45 lines
2.3 KiB
PHP
Executable File
45 lines
2.3 KiB
PHP
Executable File
<input type="hidden" id="codeGcAssureur" name="codeGcAssureur" value="<?= htmlspecialchars($_SESSION['codeGcAssureur_C']) ?>">
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<div class="card">
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<div class="card-header">
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<h5><?= _("Bénéficiaires enregistrés") ?></h5>
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</div>
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<div class="card-body">
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<form action="#" onsubmit="showOverlay()" method="GET" id="form_search">
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<div class="row mb-3">
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<div class="col-md-6">
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<label for="nomGarant" class="form-label fw-bold"><?= _("Garant"); ?></label>
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<input type="text" class="form-control" id="nomGarant" name="nomGarant" value="<?= htmlspecialchars($_SESSION['GcAssureur_C']) ?>" disabled>
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<input type="hidden" name="nomGarant" value="<?= htmlspecialchars($_SESSION['GcAssureur_C']) ?>">
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</div>
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<div class="col-md-6">
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<label for="idPolice" class="form-label fw-bold"><?= _("Souscripteur"); ?></label>
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<select class="form-control selectpicker js-select2" data-live-search="true" id="idPolice" name="idPolice">
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<?php liste_options_consultation($Souscripteur, ""); ?>
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</select>
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</div>
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</div>
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<div class="row mb-3">
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<div class="col-md-6">
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<label for="nomBeneficiaire" class="form-label fw-bold"><?= _("Recherche Bénéficiaire"); ?></label>
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<input type="text" class="form-control" id="nomBeneficiaire" name="nomBeneficiaire" placeholder="Rechercher par Nom ou Prénoms ...">
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</div>
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<div class="col-md-6">
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<label for="etatBeneficiaire" class="form-label fw-bold"><?= _("État Bénéficiaire"); ?></label>
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<select class="form-control selectpicker js-select2" data-live-search="true" id="etatBeneficiaire" name="etatBeneficiaire">
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<?php liste_options_consultation($etat, ""); ?>
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</select>
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</div>
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</div>
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<div class="d-grid">
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<button type="button" class="btn btn-primary" onclick="afficher_Beneficiaires();"><?= _("Valider");?></button>
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</div>
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</form>
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<div id="div_Beneficiaires"></div>
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</div>
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</div>
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