56 lines
2.9 KiB
PHP
Executable File
56 lines
2.9 KiB
PHP
Executable File
<?php
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$this->titre = "INTER-SANTE - ". _("Fiche Police");
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$nbFactureGc = $this->nettoyer($gc['nbFactureGc']);
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?>
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<script type="text/javascript">
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</script>
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<input class="sr-only" type="text" id="idPolice" name="idPolice" value="<?= $this->nettoyer($gc['idPolice']) ?>" >
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<INPUT class="sr-only" TYPE="text" id="codeGcAssureur" NAME="codeGcAssureur" value="<?=$this->nettoyer($gc['codeGcAssureur'])?>">
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<INPUT class="sr-only" TYPE="text" id="nbFactureGc" NAME="nbFactureGc" value="<?= $nbFactureGc ?>">
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<legend> <?= _("Fiche Police") ?></legend>
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<table class="table table-responsive table-condensed" style='font-size:10pt;'>
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<tbody>
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<tr>
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<td width="10%" ><?= _("Souscripteur") ?></td>
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<td width="35%" ><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="souscripteur" NAME="souscripteur" value="<?=$this->nettoyer($gc['souscripteur'])?>" readonly></td>
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<td width="10%" align="center"><?= _("Police") ?></td>
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<td width="10%" ><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="numeroPolice" NAME="numeroPolice" value="<?=$this->nettoyer($gc['numeroPolice'])?>" readonly></td>
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<td width="10%" align="center"><?= _("Assureur") ?></td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="libelle" NAME="libelle" value="<?=$this->nettoyer($gc['gcassureur'])?>" readonly></td>
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</tr>
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<tr>
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<td><?= _("Tx Comm (%)") ?> </td>
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<td> <INPUT style='font-size:10pt;' class="form-control" id="tauxFraisReel" NAME="tauxFraisReel" TYPE="text" value="<?= $this->nettoyer($gc['tauxFraisReel']) ?>" readonly ></td>
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<td align="center"><?= _("Tx Redr (%)") ?> </td>
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<td> <INPUT style='font-size:10pt;' class="form-control" id="tauxRedressement" NAME="tauxRedressement" TYPE="text" value="<?= $this->nettoyer($gc['tauxRedressement']) ?>" readonly></td>
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<td align="center"> <?= _("Tx Tva (%)") ?> </td>
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<td> <INPUT style='font-size:10pt;' class="form-control" id="tauxTva" NAME="tauxTva" TYPE="text" value="<?= $this->nettoyer($gc['tauxTva']) ?>" readonly></td>
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</tr>
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<tr>
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<td> <?= _("Nouv Carte") ?> </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="fraisCarteAfn" NAME="fraisCarteAfn" value="<?=format_N($this->nettoyer($gc['fraisCarteAfn']))?>" readonly></td>
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<td align="center"> <?= _("Carte REN") ?> </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="fraisCarteRen" NAME="fraisCarteRen" value="<?=format_N($this->nettoyer($gc['fraisCarteRen']))?>" readonly></td>
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<td align="center"> <?= _("Carte RE-IMPR") ?> </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="fraisCarteImp" NAME="fraisCarteImp" value="<?=format_N($this->nettoyer($gc['fraisCarteImp']))?>" readonly></td>
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</tr>
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</tbody>
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</table>
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<div class="alert alert-danger">
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<H3> <?= _("Nombre de factures générées") . " : " . $nbFactureGc ?> </H3>
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</div>
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