@extends('layouts.header')
@section('content')
<!--  BEGIN CONTENT AREA  -->
<div class="page-header">
	<div class="breadcrumb-four">
		<ul class="breadcrumb">
			<li><a href="{{url('dashboard')}}"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="feather feather-home"><path d="M3 9l9-7 9 7v11a2 2 0 0 1-2 2H5a2 2 0 0 1-2-2z"></path><polyline points="9 22 9 12 15 12 15 22"></polyline></svg></a></li>
		</ul>
	</div>
</div>
<div class="row">
	<div class="col-lg-12 col-md-12 layout-spacing">
		<div class="statbox widget box box-shadow"> <!--  -->
			@csrf
			<div class="col-lg-12 col-md-12">
				<h6>Product Code</h6>
				<input type="text" name="SearchFieldID" id="SearchFieldID" class="form-control"/>
				<input type="button" name="SearchFields" id="SearchFields" class="btn btn-primary" value="Search" onClick="SearchAutofillData()"/>
			</div>
			<div class="col-lg-12 col-md-12">
				<table class="table">
					<tr>
					@php
						$loopcount=0;
					@endphp
					@foreach($FieldsArray as $key=>$value)
						<td>
							<h6>{{$value}}</h6>
							<input type="text" name="FieldID{{$loopcount}}" id="FieldID{{$loopcount}}" />
							<input type="hidden" name="DemographyID${{$loopcount}}" name="DemographyID${{$loopcount}}" />
						</td>
						@php
							$loopcount++;
						@endphp
					@endforeach
					</tr>
				</table>
			</div>
			@php
				
			@endphp
			<input type="hidden" name="AutofillCount" id="AutofillCount" value="{{$loopcount}}" />
		</div>
	</div>
</div>

<!--  END CONTENT AREA  -->
@endsection