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KONE SOREL 2026-03-15 10:10:24 +00:00
parent 7793c18cb8
commit 869b4fc7e8
1 changed files with 6 additions and 6 deletions
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Vue/Modifiergcassureur/index.php
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@ -152,32 +152,32 @@
<div class="card border-0 shadow-sm p-4">
<div class="row g-3">
<div class="col-md-4">
<label class="form-label small fw-bold text-muted"><?= _("N° Compte RD") ?></label>
<label class="form-label small fw-bold text-muted"><?= _("N° Compte Remboursement Direct") ?></label>
<input class="form-control majuscule shadow-none border-2" type="text" id="numerodeCompteComptableRD" name="numerodeCompteComptableRD" value="<?= $this->nettoyer($gc['numerodeCompteComptableRD']) ?>">
</div>
<div class="col-md-4">
<label class="form-label small fw-bold text-muted"><?= _("N° Compte TP") ?></label>
<label class="form-label small fw-bold text-muted"><?= _("N° Compte Tiers Payant") ?></label>
<input class="form-control majuscule shadow-none border-2" type="text" id="numerodeCompteComptableTP" name="numerodeCompteComptableTP" value="<?= $this->nettoyer($gc['numerodeCompteComptableTP']) ?>">
</div>
<div class="col-md-4">
<label class="form-label small fw-bold text-muted"><?= _("N° Contribuable") ?></label>
<label class="form-label small fw-bold text-muted"><?= _("N° Compte Contribuable") ?></label>
<input class="form-control majuscule shadow-none border-2" type="text" id="numeroCompteContribuable" name="numeroCompteContribuable" value="<?= $this->nettoyer($gc['numeroCompteContribuable']) ?>">
</div>
<div class="col-md-4">
<label class="form-label small fw-bold text-muted"><?= _("Tarif Actes") ?></label>
<select name="codeTarifActe" id="codeTarifActe" class="form-select selectpicker border-2" data-live-search="true">
<select name="codeTarifActe" id="codeTarifActe" class="form-control selectpicker border-2 w-100" data-live-search="true">
<?= liste_options($tarifActe, $this->nettoyer($gc['codeTarifActe']), false) ?>
</select>
</div>
<div class="col-md-4">
<label class="form-label small fw-bold text-muted"><?= _("Type Remboursement") ?></label>
<select class="form-select selectpicker border-2" id="codeTypeRemboursement" name="codeTypeRemboursement">
<select class="form-control selectpicker border-2 w-100" id="codeTypeRemboursement" name="codeTypeRemboursement" data-live-search="true">
<?php liste_options($typeremboursement, $this->nettoyer($gc['codeTypeRemboursement']), true); ?>
</select>
</div>
<div class="col-md-4">
<label class="form-label small fw-bold text-muted"><?= _("Mode Paiement") ?> <span class="text-danger">*</span></label>
<select class="form-select selectpicker border-2" id="codeModePaiementDemande" name="codeModePaiementDemande" required>
<select class="form-control selectpicker border-2 w-100" id="codeModePaiementDemande" name="codeModePaiementDemande" data-live-search="true" required>
<?= liste_options($modepaiement, $this->nettoyer($gc['codeModePaiementDemande']), true) ?>
</select>
</div>