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</tr>
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<tr>
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<td> <?= _("Médecin") ?> </td>
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<td colspan="3"><INPUT style='font-size:9pt;' class="form-control" TYPE="text" value="<?= $feuillemaladie['medecinConsultation'] ?>" readonly ></td>
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<td> <?= _("Spécialité") ?> </td>
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<td colspan="3"><INPUT style='font-size:9pt;' class="form-control" TYPE="text" value="<?= $specialite ?>" readonly ></td>
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<td align="center"> <?= _("Raison Consultation") ?> </td>
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<td><INPUT style='font-size:9pt;' class="form-control" TYPE="text" value="<?= $feuillemaladie['raisonconsultation'] ?>" readonly ></td>
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</tr>
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<tr>
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<td> <?= _("Spécialité") ?> </td>
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<td colspan="5"><INPUT style='font-size:9pt;' class="form-control" TYPE="text" value="<?= $specialite ?>" readonly ></td>
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<td> <?= _("Médecin") ?> </td>
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<td colspan="5"><INPUT style='font-size:9pt;' class="form-control" TYPE="text" value="<?= $feuillemaladie['medecinConsultation'] ?>" readonly ></td>
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<td align="center"> <?= _("Optique") ?> </td>
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<td align="center" style='font-size:10pt; background-color:blue;color:white;'> <?= $feuillemaladie['numeroBonOptique'] ?> </td>
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