Subversion Repositories SmartDukaan

<script>
    $(function () {
        var date = new Date();
        var currentDate = date.getDate();
        var currentMonth = date.getMonth();
        var currentYear = date.getFullYear();
        $('input[name="dateOfBirth"]').daterangepicker(
                {
                    maxDate: new Date(currentYear - 18, currentMonth, currentDate),
                    startDate: new Date(currentYear - 18, currentMonth, currentDate),
                    singleDatePicker: true
                });
        $('input[name="dgmfgdate"]').daterangepicker({
            minDate: new Date(currentYear, currentMonth - 6, currentDate),
            maxDate: new Date(currentYear, currentMonth, currentDate),
            singleDatePicker: true,
        });
        formLoaded();
    });

</script>

<section class="wrapper">
    <div class="row">
        <div class="col-lg-12">
            <h3 class="page-header"><i class="icon_document_alt"></i>Create Insurance</h3>
            <ol class="breadcrumb">
                <li><i class="fa fa-home"></i><a href="${rc.contextPath}/dashboard">Home</a></li>
                <li><i class="icon_document_alt"></i>CREATE INSURANCE</li>
            </ol>
        </div>
    </div>



<div class="col-lg-8">
    <div class="row" style="background: white; font-size: 14px;">
        <div class="col-lg-4" style="border-left: 1px solid #f0f0f0;">
            <h4>ORDER DETAILS</h4>
            <div class="row">
                <div class="col-lg-4">
                    <p class="bold-details">Order ID</p>
                </div>
                <div class="col-lg-6">
                    <p class="normal-details">#$fofoOrder.getId()
                        ($fofoOrderItems.size() item)</p>
                </div>
            </div>
            <div class="row">
                <div class="col-lg-4">
                    <p class="bold-details">Order Date</p>
                </div>
                <div class="col-lg-6">
                    <script>
                        document.getElementById('createTimestamp').appendChild(
                                document.createTextNode(new Date(
                                        '$fofoOrder.getCreateTimestamp()')
                                        .toLocaleString("en-US", $options)))
                    </script>
                    <p class="normal-details" id="createTimestamp"></p>
                </div>
            </div>
            <div class="row">
                <div class="col-lg-4">
                    <p class="bold-details">Amount Paid</p>
                </div>
                <div class="col-lg-6">
                    <p class="normal-details">
                        <span class="normal-details">&#8377; </span>$fofoOrder.getTotalAmount()
                    </p>
                </div>
            </div>
        </div>

        <div class="col-lg-4" style="border-left: 1px solid #f0f0f0;">
            <h4>BILLING DETAILS</h4>
            <p class="bold-details">$customerBillingAddressObj.getName()</p>
            <p class="normal-details">$customerBillingAddress</p>
            #if($fofoOrder.getCustomerGstNumber() &&
                $fofoOrder.getCustomerGstNumber() != "")
                <p class="bold-details">
                    GST Number <span class="normal-details extra-margin">$fofoOrder.getCustomerGstNumber()</span>
                </p>
            #end
            <p class="bold-details">
                Phone <span class="normal-details extra-margin">$customerBillingAddressObj.getPhoneNumber()</span>
            </p>
        </div>


    </div>


    <div>
        <div class="row">
            <h4 class="modelHeaderCustom" style="font-size: 22px;">Customer
                Information</h4>
        </div>
    </div>

    <div class="row">

        <div class="col-lg-2 form-group">
            <input placeholder="Mobile Number" type="number" name="mobile"
                   class="form-control phone input-sm" value="$customer.getMobileNumber()" readonly>
        </div>
        <div class="col-lg-3 form-group">
            <input placeholder="First Name" name="firstName" type="text"
                   class="form-control input-sm firstName" value="$customer.getFirstName()" required readonly>
        </div>
        #if($customer.getLastName())
            <div class="col-lg-3 form-group">
                <input placeholder="Last Name" name="lastName" type="text"
                       class="form-control input-sm lastName" value="$customer.getLastName()" readonly>
            </div>
        #else
            <div class="col-lg-3 form-group">
                <input placeholder="Last Name" name="lastName" type="text"
                       value="" class="form-control input-sm lastName" readonly>
            </div>
        #end

        #if($customer.getEmailId())
            <div class="col-lg-2 form-group">
                <input name="emailId" type="email"
                       class="form-control input-sm email" value="$customer.getEmailId()"
                       placeholder="Email(xyz@gmail.com)" readonly>
            </div>
        #else
            <div class="col-lg-2 form-group">
                <input name="emailId" type="email" value=""
                       class="form-control input-sm email"
                       placeholder="Email(xyz@gmail.com)">
            </div>

        #end

        <div class="col-lg-2 form-group">
            <button class="btn btn-block btn-primary customer-details-update" data-customerid="$customer.getId()"
                    type="submit">Submit
            </button>
        </div>

    </div>

    <div>
        <div class="row">
            <h4 class="modelHeaderCustom" style="font-size: 22px;">Address
                Information</h4>
        </div>
    </div>


    <div class="row">

        #if($customerBillingAddressObj.getName())
            <div class="col-lg-2 form-group">
                <input placeholder="First Name" name="firstName"
                       type="text" value="$customerBillingAddressObj.getName()" class="form-control input-sm" readonly>
            </div>
        #else
            <div class="col-lg-2 form-group">
                <input placeholder="First Name" name="firstName"
                       type="text" value="" class="form-control input-sm">
            </div>

        #end

        #if($customerBillingAddressObj.getLastName())
            <div class="col-lg-2 form-group">
                <input placeholder="Last Name" name="lastName"
                       type="text" value="$customerBillingAddressObj.getLastName()" class="form-control input-sm"
                       readonly>
            </div>
        #else

            <div class="col-lg-2 form-group">
                <input placeholder="Last Name" id="lastName" name="lastName"
                       type="text" value="" class="form-control input-sm">
            </div>
        #end

        #if($customerBillingAddressObj.getPhoneNumber())
            <div class="col-lg-2 form-group">
                <input placeholder="Mobile Number"
                       name="alternatePhone" type="text" value="$customerBillingAddressObj.getPhoneNumber()"
                       class="form-control input-sm" readonly>
            </div>
        #else
            <div class="col-lg-2 form-group">
                <input placeholder="Mobile Number"
                       name="alternatePhone" type="text" value=" "
                       class="form-control input-sm">
            </div>

        #end

        #if($customerBillingAddressObj.getLine1())
            <div class="col-lg-3 form-group">
                <input placeholder="Address Line 1" name="line1"
                       type="text" size="50" value="$customerBillingAddressObj.getLine1()" class="form-control input-sm"
                       readonly>
            </div>
        #else
            <div class="col-lg-3 form-group">
                <input placeholder="Address Line 1" name="line1"
                       type="text" size="50" value="" class="form-control input-sm">
            </div>
        #end


        #if($customerBillingAddressObj.getLine2())
            <div class="col-lg-3 form-group">
                <input placeholder="Address Line 2" name="line2"
                       type="text" value="$customerBillingAddressObj.getLine2()" class="form-control input-sm" readonly>
            </div>
        #else
            <div class="col-lg-3 form-group">
                <input placeholder="Address Line 2" name="line2"
                       type="text" value="" class="form-control input-sm">
            </div>
        #end

        #if($customerBillingAddressObj.getLandmark())
            <div class="col-lg-3 form-group">
                <input placeholder="Landmark" name="landmark"
                       type="text" value="$customerBillingAddressObj.getLandmark()" class="form-control input-sm"
                       readonly>
            </div>
        #else
            <div class="col-lg-3 form-group">
                <input placeholder="Landmark" name="landmark"
                       type="text" value="" class="form-control input-sm">
            </div>
        #end


        #if($customerBillingAddressObj.getPinCode())
            <div class="col-lg-2 form-group">
                <input placeholder="Pin Code" name="pinCode"
                       type="number" value="$customerBillingAddressObj.getPinCode()" class="form-control input-sm"
                       readonly>
            </div>
        #else

            <div class="col-lg-2 form-group">
                <input placeholder="Pin Code" name="pinCode"
                       type="number" value="" class="form-control input-sm">
            </div>
        #end

        #if($customerBillingAddressObj.getCity())
            <div class="col-lg-2 form-group">
                <input placeholder="City" id="city" name="city" type="text"
                       value="$customerBillingAddressObj.getCity()" class="form-control input-sm" readonly>
            </div>
        #else
            <div class="col-lg-2 form-group">
                <input placeholder="City" id="city" name="city" type="text"
                       value="" class="form-control input-sm">
            </div>

        #end
        <div class="col-lg-2 form-group">
            <select class="form-control input-sm" name="state"
                    placeholder="State">
                <option value="" disabled selected>State</option>
                #foreach($stateName in $stateNames) #if($customerBillingAddressObj.getState() ==
                    $stateName)
                    <option value="$stateName" selected>$stateName</option> #else
                    <option value="$stateName">$stateName</option> #end #end

            </select>
        </div>


        <div class="col-lg-2 form-group">
            <button class="btn btn-block btn-primary customer-address-details-update"
                    data-customeraddressid="$customerBillingAddressObj.getId()"
                    type="submit">Submit
            </button>
        </div>
    </div>
    <div class="row mk_insurance_row">
        <h4 class="modelHeaderCustom" style="font-size: 22px;">Insurance Information</h4>
    </div>

    <div class="row iteminsurancedetails">
        <div class="row col-lg-3">
            <div class="col-lg-6">
                <h4>*Ram(GB):</h4>
            </div>
            <div class="col-lg-6 form-group">
                <input type="number" class="dgram form-control input-sm"
                       name="ram" value="0">
            </div>
        </div>
        <div class="row col-lg-4">
            <div class="col-lg-6">
                <h4>*Memory(GB):</h4>
            </div>
            <div class="col-lg-5 form-group">
                <input type="number" class="dgmemory form-control input-sm"
                       name="memory" value="0">
            </div>
        </div>
        <div class="col-lg-4">
            <div class="col-lg-3">
                <h4>*Mfg Date:</h4>
            </div>
            <div class="col-lg-6 form-group">
                <input placeholder="Mfg Date" id="dgmfgdate" name="dgmfgdate"
                       type="text" value="" class="form-control input-sm dgmfgdate">
            </div>
        </div>
    </div>


        <div  #foreach( $plan in $plans.entrySet())>
        <div  #foreach( $pl in $plan.getValue())>
        <div class="col-lg-3">
            <div class="thumbnail">
                <img class="card-img-top" src="logosmapping.mobile_insurance_providers[$pl.getProviderId()]"
                     alt="$pl.getProviderName()">
                <div class="caption" style="padding:9px 0 0">
                    <div style="margin:0 0 -2px -2px">
                        <button class="btn btn-lg btn-default mk_insurance_plan_select" style="width:100%"
                                data-key="$pl.getProductId()"
                                data-amount="$pl.getPremium()"
                        >$pl.getDuration() Rs.<span class="currency">@ $pl.getPremium()</span>
                        </button>
                    </div>
                </div>
            </div>
        </div>
    </div>
    </div>

    #end
</div>
#end
    </div>

    </div>

    <div class="col-lg-4 row">
        <div class="col-lg-1"></div>
        <div id="payment-details"
             style="background: white; background-color: white;"
             class="col-lg-10">
            <h4 class="modelHeaderCustom" style="font-size: 22px;">Payment
                Details</h4>

            <div id="payment-option-id-amount-container"
                 paymentOptionSize=$paymentOptions.size()>
                #set($a = 0) #set($b = $paymentOptions.size() - 1) #set($range =
            [$a..$b]) #foreach($index in $range)
                <div class="row">
                    #set($paymentOption = $paymentOptions[$index])
                    #if($paymentOption.getName() == 'ONLINE')
                        <div class="col-lg-7">
                            <h4>$paymentOption.getName() :</h4>
                        </div>
                        <div class="col-lg-5">
                            <input type="number" id="paymentOptionIdAmount${index}"
                                   name="paymentOptionIdAmount${index}"
                                   class="form-control paymentOptionAmount amount input-sm"
                                   value="$pendingOrderItem.getSellingPrice()"
                                   paymentOptionId="$paymentOption.getId()" readonly>
                        </div>
                    #else
                        <div class="col-lg-7">
                            <h4>$paymentOption.getName() :</h4>
                        </div>
                        <div class="col-lg-5">
                            <input type="number" id="paymentOptionIdAmount${index}"
                                   name="paymentOptionIdAmount${index}"
                                   class="form-control paymentOptionAmount amount input-sm"
                                   value="" paymentOptionId="$paymentOption.getId()">
                        </div>
                    #end
                </div>
            #end
            </div>

            <div class="row">
                <div class="col-lg-7">
                    <h4>Total Amount :</h4>
                </div>
                <div class="col-lg-5">
                    <input type="number"
                           class="netPayableAmount form-control input-sm" name="" id="totalamount"
                           value="0" readonly>
                </div>
            </div>

            <div class="row">
                <div class="form-group col-lg-10">

                    <button class="btn btn-block btn-primary insurance-checkout"
                            type="submit">Create Insurance
                    </button>
                </div>
            </div>

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