@extends('layouts.panel.app', ['title' => 'Lihat Rekomendasi SIP'])

@section('content')
<script src="https://code.jquery.com/jquery-3.6.0.min.js"></script>

<section class="section">
    <div class="section-title">
        <h3>Lihat Rekomendasi SIP</h3>
    </div>
    <p class="section-lead">
        Silahkan lihat data rekomendasi di sini.
    </p>
    <div class="row">
        <div class="col-md-12">
            <div class="card border-0 shadow rounded">
                <div class="card-header">
                    <h4>Lihat Rekomendasi SIP</h4>
                    <div class="card-header-action">
                        <a href="{{ route('non-anggota.recommendation') }}" class="btn btn-success">Kembali</a>
                    </div>
                </div>
                <div class="card-body">

                    @php
                    $history = \App\Models\FormTrnHistory::where([
                    'form_status' => $data->application_status,
                    'form_id' => $data->id,
                    'user_id' => $data->user_id
                    ])->orderBy('ordering', 'desc')->first()
                    @endphp

                    @if($history != null)
                    @if($history->form_status == 'A' || $history->form_status == 'J')
                    <div class="alert alert-warning text-dark">
                        <i class="fa fa-exclamation-triangle"></i> Informasi perubahan data
                        <p class="text-white">{!!html_entity_decode($history->note)!!}</p>
                        </a>
                    </div>
                    @endif
                    @endif

                    <label class="text-success">
                        <strong>APPL000{{$data->id}}</strong> / {{date('d-m-Y', strtotime($data->created_at))}}
                    </label>
                    <hr>

                    Catatan : <span style="color: red;"> **</span>) Wajib diisi
                    <div class="text-center">
                                                <!-- progressbar -->
                        <ul class="progressbar">
                            <li class="{{ $currentStep != 1 ? '' : 'active' }}"><a href="#step-1" type="button">Lembar Persetujuan</a></li>
                            <li class="{{ $currentStep != 2 ? '' : 'active' }}"><a href="#step-2" type="button">Data Pemohon</a></li>
                            <li class="{{ $currentStep != 3 ? '' : 'active' }}"><a href="#step-3" type="button">Unggah Dokumen</a></li>
                            <li class="{{ $currentStep != 4 ? '' : 'active' }}"><a href="#step-4" type="button" disabled="disabled">Data Verifikasi</a></li>
                        </ul>
                    </div>

                    <form class="form-rekomendasi-edit" method="POST">
                        @csrf
                        @method('POST')

                        <!-- LEMBAR PERSETUJUAN -->
                        <div class="row setup-content {{ $currentStep != 1 ? 'displayNone' : '' }}" id="step-1">
                            <div class="col-md-12">
                                <h1 class="text-center">Persetujuan Anggota Ikatan Dokter Indonesia</h1>
                                <hr>
                                <h5>Lembar Persetujuan</h5>
                                <p>Sebelum melakukan aktivitas dengan data anda, Kami sarankan anda membaca dan menyetujui ketentuan di bawah ini:</p>
                                <ol>
                                    @php
                                    $label = \App\Models\Label::where(['code' => 'disclaimer-appl' ])->first()
                                    @endphp
                                    {!!html_entity_decode($label->desc)!!}
                                </ol>
                                <hr>
                                <div>
                                    <label>
                                        <input type="radio" name="persetujuan" value="setuju" required>
                                        Saya telah membaca seluruh ketentuan di atas dan menyetujuinya.
                                    </label>
                                </div>
                                <div>
                                    <label>
                                        <input type="radio" name="persetujuan" value="tidak">
                                        Saya tidak setuju
                                    </label>
                                </div>
                                <div>
                                    <button type="button" class="btn btn-success disclaimerBtn">Lihat Sekarang <i class="fa fa-arrow-right"></i></button>
                                </div>
                            </div>
                        </div>

                        <!-- DATA PEMOHON -->
                        <div class="row setup-content {{ $currentStep != 2 ? 'displayNone' : '' }}" id="step-2">
                            <div id="loading" style="display: none;">
                                <img src="{{ asset('assets-panel/img/loading-submit.gif') }}" alt="Loading...">
                            </div>
                            <div class="col-md-12">
                                <div class="text-center">
                                    <h3> FORMULIR REKOMENDASI</h3>
                                    <div class="col-md-12 form-group">
                                        <label class="font-weight-bold" for="application_type">TIPE PERMOHONAN <span style="color: red;"> **</span></label>
                                        <select id="application_type" class="form-control" name="application_type" required disabled>
                                            <option value="">Pilih Permohonan</option>
                                            @foreach($form as $item)
                                            <option {{ $data->application_type == $item->code ? "selected" : "" }} value="{{ $item->code }}"><b>{{ $item->code }}</b> ( {{ $item->desc }} ) </option>
                                            @endforeach
                                        </select>
                                        @error('application_type') <span class="error text-danger">{{ $message }}</span> @enderror
                                    </div>
                                </div>
                                <!-- DATA DIRI -->
                                <div>
                                    <hr>
                                    <div class="row justify-content-md-left">
                                        <div class="col-4">
                                            <h3> Identitas Diri</h3>
                                        </div>
                                    </div>
                                    <hr>
                                    <div class="row">
                                        <div class="col-md-2 form-group">
                                            <label class="font-weight-bold">GELAR DEPAN</label>
                                            <input type="text" name="front_degree" class="form-control" value="{{$data->front_degree}}" disabled>
                                            @error('front_degree') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-8 form-group">
                                            <label class="font-weight-bold">NAMA LENGKAP PEMOHON <span style="color: red;"> **</span></label>
                                            <input type="text" name="name" class="form-control" value="{{$data->name}}" required disabled>
                                            @error('name') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-2 form-group">
                                            <label class="font-weight-bold">GELAR BELAKANG</label>
                                            <input type="text" name="back_degree" class="form-control" value="{{$data->back_degree}}" disabled>
                                            @error('back_degree') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-4 form-group">
                                            <label class="font-weight-bold">WARGA NEGARA <span style="color: red;"> **</span></label>
                                            <input type="text" name="citizen" class="form-control" value="{{$data->citizen}}" required disabled>
                                            @error('citizen') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-4 form-group">
                                            <label class="font-weight-bold" for="description">JENIS KELAMIN <span style="color: red;"> **</span></label><br />
                                            <label class="radio-inline"><input type="radio" name="gender" value="L" {{{ $data->gender == 'L' ? "checked" : "" }}} required disabled> LAKI-LAKI</label>
                                            <label class="radio-inline"><input type="radio" name="gender" value="P" {{{ $data->gender == 'P' ? "checked" : "" }}} disabled> PEREMPUAN</label>
                                            @error('gender') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-4 form-group">
                                            <label class="font-weight-bold">AGAMA <span style="color: red;"> **</span></label>
                                            <input type="text" name="religion" class="form-control" value="{{$data->religion}}" required disabled>
                                            @error('religion') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-8 form-group">
                                            <label class="font-weight-bold">TEMPAT LAHIR <span style="color: red;"> **</span></label>
                                            <input type="text" name="place" class="form-control" value="{{$data->place}}" required disabled>
                                            @error('place') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-4 form-group">
                                            <label class="font-weight-bold">TANGGAL LAHIR <span style="color: red;"> **</span></label>
                                            <input type="date" name="birth_date" class="form-control" value="{{$data->birth_date}}" required disabled>
                                            @error('birth_date') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-12 form-group">
                                            <label class="font-weight-bold">ALAMAT RUMAH (KTP) <span style="color: red;"> **</span></label>
                                            <input type="text" name="home_address" class="form-control" value="{{$data->home_address}}" required disabled>
                                            @error('home_address') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">PROVINSI <span style="color: red;"> **</span></label>
                                            <select class="form-control" name="home_province" placeholder="Pilih provinsi" disabled>
                                                <option value=""> Pilih Provinsi</option>
                                                @php
                                                $province = \App\Models\Provinces::where('id', $data->home_province)->first();
                                                @endphp
                                                @if($province)
                                                <option {{ $data->home_province == $province->id ? "selected" : "" }} value="{{ $province->id }}">{{ $province->name }}</option>
                                                @endif
                                            </select>
                                            @error('home_province') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">KABUPATEN / KOTA <span style="color: red;"> **</span></label>
                                            <select class="form-control" name="home_regency" placeholder="Pilih kabupaten /kota" disabled>
                                                <option value="">Pilih Kabupaten / Kota</option>
                                                @php
                                                $regency = \App\Models\Regencies::where('id', $data->home_regency)->first();
                                                @endphp
                                                @if($regency)
                                                <option {{ $data->home_regency == $regency->id ? "selected" : "" }} value="{{ $regency->id }}">{{ $regency->name }}</option>
                                                @endif
                                            </select>
                                            @error('home_regency') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">KECAMATAN <span style="color: red;"> **</span></label>
                                            <select class="form-control" name="home_district" placeholder="Pilih kecamatan" disabled>
                                                <option value="">Pilih Kecamatan</option>
                                                @php
                                                $district = \App\Models\Districts::where('id', $data->home_district)->first();
                                                @endphp
                                                @if($district)
                                                <option {{ $data->home_district == $district->id ? "selected" : "" }} value="{{ $district->id }}">{{ $district->name }}</option>
                                                @endif
                                            </select>
                                            @error('home_district') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">DESA / KELURAHAN <span style="color: red;"> **</span></label>
                                            <select class="form-control" name="home_village" placeholder="Pilih desa / kelurahan" disabled>
                                                <option value="">Pilih Desa / Kelurahan</option>
                                                @php
                                                $village = \App\Models\Villages::where('id', $data->home_village)->first();
                                                @endphp
                                                @if($village)
                                                <option {{ $data->home_village == $village->id ? "selected" : "" }} value="{{ $village->id }}">{{ $village->name }}</option>
                                                @endif
                                            </select>
                                            @error('home_village') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-12 form-group">
                                            <label class="font-weight-bold">ALAMAT DOMISILI <span style="color: red;"> **</span>
                                            </label>
                                            <input type="text" name="residence_address" class="form-control" value="{{$data->residence_address}}" required disabled>
                                            @error('residence_address') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">PROVINSI <span style="color: red;"> **</span></label>
                                            <select class="form-control" name="residence_province" placeholder="Pilih provinsi" disabled>
                                                <option value="">Pilih Provinsi</option>
                                                @php
                                                $residence_province = \App\Models\Provinces::where('id', $data->residence_province)->first();
                                                @endphp
                                                @if($residence_province)
                                                <option {{ $data->residence_province == $residence_province->id ? "selected" : "" }} value="{{ $residence_province->id }}">{{ $residence_province->name }}</option>
                                                @endif
                                            </select>
                                            @error('residence_province') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">KABUPATEN / KOTA <span style="color: red;"> **</span></label>
                                            <select class="form-control" name="residence_regency" placeholder="Pilih kabupaten /kota" disabled>
                                                <option value="">Pilih Kabupaten / Kota</option>
                                                @php
                                                $residence_regency = \App\Models\Regencies::where('id', $data->residence_regency)->first();
                                                @endphp
                                                @if($residence_regency)
                                                <option {{ $data->residence_regency == $residence_regency->id ? "selected" : "" }} value="{{ $residence_regency->id }}">{{ $residence_regency->name }}</option>
                                                @endif
                                            </select>
                                            @error('residence_regency') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">KECAMATAN <span style="color: red;"> **</span></label>
                                            <select class="form-control" name="residence_district" placeholder="Pilih kecamatan" disabled>
                                                <option value="">Pilih Kecamatan</option>
                                                @php
                                                $residence_district = \App\Models\Districts::where('id', $data->residence_district)->first();
                                                @endphp
                                                @if($residence_district)
                                                <option {{ $data->residence_district == $residence_district->id ? "selected" : "" }} value="{{ $residence_district->id }}">{{ $residence_district->name }}</option>
                                                @endif
                                            </select>
                                            @error('residence_district') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">DESA / KELURAHAN <span style="color: red;"> **</span></label>
                                            <select class="form-control" name="residence_village" placeholder="Pilih desa / kelurahan" disabled>
                                                <option value="">Pilih Desa / Kelurahan</option>
                                                @php
                                                $residence_village = \App\Models\Villages::where('id', $data->residence_village)->first();
                                                @endphp
                                                @if($residence_village)
                                                <option {{ $data->residence_village == $residence_village->id ? "selected" : "" }} value="{{ $residence_village->id }}">{{ $residence_village->name }}</option>
                                                @endif
                                            </select>
                                            @error('residence_village') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-3 form-group">
                                            <label class="font-weight-bold">EMAIL <span style="color: red;"> **</span></label>
                                            <input type="email" name="email" class="form-control" value="{{$data->email}}" required disabled>
                                            @error('email') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-3 form-group">
                                            <label class="font-weight-bold">TELEPON <span style="color: red;"> **</span></label>
                                            <input type="number" name="phone" class="form-control" value="{{$data->phone}}" required disabled>
                                            @error('phone') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-3 form-group">
                                            <label class="font-weight-bold" for="description">STATUS PERKAWINAN </label><br />
                                            <label class="radio-inline"><input type="radio" name="marital_status" value="true" {{{ $data->marital_status == 'true' ? "checked" : "" }}} disabled> Kawin</label>
                                            <label class="radio-inline"><input type="radio" name="marital_status" value="false" {{{ $data->marital_status == 'false' ? "checked" : "" }}} disabled> Belum Kawin</label>
                                            @error('marital_status') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-3 form-group">
                                            <label class="font-weight-bold">NAMA SUAMI / ISTRI</label>
                                            <input type="text" name="husband_wife_name" class="form-control" value="{{$data->husband_wife_name}}" disabled>
                                            @error('husband_wife_name') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                    </div>
                                </div>
                                <!-- DATA PENDIDIKAN -->
                                <div>
                                    <hr>
                                    <div class="row justify-content-md-left">
                                        <div class="col-4">
                                            <h3> Pendidikan</h3>
                                        </div>
                                    </div>
                                    <hr>
                                    @if ($data->academic_degree_a == null || $data->institution_a == null)
                                    <div class="alert alert-danger alert-dismissible fade show" role="alert">
                                        <strong>Perhatian!</strong> Data Pendidikan Terakhir belum dilengkapi klik Ubah Data untuk merubah.
                                        <button type="button" class="close" data-dismiss="alert" aria-label="Close">
                                            <span aria-hidden="true">&times;</span>
                                        </button>
                                    </div>
                                    @endif
                                    <div class="card">
                                        <div class="card-header">
                                            <h4>Pendidikan Terakhir</h4>
                                            <div class="card-header-action">
                                                <a data-collapse="#mycard-collapse1" class="btn btn-icon btn-info" href="#"><i class="fas fa-minus"></i></a>
                                            </div>
                                        </div>
                                        <div class=" collapse show" id="mycard-collapse1" style="">
                                            <div class="card-body">
                                                <div class="row">
                                                    <div class="col-md-4 form-group">
                                                        <label class="font-weight-bold">JENIS PENDIDIKAN <span style="color: red;"> **</span></label>
                                                        <select class="form-control" name="academic_degree_a" disabled>
                                                            <option value="">Pilih Jenis Pendidikan</option>
                                                            @php
                                                            $academic_degree_a = \App\Models\Academic::where('id', $data->academic_degree_a)->first();
                                                            @endphp
                                                            @if ($academic_degree_a)
                                                            <option {{ $data->academic_degree_a == $academic_degree_a->id ? "selected" : "" }} value="{{ $academic_degree_a->id }}">{{ $academic_degree_a->name }}</option>
                                                            @else
                                                            <p class="text-danger"> Lengkapi Data Jenis Pendidikan</p>
                                                            @endif
                                                        </select>
                                                        @error('academic_degree_a') <span class="error text-danger">{{ $message }}</span> @enderror
                                                    </div>
                                                    <div class="col-md-8 form-group">
                                                        <label class="font-weight-bold">NAMA INSTITUSI PENDIDIKAN <span style="color: red;"> **</span></label>
                                                        <select class="form-control" name="institution_a" placeholder="Pilih Institusi Pendidikan" disabled>
                                                            <option value="">Pilih Institusi Pendidikan</option>
                                                            @php
                                                            $institution_a = \App\Models\Education::where('id', $data->institution_a)->first();
                                                            @endphp
                                                            @if ($institution_a)
                                                            <option {{ $data->institution_a == $institution_a->id ? "selected" : "" }} value="{{ $institution_a->id }}">{{ $institution_a->name }}</option>
                                                            @else
                                                            <p class="text-danger"> Lengkapi Data Institusi Pendidikan</p>
                                                            @endif
                                                        </select>
                                                        @error('institution_a') <span class="error text-danger">{{ $message }}</span> @enderror
                                                    </div>
                                                </div>
                                                <div class="row">
                                                    <div class="col-md-4 form-group">
                                                        <label class="font-weight-bold">TANGGAL IJAZAH <span style="color: red;"> **</span></label>
                                                        <input type="date" name="graduation_year_a" class="form-control" value="{{$data->graduation_year_a}}" required disabled>
                                                        @error('graduation_year_a') <span class="error text-danger">{{ $message }}</span> @enderror
                                                    </div>
                                                    <div class="col-md-8 form-group">
                                                        <label class="font-weight-bold">NOMOR IJAZAH <span style="color: red;"> **</span></label>
                                                        <input type="text" name="ijazah_no_a" class="form-control" value="{{$data->ijazah_no_a}}" required disabled>
                                                        @error('ijazah_no_a') <span class="error text-danger">{{ $message }}</span> @enderror
                                                    </div>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="card">
                                        <div class="card-header">
                                            <h4>Pendidikan Lainnya</h4>
                                            <div class="card-header-action">
                                                <a data-collapse="#mycard-collapse2" class="btn btn-icon btn-info" href="#"><i class="fas fa-plus"></i></a>
                                            </div>
                                        </div>
                                        <div class="collapse show" id="mycard-collapse2" style="">
                                            <div class="card-body">
                                                <div class="row">
                                                    <div class="col-md-4 form-group">
                                                        <label class="font-weight-bold">JENIS PENDIDIKAN </label>
                                                        <select class="form-control" name="academic_degree_b" disabled>
                                                            <option value="">Pilih Jenis Pendidikan</option>
                                                            @foreach($education as $item)
                                                            <option {{ $data->academic_degree_b == $item->id ? "selected" : "" }} value="{{ $item->id }}">{{ $item->name }}</option>
                                                            @endforeach
                                                        </select>
                                                        @error('academic_degree_b') <span class="error text-danger">{{ $message }}</span> @enderror
                                                    </div>
                                                    <div class="col-md-8 form-group">
                                                        <label class="font-weight-bold">NAMA INSTITUSI PENDIDIKAN </label>
                                                        <select class="form-control" name="institution_b" placeholder="Pilih Institusi Pendidikan" disabled>
                                                            <option value="">Pilih Institusi Pendidikan</option>
                                                            @foreach($university as $item)
                                                            <option {{ $data->institution_b == $item->id ? "selected" : "" }} value="{{ $item->id }}">{{ $item->name }}</option>
                                                            @endforeach
                                                        </select>
                                                        @error('institution_b') <span class="error text-danger">{{ $message }}</span> @enderror
                                                    </div>
                                                </div>
                                                <div class="row">
                                                    <div class="col-md-4 form-group">
                                                        <label class="font-weight-bold">TANGGAL IJAZAH </label>
                                                        <input type="date" name="graduation_year_b" value="{{$data->graduation_year_b}}" class="form-control" disabled>
                                                        @error('graduation_year_b') <span class="error text-danger">{{ $message }}</span> @enderror
                                                    </div>
                                                    <div class="col-md-8 form-group">
                                                        <label class="font-weight-bold">NOMOR IJAZAH </label>
                                                        <input type="text" name="ijazah_no_b" value="{{$data->ijazah_no_b}}" class="form-control" disabled>
                                                        @error('ijazah_no_b') <span class="error text-danger">{{ $message }}</span> @enderror
                                                    </div>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="card">
                                        <div class="card-header">
                                            <h4>Pendidikan Lainnya</h4>
                                            <div class="card-header-action">
                                                <a data-collapse="#mycard-collapse3" class="btn btn-icon btn-info" href="#"><i class="fas fa-plus"></i></a>
                                            </div>
                                        </div>
                                        <div class="collapse show" id="mycard-collapse3" style="">
                                            <div class="card-body">
                                                <div class="row">
                                                    <div class="col-md-4 form-group">
                                                        <label class="font-weight-bold">JENIS PENDIDIKAN </label>
                                                        <select class="form-control" name="academic_degree_c" disabled>
                                                            <option value="">Pilih Jenis Pendidikan</option>
                                                            @foreach($education as $item)
                                                            <option {{ $data->academic_degree_c == $item->id ? "selected" : "" }} value="{{ $item->id }}">{{ $item->name }}</option>
                                                            @endforeach
                                                        </select>
                                                        @error('academic_degree_c') <span class="error text-danger">{{ $message }}</span> @enderror
                                                    </div>
                                                    <div class="col-md-8 form-group">
                                                        <label class="font-weight-bold">NAMA INSTITUSI PENDIDIKAN </label>
                                                        <select class="form-control" name="institution_c" placeholder="Pilih Institusi Pendidikan" disabled>
                                                            <option value="">Pilih Institusi Pendidikan</option>
                                                            @foreach($university as $item)
                                                            <option {{ $data->institution_c == $item->id ? "selected" : "" }} value="{{ $item->id }}">{{ $item->name }}</option>
                                                            @endforeach
                                                        </select>
                                                        @error('institution_c') <span class="error text-danger">{{ $message }}</span> @enderror
                                                    </div>
                                                </div>
                                                <div class="row">
                                                    <div class="col-md-4 form-group">
                                                        <label class="font-weight-bold">TANGGAL IJAZAH </label>
                                                        <input type="date" name="graduation_year_c" value="{{$data->graduation_year_c}}" class="form-control" disabled>
                                                        @error('graduation_year_c') <span class="error text-danger">{{ $message }}</span> @enderror
                                                    </div>
                                                    <div class="col-md-8 form-group">
                                                        <label class="font-weight-bold">NOMOR IJAZAH </label>
                                                        <input type="text" name="ijazah_no_c" value="{{$data->ijazah_no_c}}" class="form-control" disabled>
                                                        @error('ijazah_no_c') <span class="error text-danger">{{ $message }}</span> @enderror
                                                    </div>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                    <hr>
                                    <div class="row">
                                        <div class="col-md-4 form-group">
                                            <label class="font-weight-bold">NO IJAZAH DU <span style="color: red;"> **</span></label>
                                            <input type="text" name="ijazah_du" class="form-control" value="{{$data->ijazah_du}}" required disabled>
                                            @error('ijazah_du') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-2 form-group">
                                            <label class="font-weight-bold">TGL IJAZAH DU <span style="color: red;"> **</span></label>
                                            <input type="date" name="ijazah_du_year" class="form-control" value="{{$data->ijazah_du_year}}" required disabled>
                                            @error('ijazah_du_year') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-4 form-group">
                                            <label class="font-weight-bold">NO IJAZAH SP</label>
                                            <input type="text" name="ijazah_sp" class="form-control" value="{{$data->ijazah_sp}}" disabled>
                                            @error('ijazah_sp') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-2 form-group">
                                            <label class="font-weight-bold">TGL IJAZAH SP</label>
                                            <input type="date" name="ijazah_sp_year" class="form-control" value="{{$data->ijazah_sp_year}}" disabled>
                                            @error('ijazah_sp_year') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-4 form-group">
                                            <label class="font-weight-bold">SPESIALIS <span style="color: red;"> **</span>)</label>
                                            <select class="form-control select2" id="specialist" name="specialist" disabled>
                                                <option value="">Pilih Spesialis</option>
                                                @foreach($specialist as $item)
                                                <option {{ $data->specialist == $item->specialist ? "selected" : "" }} value="{{ $item->specialist }}">{{ $item->specialist }}</option>
                                                @endforeach
                                            </select>@error('specialist') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-2 form-group">
                                            <label class="font-weight-bold" for="description">SPESIALIS KONSULTAN</label><br />
                                            <label class="radio-inline"><input type="radio" name="consultant_specialist" value="true" {{{ $data->consultant_specialist == 'true' ? "checked" : "" }}} disabled> YA</label>
                                            <label class="radio-inline"><input type="radio" name="consultant_specialist" value="false" {{{ $data->consultant_specialist == 'false' ? "checked" : "" }}} disabled> TIDAK</label>
                                            @error('consultant_specialist') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-4 form-group">
                                            <label class="font-weight-bold">NO IJAZAH DOKTOR</label>
                                            <input type="text" name="ijazah_doktor" class="form-control" value="{{$data->ijazah_doktor}}" disabled>
                                            @error('ijazah_doktor') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-2 form-group">
                                            <label class="font-weight-bold">TGL IJAZAH DOKTOR</label>
                                            <input type="date" name="ijazah_doktor_year" class="form-control" value="{{$data->ijazah_doktor_year}}" disabled>
                                            @error('ijazah_doktor_year') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                    </div>
                                    <hr>
                                </div>
                                <!-- DATA PEKERJAAN -->
                                <div>
                                    <div class="row justify-content-md-left">
                                        <div class="col-4">
                                            <h3> Pekerjaan</h3>
                                        </div>
                                    </div>
                                    <hr>
                                    <div class="row">
                                        <div class="col-md-4 form-group">
                                            <label class="font-weight-bold">STATUS KEPEGAWAIAN</label>
                                            <select class="form-control" name="employment_status" disabled>
                                                <option value="">Pilih Status Kepegawaian</option>
                                                <option {{ $data->employment_status == "DOKTER PNS" ? "selected" : "" }} value="DOKTER PNS">Dokter PNS</option>
                                                <option {{ $data->employment_status == "TKK" ? "selected" : "" }} value="TKK">TKK</option>
                                                <option {{ $data->employment_status == "THL" ? "selected" : "" }} value="THL">THL</option>
                                                <option {{ $data->employment_status == "HONOR" ? "selected" : "" }} value="HONOR">Honor</option>
                                                <option {{ $data->employment_status == "BUMN" ? "selected" : "" }} value="BUMN">BUMN</option>
                                                <option {{ $data->employment_status == "TNI" ? "selected" : "" }} value="TNI">TNI</option>
                                                <option {{ $data->employment_status == "POLRI" ? "selected" : "" }} value="POLRI">POLRI</option>
                                                <option {{ $data->employment_status == "SWASTA" ? "selected" : "" }} value="SWASTA">Swasta</option>
                                                <option {{ $data->employment_status == "NON PEGAWAI" ? "selected" : "" }} value="NON PEGAWAI">Non Pegawai</option>
                                            </select>
                                            @error('employment_status') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-4 form-group">
                                            <label class="font-weight-bold">WAKTU BEKERJA</label>
                                            <select class="form-control" name="time_type" disabled>
                                                <option value="">Pilih Waktu Pekerja</option>
                                                <option {{ $data->time_type == "PURNA WAKTU" ? "selected" : "" }} value="PURNA WAKTU">Purna Waktu</option>
                                                <option {{ $data->time_type == "FULL TIMER" ? "selected" : "" }} value="FULL TIMER">Full Timer</option>
                                            </select>
                                            @error('time_type') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-4 form-group">
                                            <label class="font-weight-bold">TEMPAT PRAKTEK</label>
                                            <input type="text" name="hospital" class="form-control" value="{{$data->hospital}}" disabled>
                                            @error('hospital') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-12 form-group">
                                            <label class="font-weight-bold">ALAMAT PRAKTEK</label>
                                            <input type="text" name="practice_address" class="form-control" value="{{$data->practice_address}}" disabled>
                                            @error('practice_address') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">PROVINSI </label>
                                            <select class="form-control" name="practice_province" placeholder="Pilih provinsi" disabled>
                                                <option value="">Pilih Provinsi</option>
                                                @php
                                                $practice_province = \App\Models\Provinces::where('id', $data->practice_province)->first();
                                                @endphp
                                                @if($practice_province)
                                                <option {{ $data->practice_province == $practice_province->id ? "selected" : "" }} value="{{ $practice_province->id }}">{{ $practice_province->name }}</option>
                                                @endif
                                            </select>
                                            @error('practice_province') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">KABUPATEN / KOTA </label>
                                            <select class="form-control" name="practice_regency" placeholder="Pilih kabupaten /kota" disabled>
                                                <option value="">Pilih Kabupaten / Kota</option>
                                                @php
                                                $practice_regency = \App\Models\Regencies::where('id', $data->practice_regency)->first();
                                                @endphp
                                                @if($practice_regency)
                                                <option {{ $data->practice_regency == $practice_regency->id ? "selected" : "" }} value="{{ $practice_regency->id }}">{{ $practice_regency->name }}</option>
                                                @endif
                                            </select>
                                            @error('practice_regency') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">KECAMATAN</label>
                                            <select class="form-control" name="practice_district" placeholder="Pilih kecamatan" disabled>
                                                <option value="">Pilih Kecamatan</option>
                                                @php
                                                $practice_district = \App\Models\Districts::where('id', $data->practice_subdistrict)->first();
                                                @endphp
                                                @if($practice_district)
                                                <option {{ $data->practice_subdistrict == $practice_district->id ? "selected" : "" }} value="{{ $practice_district->id }}">{{ $practice_district->name }}</option>
                                                @endif
                                            </select>
                                            @error('practice_district') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">DESA / KELURAHAN </label>
                                            <select class="form-control" name="practice_village" placeholder="Pilih desa / kelurahan" disabled>
                                                <option value="">Pilih Desa / Kelurahan</option>
                                                @php
                                                $practice_village = \App\Models\Villages::where('id', $data->practice_village)->first();
                                                @endphp
                                                @if($practice_village)
                                                <option {{ $data->practice_village == $practice_village->id ? "selected" : "" }} value="{{ $practice_village->id }}">{{ $practice_village->name }}</option>
                                                @endif
                                            </select>
                                            @error('practice_village') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">JABATAN <span style="color: red;"> **</span>)</label>
                                            <select class="form-control" name="position" disabled>
                                                <option value="">Pilih Jabatan</option>
                                                <option value="DOKTER UMUM" {{{ $data->position == 'DOKTER UMUM' ? "selected" : "" }}}>DOKTER UMUM</option>
                                                <option value="DOKTER SPESIALIS" {{{ $data->position == 'DOKTER SPESIALIS' ? "selected" : "" }}}>DOKTER SPESIALIS</option>
                                            </select>
                                            @error('position') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold" for="description">GURU BESAR / PROFESSOR </label><br />
                                            <label class="radio-inline"><input type="radio" name="professor" value="true" {{{ $data->professor == 'true' ? "checked" : "" }}} disabled> YA</label>
                                            <label class="radio-inline"><input type="radio" name="professor" value="false" {{{ $data->professor == 'false' ? "checked" : "" }}} disabled> TIDAK</label>
                                            @error('professor') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                    </div>
                                    <hr>
                                </div>
                                <!-- DATA TAMBAHAN -->
                                <div>
                                    <div class="row justify-content-md-left">
                                        <div class="col-4">
                                            <h3> Informasi Tambahan</h3>
                                        </div>
                                    </div>
                                    <hr>
                                    @if ($data->str_no == null || $data->validity_period_str == null)
                                    <div class="alert alert-danger alert-dismissible fade show" role="alert">
                                        <strong>Perhatian!</strong> Data Keanggotaan belum dilengkapi klik Ubah Data untuk merubah.
                                        <button type="button" class="close" data-dismiss="alert" aria-label="Close">
                                            <span aria-hidden="true">&times;</span>
                                        </button>
                                    </div>
                                    @endif
                                    <div class="row">
                                        <div class="col-md-3 form-group">
                                            <label class="font-weight-bold">ANGGOTA IDI WILAYAH</label>
                                            <select class="form-control select2" id="area_members" name="area_members" placeholder="Pilih IDI Wilayah" disabled>
                                                <option value="">Pilih IDI Wilayah</option>
                                                @foreach($area as $item)
                                                <option {{ old('area_members', $data->area_members) == $item->area ? "selected" : "" }} value="{{ $item->area }}">{{ $item->area }}</option>
                                                @endforeach
                                            </select>
                                            @error('area_members') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-3 form-group">
                                            <label class="font-weight-bold">ANGGOTA IDI CABANG</label>
                                            <select class="form-control select2" id="branch_members" name="branch_members" placeholder="Pilih IDI Cabang" disabled>
                                                <option value="">Pilih IDI Cabang</option>
                                                @foreach($branch as $item)
                                                <option {{ old('branch_members', $data->branch_members) == $item->branch ? "selected" : "" }} value="{{ $item->branch }}">{{ $item->branch }}</option>
                                                @endforeach
                                            </select>
                                            @error('branch_members') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">NPAC</label>
                                            <input type="text" name="npac_npa" class="form-control" value="{{$data->npac_npa}}" disabled>
                                            @error('npac_npa') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">NO. STR DOKTER UMUM<span style="color: red;"> **</span></label>
                                            <input type="text" id="str_no" name="str_no" class="form-control" value="{{$data->str_no}}" required disabled>
                                            <span id="error-str" class="error text-danger"></span>
                                            @error('str_no') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">MASA BERLAKU STR DOKTER UMUM <span style="color: red;"> **</span></label>
                                            <input type="date" name="validity_period_str" class="form-control" value="{{$data->validity_period_str}}" required disabled>
                                            @error('validity_period_str') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">NO. STR SPESIALIS </label>
                                            <input type="text" name="str_no_sp" class="form-control" value="{{$data->str_no_sp}}" disabled>
                                            @error('str_no_sp') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">MASA BERLAKU STR SPESIALIS </label>
                                            <input type="date" name="validity_period_str_sp" class="form-control" value="{{$data->validity_period_str_sp}}" disabled>
                                            @error('validity_period_str_sp') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">NO. STR KOMPETENSI TAMBAHAN </label>
                                            <input type="text" name="str_no_kt" class="form-control" value="{{$data->str_no_kt}}" disabled>
                                            @error('str_no_kt') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-6 form-group">
                                            <label class="font-weight-bold">MASA BERLAKU STR KOMPETENSI TAMBAHAN </label>
                                            <input type="date" name="validity_period_str_kt" class="form-control" value="{{$data->validity_period_str_kt}}" disabled>
                                            @error('validity_period_str_kt') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-3 form-group">
                                            <label class="font-weight-bold">IDI WILAYAH SEBELUMNYA</label>
                                            <select class="form-control select2" id="area_of_idi" name="area_of_idi" placeholder="Pilih IDI Wilayah" disabled>
                                                <option value="">Pilih IDI Wilayah</option>
                                                @foreach($area as $item)
                                                <option {{ old('area_of_idi', $data->area_of_idi) == $item->area ? "selected" : "" }} value="{{ $item->area }}">{{ $item->area }}</option>
                                                @endforeach
                                            </select>
                                            @error('area_of_idi') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-3 form-group">
                                            <label class="font-weight-bold">IDI CABANG SEBELUMNYA</label>
                                            <select class="form-control select2" id="branch_of_idi" name="branch_of_idi" placeholder="Pilih IDI Wilayah" disabled>
                                                <option value="">Pilih IDI Cabang</option>
                                                @foreach($branch as $item)
                                                <option {{ old('branch_of_idi', $data->branch_of_idi) == $item->branch ? "selected" : "" }} value="{{ $item->branch }}">{{ $item->branch }}</option>
                                                @endforeach
                                            </select>
                                            @error('branch_of_idi') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-3 form-group">
                                            <label class="font-weight-bold">TAHUN MUTASI</label>
                                            <input type="number" name="mutation_year" class="form-control" value="{{$data->mutation_year}}" disabled>
                                            @error('mutation_year') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                        <div class="col-md-3 form-group">
                                            <label class="font-weight-bold">NPA IDI PUSAT</label>
                                            <input type="text" name="central_idi_npa" class="form-control" value="{{$data->central_idi_npa}}" disabled>
                                            @error('central_idi_npa') <span class="error text-danger">{{ $message }}</span> @enderror
                                        </div>
                                    </div>
                                    <hr>
                                </div>
                                <!-- DATA SIP -->
                                <div>
                                    <div class="row justify-content-md-left">
                                        <div class="col-4">
                                            <h3> Informasi SIP</h3>
                                        </div>
                                    </div>
                                    <hr>
                                    <div id="error-div" class="alert alert-info alert-dismissible fade show" role="alert">
                                        <strong>Perhatian!</strong> Silahkan pilih salah satu SIP atau pilih semua SIP untuk melanjutkan.
                                        <button type="button" class="close" data-dismiss="alert" aria-label="Close">
                                            <span aria-hidden="true">&times;</span>
                                        </button>
                                    </div>
                                    <span id="error-sip" class="error text-danger"></span>
                                    @foreach($data->sip as $detail)
                                    <div class="card">
                                        <div class="card-header">
                                            <div class="row">
                                                <input type="hidden" name="detail_sip_id[]" class="form-control" value="{{$detail['id']}}" readonly>
                                                <input class="form-control" type="checkbox" name="detail_sip[]" value="true" {{ $detail['sip_chosen'] == 'true' ? 'checked' : '' }} hidden>
                                                <div class="col-lg-6">
                                                    <input class="form-control" title="Pilih SIP Ke-{{$detail['sip_no']}}" type="checkbox" name="sip_chosen" value="true" {{ $detail['sip_chosen'] == 'true' ? 'checked' : '' }}>
                                                    @error('sip_chosen') <span class="error text-danger">{{ $message }}</span> @enderror
                                                </div>
                                            </div>
                                            <h4 for="sip_chosen">SIP ke-{{$detail['sip_no']}}</h4>
                                            <div class="card-header-action">
                                                <a data-collapse="#mycard-collapse-{{$detail['sip_no']}}" class="btn btn-icon btn-info" href="#"><i class="fas fa-minus"></i></a>
                                            </div>
                                        </div>
                                        <div class="collapse show" id="mycard-collapse-{{$detail['sip_no']}}">
                                            <div class="card-body">
                                                <div class="row">
                                                    <div class="col-md-4 form-group">
                                                        <label class="font-weight-bold">SIP Ke-{{$detail['sip_no']}}</label>
                                                        <input type="number" name="detail_sip[]" class="form-control sip-no-edit" value="{{$detail['sip_no']}}" readonly disabled>
                                                        @error('sip_no') <span class="error text-danger">{{ $message }}</span> @enderror
                                                    </div>
                                                    <div class="col-md-8 form-group">
                                                        <label class="font-weight-bold">NAMA SARANA KESEHATAN <span style="color: red;"> **</span></label>
                                                        <input type="text" name="detail_sip[]" class="form-control sip-name-edit" value="{{$detail['sip_name']}}" required disabled>
                                                        @error('sip_name') <span class="error text-danger">{{ $message }}</span> @enderror
                                                    </div>
                                                    <div class="col-md-12 form-group">
                                                        <label class="font-weight-bold">ALAMAT LENGKAP <span style="color: red;"> **</span></label>
                                                        <input type="text" name="detail_sip[]" class="form-control sip-address-edit" value="{{$detail['sip_address']}}" required disabled>
                                                        @error('sip_address') <span class="error text-danger">{{ $message }}</span> @enderror
                                                    </div>
                                                    <div class="col-md-6 form-group">
                                                        <label class="font-weight-bold">PROVINSI <span style="color: red;"> **</span></label>
                                                        <select class="form-control" name="detail_sip[]" placeholder="Pilih Provinsi" required disabled>
                                                            <option value="">Pilih Provinsi</option>
                                                            @php
                                                            $sip_province = \App\Models\Provinces::where('id', $detail['sip_province'])->first();
                                                            @endphp
                                                            @if ($sip_province)
                                                            <option {{ $detail['sip_province'] == $sip_province->id ? "selected" : "" }} value="{{ $sip_province->id }}">{{ $sip_province->name }}</option>
                                                            @endif
                                                        </select>
                                                        @if ($sip_province)
                                                        <input type="hidden" class="form-control sip-province-edit" name="sip1_province_name" value="{{ $sip_province->name }}">
                                                        @endif
                                                        @error('sip_province') <span class="error text-danger">{{ $message }}</span> @enderror
                                                    </div>
                                                    <div class="col-md-6 form-group">
                                                        <label class="font-weight-bold">KABUPATEN / KOTA <span style="color: red;"> **</span></label>
                                                        <select class="form-control" name="detail_sip[]" placeholder="Pilih Kabupaten / Kota" required disabled>
                                                            <option value="">Pilih Kabupaten / Kota</option>
                                                            @php
                                                            $sip_regency = \App\Models\Regencies::where('id', $detail['sip_regency'])->first();
                                                            @endphp
                                                            @if ($sip_regency)
                                                            <option {{ $detail['sip_regency'] == $sip_regency->id  ? "selected" : "" }} value="{{ $sip_regency->id }}">{{ $sip_regency->name }}</option>
                                                            @endif
                                                        </select>
                                                        @error('sip_regency') <span class="error text-danger">{{ $message }}</span> @enderror
                                                        @if ($sip_regency)
                                                        <input type="hidden" class="form-control sip-regency-edit" name="sip_regency_name" value="{{ $sip_regency->name }}">
                                                        @endif
                                                    </div>
                                                    <div class="col-md-6 form-group">
                                                        <label class="font-weight-bold">KECAMATAN <span style="color: red;"> **</span></label>
                                                        <select class="form-control" name="detail_sip[]" placeholder="Pilih Kecamatan" required disabled>
                                                            <option value="">Pilih Kecamatan</option>
                                                            @php
                                                            $sip_subdistrict = \App\Models\Districts::where('id', $detail['sip_subdistrict'])->first();
                                                            @endphp
                                                            @if ($sip_subdistrict)
                                                            <option {{ $detail['sip_subdistrict'] == $sip_subdistrict->id ? "selected" : "" }} value="{{ $sip_subdistrict->id }}">{{ $sip_subdistrict->name }}</option>
                                                            @endif
                                                        </select>
                                                        @error('sip_subdistrict') <span class="error text-danger">{{ $message }}</span> @enderror
                                                        @if ($sip_subdistrict)
                                                        <input type="hidden" class="form-control sip-subdistrict-edit" name="sip_subdistrict_name" value="{{ $sip_subdistrict->name }}">
                                                        @endif
                                                    </div>
                                                    <div class="col-md-6 form-group">
                                                        <label class="font-weight-bold">DESA / KELURAHAN <span style="color: red;"> **</span></label>
                                                        <select class="form-control" name="detail_sip[]" placeholder="Pilih Desa / Kelurahan" required disabled>
                                                            <option value="">Pilih Desa / Kelurahan</option>
                                                            @php
                                                            $sip_village = \App\Models\Villages::where('id', $detail['sip_village'])->first();
                                                            @endphp
                                                            @if ($sip_village)
                                                            <option {{ $detail['sip_village'] == $sip_village->id  ? "selected" : "" }} value="{{ $sip_village->id }}">{{ $sip_village->name }}</option>
                                                            @endif
                                                        </select>
                                                        @error('sip_village') <span class="error text-danger">{{ $message }}</span> @enderror
                                                        @if ($sip_village)
                                                        <input type="hidden" class="form-control sip-village-edit" name="sip_village_name" value="{{ $sip_village->name }}">
                                                        @endif
                                                    </div>
                                                    <div id="divSip1" class="col-md-12 form-group">
                                                        <label class="font-weight-bold">TUJUAN PENGAJUAN SIP <span style="color: red;"> **</span></label>
                                                        <select class="form-control" name="detail_sip[]" required disabled>
                                                            <option value="">Pilih Tujuan Pengajuan</option>
                                                            <option {{ $detail['sip_type'] == "PEMBUATAN" ? "selected" : "" }} value="PEMBUATAN">Mengajukan</option>
                                                            <option {{ $detail['sip_type'] == "PERUBAHAN" ? "selected" : "" }} value="PERUBAHAN">Mengubah</option>
                                                            <option {{ $detail['sip_type'] == "PERPANJANGAN" ? "selected" : "" }} value="PERPANJANGAN">Memperpanjang</option>
                                                        </select>
                                                        <input type="hidden" class="form-control sip-type-edit" name="sip_type_name" value="{{ $detail['sip_type'] }}">
                                                        @error('sip_type') <span class="error text-danger">{{ $message }}</span> @enderror
                                                    </div>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                    @endforeach
                                </div>

                                <!-- Tombol -->
                                <button class="btn btn-warning nextBtn btn-lg pull-right" type="button">
                                    Lanjut <i class="fa fa-arrow-right"></i>
                                </button>
                            </div>
                        </div>

                        <!-- UNGGAH DOKUMEN -->
                        <div class="row setup-content {{ $currentStep != 3 ? 'displayNone' : '' }}" id="step-3">
                            <div class="col-md-12">
                                <hr>
                                <h3 class="text-center"> Upload Dokumen Pendukung</h3>
                                <small id="form_name" class="badge badge-success"></small>
                                <small id="type_sip" class="text-info"></small>
                                <hr>
                                <div class="col-md-12">
                                    <input type="hidden" name="appl_id" value="{{$data->id}}">
                                    <div class="form-loading row"></div>
                                    <div class="form-document row"></div>
                                </div>

                                <!-- Tombol -->
                                <button class="btn btn-danger backBtn btn-lg pull-right" type="button">
                                    <i class="fa fa-arrow-left"></i> Kembali
                                </button>
                                <button class="btn btn-warning nextBtn btn-lg pull-right validBtn" type="button">
                                    Lanjut <i class="fa fa-arrow-right"></i>
                                </button>
                            </div>
                        </div>

                        <!-- DATA VERIFIKASI -->
                        <div class="row setup-content {{ $currentStep != 4 ? 'displayNone' : '' }}" id="step-4">
                            <div class="col-md-12">

                                <h3 class="text-center mb-2"> Cek Kembali Data Anda</h3>
                                <hr>
                                <h5>IDENTITAS DIRI</h5>
                                <hr>
                                <div class="table-responsive">
                                    <table class="table table-striped mb-0">
                                        <tr>
                                            <td>Pengajuan</td>
                                            <td>:</td>
                                            <td>
                                                <div id="form_name" class="badge badge-success"></div>
                                            </td>
                                            <td>Foto</td>
                                            <td>:</td>
                                            <td>
                                                <div class="gallery">
                                                    <div class="gallery-item" data-image="{{$data->foto == null ? asset('assets/images/default-confirm.png') : asset('storage/image/' . $data->foto)}}" data-title="Klik Gambar"></div>
                                                </div>
                                            </td>
                                        </tr>
                                        <tr>
                                            <td>Nama Lengkap</td>
                                            <td>:</td>
                                            <td><strong>{{$data->front_degree}} {{$data->name}} {{$data->back_degree}}</strong></td>
                                            <td>Tempat, Tanggal Lahir</td>
                                            <td>:</td>
                                            <td><strong>{{$data->place}}, {{$data->birth_date}}</strong></td>
                                        </tr>
                                        <tr>
                                            <td>Alamat KTP</td>
                                            <td>:</td>
                                            <td colspan="4"><strong>{{$data->home_address}}</strong></td>
                                        </tr>
                                        <tr>
                                            <td>No Telp/HP</td>
                                            <td>:</td>
                                            <td><strong>{{$data->phone}}</strong></td>
                                            <td>Email</td>
                                            <td>:</td>
                                            <td><strong>{{$data->email}}</strong></td>
                                        </tr>
                                    </table>
                                </div>
                                <hr>
                                <h5>INFORMASI PENDIDIKAN</h5>
                                <hr>
                                <div class="table-responsive">
                                    <table class="table table-striped mb-0">
                                        <tr>
                                            <td>Institusi Pendidikan</td>
                                            <td>:</td>
                                            <td><strong>{{ strtoupper($institution_a->name ?? '') }}</strong></td>
                                            <td>Jenjang Pendidikan</td>
                                            <td>:</td>
                                            <td><strong>{{ strtoupper($academic_degree_a->name ?? '') }}</strong></td>
                                        </tr>
                                        <tr>
                                            <td>Nomor Ijazah</td>
                                            <td>:</td>
                                            <td><strong>{{strtoupper($data->ijazah_no_a)}}</strong></td>
                                            <td>Tahun Lulus</td>
                                            <td>:</td>
                                            <td><strong>{{date('d-m-Y', strtotime($data->graduation_year_a))}}</strong></td>
                                        </tr>
                                    </table>
                                </div>
                                <hr>
                                <h5>INFORMASI PEKERJAAN</h5>
                                <hr>
                                <div class="table-responsive">
                                    <table class="table table-striped mb-0">
                                        <tr>
                                            <td>Status Kepegawaian / Waktu</td>
                                            <td>:</td>
                                            <td><strong>{{$data->employment_status}} / {{$data->time_type}}</strong></td>
                                            <td>Jabatan</td>
                                            <td>:</td>
                                            <td><strong>{{$data->position}}</strong></td>
                                        </tr>
                                        <tr>
                                            <td>Tempat Praktek</td>
                                            <td>:</td>
                                            <td><strong>{{strtoupper($data->hospital)}}</strong></td>
                                            <td>Alamat Praktek</td>
                                            <td>:</td>
                                            <td><strong>{{$data->practice_address}}</strong></td>
                                        </tr>
                                    </table>
                                </div>
                                <hr>
                                <h5>INFORMASI TAMBAHAN</h5>
                                <hr>
                                <div class="table-responsive">
                                    <table class="table table-striped mb-0">
                                        <tr>
                                            <td>No STR</td>
                                            <td>:</td>
                                            <td><strong>{{$data->str_no}}</strong></td>
                                            <td>Masa Berlaku STR</td>
                                            <td>:</td>
                                            <td><strong>{{$data->validity_period_str}}</strong></td>
                                        </tr>
                                        <tr>
                                            <td>Anggota IDI</td>
                                            <td>:</td>
                                            <td><strong>{{$data->area_members}} {{$data->branch_members}}</strong></td>
                                            <td>NPAC / NPA IDI</td>
                                            <td>:</td>
                                            <td><strong>{{$data->npac_npa}} / {{$data->central_idi_npa}}</strong></td>
                                        </tr>
                                    </table>
                                </div>
                                <hr>
                                <h5>INFORMASI SIP</h5>
                                <hr>
                                <div class="table-responsive">
                                    <table id="sip-table" class="table table-striped mb-0">
                                        <thead>
                                            <tr>
                                                <!-- <th>Pilih</th> -->
                                                <th>SIP Ke-</th>
                                                <th>Nama</th>
                                                <th>Alamat</th>
                                                <th>Provinsi</th>
                                                <th>Kabupaten / Kota</th>
                                                <th>Kecamatan</th>
                                                <th>Desa / Kelurahan</th>
                                                <th>Pengajuan</th>
                                            </tr>
                                        </thead>
                                        <tbody>
                                            <!-- Populate table with data from sip array -->
                                        </tbody>
                                    </table>
                                </div>
                                <hr>
                                <h5>DOKUMEN PENDUKUNG</h5>
                                <hr>
                                <div class="table-responsive">
                                    <table id="upload-table" class="table table-striped mb-0">
                                        <thead>
                                            <tr style="text-align:left">
                                                <th>Kode</th>
                                                <th>Dokumen</th>
                                                <th>File</th>
                                                <th style="text-align:center">Lihat</th>
                                            </tr>
                                        </thead>
                                        <tbody>
                                            <!--  Populate table with data from upload array -->
                                        </tbody>
                                    </table>
                                </div>
                                <br>
                                <br>
                                <div class="row mt-5">
                                    <div class="col-lg-6 col-md-12 col-12 col-sm-12">
                                        <div class="alert alert-warning">
                                            @php
                                            $label = \App\Models\Label::where(['code' => 'note-revision' ])->first()
                                            @endphp

                                            @if($label != null)
                                            <i class="fa fa-info-circle text-center"><strong> {!!html_entity_decode($label->title)!!}</strong></i>
                                            <p>{!!html_entity_decode($label->desc)!!}</p>
                                            @else
                                            <i class="fa fa-info-circle text-center"><strong> Catatan</strong></i>
                                            <p>Belum tersedia</p>
                                            @endif
                                        </div>
                                        <div class="form-group">
                                            <label class="font-weight-bold">STATUS PENGAJUAN <span style="color: red;"> **</span></label>
                                            <select class="form-control select2" id="application_status" name="application_status" placeholder="Pilih Status" required disabled>
                                                <option value="">Pilih Status</option>
                                                @foreach($status as $sts)
                                                <option {{$data->application_status == $sts->type ? "selected" : "" }} value="{{$sts->type}}">( {{$sts->code}} ) {{$sts->status_user}}</option>
                                                @endforeach
                                            </select>
                                            <!-- error message -->
                                            <div class="invalid-feedback alert alert-danger mt-2">
                                                Pilih status
                                            </div>
                                        </div>
                                    </div>

                                    <div class="col-lg-6 col-md-12 col-12 col-sm-12">
                                        <div class="form-group">
                                            @php
                                            $history = \App\Models\FormTrnHistory::where([
                                            'form_status' => $data->application_status,
                                            'form_id' => $data->id,
                                            'user_id' => $data->user_id
                                            ])->orderBy('ordering', 'desc')->first()
                                            @endphp
                                            <label class="font-weight-bold">KETERANGAN <span style="color: red;"> **</span></label> <i class="fas fa-question" title="contoh : 1. Dokumen buram silakan unggah ulang 2. Berkas sudah sesuai lanjut ke proses berikutnya" style="float: right;"></i>
                                            <textarea class="form-control summernote-simple" id="note" name="note" rows="10" placeholder="contoh: Saya sudah mengubah nomor STR dan mengunggah dokumen yang baru" required style="max-width: 100%; min-height: 50px; height: 100%; width: 100%;" disabled>{{ old('note', isset($history->note) ? $history->note : '') }}</textarea>
                                            <!-- error message untuk title -->
                                            <div class="invalid-feedback alert alert-danger mt-2">
                                                Masukan keterangan
                                            </div>
                                        </div>
                                    </div>
                                </div>
                                <hr>

                                <div class="col-md-12">
                                    <div class="alert alert-info alert-has-icon">
                                        @php
                                        $label = \App\Models\Label::where(['code' => 'disclaimer-str' ])->first()
                                        @endphp
                                        <div class="alert-icon"><i class="far fa-lightbulb"></i></div>
                                        <div class="alert-body">
                                            <div class="alert-title"><strong> {!!html_entity_decode($label->title)!!}</strong></div>
                                            {!!html_entity_decode($label->desc)!!}
                                        </div>
                                    </div>
                                    <input type="checkbox" id="agree" name="agree" value="1" checked required disabled>
                                    <label for="agree"> Setujui Disclaimer</label>
                                </div>
                                <div class="col-md-8">
                                    <button class="btn btn-danger backBtn btn-lg pull-right" type="button">
                                        <i class="fa fa-arrow-left"></i> Kembali
                                    </button>
                                    <button class="btn btn-info btn-lg pull-right submitBtn" type="button">
                                        Selesai <i class="fa fa-paper-plane"></i>
                                    </button>
                                </div>
                            </div>
                        </div>

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

<!-- NEXT STEP VALIDATION -->
<script>
    $(document).ready(function() {
        var currentStep = 1;
        // console.log("Langkah : " + currentStep);

        $(".progressbar li").click(function() {
            var targetStep = $(this).index() + 1;

            if (targetStep > currentStep) {
                // pengguna mencoba melompat ke depan, periksa jika data di langkah sebelumnya sudah lengkap
                if (checkData(currentStep)) {
                    // pindah ke langkah berikutnya
                    goToNextStep();
                } else {
                    // data belum lengkap, berikan pesan kesalahan
                    swal("Informasi", "Silahkan lengkapi data pada langkah sebelumnya terlebih dahulu", "error");
                }
            } else {
                // pengguna mencoba melompat ke belakang, langsung pindah ke langkah tersebut
                goToStep(targetStep);
            }
        });

        function checkData(step) {
            // fungsi ini akan memeriksa jika data di langkah sebelumnya sudah lengkap
            if (step == 1) {
                // periksa persetujuan
                return true;
            } else if (step == 2) {
                // periksa data pemohon
                return true;
            } else if (step == 3) {
                // periksa dokumen yang diunggah
                // jika dokumen sudah lengkap, kembalikan nilai true, jika tidak, kembalikan nilai false
                return true;
            } else if (step == 4) {
                // periksa data ulang dan submit
                return true;
            }
        }

        function goToNextStep() {
            // lakukan validasi data pada langkah saat ini
            var isValid = validateStep(currentStep);
            if (isValid) {
                document.getElementById('loading').style.display = 'none';
                goToStep(currentStep + 1);
            } else {
                // tampilkan pesan error jika data belum valid
                swal("Informasi", "Harap lengkapi data pada langkah " + currentStep + " terlebih dahulu.", 'warning');
            }
        }

        // Dapatkan elemen-elemen yang diperlukan
        var persetujuanRadios = document.querySelectorAll('input[name="persetujuan"]');
        var lanjutkanButton = document.querySelector('.disclaimerBtn');

        // Tambahkan event listener pada tombol Lanjutkan
        lanjutkanButton.onclick = function(e) {
            var persetujuanTerpilih = '';

            // Periksa apakah salah satu opsi persetujuan telah dipilih
            for (var i = 0; i < persetujuanRadios.length; i++) {
                if (persetujuanRadios[i].checked) {
                    persetujuanTerpilih = persetujuanRadios[i].value;
                    break;
                }
            }

            // Jika persetujuan tidak terpilih, tampilkan swal alert
            if (!persetujuanTerpilih) {
                e.preventDefault(); // Mencegah pengiriman form
                swal("Maaf",
                    "Silakan pilih salah satu opsi persetujuan!",
                    "error");
            } else {
                // Jika persetujuan terpilih, tampilkan loading spinner pada tombol Lanjutkan
                if (persetujuanTerpilih == 'setuju') {
                    swal("Informasi",
                        "Anda telah menyetujui disclaimer, silahkan lanjutkan ke langkah berikutnya",
                        "success");
                    goToNextStep();
                } else {
                    swal("Informasi",
                        "Anda tidak menyetujui disclaimer, silahkan hubungi admin untuk informasi lebih lanjut",
                        "warning");
                }
            }
        };


        $(".nextBtn").click(function() {
            // tampilkan tampilan loading
            document.getElementById('loading').style.display = 'block';

            // pindah ke langkah berikutnya jika data sudah valid setelah waktu delay 1 detik
            setTimeout(function() {
                // pindah ke langkah berikutnya
                goToNextStep();
                // sembunyikan tampilan loading setelah proses selesai
                document.getElementById('loading').style.display = 'none';
            }, 1000);
        });

        $(".backBtn").click(function() {
            // pindah ke langkah sebelumnya
            goToStep(currentStep - 1);
        });

        function validateStep(step) {
            // validasi data pada langkah tertentu
            var isValid = true;
            // implementasikan validasi data pada masing-masing langkah
            switch (step) {
                case 1:

                    // Dapatkan elemen-elemen yang diperlukan
                    var persetujuanRadios = document.querySelectorAll('input[name="persetujuan"]');
                    var persetujuanTerpilih = '';

                    // Periksa apakah salah satu opsi persetujuan telah dipilih
                    for (var i = 0; i < persetujuanRadios.length; i++) {
                        if (persetujuanRadios[i].checked) {
                            persetujuanTerpilih = persetujuanRadios[i].value;
                            break;
                        }
                    }

                    // Jika persetujuan tidak terpilih, tampilkan swal alert
                    if (!persetujuanTerpilih) {
                        swal("Maaf",
                            "Silakan pilih salah satu opsi persetujuan!",
                            "error");
                        isValid = false;
                    }

                    break;
                case 2:
                    // validasi data pada langkah 1
                    var isForm = false;
                    var isSubmit = true;

                    var application_type = $("select[name='application_type']").val();
                    if (!application_type) {
                        $("select[name='application_type']").addClass("is-invalid");
                        isValid = false;
                    } else {
                        $("select[name='application_type']").removeClass("is-invalid");

                        let input = document.getElementById('form_code');
                        if (input) {
                            input.value = application_type;
                        }

                        var appl_id = $("input[name='appl_id']").val();

                        isForm = true;
                    }

                    var academic_degree_a = $("select[name='academic_degree_a']").val();
                    if (!academic_degree_a) {
                        $("select[name='academic_degree_a']").addClass("is-invalid");
                        isValid = false;
                    } else {
                        $("select[name='academic_degree_a']").removeClass("is-invalid");
                    }

                    var institution_a = $("select[name='institution_a']").val();
                    if (!institution_a) {
                        $("select[name='institution_a']").addClass("is-invalid");
                        isValid = false;
                    } else {
                        $("select[name='institution_a']").removeClass("is-invalid");
                    }

                    var ijazah_du = $("input[name='ijazah_du']").val();
                    if (!ijazah_du) {
                        $("input[name='ijazah_du']").addClass("is-invalid");
                        isValid = false;
                    } else {
                        $("input[name='ijazah_du']").removeClass("is-invalid");
                    }

                    var ijazah_du_year = $("input[name='ijazah_du_year']").val();
                    if (!ijazah_du_year) {
                        $("input[name='ijazah_du_year']").addClass("is-invalid");
                        isValid = false;
                    } else {
                        $("input[name='ijazah_du_year']").removeClass("is-invalid");
                    }

                    var str_no = $("input[name='str_no']").val();
                    if (!str_no) {
                        $("input[name='str_no']").addClass("is-invalid");
                        isValid = false;
                    } else {
                        $("input[name='str_no']").removeClass("is-invalid");
                    }

                    var validity_period_str = $("input[name='validity_period_str']").val();
                    if (!validity_period_str) {
                        $("input[name='validity_period_str']").addClass("is-invalid");
                        isValid = false;
                    } else {
                        $("input[name='validity_period_str']").removeClass("is-invalid");
                    }

                    var errorSip = document.getElementById('error-sip');

                    var checkboxes = document.querySelectorAll('input[name="sip_chosen"]');
                    var checked = false
                    for (var i = 0; i < checkboxes.length; i++) {
                        if (checkboxes[i].checked) {
                            checked = true;
                            break;
                        }
                    }

                    // if (!checked) {
                    //     swal("Maaf",
                    //         "Tidak ada SIP yang dipilih, silahkan pilih minimal 1 SIP",
                    //         "error");
                    //     isValid = false;
                    // }

                    // jika kosong
                    var detail_sip = document.getElementsByName("detail_sip[]");
                    for (var i = 0; i < detail_sip.length; i++) {
                        if (detail_sip[i].value.trim() !== '') {
                            isValid = true;
                            break;
                        }
                    }

                    if (!isValid) {
                        swal("Oops!", "SIP tidak tersedia", "error");
                        isValid = false;
                    }

                    // validasi mandatory
                    $('input[name="detail_sip[]"], select[name="detail_sip[]"]').each(function() {
                        var value = $(this).val().trim();
                        if (value === '') {
                            $(this).addClass("is-invalid");
                            isValid = false;
                        } else {
                            $(this).removeClass("is-invalid");
                        }
                    });

                    // push detail sip
                    let sip = []; // Mendeklarasikan variabel sip dengan nilai awal array kosong
                    var sip_no = $('.sip-no-edit').val();
                    var sip_name = $('.sip-name-edit').val();
                    var sip_address = $('.sip-address-edit').val();
                    var sip_province = $('.sip-province-edit').val();
                    var sip_regency = $('.sip-regency-edit').val();
                    var sip_subdistrict = $('.sip-subdistrict-edit').val();
                    var sip_village = $('.sip-village-edit').val();
                    var sip_type = $('.sip-type-edit').val();

                    var sipObj = {
                        'sip_no': sip_no,
                        'sip_name': sip_name,
                        'sip_address': sip_address,
                        'sip_province': sip_province,
                        'sip_regency': sip_regency,
                        'sip_subdistrict': sip_subdistrict,
                        'sip_village': sip_village,
                        'sip_type': sip_type
                    };

                    sip.push(sipObj);

                    // Menghapus semua baris di dalam tabel
                    $('#sip-table tbody').empty();

                    for (let i = 0; i < sip.length; i++) {
                        // Membuat baris baru di dalam tabel
                        $('#sip-table tbody').append('<tr></tr>');

                        // Memasukkan data ke dalam baris yang baru saja dibuat
                        $('#sip-table tbody tr:last-child').append('<td>' + sip[i].sip_no + '</td>');
                        $('#sip-table tbody tr:last-child').append('<td>' + sip[i].sip_name + '</td>');
                        $('#sip-table tbody tr:last-child').append('<td>' + sip[i].sip_address + '</td>');
                        $('#sip-table tbody tr:last-child').append('<td>' + sip[i].sip_province + '</td>');
                        $('#sip-table tbody tr:last-child').append('<td>' + sip[i].sip_regency + '</td>');
                        $('#sip-table tbody tr:last-child').append('<td>' + sip[i].sip_subdistrict + '</td>');
                        $('#sip-table tbody tr:last-child').append('<td>' + sip[i].sip_village + '</td>');

                        if (sip[i].sip_type == "PEMBUATAN") {
                            $('#sip-table tbody tr:last-child').append('<td><div class="badge badge-info">MENGAJUKAN</div></td>');
                        } else if (sip[i].sip_type == "PERUBAHAN") {
                            $('#sip-table tbody tr:last-child').append('<td><div class="badge badge-danger">MENGUBAH</div></td>');
                        } else if (sip[i].sip_type == "PERPANJANGAN") {
                            $('#sip-table tbody tr:last-child').append('<td><div class="badge badge-success">MEMPERPANJANG</div></td>');
                        }

                        const sipString = JSON.stringify(sip[i]);
                        // console.log("Data : " + sipString);
                    }

                    if (isForm) {
                        // console.log("isForm : " + isForm);
                        // loading validation form
                        $.get('/non-anggota/get-nama-form/' + application_type, function(result) {
                            if (result !== undefined && result !== null) {
                                // console.log("doctorType : " + result.doctor);
                                isValid = false;
                                if (result.doctor == "DSp") {
                                    var specialist = $("select[name='specialist']").val();
                                    if (!specialist) {
                                        swal("Sepertinya", "Spesialis belum dipilih!", "error");
                                        isValid = false;
                                    } else {
                                        isValid = true;
                                    }
                                } else {
                                    isValid = true;
                                }
                            } else {
                                swal("Sepertinya", "Tipe Dokter tidak ditemukan!", "error");
                                isValid = false;
                            }
                            console.log("isValid : " + isValid);
                            // Continue with further code execution or submit the form based on the value of isValid
                            if (isValid) {
                                // loading setup form
                                var formDocumentContainer = $('.form-document');
                                let loading = `<div class="col-md-12">
                                                    <div class="alert alert-warning alert-has-icon">
                                                        <div class="alert-icon"><i class="far fa-lightbulb"></i></div>
                                                        <div class="alert-body">
                                                            <div class="alert-title">Harap Bersabar</div>
                                                            <span class="spinner-border spinner-border-sm" role="status" aria-hidden="true"></span> Menyiapkan Dokumen ...
                                                        </div>
                                                    </div>
                                                </div>
                                                <div class="col-md-12 text-center">
                                                    <img id="imgPreview" src="/assets-panel/img/empty-data.gif" alt="Gambar" style="width: 272px; height: 272px" />
                                                    <br>
                                                    <span class="spinner-border spinner-border-sm" role="status" aria-hidden="true"></span> Tunggu Sebentar Saja ...
                                                </div>
                                                <br>`;
                                formDocumentContainer.html(loading);

                                $.get('/non-anggota/get-setup-form-edit/' + application_type, function(result) {
                                    const resultString = JSON.stringify(result);
                                    // console.log("SETUP FORM : " + resultString);
                                    setupform = result;

                                    if (setupform !== undefined && setupform !== null) {
                                        document.getElementById('form_name').innerHTML = setupform.name;
                                        fetch(`/non-anggota/get-setup-document-edit/${setupform.id}`)
                                            .then(response => response.json())
                                            .then(setupdocument => {
                                                const sipsetupdocumentString = JSON.stringify(setupdocument);
                                                // console.log("SETUP DOCUMENT : " + sipsetupdocumentString);
                                                if (Array.isArray(setupdocument) || setupdocument.length > 0) {
                                                    let html = `<div class="row">`;

                                                    for (let i = 0; i < sip.length; i++) {
                                                        document.getElementById('type_sip').innerHTML = sip[i].sip_type;

                                                        const promises = setupdocument.map(value =>
                                                            fetch(`/non-anggota/get-setup-document-detail-edit/${value.document_detail_id}/${appl_id}/${sip[i].sip_type}`)
                                                            .then(response => response.json())
                                                        );

                                                        Promise.all(promises)
                                                            .then(setupdocumentdetails => {
                                                                let html = `<div class="row">`;

                                                                for (let setupdocumentdetail of setupdocumentdetails.flat()) {
                                                                    const filesString = JSON.stringify(setupdocumentdetail);
                                                                    // console.log("SETUP DETAIL : " + filesString);

                                                                    let bintang = (setupdocumentdetail.is_mandatory == 'required') ? '**' : '';
                                                                    let required = (setupdocumentdetail.is_mandatory == 'required') ? 'required' : '';

                                                                    // required="${setupdocumentdetail.is_mandatory}"
                                                                    html += `<div class="col-md-4 form-group">
                                                                            <label class="font-weight-bold text-dark">Dokumen Unggahan : <strong class="font-weight-bold text-success">${ setupdocumentdetail.file_name && setupdocumentdetail.file_name.file_name ? setupdocumentdetail.file_name.file_name : '' }</strong></label>
                                                                            <br>
                                                                            <label class="font-weight-bold" title="${setupdocumentdetail.is_submission !== 'NO' ? 'KHUSUS '+ setupdocumentdetail.is_submission : ''}">${setupdocumentdetail.name} <span class="text-danger">${setupdocumentdetail.allowed_file_types} ${bintang}</span></label>
                                                                            <input type="file" name="files.${setupdocumentdetail.code}" data-name="${setupdocumentdetail.name}" class="form-control" max="${setupdocumentdetail.max_size}" accept="${setupdocumentdetail.allowed_file_types}" disabled/>
                                                                            <span class="error text-danger">${setupdocumentdetail.code}</span>

                                                                            <input type="hidden" name="berkas-pendukung" data-code="${setupdocumentdetail.code}" data-name="${setupdocumentdetail.name}" value="${ setupdocumentdetail.file_name.file_name }" class="form-control" />
                                                                        </div>`;
                                                                }

                                                                html += `</div>`;
                                                                formDocumentContainer.html(html);
                                                                // console.log(html);

                                                                var validBtn = $('.validBtn');
                                                                validBtn.show();
                                                            })
                                                            .catch(error => console.log(error));

                                                    }
                                                } else {
                                                    let html = `<div class="col-md-12 form-group">
                                                                <div class="alert alert-warning alert-has-icon">
                                                                    <div class="alert-icon"><i class="far fa-lightbulb"></i></div>
                                                                    <div class="alert-body">
                                                                        <div class="alert-title">Maaf</div>
                                                                        Belum ada form yang di setup, silahkan menghubungi Admin IDI Cabang Tangerang.
                                                                    </div>
                                                                </div>
                                                                </div>
                                                                <div class="md-12 text-center">
                                                                    <img id="imgPreview" src="/assets-panel/img/empty-data.gif" alt="Gambar" style="width: 272px; height: 272px" />
                                                                </div>
                                                                <br>`;
                                                    formDocumentContainer.html(html);
                                                    // console.log(html);
                                                }
                                            });
                                    } else {
                                        let html = `<div class="col-md-12 form-group">
                                                    <div class="alert alert-warning alert-has-icon">
                                                        <div class="alert-icon"><i class="far fa-lightbulb"></i></div>
                                                        <div class="alert-body">
                                                            <div class="alert-title">Maaf</div>
                                                            Belum ada dokumen yang di setup, silahkan menghubungi Admin IDI Cabang Tangerang.
                                                        </div>
                                                    </div>
                                                </div>
                                                <div class="md-12 text-center">
                                                    <img id="imgPreview" src="/assets-panel/img/empty-data.gif" alt="Gambar" style="width: 272px; height: 272px" />
                                                </div>`;
                                        formDocumentContainer.html(html);
                                        // console.log(html);
                                    }
                                });
                            } else {
                                var formDocumentContainer = $('.form-document');
                                let loading = `<div class="col-md-12">
                                                    <div class="alert alert-warning alert-has-icon">
                                                        <div class="alert-icon"><i class="far fa-lightbulb"></i></div>
                                                        <div class="alert-body">
                                                            <div class="alert-title">Silakan Kembali</div>
                                                            <span class="spinner-border spinner-border-sm" role="status" aria-hidden="true"></span> Ada Yang Tidak Beres ...
                                                        </div>
                                                    </div>
                                                </div>
                                                <div class="col-md-12 text-center">
                                                    <img id="imgPreview" src="/assets-panel/img/empty-data.gif" alt="Gambar" style="width: 272px; height: 272px" />
                                                    <br>
                                                    <span class="spinner-border spinner-border-sm" role="status" aria-hidden="true"></span> Lengkapi Data Sebelumnya ...
                                                </div>
                                                <br>`;
                                formDocumentContainer.html(loading);

                                var validBtn = $('.validBtn');
                                validBtn.hide();

                            }
                        });
                    }

                    break;
                case 3:
                    // Mendapatkan semua input file pada form
                    var inputFiles = $('input[name=berkas-pendukung]');
                    var isValid = true;

                    let upload = [];

                    // Melakukan validasi pada setiap input file
                    inputFiles.each(function() {
                        var inputFile = $(this);
                        var inputName = inputFile.attr('name');
                        var inputValue = inputFile.val();
                        var inputDocName = inputFile.data('name');
                        var inputCode = inputFile.data('code');

                        // Membuat objek sip dari nilai yang diambil
                        var document = {
                            'file_data': inputDocName,
                            'file_doc': inputCode,
                            'file_name': inputValue,
                            'file_link': inputValue,
                        };

                        // Menambahkan objek sip ke dalam array allSips
                        upload.push(document);

                        const uploadString = JSON.stringify(upload);
                        // console.log("Document : " + uploadString);
                    });

                    const uploadString = JSON.stringify(upload);
                    // console.log("Proses File : " + uploadString);

                    // Kosongkan isi dari tbody di dalam tabel
                    $('#upload-table tbody').empty();

                    // Looping untuk setiap objek di dalam array upload
                    for (let i = 0; i < upload.length; i++) {
                        // Membuat baris baru di dalam tabel
                        $('#upload-table tbody').append('<tr></tr>');

                        // Memasukkan data ke dalam baris yang baru saja dibuat
                        $('#upload-table tbody tr:last-child').append('<td>' + upload[i].file_doc + '</td>');
                        $('#upload-table tbody tr:last-child').append('<td>' + upload[i].file_data + '</td>');
                        $('#upload-table tbody tr:last-child').append('<td>' + upload[i].file_name + '</td>');
                        $('#upload-table tbody tr:last-child').append(`<td><div class="row justify-content-md-center"><a href="{{ asset('storage/document/') }}/${upload[i].file_link}" target="_blank" class="btn btn-primary btn-action" data-toggle="tooltip" title="Lihat"><i class="fas fa-eye"></i></a></div></td>`);

                        // Debugging, untuk menampilkan isi objek
                        const uploadString = JSON.stringify(upload[i]);
                        // console.log("Data : " + uploadString);
                    }

                    // Mengembalikan hasil validasi
                    return isValid;

                    // Menghapus pesan error saat input file diubah
                    $('input[type=file]').change(function() {
                        $(this).removeClass('is-invalid');
                        $(this).next('.error').remove();
                    });

                    break;

                case 4:
                    // tambahkan case untuk langkah-langkah berikutnya
                    var application_status = $("select[name='application_status']").val();
                    if (!application_status) {
                        $("select[name='application_status']").addClass("is-invalid");
                        isValid = false;
                    } else {
                        $("select[name='application_status']").removeClass("is-invalid");
                    }

                    var note = $("textarea[name='note']").val();
                    if (!note) {
                        $("textarea[name='note']").addClass("is-invalid");
                        isValid = false;
                    } else {
                        $("textarea[name='note']").removeClass("is-invalid");
                    }

                    break;

                default:
                    isValid = false;
            }
            return isValid;
        }

        function goToStep(step) {
            // sembunyikan konten langkah saat ini
            $(".setup-content").hide();

            // tampilkan konten langkah yang sesuai
            $("#step-" + step).show();

            // ubah tampilan progress bar
            $(".progressbar li").removeClass("active");
            $(".progressbar li:nth-child(" + step + ")").addClass("active");

            // perbarui nilai currentStep
            currentStep = step;

            // sembunyikan tombol Kembali (Back) jika sedang berada di langkah pertama
            if (currentStep === 2) {
                $(".backBtn").hide();
            } else {
                $(".backBtn").show();
            }

            // ganti teks tombol Lanjut (Next) menjadi Selesai (Finish) jika sudah mencapai langkah terakhir
            if (currentStep === $(".progressbar li").length) {
                $(".nextBtn").text("Kirim");
            } else {
                $(".nextBtn").innerHTML = 'Lanjut <i class="fa fa-arrow-right"></i>';
            }
        }
    });
</script>

<!-- SUBMIT DATA -->
<script>
    document.addEventListener('DOMContentLoaded', function() {
        // Cari elemen form dan tombol submit
        const form = document.querySelector('.form-rekomendasi-edit');
        const submitBtn = document.querySelector('.submitBtn');
        const agree = document.querySelector('#agree');

        // Tambahkan event listener pada tombol submit
        submitBtn.addEventListener('click', function() {
            swal("Informasi",
                "Pengajuan sudah selesai kami ucapkan terima kasih salam hangat \nIDI Cabang Tangerang.",
                "warning");
        });

        // Fungsi untuk menampilkan loading spinner pada tombol submit
        function showLoading() {
            submitBtn.innerHTML = '<span class="spinner-border spinner-border-sm" role="status" aria-hidden="true"></span> Loading...';
            submitBtn.disabled = true;
        }

        // Fungsi untuk menghilangkan loading spinner pada tombol submit
        function hideLoading() {
            submitBtn.innerHTML = 'Kirim';
        }

        // Fungsi untuk menonaktifkan tombol submit
        function disableButton() {
            submitBtn.disabled = true;
        }

        // Fungsi untuk mengaktifkan tombol submit
        function enableButton() {
            submitBtn.disabled = false;
        }
    });
</script>
@endsection