@extends('layouts.default')

@push('scripts')
<style type="text/css">
.cl_appication,.cl_link
{
  color: blue;
}
.cl_appication:hover,.cl_link:hover
{
  cursor: pointer;
}
.ui-front {
    z-index: 9999;
}
</style>
<link href="/assets/plugins/datatables.net-bs5/css/dataTables.bootstrap5.min.css" rel="stylesheet" />
<link href="/assets/plugins/datatables.net-responsive-bs5/css/responsive.bootstrap5.min.css" rel="stylesheet" />
<script src="/assets/plugins/datatables.net/js/jquery.dataTables.min.js"></script>
<script src="/assets/plugins/datatables.net-bs5/js/dataTables.bootstrap5.min.js"></script>
<script src="/assets/plugins/datatables.net-responsive/js/dataTables.responsive.min.js"></script>
<script src="/assets/plugins/datatables.net-responsive-bs5/js/responsive.bootstrap5.min.js"></script>
<link rel="stylesheet" href="{{ asset('css/jquery-ui.css')}}" />
<script src="{{ asset('js/jquery-ui.js') }}"></script>
<script src="{{ asset('js/similar_anr_details.js') }}"></script>
<script src="{{ asset('js/bootstrap-datetimepicker.js')}}"></script>
<script src="{{ asset('js/bootstrap-datetimepicker.fr.js') }}"></script>
<!-- <link href="/assets/plugins/select2/dist/css/select2.min.css" rel="stylesheet" />
<script src="/assets/plugins/select2/dist/js/select2.min.js"></script> -->

<link href="/assets/plugins/select2/dist/css/select2.min.css" rel="stylesheet" />
<script src="/assets/plugins/select2/dist/js/select2.min.js"></script> 
    <!-- <script src="/assets/plugins/sweetalert/dist/sweetalert.min.js"></script> -->
    <!-- <script src="https://cdn.jsdelivr.net/npm/sweetalert2@11"></script> -->
    <script src="/assets/plugins/sweetalert/dist/sweetalert2@11.js" defer></script>
@endpush
 
@section('content')
<div class="container">
<form action="{{ url('/') }}/similar_anr_details" method="post">
@csrf
<div class="card mb-3">
    <div class="card-header bg-dark text-white">
  Query Builder
    </div>
    <div class="card-body">
    <div class="row mb-3">

     
<div class="col-sm-3 mb-3">
<div class="form-check">
<input class="form-check-input cl_chk_search" type="checkbox" id="chk_txt_oname" name="chk_txt_oname" >
 <label class="control-label form-check-label" for="txt_oname"><b>Organization Name</b><span class="cl_red"> *</span></label>
 </div>
 <input type="text" name="txt_oname" id="txt_oname" class="form-control form-control-sm @error('txt_oname') border border-danger @enderror cl_txt_serach" placeholder="Name">
 <input type="hidden" name="hd_idd" id="hd_idd" >
 <span class="text-danger">
   @error('txt_oname')
      {{$message}}
   @enderror
 </span>
 </div>
 
 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_txt_post" name="chk_txt_post" >
 <label class="control-label form-check-label" for="txt_post"><b>Post</b></label>
 </div>
 <input type="text" name="txt_post" id="txt_post" class="form-control form-control-sm @error('txt_post') border border-danger @enderror cl_txt_serach" placeholder="Name" >
 <input type="hidden" name="hd_idd_post" id="hd_idd_post" >
 <span class="text-danger">
   @error('txt_post')
      {{$message}}
   @enderror
 </span>
 </div>

 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_txt_name" name="chk_txt_name"  >
 <label class="control-label form-check-label" for="txt_name"><b>Name</b><span class="cl_red"> *</span></label>
 </div>
 <input type="text" name="txt_name" id="txt_name" class="form-control form-control-sm cl_txt_serach" placeholder="Name"  >
 <span class="text-danger">
 @error('txt_name')
       {{$message}}
 @enderror
 </span>
 </div>
 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_ddl_relation" name="chk_ddl_relation"  >
 <label class="control-label form-check-label" for="ddl_relation"><b>Relation</b></label>
 </div>
 <select name="ddl_relation" id="ddl_relation" class="form-select form-select-sm cl_txt_serach">
  <option value="">Select</option>
 @foreach($getRelationDetails as $getRelationDetail)
 <option value="{{ $getRelationDetail->id }}" >{{ $getRelationDetail->name }}</option>
 @endforeach
</select>
 <span class="help-block"></span>
 </div>

 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_txt_relpnm" name="chk_txt_relpnm" >
 <label class="control-label form-check-label" for="txt_relpnm"><b>Father/Husband Name</b></label>
 </div>
 <input type="text" name="txt_relpnm" id="txt_relpnm" class="form-control form-control-sm cl_txt_serach" placeholder="Name" >
 <span class="help-block"></span>
 </div>

 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_txt_address" name="chk_txt_address" >
 <label class="control-label form-check-label" for="txt_address"><b>Address</b><span class="cl_red"> *</span></label>
 </div>
 <input type="text" name="txt_address" id="txt_address" class="form-control form-control-sm @error('txt_address') border border-danger @enderror cl_txt_serach" placeholder="Address" >
 <span class="text-danger">
   @error('txt_address')
      {{$message}}
   @enderror
 </span>
 </div>

 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_ddl_state" name="chk_ddl_state" >
 <label class="control-label form-check-label" for="ddl_state"><b>State</b><span class="cl_red"> *</span></label>
 </div>
 <select name="ddl_state" id="ddl_state" class="form-select form-select-sm @error('ddl_state') border border-danger @enderror cl_ddlstate cl_txt_serach">
  <option value="">Select</option>
  @foreach($getStateDetails as $getStateDetail)
  <option value="{{$getStateDetail->state_code}}" >{{$getStateDetail->state_name_english}}</option>
  @endforeach
</select>
<span class="text-danger">
   @error('ddl_state')
      {{$message}}
   @enderror
 </span>
 </div>

 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_ddl_district" name="chk_ddl_district" >
 <label class="control-label form-check-label" for="ddl_district"><b>District</b><span class="cl_red"> *</span></label>
 </div>
 <select name="ddl_district" id="ddl_district" class="form-select form-select-sm @error('ddl_district') border border-danger @enderror cl_ddl_district cl_txt_serach">
  <option value="">Select</option>
 
  

</select>
<span class="text-danger">
   @error('ddl_district')
      {{$message}}
   @enderror
 </span>
 </div>

 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_ddl_tehsil" name="chk_ddl_tehsil" >
 <label class="control-label  form-check-label" for="ddl_tehsil"><b>Tehsil</b></label>
 </div>
 <select name="ddl_tehsil" id="ddl_tehsil" class="form-select form-select-sm cl_ddl_tehsil cl_txt_serach">
  <option value="">Select</option>


  
</select>
 <span class="help-block"></span>
 </div>
 
 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_ddl_village" name="chk_ddl_village" >
 <label class="control-label form-check-label" for="ddl_village"><b>Village</b></label>
 </div>
 <select name="ddl_village" id="ddl_village" class="form-select form-select-sm cl_txt_serach">
  <option value="">Select</option>
 
 
 
</select>
 <span class="help-block"></span>
 </div>

 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_txt_pincode" name="chk_txt_pincode" >
 <label class="control-label form-check-label" for="txt_pincode"><b>Pincode</b></label>
 </div>
 <input type="text" name="txt_pincode" id="txt_pincode" class="form-control form-control-sm @error('txt_pincode') border border-danger  @enderror cl_txt_serach" placeholder="Pincode">
 <span class="text-danger">
   @error('txt_pincode')
   {{$message}}
   @enderror
 </span>
 </div>
 
 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_txt_mobileno" name="chk_txt_mobileno" >
 <label class="control-label form-check-label" for="txt_mobileno"><b>Mobile No.</b></label>
 </div>
 <input type="text" name="txt_mobileno" id="txt_mobileno" class="form-control form-control-sm @error('txt_mobileno') border border-danger  @enderror cl_txt_serach" placeholder="Mobile No.">
 <span class="text-danger">
   @error('txt_mobileno')
   {{$message}}
   @enderror
 </span>
 </div>

 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_txt_email" name="chk_txt_email" >
 <label class="control-label" for="txt_email"><b>Email Id</b></label>
 </div>
 <input type="text" name="txt_email" id="txt_email" class="form-control form-control-sm @error('txt_email') border border-danger  @enderror cl_txt_serach" placeholder="Email Id" >
 <span class="text-danger">
   @error('txt_email')
   {{$message}}
   @enderror
 </span>
 </div>

 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_txt_anr_no" name="chk_txt_anr_no" > 
 <label class="control-label" for="txt_anr_no"><b>Receipt / ANR No.</b></label>
 </div>
 <input type="text" name="txt_anr_no" id="txt_anr_no" class="form-control form-control-sm @error('txt_anr_no') border border-danger  @enderror cl_txt_serach" placeholder="ANR No." >
 <span class="text-danger">
   @error('txt_anr_no')
   {{$message}}
   @enderror
 </span>
 </div>
 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_ddl_anr_yr" name="chk_ddl_anr_yr" >
 <label class="control-label" for="ddl_anr_yr"><b>Receipt / ANR Year</b></label>
 </div>
 <select name="ddl_anr_yr" id="ddl_anr_yr" class="form-select form-select-sm cl_txt_serach">
  <option value="">Select</option>
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    </select>
 <span class="text-danger">
   @error('txt_anr_no')
   {{$message}}
   @enderror
 </span>
 </div>

 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_txt_old_file_no" name="chk_txt_old_file_no" > 
 <label class="control-label" for="txt_old_file_no"><b>Old File No.</b></label>
 </div>
 <input type="text" name="txt_old_file_no" id="txt_old_file_no" class="form-control form-control-sm @error('txt_old_file_no') border border-danger  @enderror cl_txt_serach" placeholder="" >
 <span class="text-danger">
   @error('txt_old_file_no')
   {{$message}}
   @enderror
 </span>
 </div>

 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_ddl_da" name="chk_ddl_da" >
 <label class="control-label" for="ddl_da"><b>Dealing Assistant</b></label>
 </div>
 <select name="ddl_da" id="ddl_da" class="form-select form-select-sm cl_txt_serach"> 
  <option value="">Select</option>
  @foreach($getEmployeeNameFromPostcode as $emp_name)
    <option value="{{ $emp_name->id }}">{{ $emp_name->name }}</option>
  @endforeach
  <option value="32">Dheeraj Kashyap</option>
</select>
 <span class="text-danger">
   @error('ddl_da')
   {{$message}}
   @enderror
 </span>
 </div>

 
 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_txt_subject_remark" name="chk_txt_subject_remark" > 
 <label class="control-label" for="txt_subject_remark"><b>Subject / Remark</b></label>
 </div>
 <input type="text" name="txt_subject_remark" id="txt_subject_remark" class="form-control form-control-sm @error('txt_subject_remark') border border-danger  @enderror cl_txt_serach" placeholder="" >
 <span class="text-danger">
 
 </span>
 </div>

 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_ddl_casetype" name="chk_ddl_casetype" >
 <label class="control-label" for="ddl_casetype"><b>Case Type</b></label>
 </div>
 <select name="ddl_casetype" id="ddl_casetype" class="form-select form-select-sm cl_txt_serach multiple-select2" multiple> 
  <option value="">Select</option>
  @foreach($getSCCaseType as $val)
    <option value="{{ $val->id }}">{{ $val->sc_skey }}</option>
  @endforeach
</select>
 <span class="text-danger">
  
 </span>
 </div>

 <div class="col-sm-3 mb-3">
 <div class="form-check">
 <input class="form-check-input cl_chk_search" type="checkbox" id="chk_ddl_eligibility" name="chk_ddl_eligibility" >
 <label class="control-label" for="ddl_eligibility"><b>Eligibility</b></label>
 </div>
 <select name="ddl_eligibility" id="ddl_eligibility" class="form-select form-select-sm cl_txt_serach multiple-select2" multiple> 
  <option value="">Select</option>
  @foreach($getEligibilityMaster as $eligibility)
    <option value="{{ $eligibility->id }}">{{ $eligibility->eligibility_condition }}</option>
  @endforeach
</select>
 <span class="text-danger">
  
 </span>
 </div>

</div>
<div class="row text-center">
 <div class="col-sm-12 mb-3">

 <input type="button" name="btn_search" id="btn_search" class=" btn btn-primary btn-sm" value="Search">
 
 </div>
</div>
<div class="row mb-3">
<div class="col-sm-12" id="dv_getanr">

</div>
</div>
</div>
</div>

<div class="modal" id="myModal">
  <div class="modal-dialog modal-xl">
    <div class="modal-content">

      <!-- Modal Header -->
      <div class="modal-header">
      <b><small class="modal-title" id="modal_heading"></small></b>
      <button type="button" class="btn-close" data-bs-dismiss="modal"></button>
      </div>

      <!-- Modal body -->
      <div class="modal-body" id="dv_shw_pdf">
      
        
</div>
     

      <!-- Modal footer -->
      <div class="modal-footer">
        <button type="button" class="btn btn-danger" data-bs-dismiss="modal">Close</button>
      </div>

    </div>
  </div>
</div>

</form>
</div>
@endsection