{% extends 'base.html.twig' %}

{% block title %}Budget Monitoring{% endblock %}

{% block content %}
	<div class="kt-subheader kt-grid__item"></div>

	<form class="kt-form" method="POST" autocomplete="off">
		<div class="kt-container kt-grid__item kt-grid__item--fluid">
			<div class="kt-portlet kt-portlet--mobile">
				<div class="kt-portlet__head kt-portlet__head--lg">
					<div class="kt-portlet__head-label">
						<h3 class="kt-portlet__head-title">Budget Monitoring</h3>
					</div>

					<div class="kt-portlet__head-toolbar">
						<div class="kt-portlet__head-wrapper">
							<a href="{{ path('dashboard') }}" class="btn btn-clean btn-icon-sm mr-2"><i class="la la-long-arrow-left"></i>Back</a>
							<a href="{{ app.request.uri }}" class="btn btn-secondary btn-bold mr-2">Reset</a>
							<button class="btn btn-primary btn-bold">Submit</button>
						</div>
					</div>
				</div>

				<div class="kt-portlet__body">
					<div class="form-group row">
						<label class="col-3 col-form-label font-weight-bold">Type of Budget</label>

						<div class="col-6">
							<select name="budget_type" class="form-control">
								<option value="">Select Type of Budget</option>
								<option value="All">All</option>
								<option value="Medical Education">Medical Education</option>
								<option value="Medical Services">Medical Services</option>
								<option value="Public Health">Public Health</option>
								<option value="Family Welfare">Family Welfare</option>
								<option value="SIHFW">SIHFW</option>
								<option value="FDCA">FDCA</option>
								<option value="Ayush">Ayush</option>
								<option value="Vital Statics">Vital Statics</option>
							</select>
						</div>
					</div>

					<div class="form-group row">
						<label class="col-3 col-form-label font-weight-bold">Budget</label>

						<div class="col-6">
							<select name="budget" class="form-control">
								<option value="">Select Budget</option>
								<option value="Total">Total</option>
								<option value="NHM">NHM</option>
								<option value="State">State</option>
							</select>
						</div>
					</div>

					<div class="form-group row">
						<label class="col-3 col-form-label font-weight-bold">Program</label>

						<div class="col-6">
							<input type="text" name="program" class="form-control" maxlength="50" onkeydown="return /[0-9a-zA-Z ]/i.test(event.key)">
						</div>
					</div>

					<div class="form-group row">
						<label class="col-3 col-form-label font-weight-bold">Budget Head</label>

						<div class="col-6">
							<select name="budget_head" class="form-control">
								<option value="">Select Budget Head</option>
								<option value="Service delivery - Facility based">Service delivery - Facility based</option>
								<option value="Service delivery - Community Intervention">Service delivery - Community Intervention</option>
								<option value="Community Intervention">Community Intervention</option>
								<option value="Untied Fund">Untied Fund</option>
								<option value="Infrastructure">Infrastructure</option>
								<option value="Procurement">Procurement</option>
								<option value="Referral Transport">Referral Transport</option>
								<option value="Human Resource">Human Resource</option>
								<option value="Training &amp; Capacity Building">Training &amp; Capacity Building</option>
								<option value="Review, Research, Surveillance &amp; Surveys">Review, Research, Surveillance &amp; Surveys</option>
								<option value="IEC / BCC">IEC / BCC</option>
								<option value="Printing">Printing</option>
								<option value="Quality Assurance">Quality Assurance</option>
								<option value="Drug Warehousing and Logistics">Drug Warehousing and Logistics</option>
								<option value="PPP">PPP</option>
								<option value="Program Management">Program Management</option>
								<option value="IT Initiatives for strengthening Service Delivery">IT Initiatives for strengthening Service Delivery</option>
								<option value="Innovations (if any)">Innovations (if any)</option>
								<option value="New Program">New Program</option>
								<option value="Total Budget">Total Budget</option>
							</select>
						</div>
					</div>

					<div class="form-group row">
						<label class="col-3 col-form-label font-weight-bold">Budget Subhead</label>

						<div class="col-6">
							<select name="subhead" class="form-control">
								<option value="">Select Budget Subhead</option>
								<option value="Service Delivery - Facility Based">Service Delivery - Facility Based</option>
								<option value="Service Delivery - Community Intervention">Service Delivery - Community Intervention</option>
								<option value="Beneficiary Compensation / Allowances">Beneficiary Compensation / Allowances</option>
								<option value="Beneficiary Compensation under Janani Suraksha Yojana (JSY)">Beneficiary Compensation under Janani Suraksha Yojana (JSY)</option>
								<option value="Beneficiary Compensation under FP Services">Beneficiary Compensation under FP Services</option>
								<option value="Others">Others</option>
								<option value="Operating Expenses">Operating Expenses</option>
								<option value="Service Delivery - Community Based">Service Delivery - Community Based</option>
								<option value="Mobile Units">Mobile Units</option>
								<option value="Recurring / Operational Cost">Recurring / Operational Cost</option>
								<option value="Outreach Activities">Outreach Activities</option>
								<option value="Community Interventions">Community Interventions</option>
								<option value="ASHA Activities">ASHA Activities</option>
								<option value="Performance Incentive / Other Incentive to ASHAs">Performance Incentive / Other Incentive to ASHAs</option>
								<option value="Selection &amp; Training of ASHA">Selection &amp; Training of ASHA</option>
								<option value="Miscellaneous ASHA Costs">Miscellaneous ASHA Costs</option>
								<option value="Other Community Interventions">Other Community Interventions</option>
								<option value="Panchayati Raj Institutions (PRIs)">Panchayati Raj Institutions (PRIs)</option>
								<option value="Untied Fund">Untied Fund</option>
								<option value="Infrastructure">Infrastructure</option>
								<option value="Upgradation of existing facilities">Upgradation of existing facilities</option>
								<option value="New Constructions">New Constructions</option>
								<option value="Other Construction / Civil Works">Other Construction / Civil Works</option>
								<option value="Procurement">Procurement</option>
								<option value="Procurement of Equipment">Procurement of Equipment</option>
								<option value="Procurement of Drugs and Supplies">Procurement of Drugs and Supplies</option>
								<option value="Procurement of Other Drugs and Supplies">Procurement of Other Drugs and Supplies</option>
								<option value="National Free Diagnostic Services">National Free Diagnostic Services</option>
								<option value="Procurement (Others)">Procurement (Others)</option>
								<option value="Referral Transport">Referral Transport</option>
								<option value="Service Delivery - Human Resource">Service Delivery - Human Resource</option>
								<option value="Human Resources">Human Resources</option>
								<option value="Annual increment for all the existing positions">Annual increment for all the existing positions</option>
								<option value="EPF <= 15k">EPF for Salaries &le; Rs. 15,000</option>
								<option value="Incentives and Allowances">Incentives and Allowances</option>
								<option value="Training &amp; Capacity Building">Training &amp; Capacity Building</option>
								<option value="Setting Up &amp; Strengthening of Skill Lab / Other Training Centres">Setting Up &amp; Strengthening of Skill Lab / Other Training Centres</option>
								<option value="HR for Skill Lab / Training Institutes / SIHFW">HR for Skill Lab / Training Institutes / SIHFW</option>
								<option value="Trainings">Trainings</option>
								<option value="Review, Research, Surveillance &amp; Surveys">Review, Research, Surveillance &amp; Surveys</option>
								<option value="Reviews">Reviews</option>
								<option value="Research &amp; Surveys">Research &amp; Surveys</option>
								<option value="Surveillance">Surveillance</option>
								<option value="Other Recurring cost">Other Recurring cost</option>
								<option value="IEC / BCC">IEC / BCC</option>
								<option value="Printing">Printing</option>
								<option value="Quality Assurance">Quality Assurance</option>
								<option value="Kayakalp">Kayakalp</option>
								<option value="Any other Activity">Any other Activity</option>
								<option value="Drug Warehousing and Logistics">Drug Warehousing and Logistics</option>
								<option value="Drug Warehousing">Drug Warehousing</option>
								<option value="Logistics and Supply Chain">Logistics and Supply Chain</option>
								<option value="PPP">PPP</option>
								<option value="Programme Management">Programme Management</option>
								<option value="Planning Activities">Planning Activities</option>
								<option value="Monitoring &amp; Data Management">Monitoring &amp; Data Management</option>
								<option value="HMIS &amp; MCTS">HMIS &amp; MCTS</option>
								<option value="Any Other PM Activities">Any Other PM Activities</option>
								<option value="IT Initiatives for strengthening Service Delivery">IT Initiatives for strengthening Service Delivery</option>
								<option value="Innovations">Innovations</option>
							</select>
						</div>
					</div>

					<div class="form-group row">
						<label class="col-3 col-form-label font-weight-bold">Total Budget</label>

						<div class="col-6">
							<input type="number" name="total_budget" class="form-control total_budget" min="1" maxlength="10" oninput="this.value = this.value.replace(/[^0-9]/g, '')">
						</div>
					</div>

					<div class="form-group row">
						<label class="col-3 col-form-label font-weight-bold">State Budget</label>

						<div class="col-6">
							<input type="number" name="state_budget" class="form-control state_budget" min="1" maxlength="10" oninput="this.value = this.value.replace(/[^0-9]/g, '')">
						</div>
					</div>

					<div class="form-group row">
						<label class="col-3 col-form-label font-weight-bold">NHM Budget</label>

						<div class="col-6">
							<input type="number" name="nhm_budget" class="form-control nhm_budget" min="1" maxlength="10" oninput="this.value = this.value.replace(/[^0-9]/g, '')">
						</div>
					</div>

					<div class="form-group row">
						<label class="col-3 col-form-label font-weight-bold">% of Expenditure (State)</label>

						<div class="col-6">
							<input type="number" name="state_budget_percent" class="form-control state_budget_percent" min="1" maxlength="10" max="10" oninput="this.value = this.value.replace(/[^0-9]/g, '')">
						</div>
					</div>

					<div class="form-group row">
						<label class="col-3 col-form-label font-weight-bold">% of Expenditure (NHM)</label>

						<div class="col-6">
							<input type="number" name="nhm_budget_percent" class="form-control nhm_budget_percent" min="1" maxlength="10" oninput="this.value = this.value.replace(/[^0-9]/g, '')">
						</div>
					</div>
				</div>
			</div>
		</div>
	</form>
{% endblock %}