116 lines
12 KiB
PHP
Executable File
116 lines
12 KiB
PHP
Executable File
<?php
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?>
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<INPUT class="sr-only" TYPE="text" id="actVisible" name="actVisible" value="<?= $_SESSION['actVisible'] ?>">
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<INPUT class="sr-only" TYPE="text" id="estMedecin" name="estMedecin" value="<?= $_SESSION['estMedecin'] ?>">
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<input class="sr-only" type="text" id="codeLangue" name="codeLangue" value="<?= $_SESSION['lang'] ?>">
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<input class="sr-only" type="text" id="codeLangueSociete" name="codeLangueSociete" value="<?= $_SESSION['codeLangueSociete'] ?>">
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<INPUT class="sr-only" TYPE="text" id="idSubstitut_C" NAME="idSubstitut_C" value="<?= $_SESSION['idSubstitut_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="substitutnonassure_C" NAME="substitutnonassure_C" value="<?= $_SESSION['substitutnonassure_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="substitutenVigueur_C" NAME="substitutenVigueur_C" value="<?= $_SESSION['substitutenVigueur_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="telephonePortableAdherent_C" NAME="telephonePortableAdherent_C" value="<?= $_SESSION['telephonePortableAdherent_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="smsMedecinConseil_C" NAME="smsMedecinConseil_C" value="<?= $_SESSION['smsMedecinConseil_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="smsGestionBon_C" NAME="smsGestionBon_C" value="<?= $_SESSION['smsGestionBon_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="smsDerogation_C" NAME="smsDerogation_C" value="<?= $_SESSION['smsDerogation_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="smsAccordPrealable_C" NAME="smsAccordPrealable_C" value="<?= $_SESSION['smsAccordPrealable_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="sms_standard_C" NAME="sms_standard_C" value="<?= $_SESSION['sms_standard_C'] ?>">
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<input class="sr-only" type="text" id="facturation" name="facturation" value= "0" >
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<input class="sr-only" type="text" id="remplacerordonnance" name="remplacerordonnance" value= "0" >
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<input class="sr-only" type="text" id="monture" name="monture" value= "0" >
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<input class="sr-only" type="text" id="codeProfil_C" name="codeProfil_C" value="<?= $_SESSION['codeProfil_C'] ?>">
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<input class="sr-only" type="text" id="codeTypeFacture_C" name="codeTypeFacture_C" value="<?= $_SESSION['codeTypeFacture_C'] ?>">
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<input class="sr-only" type="text" id="codeSociete" name="codeSociete" value="<?= $_SESSION['codeSociete'] ?>">
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<INPUT class="sr-only" TYPE="text" id="datejour_C" name="datejour_C" value="<?= $this->datejour ?>" >
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<INPUT class="sr-only" TYPE="text" id="heuresysteme_C" name="heuresysteme_C" value="<?= $this->heuresysteme ?>" >
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<INPUT class="sr-only datepicker" TYPE="text" id="datejourfr_C" name="datejourfr_C" value="<?= $this->datejourfr ?>" >
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<INPUT class="sr-only datepicker" TYPE="text" id="heuresystemefr_C" name="heuresystemefr_C" value="<?= $this->heuresystemefr ?>" >
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<INPUT class="sr-only" TYPE="text" id="codePrestataire_C" name="codePrestataire_C" value="<?= $_SESSION['codePrestataire_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="codeTypePrestataire_C" name="codeTypePrestataire_C" value="<?= $_SESSION['codeTypePrestataire_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="tmStandard_C" name="tmStandard_C" value="<?= $_SESSION['tmStandard_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="idBeneficiaire_C" name="idBeneficiaire_C" value="<?= $_SESSION['idBeneficiaire_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="idClient_C" name="idClient_C" value="<?= $_SESSION['idClient_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroClient_C" name="numeroClient_C" value="<?= $_SESSION['numeroClient_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="idPolice_C" name="idPolice_C" value="<?= $_SESSION['idPolice_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroPolice_C" name="numeroPolice_C" value="<?= $_SESSION['numeroPolice_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="codeEtatPolice_C" name="codeEtatPolice_C" value="<?= $_SESSION['codeEtatPolice_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="idCollege_C" name="idCollege_C" value="<?= $_SESSION['idCollege_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="codeProduit_C" name="codeProduit_C" value="<?= $_SESSION['codeProduit_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="idAdherent_C" name="idAdherent_C" value="<?= $_SESSION['idAdherent_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="codeEtatBeneficiaire_C" name="codeEtatBeneficiaire_C" value="<?= $_SESSION['codeEtatBeneficiaire_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="enVigueur_C" name="enVigueur_C" value="<?= $_SESSION['enVigueur_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="ageBeneficiaire_C" name="ageBeneficiaire_C" value="<?= $_SESSION['ageBeneficiaire_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="college_couvert_C" name="college_couvert_C" value="<?= $_SESSION['college_couvert_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="derogation_en_cours_C" name="derogation_en_cours_C" value="<?= $_SESSION['derogation_en_cours_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroFeuilleMaladie_C" name="numeroFeuilleMaladie_C" value="<?= $_SESSION['numeroFeuilleMaladie_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroPrescription_C" name="numeroPrescription_C" value="<?= $_SESSION['numeroPrescription_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroOptique_C" name="numeroOptique_C" value="<?= $_SESSION['numeroOptique_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroExamen_C" name="numeroExamen_C" value="<?= $_SESSION['numeroExamen_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroPrescriptionKine_C" name="numeroPrescriptionKine_C" value="<?= $_SESSION['numeroPrescriptionKine_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="idFacture_C" name="idFacture_C" value="<?= $_SESSION['idFacture_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroBonOrdonnance_C" name="numeroBonOrdonnance_C" value="<?= $_SESSION['numeroBonOrdonnance_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroBonConsultation_C" name="numeroBonConsultation_C" value="<?= $_SESSION['numeroBonConsultation_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroBonHospitalisation_C" name="numeroBonHospitalisation_C" value="<?= $_SESSION['numeroBonHospitalisation_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroBonOptique_C" name="numeroBonOptique_C" value="<?= $_SESSION['numeroBonOptique_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroBonExamen_C" name="numeroBonExamen_C" value="<?= $_SESSION['numeroBonExamen_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroBonKine_C" name="numeroBonKine_C" value="<?= $_SESSION['numeroBonKine_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroBonSeance_C" name="numeroBonSeance_C" value="<?= $_SESSION['numeroBonSeance_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="hospitalisation_C" name="hospitalisation_C" value="<?= $_SESSION['hospitalisation_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateEffetPolice_C" name="dateEffetPolice_C" value="<?= $_SESSION['dateEffetPolice_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateEffetPoliceFr_C" name="dateEffetPoliceFr_C" value="<?= dateFr($_SESSION['dateEffetPolice_C']) ?>">
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<INPUT class="sr-only" TYPE="text" id="dateFinPolice_C" name="dateFinPolice_C" value="<?= $_SESSION['dateFinPolice_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateFinPoliceFr_C" name="dateFinPoliceFr_C" value="<?= dateFr($_SESSION['dateFinPolice_C']) ?>">
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<INPUT class="sr-only" TYPE="text" id="dateEcheancePolice_C" name="dateEcheancePolice_C" value="<?= $_SESSION['dateEcheancePolice_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateEcheancePoliceFr_C" name="dateEcheancePoliceFr_C" value="<?= dateFr($_SESSION['dateEcheancePolice_C']) ?>">
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<INPUT class="sr-only" TYPE="text" id="dateEntreeBeneficiaire_C" name="dateEntreeBeneficiaire_C" value="<?= $_SESSION['dateEntreeBeneficiaire_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateEntreeBeneficiaireFr_C" name="dateEntreeBeneficiaireFr_C" value="<?= dateFr($_SESSION['dateEntreeBeneficiaire_C']) ?>">
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<INPUT class="sr-only" TYPE="text" id="dateEffetBeneficiaire_C" name="dateEffetBeneficiaire_C" value="<?= $_SESSION['dateEffetBeneficiaire_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateEffetBeneficiaireFr_C" name="dateEffetBeneficiaireFr_C" value="<?= dateFr($_SESSION['dateEffetBeneficiaire_C']) ?>">
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<INPUT class="sr-only" TYPE="text" id="dateSortieBeneficiaire_C" name="dateSortieBeneficiaire_C" value="<?= $_SESSION['dateSortieBeneficiaire_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateSortieBeneficiaireFr_C" name="dateSortieBeneficiaireFr_C" value="<?= dateFr($_SESSION['dateSortieBeneficiaire_C']) ?>">
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<INPUT class="sr-only" TYPE="text" id="adminBon" name="adminBon" value="<?= $_SESSION['adminBon'] ?>">
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<INPUT class="sr-only" TYPE="text" id="ajoutConsommable" name="ajoutConsommable" value="<?= $_SESSION['ajoutConsommable'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dUneSemaineAvant_C" name="dUneSemaineAvant_C" value="<?= $_SESSION['dUneSemaineAvant_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dUneSemaineAvantFr_C" name="dUneSemaineAvantFr_C" value="<?= dateLang($_SESSION['dUneSemaineAvant_C'], $_SESSION['lang']) ?>">
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<INPUT class="sr-only" TYPE="text" id="debutExercice_C" name="debutExercice_C" value="<?= $_SESSION['debutExercice_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="debutExerciceFr_C" name="debutExerciceFr_C" value="<?= $_SESSION['debutExerciceFr_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="debutMois_C" name="debutMois_C" value="<?= $_SESSION['debutMois_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="debutMoisFr_C" name="debutMoisFr_C" value="<?= $_SESSION['debutMoisFr_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="decede_C" name="decede_C" value="<?= $_SESSION['decede_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateDeces_C" name="dateDeces_C" value="<?= $_SESSION['dateDeces_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateDecesFr_C" name="dateDecesFr_C" value="<?= dateFr($_SESSION['dateDeces_C']) ?>">
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<input class="sr-only" type="text" id="codeExercice_C" name="codeExercice_C" value="<?= $_SESSION['codeExercice_C'] ?>">
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<input class="sr-only" type="text" id="codeMois_C" name="codeMois_C" value="<?= $_SESSION['codeMois_C'] ?>">
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<input class="sr-only" type="text" id="lienMail_C" name="lienMail_C" value="<?= $_SESSION['lienMail_C'] ?>">
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<input class="sr-only" type="text" id="dossierPhoto_C" name="dossierPhoto_C" value="<?= $_SESSION['dossierPhoto_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="emailAdherent_C" name="emailAdherent_C" value="<?= $_SESSION['emailAdherent_C'] ?>">
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<input class="sr-only" type="text" id="lienPrestation_C" name="lienPrestation_C" value="<?= $_SESSION['lienPrestation_C'] ?>" >
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<input class="sr-only" type="text" id="lienProduction_C" name="lienProduction_C" value="<?= $_SESSION['lienProduction_C'] ?>" >
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<input class="sr-only" type="text" id="lienGc_C" name="lienGc_C" value="<?= $_SESSION['lienGc_C'] ?>" >
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<input class="sr-only" type="text" id="codeGcAssureur_C" name="codeGcAssureur_C" value="<?= $_SESSION['codeGcAssureur_C'] ?>" >
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<!--
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<INPUT class="sr-only" TYPE="text" id="primeAnnuelPolice_C" name="primeAnnuelPolice_C" value="<?= $_SESSION['primeAnnuelPolice_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="sinistrePolice_C" name="sinistrePolice_C" value="<?= $_SESSION['sinistrePolice_C'] ?>">
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-->
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