_hash() ?>" name="<?= csrf_token() ?>" />
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<input type="hidden" name="PrimaryKey" id="tpa_General_PrimaryKey" value="<?= isset($tpa['id']) ? $tpa['id'] : '' ?>" />
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<input type="hidden" name="tpa_id" id="tpa_id" />
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<div class="form-group">
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<div class="form-row">
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<div class="form-group col-md-4">
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<label for="tpa_name">TPA Name<span class="text-danger">*</span></label>
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<input type="text" class="form-control" id="tpa_name" placeholder="Enter TPA Name" value="<?= isset($tpa['name']) ? $tpa['name'] : '' ?>" name="name" required>
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</div>
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<div class="form-group col-md-4">
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<label for="tpa_short_name">TPA Short Name<span class="text-danger">*</span></label>
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<input type="text" class="form-control" id="short_name" placeholder="Enter Short Name" value="<?= isset($tpa['short_name']) ? $tpa['short_name'] : '' ?>" name="short_name" required>
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</div>
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<div class="form-group col-md-4">
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<label for="tpa_network_hospitals">Network Hospitals<span class="text-danger">*</span></label>
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<input type="url" class="form-control" id="tpa_network_hospitals" name="network_hospitals" placeholder="Enter Network Hospitals" value="<?= isset($tpa['network_hospitals']) ? $tpa['network_hospitals'] : '' ?>" required data-parsley-type="url">
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</div>
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</div>
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<hr>
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<div class="form-row">
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<div class="form-group col-md-12">
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<label for="tpa_ecard_template">E-Card Template<span class="text-danger"></span></label>
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<textarea style="height: 380px;" class="form-control" id="ecard_content" placeholder="Enter E-card Content" name="ecard_content"><?= isset($template_data) ? $template_data : '' ?></textarea>
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</div>
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</div>
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<div class="form-row" id="view_pre_btn" style="display :none">
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<div class="form-group col-md-4">
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<a href="<?= isset($tpa['id']) ? base_url('/util/preview-card/') . $tpa['id'] : '' ?>" class="btn btn-primary" id="preview" target="_blank">Preview</a>
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</div>
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</div>
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<div class="form-row">
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<div class="form-group col-md-4">
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<label for="tpa_logo">TPA Logo<span class="text-danger"></span></label>
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<input type="file" class="form-control" onchange="PreviewImage();" id="tpa_logo" name="tpa_logo" accept="image/jpeg, image/jpg, image/png">
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</div>
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<div class="form-group col-md-4">
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<label for="tpa_front_card_image">Front card Image<span class="text-danger"></span></label>
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<input type="file" class="form-control" onchange="PreviewImage2();" id="fc" name="fc" accept="image/jpeg, image/jpg, image/png">
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</div>
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<div class="form-group col-md-4">
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<label for="tpa_back_card_image">Back card Image<span class="text-danger"></span></label>
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<input type="file" class="form-control" onchange="PreviewImage3();" id="bc" name="bc" accept="image/jpeg, image/jpg, image/png">
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</div>
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</div>
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<div class="form-row">
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<div class="form-group col-md-4">
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<label for="tpa_logo_preview">TPA Logo Preview<span class="text-danger"></span></label>
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<img src="<?= isset($tpa['tpa_logo']) && !empty($tpa['tpa_logo']) ? base_url() . "public/uploads/logo/" . $tpa['tpa_logo'] : base_url() . "public/assets/images/avatar_2x.png" ?>" width="100" height="100" id="uploadPreview" class="avatar img-circle img-thumbnail" alt="avatar" />
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</div>
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<div class="form-group col-md-4">
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<label for="tpa_front_card_preview">Front card Preview<span class="text-danger"></span></label>
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<img src="<?= isset($tpa['front_card']) && !empty($tpa['front_card']) ? base_url() . "public/uploads/template_bg/" . $tpa['front_card'] : base_url() . "public/assets/images/avatar_2x.png" ?>" width="100" height="100" id="uploadPreview2" class="avatar img-circle img-thumbnail" alt="avatar" />
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</div>
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<div class="form-group col-md-4">
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<label for="tpa_back_card_preview">Back card Preview<span class="text-danger"></span></label>
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<img src="<?= isset($tpa['back_card']) && !empty($tpa['back_card']) ? base_url() . "public/uploads/template_bg/" . $tpa['back_card'] : base_url() . "public/assets/images/avatar_2x.png" ?>" width="100" height="100" id="uploadPreview3" class="avatar img-circle img-thumbnail" alt="avatar" />
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</div>
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</div>
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</div>
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<div class="form-group text-right m-b-0">
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<button type="submit" class="btn btn-primary waves-effect waves-light mr-1" id="btnSubmit">Submit</button>
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<button type="button" class="btn btn-secondary waves-effect btnBack" id="btnBack">Cancel</button>
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</div>
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</form>
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</div>
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</div> <!-- end col-->
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</div>
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</div>
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<!-- end -->
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<div id="full-width-modal-emp-list" class="modal fade" tabindex="-1" role="dialog" aria-labelledby="fullWidthModalLabel" aria-hidden="true">
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<div class="modal-dialog modal-full-width">
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<div class="modal-content">
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<div class="modal-header">
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<h4 class="modal-title" id="fullWidthModalLabel">Preview<span id="title_header_name"></span></h4>
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<button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button>
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</div>
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<div class="modal-body" id="Preview_data">
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</div>
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<div class="modal-footer">
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</div>
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</div><!-- /.modal-content -->
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</div><!-- /.modal-dialog -->
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</div><!-- /.modal -->
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<script>
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$(document).ready(function() {
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if($('#tpa_General_PrimaryKey').val() != ""){
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$('#view_pre_btn').show()
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}
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$("#tpa_general_form").submit(function(events) {
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events.preventDefault();
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var isValid = $('#tpa_general_form').parsley().validate();
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var PrimaryKey = $('#tpa_General_PrimaryKey').val();
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var form_action = '';
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if (isValid) {
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if (PrimaryKey === '') {
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form_action = '<?= base_url("master/tpa/createpost"); ?>';
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} else {
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form_action = '<?= base_url("master/tpa/edit"); ?>';
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}
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var formData = new FormData($('#tpa_general_form')[0]);
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var OptionsHTML1 = '';
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$('.loader').fadeIn();
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$('.loader-mask').fadeIn();
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$.ajax({
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data: formData,
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url: form_action,
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type: "POST",
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dataType: 'json',
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processData: false,
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contentType: false,
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success: function(res) {
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if($('#tpa_General_PrimaryKey').val() == ""){
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window.location.href = '<?= base_url("master/tpa/list/"); ?>' + res.data.id;
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}
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setTimeout(function() {
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$('.loader').fadeOut();
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$('.loader-mask').delay(350).fadeOut('slow');
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}, 1000);
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console.log(res);
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$('#tpa_id').val(res.data.id);
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$('#tpa_General_PrimaryKey').val(res.data.id);
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$('#tpa_id_branch').val(res.data.id);
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$('#tpa_branch_contacts_id').click();
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$('#btnBranchAdd').show();
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var message = "TPA General Info";
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toastr.success(message, 'Success');
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// $.toast({
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// text: 'Insurer General Info',
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// heading: "Submitted Sucessfully",
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// position: 'top-right',
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// icon: 'success',
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// bgColor: !1,
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// });
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},
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error: function(xhr, status, error) {
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console.error(xhr.responseText);
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console.error(status, error);
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setTimeout(function() {
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$('.loader').fadeOut();
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$('.loader-mask').delay(350).fadeOut('slow');
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console.log('Something Wrong!', 'warning'); }, 1000);
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}
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});
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}
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});
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function validateForm() {
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var isValid = true;
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// Perform validation for each field
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$('#tpa_general_form input, #tpa_general_form select').each(function() {
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// Check for empty text inputs and selects
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if ($(this).is('input[type="text"]') || $(this).is('select')) {
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if ($.trim($(this).val()) == '') {
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alert('Please fill in all fields');
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isValid = false;
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return false; // Exit the loop early
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}
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}
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// Check for file inputs (assuming image files)
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if ($(this).is('input[type="file"]')) {
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var fileInput = $(this)[0];
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if (fileInput.files.length === 0) {
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alert('Please select an image file');
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isValid = false;
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return false; // Exit the loop early
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}
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}
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});
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return isValid;
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}
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});
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function PreviewImage() {
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var oFReader = new FileReader();
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oFReader.readAsDataURL(document.getElementById("tpa_logo").files[0]);
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oFReader.onload = function(oFREvent) {
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document.getElementById("uploadPreview").src = oFREvent.target.result;
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};
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};
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function PreviewImage2() {
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var oFReader = new FileReader();
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oFReader.readAsDataURL(document.getElementById("fc").files[0]);
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oFReader.onload = function(oFREvent) {
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document.getElementById("uploadPreview2").src = oFREvent.target.result;
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};
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};
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function PreviewImage3() {
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var oFReader = new FileReader();
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oFReader.readAsDataURL(document.getElementById("bc").files[0]);
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oFReader.onload = function(oFREvent) {
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document.getElementById("uploadPreview3").src = oFREvent.target.result;
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};
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};
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$('#preview').click(function() {
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var ecardContent = $('#ecard_content').val();
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$('#Preview_data').html(ecardContent);
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});
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// $(document).ready(function() {
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// $('#preview').click(function() {
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// // Get the value from the textarea
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// var ecardContent = $('#ecard_content').val();
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// var filename_front = $('#fc').val().split('\\').pop();
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// var original_string_front = '{FRONT_CARD}';
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// var replace_string_front = '<?= isset($tpa['front_card']) && !empty($tpa['front_card']) ? base_url() . "public/uploads/template_bg/" . $tpa['front_card'] : "" ?>';
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// ecardContent = ecardContent.replace(original_string_front, replace_string_front);
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// console.log(ecardContent);
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// var filename_back = $('#fc').val().split('\\').pop();
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// var original_string_back = '{BACK_CARD}';
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// var replace_string_back = '<?= isset($tpa['back_card']) && !empty($tpa['back_card']) ? base_url() . "public/uploads/template_bg/" . $tpa['back_card'] : "" ?>';
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// ecardContent = ecardContent.replace(original_string_back, replace_string_back);
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// // console.log(ecardContent)
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// // Open a new window for printing
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// var printWindow = window.open('', '_blank');
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// // Insert the textarea value into the new window
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// printWindow.document.write('<html><head><title>Preview Page</title></head><body>');
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// printWindow.document.write(ecardContent); // Use <pre> tag to preserve formatting
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// printWindow.document.write('</body></html>');
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// // Trigger the print functionality
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// printWindow.print();
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// printWindow.close();
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// });
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// });
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</script>
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