@extends('layouts.default', ['appTopMenu' => true])

@push('scripts')
<link rel="stylesheet" href="{{ asset('css/jquery-ui.css')}}" />
<!--<script src="{{ asset('js/jquery-ui.js') }}" defer="defer"></script>-->
<script src="{{ asset('js/legalservices/anr_no.js') }}"></script>
<script src="{{ asset('js/bootstrap-datetimepicker.js')}}"></script>
    <script src="{{ asset('js/bootstrap-datetimepicker.fr.js') }}"></script>
    <script src="/assets/plugins/sweetalert/dist/sweetalert.min.js"></script>
    
<style type="text/css">
  .cl_similarity
  {
    color: blue;
  }
  .cl_similarity:hover
  {
    cursor: pointer;
  }
.fas:hover
{
cursor:pointer;
}
</style>
@endpush

@section('content') 
<div class="container">
<div class="alert alert-success alert-dismissible d-none" id="success_d">
	<button type="button" class="btn-close" data-bs-dismiss="alert"></button>
	 <span id="success"></span>
</div>
<div class="alert alert-danger alert-dismissible d-none" id="failure_d">
	<button type="button" class="btn-close" data-bs-dismiss="alert"></button>
    <span id="failure"></span>
</div>
<!-- @if (session('status')) -->

<div class="alert alert-success alert-dismissible" id="success">
	<button type="button" class="btn-close" data-bs-dismiss="alert"></button>
	<!-- {!! session('status') !!} -->dfdfdf
</div>
<!-- @elseif(session('failed')) -->
<div class="alert alert-danger alert-dismissible" id="failure">
	<button type="button" class="btn-close" data-bs-dismiss="alert"></button>
  <strong>
    <!-- {{ session('failed') }}	 -->
  </strong>
</div>
<!-- @endif -->
 <form action="{{ url('/') }}/anr_no_backlog" method="post">

 @csrf
 

<div class="card mb-0 ">
   <div class="card-header card-bg-color ">Letter Backlog Details</div>
   <div class="card-body">
     
      <div class="row mb-0">
      <label class="col-sm-2 control-label" for="txt_b_l_rec_dt"><b>Backlog Receiving Date</b><span class="cl_red"> *</span></label>
        
        <div class="col-sm-3">
        <input type="text" name="txt_b_l_rec_dt" id="txt_b_l_rec_dt" placeholder="Receiving Date" class="form-control form-control-sm dtp @error('txt_b_l_rec_dt') border border-danger @enderror" data-date-format="MM-DD-YYYY" value="{{old('txt_b_l_rec_dt')}}">
       <span class="text-danger" id="txt_b_l_rec_dt_e">
        @error('txt_b_l_rec_dt')
              {{$message}}
        @enderror
        </span>
        </div>  
</div>
</div>
    </div>
 
<div class="card mb-0 cl_upd_hds">
    <div class="card-header card-bg-color ">
        Legal Aid Details
    </div>
    <div class="card-body">
        <div class="row">
            <div class="col-sm-6 mb-1">
                <label for="ddl_app_for" class="control-label"><b>Application For</b><span class="cl_red"> *</span></label>
           <select name="ddl_app_for" id="ddl_app_for" class="form-select form-select-sm @error('ddl_app_for') is-invalid @enderror">
           @if(count($getEstablishments)>1)
           <option value="">Select</option>
           @endif
           
             @foreach($getEstablishments as $getEstablishment)
               <option value="{{ $getEstablishment->id }}" @if(old('ddl_app_for')==$getEstablishment->id) selected @endif>{{ $getEstablishment->est_name }}</option>
             @endforeach
           </select>
           <span class="text-danger" id="ddl_app_for_e">
             @error('ddl_app_for')
              {{$message}}
             @enderror
           </span>
            </div>
       
            <div class="col-sm-6 mb-1">
                <label for="ddl_rec_mode" class="control-label"><b>Receipt Mode</b><span class="cl_red"> *</span></label>
           <select name="ddl_rec_mode" id="ddl_rec_mode" class="form-select form-select-sm @error('ddl_rec_mode') is-invalid @enderror">
           <option value="">Select</option>
           @foreach($getLegalAidReceiptModes as $getLegalAidReceiptMode)
               <option value="{{ $getLegalAidReceiptMode->id }}" @if(old('ddl_rec_mode')==$getLegalAidReceiptMode->id) selected @endif>{{ $getLegalAidReceiptMode->name }}</option>
             @endforeach
           </select>
           <small class="text-danger" id="ddl_rec_mode_e">
             @error('ddl_rec_mode')
              {{$message}}
             @enderror
           </small>
            </div>

           <!-- <div class="col-sm-3 mb-3">
            <div class="form-group">   
            <label class="control-label" ><b>Application Nature</b></label>
            </div>
                <div class="form-check form-check-inline pb-1">
          
          <input type="radio" class="form-check-input cl_app_nature" id="rdn_civil" name="rdn_c_cr" value="1"   @if( old('rdn_c_cr') == 1  ) {{ 'checked' }}  @endif>
      <label class="form-check-label" for="rdn_civil">Civil</label>

        
        </div>
        <div class="form-check form-check-inline">
          
        <input type="radio" class="form-check-input cl_app_nature" id="rdn_criminal" name="rdn_c_cr" value="2"  @if( old('rdn_c_cr') == '2' ) {{'checked' }}  @endif>
        <label class="form-check-label" for="rdn_criminal">Criminal</label>
      </div>
        <div><small class="text-danger">
        @error('rdn_c_cr')
              {{$message}}
             @enderror
        </small></div>
            </div> -->

            
            <div class="col-sm-6 mb-1">
                <label for="ddl_case_type" class="control-label"><b>Case Type</b><span class="cl_red"> *</span></label>
           <select name="ddl_case_type" id="ddl_case_type" class="form-select form-select-sm">
           <option value="">Select</option>
           @foreach($getSCCaseTypes as $getSCCaseType)
               <option value="{{ $getSCCaseType->id }}" @if($getSCCaseType->id==old('ddl_case_type')) {{ 'selected' }} @endif>{{ $getSCCaseType->sc_skey }}</option>
             @endforeach
           
           </select>
           <small class="text-danger" id="ddl_case_type_e">
        
        </small>
            </div>
            <div class="col-sm-2 mb-1">
                <label for="txt_receipt_no" class="control-label"><b>Receipt No.</b><span class="cl_red"> *</span></label>
                <input type="text" name="txt_receipt_no" id="txt_receipt_no" class="form-control form-control-sm @error('txt_receipt_no') border border-danger @enderror cl_receipt_det" placeholder="" value="{{ old('txt_receipt_no') }}">
        <small class="text-danger" id="txt_receipt_no_e">
          @error('txt_receipt_no')
             {{$message}}
          @enderror
        </small>
            </div>
            <div class="col-sm-2 mb-1">
                <label for="txt_receipt_yr" class="control-label"><b>Receipt Year</b><span class="cl_red"> *</span></label>
               @php
               $year=date('Y');
               $i=0;
               @endphp
                <select name="ddl_receipt_yr" id="ddl_receipt_yr" class="form-select form-select-sm cl_receipt_det">
           <option value="">Select</option>
           @for($i=$year;$i>=1930;$i--)
          <option value="{{$i}}" @if($i==old('ddl_receipt_yr')) {{ 'selected' }} @elseif(($year==$i)) {{ 'selected' }} @endif>{{$i}}</option>
          @endfor
           </select>
                <small class="text-danger" id="txt_receipt_yr_e">
          @error('txt_receipt_no')
             {{$message}}
          @enderror
        </small>
            </div>

            <div class="col-sm-2 mb-1 @if(old('ddl_rec_mode')!='55') d-none @endif" id="dv_court_directed">
                <label for="ddl_court_directed" class="control-label"><b>Court Directed</b><span class="cl_red"> *</span></label>
             
                <select name="ddl_court_directed" id="ddl_court_directed" class="form-select form-select-sm">
           <option value="">Select</option>
           <option value="1" @if(old('ddl_court_directed')==1) selected @endif>No</option>
           <option value="2" @if(old('ddl_court_directed')==2) selected @endif>Yes</option>     
           </select>
                <small class="text-danger" id="ddl_court_directed_e">
          @error('ddl_court_directed')
             {{$message}}
          @enderror
        </small>
            </div>
     
            <!-- <div class="col-sm-6 mb-3">
                <label for="ddl_la_nature" class="control-label"><b>Nature of Legal Aid / Grievance</b><span class="cl_red"> *</span></label>
           <select name="ddl_la_nature" id="ddl_la_nature" class="form-select form-select-sm">
           <option value="">Select</option>
           @foreach($getLegalAidNatures as $getLegalAidNature)
               <option value="{{ $getLegalAidNature->id }}">{{ $getLegalAidNature->name }}</option>
             @endforeach
           </select>
            </div>-->

            <div class="col-sm-6 mb-1">
                <label for="ddl_la_des" class="control-label"><b>Summary of problem for which legal aid is sought</b><span class="cl_red"> *</span></label>
               <textarea name="ddl_la_des" id="ddl_la_des" rows="1" class="form-control form-control-sm">{{ old('ddl_la_des') }}</textarea>
            </div> 
        </div>
    </div>
</div>

 <div class="card mb-0 cl_upd_hds">
     <div class="card-header card-bg-color ">
         Applicant
         <div class="col-sm-1 offset-sm-1  form-check form-check-inline">
          
          <input type="radio" class="form-check-input cl_i_o is-valid-custom" id="rdn_individual" name="dbn_i_o" value="I"   @if( old('dbn_i_o') == 'I' || old('dbn_i_o')=='' ) {{ 'checked' }}  @endif>
       <label class="form-check-label" for="rdn_individual">Individual</label>
 
         <span class="help-block"></span>
         </div>
         <div class="col-sm-2 form-check form-check-inline">
          
          <input type="radio" class="form-check-input cl_i_o is-valid-custom" id="rdn_organization" name="dbn_i_o" value="O"  @if( old('dbn_i_o') == 'O' ) {{'checked' }}  @endif>
          <label class="form-check-label" for="rdn_organization">Organization</label>
  
          <span class="help-block"></span>
          </div>
     </div>
     <div class="card-body">
    
        <!-- <label class="control-label" ><b>Individual/Organization</b></label>
        
        <div class="form-check form-check-inline">
          
          <input type="radio" class="form-check-input cl_i_o" id="rdn_individual" name="dbn_i_o" value="I"   @if( old('dbn_i_o') == 'I' || old('dbn_i_o')=='' ) {{ 'checked' }}  @endif>
      <label class="form-check-label" for="rdn_individual">Individual</label>

        <span class="help-block"></span>
        </div> -->
        <!-- <div class="form-check form-check-inline">
          
        <input type="radio" class="form-check-input cl_i_o" id="rdn_organization" name="dbn_i_o" value="O"  @if( old('dbn_i_o') == 'O' ) {{'checked' }}  @endif>
        <label class="form-check-label" for="rdn_organization">Organization</label>

        <span class="help-block"></span>
        </div> -->


<!-- <div class="card mt-3 @if(old('dbn_i_o') == 'O') d-none  @endif" id="dv_individual">
           <div class="card-header bg-dark ">
             Individual
           </div>
            <div class="card-body"> -->

           
         <div class="row @if(old('dbn_i_o') == 'O') d-none  @endif" id="dv_individual">
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_name"><b>Name</b><span class="cl_red"> *</span></label>
        <input type="text" name="txt_name" id="txt_name" class="form-control form-control-sm" placeholder="Name" value="{{ old('txt_name') }}" >
        <small class="text-danger" id="txt_name_e">
        @error('txt_name')
              {{$message}}
        @enderror
        </small>
        </div>
       
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_relation"><b>Relation</b></label>
        <select name="ddl_relation" id="ddl_relation" class="form-select form-select-sm">
         <option value="0">Select</option>
        @foreach($getRelationDetails as $getRelationDetail)
        <option value="{{ $getRelationDetail->id }}" @if($getRelationDetail->id==old('ddl_relation')) {{ 'selected' }} @endif>{{ $getRelationDetail->name }}</option>
        @endforeach
       </select>
        <span class="help-block"></span>
        </div>
         
       
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_relpnm"><b>Father/Husband Name</b></label>
        <input type="text" name="txt_relpnm" id="txt_relpnm" class="form-control form-control-sm" placeholder="Name" value="{{ old('txt_relpnm') }}">
        <span class="help-block"></span>
        </div>
       
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_address"><b>Address</b><span class="cl_red"> *</span></label>
        <input type="text" name="txt_address" id="txt_address" class="form-control form-control-sm @error('txt_address') border border-danger @enderror" placeholder="Address" value="{{ old('txt_address') }}">
        <small class="text-danger" id="txt_address_e">
          @error('txt_address')
             {{$message}}
          @enderror
        </small>
        </div>
        

        
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_state"><b>State</b><span class="cl_red"> *</span></label>
       

        <select  name="ddl_state" id="ddl_state" class="form-select form-select-sm cl_ddlstate @error('ddl_state') border border-danger @enderror">
         <option value="">Select</option>
         @foreach($getStateDetails as $getStateDetail)
         <option value="{{$getStateDetail->state_code}}" @if(old('ddl_state')==$getStateDetail->state_code) {{'selected'}} @endif>{{$getStateDetail->state_name_english}}</option>
         @endforeach
       </select>
       <small class="text-danger" id="ddl_state_e">
          @error('ddl_state')
             {{$message}}
          @enderror
        </small>
        </div>
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_district"><b>District</b><span class="cl_red"> *</span></label>
        <select name="ddl_district" id="ddl_district" class="form-select form-select-sm @error('ddl_district') border border-danger @enderror cl_ddl_district">
         <option value="">Select</option>
         @if($getDistrictDetails && old('dbn_i_o')=='I')
         @foreach($getDistrictDetails as $getDistrictDetail)
         <option value="{{$getDistrictDetail->district_code}}" @if(old('ddl_district')==$getDistrictDetail->district_code) {{'selected'}} @endif>{{$getDistrictDetail->district_name_english}}</option>
         @endforeach
        @endif
       </select>
       <small class="text-danger" id="ddl_district_e">
          @error('ddl_district')
             {{$message}}
          @enderror
        </small>
        </div>
        

       
       
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_tehsil"><b>Tehsil</b></label>
        <select name="ddl_tehsil" id="ddl_tehsil" class="form-select form-select-sm cl_ddl_tehsil">
         <option value="">Select</option>
         @if($getSubDistrictDetails && old('dbn_i_o')=='I')
         @foreach($getSubDistrictDetails as $getSubDistrictDetail)
         <option value="{{$getSubDistrictDetail->subdistrict_code}}" @if(old('ddl_tehsil')==$getSubDistrictDetail->subdistrict_code) {{'selected'}} @endif>{{$getSubDistrictDetail->subdistrict_name_english}}</option>
         @endforeach
        @endif
         
       </select>
        <span class="help-block"></span>
        </div>
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_village"><b>Village</b></label>
        <select name="ddl_village" id="ddl_village" class="form-select form-select-sm">
         <option value="">Select</option>
         @if($getVillageDetails && old('dbn_i_o')=='I')
         @foreach($getVillageDetails as $getVillageDetail)
         <option value="{{$getVillageDetail->village_code}}" @if(old('ddl_village')==$getVillageDetail->village_code) {{'selected'}} @endif>{{$getVillageDetail->village_name_english}}</option>
         @endforeach
        @endif
        
       </select>
        <span class="help-block"></span>
        </div>
        

         
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_pincode"><b>Pincode</b></label>
        <input type="text" name="txt_pincode" id="txt_pincode" class="form-control form-control-sm @error('txt_pincode') border border-danger  @enderror" placeholder="Pincode" value="{{old('txt_pincode')}}">
        <small class="text-danger">
          @error('txt_pincode')
          {{$message}}
          @enderror
        </small>
        </div>
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_mobileno"><b>Mobile No.</b></label>
        <input type="text" name="txt_mobileno" id="txt_mobileno" class="form-control form-control-sm @error('txt_mobileno') border border-danger  @enderror" placeholder="Mobile No." value="{{old('txt_mobileno')}}">
        <small class="text-danger">
          @error('txt_mobileno')
          {{$message}}
          @enderror
        </small>
        </div>
        

       
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_email"><b>Email Id</b></label>
        <input type="text" name="txt_email" id="txt_email" class="form-control form-control-sm @error('txt_email') border border-danger  @enderror" placeholder="Email Id" value="{{old('txt_email')}}">
        <small class="text-danger">
          @error('txt_email')
          {{$message}}
          @enderror
        </small>
        </div>

        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_gender"><b>Gender</b><span class="cl_red"> *</span></label>
        <select name="ddl_gender" id="ddl_gender" class="form-select form-select-sm @error('ddl_gender') border border-danger  @enderror">
         <option value="">Select</option>
        @foreach($getGenders as $getGender)
        <option value="{{ $getGender->id }}" @if($getGender->id==old('ddl_gender')) {{ 'selected' }} @endif>{{ $getGender->name }}</option>
        @endforeach
       </select>
       <small class="text-danger" id="ddl_gender_e">
          @error('ddl_gender')
          {{$message}}
          @enderror
        </small>
        </div>

        <div class="col-sm-3 mb-1 d-none">
        <label class="control-label" for="ddl_religion"><b>Religion</b></label>
        <select name="ddl_religion" id="ddl_religion" class="form-select form-select-sm">
         <option value="">Select</option>
        @foreach($getReligions as $getReligion)
        <option value="{{ $getReligion->id }}" @if($getReligion->id==old('ddl_religion')) {{ 'selected' }} @endif>{{ $getReligion->name }}</option>
        @endforeach
       </select>
       <small class="text-danger" id="ddl_religion_e">
          @error('ddl_religion')
          {{$message}}
          @enderror
        </small>
        </div>

        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_caste"><b>Caste</b><span class="cl_red"> *</span></label>
        <select name="ddl_caste" id="ddl_caste" class="form-select form-select-sm">
         <option value="">Select</option>
        @foreach($getCastes as $getCaste)
        <option value="{{ $getCaste->id }}" @if($getCaste->id==old('ddl_caste')) {{ 'selected' }} @endif>{{ $getCaste->name }}</option>
        @endforeach
       </select>
       <small class="text-danger" id="ddl_caste_e">
          @error('ddl_caste')
          {{$message}}
          @enderror
        </small>
        </div>

        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_caste_cer_no"><b>Caste Certificate No.</b></label>
        <input type="text" name="txt_caste_cer_no" id="txt_caste_cer_no" class="form-control form-control-sm @error('txt_caste_cer_no') border border-danger  @enderror" placeholder="Caste Certificate No." value="{{old('txt_caste_cer_no')}}">
        <small class="text-danger">
          @error('txt_caste_cer_no')
          {{$message}}
          @enderror
        </small>
        </div>

        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_occupation"><b>Occupation</b></label>
        <select name="ddl_occupation" id="ddl_occupation" class="form-select form-select-sm">
         <option value="">Select</option>
        @foreach($getOccupations as $getOccupation)
        <option value="{{ $getOccupation->id }}" @if($getOccupation->id==old('ddl_occupation')) {{ 'selected' }} @endif>{{ $getOccupation->name }}</option>
        @endforeach
       </select>
       <small class="text-danger" id="ddl_occupation_e">
          @error('ddl_occupation')
          {{$message}}
          @enderror
        </small>
        </div>

        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_emp_details"><b>Employment Details</b></label>
        <input type="text" name="txt_emp_details" id="txt_emp_details" class="form-control form-control-sm @error('txt_emp_details') border border-danger  @enderror" placeholder="Employment Details" value="{{old('txt_emp_details')}}">
        <small class="text-danger">
          @error('txt_emp_details')
          {{$message}}
          @enderror
        </small>
        </div>

        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_ann_income"><b>Annual Income</b></label>
        <select name="ddl_ann_income" id="ddl_ann_income" class="form-select form-select-sm">
         <option value="">Select</option>
        @foreach($getAnnualIncomes as $getAnnualIncome)
        <option value="{{ $getAnnualIncome->id }}" @if($getAnnualIncome->id==old('ddl_ann_income')) {{ 'selected' }} @endif>{{ $getAnnualIncome->name }}</option>
        @endforeach
       </select>
       <small class="text-danger" id="ddl_ann_income_e">
          @error('ddl_ann_income')
          {{$message}}
          @enderror
        </small>
        </div>

        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_lower_pr_i"><b>Petitioner/Respondent<span class="cl_red"> *</span></b></label>
        <select name="ddl_lower_pr_i" id="ddl_lower_pr_i" class="form-select form-select-sm">
         <option value="">Select</option>
         <option value="P" @if(old('ddl_lower_pr_i')=='P') {{'selected'}} @endif>Petitioner/Appellant/Plaintiff</option>
         <option value="R" @if(old('ddl_lower_pr_i')=='R') {{'selected'}} @endif>Respondent</option>
       </select>
        <small  class="text-danger" id="sp_ddl_lower_pr_i_e"></small>
        </div>

        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_pr_no_i"><b>Petitioner/Respondent No.</b></label>
        <input type="text" name="txt_pr_no_i" id="txt_pr_no_i" class="form-control form-control-sm @error('txt_pr_no_i') border border-danger  @enderror" placeholder="" value="{{old('txt_pr_no_i')}}">
        <span class="text-danger" id="txt_pr_no_i_e">
          @error('txt_pr_no_i')
          {{$message}}
          @enderror
        </span>
        </div>
       </div>
        <!-- </div>
         </div> -->

         <!-- <div class="card mb-3 mt-3 @if(old('dbn_i_o') == 'I' || old('dbn_i_o')=='') d-none  @endif" id="dv_organization">
           <div class="card-header bg-dark ">Organization</div>
            <div class="card-body">-->
            <div class="row @if(old('dbn_i_o') == 'I' || old('dbn_i_o')=='') d-none  @endif" id="dv_organization"> 
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_oname"><b>Organization Name</b><span class="cl_red"> *</span></label>
        <input type="text" name="txt_oname" id="txt_oname" class="form-control form-control-sm @error('txt_oname') border border-danger @enderror" placeholder="Name" value="{{old('txt_oname')}}">
        <input type="hidden" name="hd_idd" id="hd_idd" value="{{old('hd_idd')}}">
        <small class="text-danger" id="txt_oname_e">
          @error('txt_oname')
             {{$message}}
          @enderror
        </small>
        </div>

        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_post"><b>Post</b></label>
        <input type="text" name="txt_post" id="txt_post" class="form-control form-control-sm @error('txt_post') border border-danger @enderror" placeholder="Name" value="{{old('txt_post')}}">
        <input type="hidden" name="hd_idd_post" id="hd_idd_post" value="{{old('hd_idd_post')}}">
        <span class="text-danger">
          @error('txt_post')
             {{$message}}
          @enderror
        </span>
        </div>

        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_name_op"><b>Name</b><span class="cl_red"> *</span></label>
        <input type="text" name="txt_name_op" id="txt_name_op" class="form-control form-control-sm" placeholder="Name" value="{{ old('txt_name_op') }}" >
        <span class="text-danger" id="txt_name_op_er">
        @error('txt_name_op')
              {{$message}}
        @enderror
        </span>
        </div>
       
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_oaddress"><b>Address</b><span class="cl_red"> *</span></label>
        <input type="text" name="txt_oaddress" id="txt_oaddress" class="form-control form-control-sm @error('txt_oaddress') border border-danger @enderror" placeholder="Address" value="{{old('txt_oaddress')}}">
        <small class="text-danger" id="txt_oaddress_e">
          @error('txt_oaddress')
             {{$message}}
          @enderror
        </small>
        </div>
         

       
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_opincode"><b>Pincode</b></label>
        <input type="text" name="txt_opincode" id="txt_opincode" class="form-control form-control-sm @error('txt_opincode') border border-danger  @enderror" placeholder="Pincode" value="{{old('txt_opincode')}}">
        <small class="text-danger">
          @error('txt_opincode')
          {{$message}}
          @enderror
        </small>
        </div>
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_ostate"><b>State</b><span class="cl_red"> *</span></label>
        <select name="ddl_ostate" id="ddl_ostate" class="form-select form-select-sm @error('ddl_ostate') border border-danger @enderror cl_ddlstate">
         <option value="">Select</option>
         @foreach($getStateDetails as $getStateDetail)
         <option value="{{$getStateDetail->state_code}}" @if(old('ddl_ostate')==$getStateDetail->state_code) {{'selected'}} @endif>{{$getStateDetail->state_name_english}}</option>
         @endforeach
        
       </select>
       <small class="text-danger" id="ddl_ostate_e">
          @error('ddl_ostate')
             {{$message}}
          @enderror
        </small>
        </div>
        

         
       
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_odistrict"><b>District</b><span class="cl_red"> *</span></label>
        <select name="ddl_odistrict" id="ddl_odistrict" class="form-select form-select-sm @error('ddl_odistrict') border border-danger @enderror cl_ddl_district">
         <option value="">Select</option>
         @if($getDistrictDetails && old('dbn_i_o')=='O')
         @foreach($getDistrictDetails as $getDistrictDetail)
         <option value="{{$getDistrictDetail->district_code}}" @if(old('ddl_odistrict')==$getDistrictDetail->district_code) {{'selected'}} @endif>{{$getDistrictDetail->district_name_english}}</option>
         @endforeach
        @endif
        
       </select>
       <small class="text-danger" id="ddl_odistrict_e">
          @error('ddl_odistrict')
             {{$message}}
          @enderror
        </small>
        </div>
       
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_otehsil"><b>Tehsil</b></label>
        <select name="txt_otehsil" id="txt_otehsil" class="form-select form-select-sm cl_ddl_tehsil">
         <option value="">Select</option>
         @if($getSubDistrictDetails && old('dbn_i_o')=='O')
         @foreach($getSubDistrictDetails as $getSubDistrictDetail)
         <option value="{{$getSubDistrictDetail->subdistrict_code}}" @if(old('txt_otehsil')==$getSubDistrictDetail->subdistrict_code) {{'selected'}} @endif>{{$getSubDistrictDetail->subdistrict_name_english}}</option>
         @endforeach
        @endif
         
       </select>
        <span class="help-block"></span>
        </div>
         

        
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_ovillage"><b>Village</b></label>
        <select name="ddl_ovillage" id="ddl_ovillage" class="form-select form-select-sm">
         <option value="">Select</option>
         @if($getVillageDetails && old('dbn_i_o')=='O')
         @foreach($getVillageDetails as $getVillageDetail)
         <option value="{{$getVillageDetail->village_code}}" @if(old('ddl_ovillage')==$getVillageDetail->village_code) {{'selected'}} @endif>{{$getVillageDetail->village_name_english}}</option>
         @endforeach
        @endif
        
       </select>
        <span class="help-block"></span>
        </div>
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_omobileno"><b>Mobile No.</b></label>
        <input type="text" name="txt_omobileno" id="txt_omobileno" class="form-control form-control-sm @error('txt_omobileno') border border-danger  @enderror" placeholder="Mobile No." value="{{old('txt_omobileno')}}">
        <small class="text-danger">
          @error('txt_omobileno')
          {{$message}}
          @enderror
        </small>
        </div>
         

         
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_oemailid"><b>Email Id</b></label>
        <input type="text" name="txt_oemailid" id="txt_oemailid" class="form-control form-control-sm @error('txt_oemailid') border border-danger  @enderror" placeholder="Email Id" value="{{old('txt_oemailid')}}">
        <small class="text-danger">
          @error('txt_oemailid')
          {{$message}}
          @enderror
        </small>
        </div>

        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_lower_pr"><b>Petitioner/Respondent</b></label>
        <select name="ddl_lower_pr" id="ddl_lower_pr" class="form-select form-select-sm">
         <option value="">Select</option>
         <option value="P" @if(old('ddl_lower_pr')=='P') {{'selected'}} @endif>Petitioner</option>
         <option value="R" @if(old('ddl_lower_pr')=='R') {{'selected'}} @endif>Respondent</option>
       </select>
       <small  class="text-danger" id="sp_ddl_lower_pr_e"></small>
        </div>

        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_pr_no"><b>Petitioner/Respondent No.</b></label>
        <input type="text" name="txt_pr_no" id="txt_pr_no" class="form-control form-control-sm @error('txt_pr_no') border border-danger  @enderror" placeholder="" value="{{old('txt_pr_no')}}">
        <span class="text-danger" id="txt_pr_no_e">
          @error('txt_pr_no')
          {{$message}}
          @enderror
        </span>
        </div>

        
        </div>
         <!-- </div>
         </div> -->
     </div>
 </div>

 <div class="card mb-1 cl_upd_hds">
     <div class="card-header card-bg-color ">
       Respondent (if any)&nbsp;&nbsp;
    
      <div class="form-check form-check-inline ps-4">
     <input type="radio" class="form-check-input cl_res_yn is-valid-custom" id="rdn_r_y" name="rdn_r_yn" value="Y"   @if( old('rdn_r_yn') == 'Y' ) {{ 'checked' }}  @endif>
      <label class="form-check-label" for="rdn_r_y">Yes</label>
     </div>
     <div class="form-check form-check-inline">
     <input type="radio" class="form-check-input cl_res_yn is-valid-custom" id="rdn_r_n" name="rdn_r_yn" value="N"   @if( old('rdn_r_yn') == 'N' || old('rdn_r_yn')=='') {{ 'checked' }}  @endif>
      <label class="form-check-label" for="rdn_r_n">No</label>
     </div>
     <small class="text-danger" id="rdn_r_yn_e">
          @error('ddl_ann_income')
          {{$message}}
          @enderror
        </small>
    </div>
     <div class="card-body @if(old('rdn_r_yn') == 'N' || old('rdn_r_yn') == '') d-none @endif" id="dv_respondent">
    
        <label class="control-label" ><b>Individual/Organization</b></label>
        
        <div class="form-check form-check-inline">
          
          <input type="radio" class="form-check-input cl_o_i_o" id="rdno_individual" name="dbn_o_i_o" value="I"   @if( old('dbn_o_i_o') == 'I' || old('dbn_o_i_o')=='' ) {{ 'checked' }}  @endif>
      <label class="form-check-label" for="rdno_individual">Individual</label>

        <span class="help-block"></span>
        </div>
        <div class="form-check form-check-inline">
          
        <input type="radio" class="form-check-input cl_o_i_o" id="rdno_organization" name="dbn_o_i_o" value="O"  @if( old('dbn_o_i_o') == 'O' ) {{'checked' }}  @endif>
        <label class="form-check-label" for="rdno_organization">Organization</label>

        <span class="help-block"></span>
        </div>


<div class="card mb-1 mt-1 @if(old('dbn_o_i_o') == 'O') d-none  @endif" id="dv_o_individual">
           <div class="card-header bg-dark ">
             Individual
           </div>
            <div class="card-body">

           
         <div class="row mb-1">
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_ioname"><b>Name</b><span class="cl_red"> *</span></label>
        <input type="text" name="txt_ioname" id="txt_ioname" class="form-control form-control-sm" placeholder="Name" value="{{ old('txt_ioname') }}" >
        <small class="text-danger" id="txt_ioname_e">
        @error('txt_ioname')
              {{$message}}
        @enderror
</small>
        </div>
       
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_iorelation"><b>Relation</b></label>
        <select name="ddl_orelation" id="ddl_iorelation" class="form-select form-select-sm">
         <option value="">Select</option>
        @foreach($getRelationDetails as $getRelationDetail)
        <option value="{{ $getRelationDetail->id }}" @if($getRelationDetail->id==old('ddl_iorelation')) {{ 'selected' }} @endif>{{ $getRelationDetail->name }}</option>
        @endforeach
       </select>
        <span class="help-block"></span>
        </div>
         
       
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_iorelpnm"><b>Father/Husband Name</b></label>
        <input type="text" name="txt_iorelpnm" id="txt_iorelpnm" class="form-control form-control-sm" placeholder="Name" value="{{ old('txt_iorelpnm') }}">
        <span class="help-block"></span>
        </div>
       
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_ioaddress"><b>Address</b><span class="cl_red"> *</span></label>
        <input type="text" name="txt_ioaddress" id="txt_ioaddress" class="form-control form-control-sm @error('txt_ioaddress') border border-danger @enderror" placeholder="Address" value="{{ old('txt_ioaddress') }}">
        <small class="text-danger" id="txt_ioaddress_e">
          @error('txt_ioaddress')
             {{$message}}
          @enderror
</small>
        </div>
        

        
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_iostate"><b>State</b><span class="cl_red"> *</span></label>
        <select name="ddl_iostate" id="ddl_iostate" class="form-select form-select-sm @error('ddl_iostate') border border-danger @enderror cl_ioddlstate">
         <option value="">Select</option>
         @foreach($getStateDetails as $getStateDetail)
         <option value="{{$getStateDetail->state_code}}" @if(old('ddl_iostate')==$getStateDetail->state_code) {{'selected'}} @endif>{{$getStateDetail->state_name_english}}</option>
         @endforeach
       </select>
       <small class="text-danger" id="ddl_iostate_e">
          @error('ddl_iostate')
             {{$message}}
          @enderror
</small>
        </div>
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_iodistrict"><b>District</b><span class="cl_red"> *</span></label>
        <select name="ddl_iodistrict" id="ddl_iodistrict" class="form-select form-select-sm @error('ddl_iodistrict') border border-danger @enderror cl_ioddl_district">
         <option value="">Select</option>
         @if($getDistrictDetails && old('dbn_o_i_o')=='I')
         @foreach($getDistrictDetails as $getDistrictDetail)
         <option value="{{$getDistrictDetail->district_code}}" @if(old('ddl_iodistrict')==$getDistrictDetail->district_code) {{'selected'}} @endif>{{$getDistrictDetail->district_name_english}}</option>
         @endforeach
        @endif
       </select>
       <small class="text-danger" id="ddl_iodistrict_e">
          @error('ddl_iodistrict')
             {{$message}}
          @enderror
</small>
        </div>
        

       
       
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_iotehsil"><b>Tehsil</b></label>
        <select name="ddl_iotehsil" id="ddl_iotehsil" class="form-select form-select-sm cl_ioddl_tehsil">
         <option value="">Select</option>
         @if($getSubDistrictDetails && old('dbn_o_i_o')=='I')
         @foreach($getSubDistrictDetails as $getSubDistrictDetail)
         <option value="{{$getSubDistrictDetail->subdistrict_code}}" @if(old('ddl_iotehsil')==$getSubDistrictDetail->subdistrict_code) {{'selected'}} @endif>{{$getSubDistrictDetail->subdistrict_name_english}}</option>
         @endforeach
        @endif
         
       </select>
        <span class="help-block"></span>
        </div>
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_iovillage"><b>Village</b></label>
        <select name="ddl_iovillage" id="ddl_iovillage" class="form-select form-select-sm">
         <option value="">Select</option>
         @if($getVillageDetails && old('dbn_o_i_o')=='I')
         @foreach($getVillageDetails as $getVillageDetail)
         <option value="{{$getVillageDetail->village_code}}" @if(old('ddl_iovillage')==$getVillageDetail->village_code) {{'selected'}} @endif>{{$getVillageDetail->village_name_english}}</option>
         @endforeach
        @endif
        
       </select>
        <span class="help-block"></span>
        </div>
        

         
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_iopincode"><b>Pincode</b></label>
        <input type="text" name="txt_iopincode" id="txt_iopincode" class="form-control form-control-sm @error('txt_iopincode') border border-danger  @enderror" placeholder="Pincode" value="{{old('txt_iopincode')}}">
        <small class="text-danger">
          @error('txt_iopincode')
          {{$message}}
          @enderror
</small>
        </div>
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_iomobileno"><b>Mobile No.</b></label>
        <input type="text" name="txt_iomobileno" id="txt_iomobileno" class="form-control form-control-sm @error('txt_iomobileno') border border-danger  @enderror" placeholder="Mobile No." value="{{old('txt_iomobileno')}}">
        <span class="text-danger">
          @error('txt_iomobileno')
          {{$message}}
          @enderror
        </span>
        </div>
        

       
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_ioemail"><b>Email Id</b></label>
        <input type="text" name="txt_ioemail" id="txt_ioemail" class="form-control form-control-sm @error('txt_ioemail') border border-danger  @enderror" placeholder="Email Id" value="{{old('txt_ioemail')}}">
        <span class="text-danger">
          @error('txt_ioemail')
          {{$message}}
          @enderror
        </span>
        </div>
        </div>
        </div>
         </div>

         <div class="card mb-1 mt-1 @if(old('dbn_o_i_o') == 'I' || old('dbn_o_i_o')=='') d-none  @endif" id="dv_oorganization">
           <div class="card-header bg-dark ">Organization</div>
            <div class="card-body">
            <div class="row ">
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_ooname"><b>Name</b><span class="cl_red"> *</span></label>
        <input type="text" name="txt_ooname" id="txt_ooname" class="form-control form-control-sm @error('txt_ooname') border border-danger @enderror" placeholder="Name" value="{{old('txt_ooname')}}">
        <input type="hidden" name="hd_oidd" id="hd_oidd" value="{{old('hd_oidd')}}">
        <small class="text-danger" id="txt_ooname_e">
          @error('txt_ooname')
             {{$message}}
          @enderror
</small>
        </div>
       
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_ooaddress"><b>Address</b><span class="cl_red"> *</span></label>
        <input type="text" name="txt_ooaddress" id="txt_ooaddress" class="form-control form-control-sm @error('txt_ooaddress') border border-danger @enderror" placeholder="Address" value="{{old('txt_ooaddress')}}">
        <small class="text-danger" id="txt_ooaddress_e">
          @error('txt_ooaddress')
             {{$message}}
          @enderror
        </small>
        </div>
         

       
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_oopincode"><b>Pincode</b></label>
        <input type="text" name="txt_oopincode" id="txt_oopincode" class="form-control form-control-sm @error('txt_oopincode') border border-danger  @enderror" placeholder="Pincode" value="{{old('txt_ooname')}}">
        <small class="text-danger">
          @error('txt_oopincode')
          {{$message}}
          @enderror
        </small>
        </div>
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_oostate"><b>State</b><span class="cl_red"> *</span></label>
        <select name="ddl_oostate" id="ddl_oostate" class="form-select form-select-sm @error('ddl_oostate') border border-danger @enderror cl_ioddlstate">
         <option value="">Select</option>
         @foreach($getStateDetails as $getStateDetail)
         <option value="{{$getStateDetail->state_code}}" @if(old('ddl_oostate')==$getStateDetail->state_code) {{'selected'}} @endif>{{$getStateDetail->state_name_english}}</option>
         @endforeach
        
       </select>
       <small class="text-danger" id="ddl_oostate_e">
          @error('ddl_oostate')
             {{$message}}
          @enderror
        </small>
        </div>
        

         
       
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_oodistrict"><b>District</b><span class="cl_red"> *</span></label>
        <select name="ddl_oodistrict" id="ddl_oodistrict" class="form-select form-select-sm @error('ddl_oodistrict') border border-danger @enderror cl_ioddl_district">
         <option value="">Select</option>
         @if($getDistrictDetails && old('dbn_o_i_o')=='O')
         @foreach($getDistrictDetails as $getDistrictDetail)
         <option value="{{$getDistrictDetail->district_code}}" @if(old('ddl_oodistrict')==$getDistrictDetail->district_code) {{'selected'}} @endif>{{$getDistrictDetail->district_name_english}}</option>
         @endforeach
        @endif
        
       </select>
       <small class="text-danger" id="ddl_oodistrict_e">
          @error('ddl_oodistrict')
             {{$message}}
          @enderror
        </small>
        </div>
       
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_ootehsil"><b>Tehsil</b></label>
        <select name="txt_ootehsil" id="txt_ootehsil" class="form-select form-select-sm cl_ioddl_tehsil">
         <option value="">Select</option>
         @if($getSubDistrictDetails && old('dbn_o_i_o')=='O')
         @foreach($getSubDistrictDetails as $getSubDistrictDetail)
         <option value="{{$getSubDistrictDetail->subdistrict_code}}" @if(old('txt_ootehsil')==$getSubDistrictDetail->subdistrict_code) {{'selected'}} @endif>{{$getSubDistrictDetail->subdistrict_name_english}}</option>
         @endforeach
        @endif
         
       </select>
        <span class="help-block"></span>
        </div>
         

        
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="ddl_oovillage"><b>Village</b></label>
        <select name="ddl_oovillage" id="ddl_oovillage" class="form-select form-select-sm">
         <option value="">Select</option>
         @if($getVillageDetails && old('dbn_o_i_o')=='O')
         @foreach($getVillageDetails as $getVillageDetail)
         <option value="{{$getVillageDetail->village_code}}" @if(old('ddl_oovillage')==$getVillageDetail->village_code) {{'selected'}} @endif>{{$getVillageDetail->village_name_english}}</option>
         @endforeach
        @endif
        
       </select>
        <span class="help-block"></span>
        </div>
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_oomobileno"><b>Mobile No.</b></label>
        <input type="text" name="txt_oomobileno" id="txt_oomobileno" class="form-control form-control-sm @error('txt_oomobileno') border border-danger  @enderror" placeholder="Mobile No." value="{{old('txt_oomobileno')}}">
        <small class="text-danger">
          @error('txt_oomobileno')
          {{$message}}
          @enderror
        </small>
        </div>
         

         
        
        <div class="col-sm-3 mb-1">
        <label class="control-label" for="txt_ooemailid"><b>Email Id</b></label>
        <input type="text" name="txt_ooemailid" id="txt_ooemailid" class="form-control form-control-sm @error('txt_ooemailid') border border-danger  @enderror" placeholder="Email Id" value="{{old('txt_ooemailid')}}">
        <small class="text-danger">
          @error('txt_ooemailid')
          {{$message}}
          @enderror
        </small>
        </div>
        </div>
         </div>
         </div>
     </div>
 </div>
 <div class="card cl_upd_hds">
   <div class="card-header card-bg-color ">Earlier Court Details
   <div class="form-check form-check-inline ps-4">
     <input type="radio" class="form-check-input cl_lc_yn is-valid-custom" id="rdn_lc_y" name="rdn_lc_yn" value="Y"   @if( old('rdn_lc_yn') == 'Y'  ) {{ 'checked' }}  @endif>
      <label class="form-check-label" for="rdn_lc_y">Yes</label>
     </div>
     <div class="form-check form-check-inline">
     <input type="radio" class="form-check-input cl_lc_yn is-valid-custom" id="rdn_lc_n" name="rdn_lc_yn" value="N"   @if( old('rdn_lc_yn') == 'N' ) {{ 'checked' }}  @endif>
      <label class="form-check-label" for="rdn_lc_n">No</label>
     </div>
     <small class="text-danger" id="rdn_lc_yn_e">
          @error('txt_ooemailid')
          {{$message}}
          @enderror
        </small>
   </div>
   <div class="card-body @if( old('rdn_lc_yn') != 'Y'  ) d-none @endif" id="dv_lc_hc_s">
  
      <div class="text-center">
        
        <div class="form-check form-check-inline">
        <input type="radio" class="form-check-input cl_lc_a" id="rdn_lc_sc" name="rdn_lc_a" value="4"   @if( old('rdn_lc_a') == '4') {{ 'checked' }}  @endif>
      <label class="form-check-label" for="rdn_lc_sc">Supreme Court</label>
      </div>

        <div class="form-check form-check-inline">
        <input type="radio" class="form-check-input cl_lc_a" id="rdn_lc_hc" name="rdn_lc_a" value="1"  @if( old('rdn_lc_a') == '1'  ) {{'checked' }}  @endif>
        <label class="form-check-label" for="rdn_lc_hc">High Court</label>
        </div>

        <div class="form-check form-check-inline">
        <input type="radio" class="form-check-input cl_lc_a" id="rdn_lc_dc" name="rdn_lc_a" value="3"  @if( old('rdn_lc_a') == '3' ) {{'checked' }}  @endif>
        <label class="form-check-label" for="rdn_lc_dc">District Court</label>
       </div>

       <div class="form-check form-check-inline">
        <input type="radio" class="form-check-input cl_lc_a" id="rdn_lc_oo" name="rdn_lc_a" value="2"  @if( old('rdn_lc_a') == '2' ) {{'checked' }}  @endif>
        <label class="form-check-label" for="rdn_lc_oo">Other</label>
       </div>

       <div class="form-check form-check-inline">
        <input type="radio" class="form-check-input cl_lc_a" id="rdn_lc_sto" name="rdn_lc_a" value="5"  @if( old('rdn_lc_a') == '5' ) {{'checked' }}  @endif>
        <label class="form-check-label" for="rdn_lc_sto">State Agency</label>
       </div>
       <small class="text-danger" id="rdn_lc_a_e">
          @error('txt_ooemailid')
          {{$message}}
          @enderror
        </small>

       </div>
<div class="card mt-1" id="dv_lc_details">

   </div>
   <!-- @if( old('rdn_lc_a')!='')
   @include('ANRNo.add_lc_record')
   @endif -->
   <small class="text-danger" id="sp_added_rec">
        
        </small>
          <div class="row mt-1"  id="dv_add_lc">
       
        <div class="col-sm-12 text-center">
        
        <button type="button" class="btn btn-secondary btn-sm" name="btn_add" id="btn_add">Add</button>
        
        </div>
        </div>
 </div>
 </div>
 
 <div class="row mt-1 cl_upd_hds">
       
        <div class="col-sm-12 text-center">
        
        <button type="button" class="btn btn-primary btn-sm" name="btn_submit_backlog" id="btn_submit_backlog">Submit</button>
        
        </div>
        </div>

   


 </form>

 <!-- The Modal -->
<!-- <button type="button" class="btn btn-primary" data-bs-toggle="modal" data-bs-target="#myModal">
  Open modal
</button> -->
<div class="modal" id="myModal">
  <div class="modal-dialog modal-xl">
    <div class="modal-content">

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

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

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

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

</div>
@endsection