der
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@ -54,7 +54,7 @@
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<div class="card-body p-3">
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<div class="row g-3">
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<div class="col-md-4">
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<label class="form-label small mb-1 fw-bold required text-muted text-uppercase"><?= _("Date d'Effet") ?></label>
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<label class="form-label small mb-1 fw-bold required text-muted"><?= _("Date d'Effet") ?></label>
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<div class="input-group input-group-sm">
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<span class="input-group-text bg-white border-primary-subtle text-primary"><i class="fas fa-calendar-alt"></i></span>
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<input type="text" id="dateEffetActe" name="dateEffetActe"
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</div>
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<div class="col-md-4">
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<label class="form-label small mb-1 fw-bold text-muted text-uppercase"><?= _("Plafond Forfaitaire") ?></label>
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<label class="form-label small mb-1 fw-bold text-muted"><?= _("Plafond Forfaitaire") ?></label>
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<div class="input-group input-group-sm">
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<span class="input-group-text bg-white text-success"><i class="fas fa-money-bill-wave"></i></span>
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<input type="text" id="forfaitPlafondActe" name="forfaitPlafondActe"
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</div>
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<div class="col-md-4">
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<label class="form-label small mb-1 fw-bold text-muted text-uppercase"><?= _("Ticket Modérateur (%)") ?></label>
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<label class="form-label small mb-1 fw-bold text-muted"><?= _("Ticket Modérateur (%)") ?></label>
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<div class="input-group input-group-sm">
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<span class="input-group-text bg-white text-danger"><i class="fas fa-percentage"></i></span>
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<input type="text" id="ticketModerateurActe" name="ticketModerateurActe"
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