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Server : Apache/2.4.41 (Ubuntu) System : Linux vmi1525618.contaboserver.net 5.4.0-105-generic #119-Ubuntu SMP Mon Mar 7 18:49:24 UTC 2022 x86_64 User : www-data ( 33) PHP Version : 8.2.12 Disable Function : NONE Directory : /var/www/leadai/leadai.co.in/resources/views/leads/modal/ |
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<div class="modal fade" id="leadModal" tabindex="-1" aria-labelledby="leadModal" aria-hidden="true">
<div class="modal-dialog">
<div class="modal-content">
<div class="modal-header">
<h5 class="">Add @php echo \App\Helpers\Frontend::lead_name(); @endphp</h5>
<button type="button" class="close" data-bs-dismiss="modal" aria-label="Close">
<span aria-hidden="true">×</span>
</button>
</div>
<div class="modal-body">
<form class="create-lead-form" action="{{ route('leads.store') }}" method="post" enctype="multipart/form-data">
@csrf
<input type="hidden" name="stage_id" value="{{ $stage->id ?? '' }}">
<input type="hidden" name="pipeline_id" value="{{ \Auth::user()->default_pipeline }}">
<div class="row">
<div class="col-md-6">
<div class="form-group">
<label for="user_id">Employee</label>
<select class="form-control" id="user_id" required name="user_id">
<option disabled selected>--select-employee--</option>
@if (isset($users))
@foreach ($users as $user)
<option value="{{ $user->id }}">{{ $user->name }}</option>
@endforeach
@endif
</select>
</div>
@if ($errors->has('user_id'))
<div class="error">{{ $errors->first('user_id') }}</div>
@endif
</div>
<div class="col-md-6">
<div class="form-group">
<label for="name">Name</label>
<input type="text" name="name" required class="form-control" id="name"
placeholder="Enter Name">
@if ($errors->has('name'))
<div class="error">{{ $errors->first('name') }}</div>
@endif
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label for="email">Email </label>
<input type="email" name="email" required class="form-control" id="email"
aria-describedby="emailHelp" placeholder="Enter email">
@if ($errors->has('email'))
<div class="error">{{ $errors->first('email') }}</div>
@endif
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label for="phone">City </label>
<input type="text" name="city" required class="form-control" id="city"
aria-describedby="emailHelp" placeholder="Enter City">
@if ($errors->has('city'))
<div class="error">{{ $errors->first('city') }}</div>
@endif
</div>
</div>
<div class="col-md-6">
<div class="row px-3">
<div class="col-md-3 px-0">
<label for="phone">Country</label>
<select class="form-control" name="phonecode">
@if (isset($country_codes))
@foreach ($country_codes as $country_code)
<option value="{{ $country_code->phonecode }}"
{{ $country_code->phonecode == '91' ? 'selected' : '' }}>
{{ $country_code->phonecode }}</option>
@endforeach
@endif
</select>
</div>
<div class="col-md-9 px-0">
<div class="form-group">
<label for="phone">Phone </label>
<input type="text" name="phone" required class="form-control"
id="phone" aria-describedby="emailHelp" placeholder="Enter phone">
</div>
</div>
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label for="user_id">Product</label>
<select class="form-control" id="products" required placeholder="Select products"
name="products">
<option>--select-product--</option>
@if (isset($products_list))
@foreach ($products_list as $products_li)
<option value="{{ $products_li->id }}">{{ $products_li->name }}</option>
@endforeach
@endif
</select>
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label for="user_id">Sources</label>
<select class="form-control select_sources" id="sources" required placeholder="Select Sources "
name="sources">
<option>--select-source--</option>
@if (isset($sources))
@foreach ($sources as $source)
<option value="{{ $source->id }}">{{ $source->name }}</option>
@endforeach
@endif
<option value="other">Other</option>
</select>
<div class="add_other_source pt-2"></div>
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label for="user_id">Organization</label>
<select class="form-control" id="branch_id" required placeholder="Select Organization"
name="branch_id">
<option>--select-organization--</option>
@if (isset($branches))
@foreach ($branches as $branch)
<option value="{{ $branch->id }}">{{ $branch->name }}</option>
@endforeach
@endif
</select>
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label htmlFor="subject" class="font-semibold">Profile Image</label>
<input name="profile_image" id="profile_image" type="file" class="form-control" />
</div>
@if ($errors->has('profile_image'))
<div class=" text-danger">
{{ $errors->first('profile_image') }}
</div>
@endif
</div>
<div class="col-md-6">
<div class="form-group">
<label htmlFor="subject" class="font-semibold">Pipeline</label>
<select name="pipeline_id" class="form-control" required>
<option selected disabled>SELECT</option>
@if (!$pipelines->isEmpty())
@foreach ($pipelines as $pipeline)
<option value="{{ $pipeline->id }}">
{{ $pipeline->name }}</option>
@endforeach
@endif
</select>
</div>
@if ($errors->has('profile_image'))
<div class=" text-danger">
{{ $errors->first('profile_image') }}
</div>
@endif
</div>
</div>
<div class="d-flex justify-content-end">
<button type="button" class="btn btn-secondary"
data-bs-dismiss="modal">Cancel</button>
<button type="submit" class="btn btn-primary">Create</button>
</div>
</form>
</div>
</div>
</div>
</div>