mirror of
https://gitlab.com/signalytic/client-external/streamline/streamline-emr.git
synced 2026-09-12 19:21:33 +00:00
233 lines
13 KiB
PHP
Executable File
233 lines
13 KiB
PHP
Executable File
@extends('layouts.main')
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@push('styles')
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<link href="{{ asset('/elite/bower_components/datatables/jquery.dataTables.min.css') }}" rel="stylesheet" type="text/css" />
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<link href="{{ asset('elite/tables/css/buttons.dataTables.min.css') }}" rel="stylesheet" type="text/css" />
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<link href="{{ asset('elite/bower_components/icheck/skins/all.css') }}" rel="stylesheet">
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@endpush
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@section('content')
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<div class="row bg-title">
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<div class="col-lg-3 col-md-4 col-sm-4 col-xs-12">
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<h4 class="page-title">{{ __('service_items.add_service') }}</h4>
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</div>
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<div class="col-lg-9 col-sm-8 col-md-8 col-xs-12">
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<ol class="breadcrumb">
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<li><a href="{{ route('home') }}">{{ __('service_items.dashboard') }}</a></li>
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<li><a href="/service_items/">{{ __('service_items.services') }}</a></li>
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<li class="active">{{ __('service_items.add_service') }}</li>
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</ol>
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</div>
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</div>
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@include('flash::message')
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@include('clinical_data::service_items.menu')
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<div class="row">
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<div class="col-sm-12">
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<div class="white-box">
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@if (session()->has('streamline_setup'))
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<h3><font color="blue">{{ __('service_items.streamline_setup') }}</font></h3>
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{{ Form::open(['route' => 'service_items.store','data-toggle'=>'validator']) }}
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<div class="row">
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<div class="col-md-6">
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<div class="form-group">
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{{ Form::label('name', __('service_items.service_name')) }}
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{{ Form::text('name', '', ['class' => 'form-control compulsory']) }}
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group">
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{{ Form::label('non_insured_price', __('service_items.non_insured_price')) }}
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{{ Form::number('non_insured_price', '', ['class' => 'form-control compulsory']) }}
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group">
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{{ Form::label('account_id', __('service_items.chart_account_name')) }}
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{{ Form::select('account_id', $chart_of_accounts, null, ['class'=>'form-control compulsory']) }}
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group">
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{{ Form::label('description', __('service_items.description')) }}
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{{ Form::textArea('description', '', ['class'=>'form-control', 'rows' => 4]) }}
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</div>
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<div class="form-group">
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{{ Form::label('type_of_service',__('service_items.type_of_service')) }}
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<br>
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<div>
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{{ Form::radio('type_of_service', 'Consultation', false, []) }} {{ __('service_items.consultation') }}<br>
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{{ Form::radio('type_of_service', 'Co_Payment', false, []) }} {{ __('service_items.copayment') }}<br>
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{{ Form::radio('type_of_service', 'Service', false, []) }} {{ __('service_items.service') }}<br>
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</div>
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<div class="help-block with-errors"></div>
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</div>
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</div>
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<div class="col-md-6" style="background: #eceeef;">
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<h4>{{ __('service_items.select_any_list') }}</h4>
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@foreach ($services as $service)
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<div class="form-group">
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{{ Form::checkbox('selected_services[]', $service['Item_Name'], false) }} {{ $service['Item_Name'] }}
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</div>
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@endforeach
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</div>
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</div>
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{{ Form::button(__('service_items.next'),['type'=>'submit','class'=>'btn btn-success waves-effect waves-light m-r-10']) }}
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{{ Form::button(__('service_items.skip'),['type'=>'submit','name' => 'skip', 'value' => 'skip','class'=>'btn btn-default waves-effect waves-light m-r-10']) }}
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@else
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{{ Form::open(['route' => 'service_items.store','data-toggle'=>'validator']) }}
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<div class="row">
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<div class="col-md-6">
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<div class="form-group">
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{{ Form::label('name', __('service_items.service_name')) }}
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{{ Form::text('name', '', ['class' => 'form-control compulsory']) }}
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<div class="help-block with-errors"></div>
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</div>
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{{--
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<div class="form-group">
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{{ Form::label('attach_to_staff_name', __('service_items.attach_staff_name')) }}
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<br>
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<div>
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{{ Form::radio('attach_to_staff_name', 1, false, ["id"=> "attach_staff_name", "onclick" => "show('attach_staff_name_div')"]) }} {{ __('service_items.yes') }}
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{{ Form::radio('attach_to_staff_name', 0, false, ["id"=> "do_not_attach_staff","onclick" => "hide('attach_staff_name_div')"]) }} {{ __('service_items.no') }}
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</div>
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<div class="help-block with-errors"></div>
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</div>
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--}}
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<div class="form-group" id="attach_staff_name_div" style="display: none;">
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{{ Form::label('staff', 'Staff:') }}
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{{ Form::select('user_id', $users_array, '', ['class' => 'form-control', 'id' => 'staff_id']) }}
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</div>
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<div class="form-group">
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{{ Form::label('non_insured_price', 'Cash Price') }}
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{{ Form::number('non_insured_price', '', ['class' => 'form-control compulsory', 'id' => 'non_insured_price']) }}
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group">
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{{ Form::label('available', __('service_items.is_service_available')) }} 
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{{ Form::radio('available', 1, false, ["required", 'class' => 'check form-control', 'data-radio'=>'iradio_flat-green']) }} {{ __('service_items.yes') }}
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{{ Form::radio('available', 0, false, ["required", 'class' => 'check form-control', 'data-radio'=>'iradio_flat-green']) }} {{ __('service_items.no') }}
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<div class="help-block with-errors"></div>
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</div>
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@php
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$price_list_categories = \Streamline\Models\PriceListCategories::select('patient_category_id', 'id')->get();
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@endphp
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@foreach($price_list_categories as $record)
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<div class="form-group">
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{{ Form::label('non_insured_price', get_name($record->patient_category_id, 'id', 'name', 'patient_categories').' Price') }}
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{{ Form::hidden('price_list_category_id[]', $record->id) }}
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{{ Form::number('price_list_price[]', '', ['class'=>'form-control price_list_price']) }}
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</div>
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@endforeach
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<div class="form-group">
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{{ Form::label('account_id', __('service_items.chart_account_name')) }}
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{{ Form::select('account_id', $chart_of_accounts, null, ['class'=>'form-control compulsory']) }}
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<div class="help-block with-errors"></div>
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</div>
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</div>
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<div class="col-md-6">
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<div class="form-group">
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{{ Form::label('description', __('service_items.description')) }}
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{{ Form::textArea('description', '', ['class'=>'form-control', 'rows' => 4]) }}
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</div>
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<div class="form-group">
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{{ Form::label('type_of_service',__('service_items.type_of_service')) }}
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<br>
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<div>
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{{ Form::radio('type_of_service', 'Consultation', false, []) }} {{ __('service_items.consultation') }}<br>
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{{ Form::radio('type_of_service', 'Co_Payment', false, []) }} {{ __('service_items.copayment') }}<br>
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{{ Form::radio('type_of_service', 'Service', false, []) }} {{ __('service_items.service') }}<br>
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</div>
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<div class="help-block with-errors"></div>
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</div>
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</div>
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</div>
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{{ Form::button(__('service_items.submit'),['type'=>'submit','class'=>'btn btn-success waves-effect waves-light m-r-10']) }}
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{{ Form::button(__('service_items.cancel'),['type'=>'reset','class'=>'btn btn-default waves-effect waves-light']) }}
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@endif
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{{ Form::close() }}
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</div>
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</div>
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</div>
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@endsection
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@push('scripts')
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<script src="{{ asset('elite/bower_components/datatables/jquery.dataTables.min.js') }}"></script>
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<script src="{{ asset('elite/tables/js/dataTables.buttons.min.js') }}"></script>
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<script src="{{ asset('elite/tables/js/buttons.flash.min.js') }}"></script>
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<script src="{{ asset('elite/tables/js/jszip.min.js') }}"></script>
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<script src="{{ asset('elite/tables/js/pdfmake.min.js') }}"></script>
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<script src="{{ asset('elite/tables/js/vfs_fonts.js') }}"></script>
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<script src="{{ asset('elite/tables/js/buttons.html5.min.js') }}"></script>
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<script src="{{ asset('elite/tables/js/buttons.print.min.js') }}"></script>
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<!-- icheck -->
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<script src="{{ asset('elite/bower_components/icheck/icheck.min.js') }}"></script>
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<script src="{{ asset('elite/bower_components/icheck/icheck.init.js') }}"></script>
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<script>
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$('.table').DataTable({
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dom: 'Bfrtip',
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buttons: [
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'copy', 'csv', 'excel', 'pdf', 'print'
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]
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});
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function show(id) {
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if (document.getElementById(id).style.display == 'none') {
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document.getElementById(id).style.display = '';
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}
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}
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function hide(id) {
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document.getElementById(id).style.display = 'none';
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}
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</script>
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<script type="text/javascript">
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$(document).ready(function () {
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$(".next,.submit-btn").click(function (e) { // make sure that all compulsory fields have been filled out
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var empty_compulsory_fields = [];
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$(".compulsory").each(function () {
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if ($(this).val() == "") {
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var textname = $(this).attr('name');
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$(this).focus();
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empty_compulsory_fields.push(textname);
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$(this).css('border','1px solid #F08080');
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}
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});
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/* check if the array containing empty compulsory fields is not empty then return false */
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if (empty_compulsory_fields.length != 0) {
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alert("Please fill in all compulsory fields");
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console.log(empty_compulsory_fields);
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e.preventDefault();
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return false;
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}
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});
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$('#non_insured_price').change(function(e) {
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var non_insured_price = $(this).val();
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if (non_insured_price > 0) {
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$(".price_list_price").each(function () {
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$(this).val(non_insured_price);
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});
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}
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});
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});
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</script>
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@endpush |