120 lines
6.6 KiB
PHP
Executable File
120 lines
6.6 KiB
PHP
Executable File
<?php
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$tiersPayant = ($this->nettoyer($facture['tiersPayant'])=="1") ? "Oui" : "Non";
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?>
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<table class="table table-responsive table-condensed" style="font-size:9pt;">
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<tbody>
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<tr>
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<td width="7%"> <?= _("ID facture") ?> </td>
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<td width="13%"> <INPUT style="font-size:9pt;" class="form-control" value="<?= $this->nettoyer($facture['idFacture']) ?>" readonly></td>
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<td width="7%" style='text-align:center'> <?= _("Matricule") ?> </td>
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<td width="10%" ><INPUT style="font-size:9pt;" class="form-control" value="<?= $this->nettoyer($facture['numeroBeneficiaire']) ?>" readonly></td>
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<td width="7%" style='text-align:center'> <?= _("Bénéficiaire") ?> </td>
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<td width="25%" ><INPUT style="font-size:9pt;" class="form-control" value="<?= $this->nettoyer($facture['beneficiaire']) ?>" readonly></td>
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<td width="7%" style='text-align:center'> <?= _("Adhérent") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= $this->nettoyer($facture['adherent']) ?>" readonly></td>
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</tr>
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<tr>
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<td > <?= _("Police") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= $this->nettoyer($facture['numeroPolice']) ?>" readonly></td>
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<td style='text-align:center'> <?= _("Catégorie") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= $this->nettoyer($facture['codeProduit']) ?>" readonly></td>
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<td style='text-align:center'> <?= _("Mail / Tél") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= $this->nettoyer($facture['emailAdherent']) ?> / <?= $this->nettoyer($facture['telAdherent']) ?>" readonly></td>
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<td style='text-align:center'> <?= _("Client") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= $this->nettoyer($facture['souscripteur']) ?>" readonly></td>
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</tr>
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<tr>
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<td > Date </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= dateheureFr($this->nettoyer($facture['dateSysteme'])) ?>" readonly></td>
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<td style='text-align:center'> User </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= $this->nettoyer($facture['codeUtilisateur']) ?>" readonly></td>
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<td style='text-align:center'> <?= _("Prestataire") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= $this->nettoyer($facture['prestataire']) ?>" readonly></td>
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<td style='text-align:center'> <?= _("Etat") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= $this->nettoyer($facture['etatfacture']) ?>" readonly></td>
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</tr>
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<tr>
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<td> <?= _("Frais") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= format_N($this->nettoyer($facture['fraisReel'])) ?>" readonly></td>
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<td style='text-align:center'> <?= _("T M") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= format_N($this->nettoyer($facture['montantTm'])) ?>" readonly></td>
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<td style='text-align:center'> <?= _("A Remb.") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= format_N($this->nettoyer($facture['montantArembourser'])) ?>" readonly></td>
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<td style='text-align:center'> <?= _("Dépass.") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= format_N($this->nettoyer($facture['fraisExclu'])) ?>" readonly></td>
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</tr>
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<tr>
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<td> <?= _("Retenu") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= format_N($this->nettoyer($facture['fraisRetenu'])) ?>" readonly></td>
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<td style='text-align:center'> <?= _("Forcé") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= format_N($this->nettoyer($facture['montantForce'])) ?>" readonly></td>
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<td style='text-align:center'> <?= _("Redressé") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= format_N($this->nettoyer($facture['montantRedresse'])) ?>" readonly></td>
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<td style='text-align:center'> <?= _("A Payer") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= format_N($this->nettoyer($facture['montantApayer'])) ?>" readonly></td>
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</tr>
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<tr>
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<td > <?= _("Tiers Payant") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= $tiersPayant; ?>" readonly></td>
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<td style='text-align:center'> <?= _("No Decpte") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= $this->nettoyer($facture['numeroDecompte']) ?>" readonly></td>
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<td style='text-align:center'> <?= _("No Lot") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= $this->nettoyer($facture['numeroLotDecompte']) ?>" readonly></td>
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</tr>
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<tr>
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<td > <?= _("Vérificateur") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= $this->nettoyer($facture['userControle']) ?>" readonly></td>
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<td style='text-align:center'> <?= _("Date Decpte") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= dateFr($this->nettoyer($facture['dateDecompte'])) ?>" readonly></td>
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<td style='text-align:center'> <?= _("Date Reglt") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= dateheureFr($this->nettoyer($facture['heureReglement'])) ?>" readonly></td>
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<td style='text-align:center'> <?= _("Reglé") ?> </td>
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<td><INPUT style="font-size:9pt;" class="form-control" value="<?= format_N($this->nettoyer($facture['montantPaye'])) ?>" readonly></td>
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</tr>
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</tbody>
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</table>
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<table class="table table-responsive table-condensed" style='font-size:12pt;' >
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<tbody>
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<tr>
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<td> <button type="button" style="font-size:10pt;" class="form-control btn btn-info" onclick="javascript:consulterfacturefeuillemaladie();" > Feuille maladie...</button> </td>
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<td> <button type="button" style="font-size:10pt;" class="form-control btn btn-info" onclick="javascript:consulterfactureprestationactes();" > Prestations...</button> </td>
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<td> <button type="button" style="font-size:10pt;" class="form-control btn btn-info" onclick="javascript:consulterfacturemedicaments();" > Medicaments...</button> </td>
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<td> <button type="button" style="font-size:10pt;" class="form-control btn btn-info" onclick="javascript:consulterfactureverres();" > <?= _("Verres...") ?> </button> </td>
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<td> <button type="button" style="font-size:10pt;" class="form-control btn btn-info" onclick="javascript:consulterfactureged();" > GED / EDM ...</button> </td>
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</tr>
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</tbody>
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</table>
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