84 lines
4.3 KiB
PHP
Executable File
84 lines
4.3 KiB
PHP
Executable File
<?php
|
|
$this->titre = "INTER-SANTE - Consulter Dérogation";
|
|
$codeDerogation = $this->nettoyer($derogation['codeDerogation']);
|
|
?>
|
|
|
|
<form id="frmderogation" name="frmderogation" method="post" >
|
|
|
|
<INPUT class="sr-only" TYPE="text" id="idDemandederogation" name="idDemandederogation" value="<?= $this->nettoyer($derogation['idDemandederogation']) ?>">
|
|
<INPUT class="sr-only" TYPE="text" id="prestataire" name="prestataire" value="<?= $this->nettoyer($derogation['prestataire']) ?>">
|
|
<INPUT class="sr-only" TYPE="text" id="beneficiaire" name="beneficiaire" value="<?= $this->nettoyer($derogation['beneficiaire']) ?>">
|
|
<INPUT class="sr-only" TYPE="text" id="numeroBeneficiaire" name="numeroBeneficiaire" value="<?= $this->nettoyer($derogation['numeroBeneficiaire']) ?>">
|
|
<INPUT class="sr-only" TYPE="text" id="libelleDerogation" name="libelleDerogation" value="<?= $this->nettoyer($derogation['libelleDerogation']) ?>">
|
|
<INPUT class="sr-only" TYPE="text" id="codeDerogation" name="codeDerogation" value="<?= $codeDerogation ?>">
|
|
|
|
|
|
<legend> <?= _("Consultation d'une dérogation") ?> </legend>
|
|
|
|
<table class="table table-responsive table-condensed" style='font-size:10pt;'>
|
|
<tbody>
|
|
<tr>
|
|
<td width="15%" > <?= _("No") ?> </td>
|
|
<td width="20%"> <INPUT id="numeroDerogation" name="numeroDerogation" class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['numeroDerogation']) ?>" readonly> </td>
|
|
|
|
<td width="15%" align="center"> <?= _("Dérogation") ?> </td>
|
|
<td colspan="3"> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['libelleDerogation']) ?>" readonly> </td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> Date </td>
|
|
<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= dateheureLang($this->nettoyer($derogation['dateSysteme'])) ?>" readonly> </td>
|
|
|
|
<td align="center"> <?= _("Prestataire") ?> </td>
|
|
<td colspan="3"> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['prestataire']) ?>" readonly> </td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("Bénéficiaire") ?> </td>
|
|
<td colspan="5"><INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['beneficiaire']) ?>" readonly> </td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("Motivations") ?> </td>
|
|
<td colspan="5"><INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['observations']) ?>" readonly> </td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("Répondu le") ?> </td>
|
|
<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= dateheureLang($this->nettoyer($derogation['dateReponse'])) ?>" readonly> </td>
|
|
|
|
<td align="center"> <?= _("Réponse") ?> </td>
|
|
<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['reponseDerogation']) ?>" readonly> </td>
|
|
|
|
<td align="center"> <?= _("Par") ?> </td>
|
|
<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['responsableDerogation']) ?>" readonly> </td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("Motif Réel") ?> </td>
|
|
<td colspan="5"><INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['motifReel']) ?>" readonly> </td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("Motif Assuré") ?> </td>
|
|
<td colspan="5"><INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['motifRefusAssure']) ?>" readonly> </td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("Début jeton") ?> </td>
|
|
<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= dateLang($this->nettoyer($derogation['debut'])) ?>" readonly> </td>
|
|
|
|
<td align="center" > <?= _("Fin jeton") ?> </td>
|
|
<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= dateLang($this->nettoyer($derogation['fin'])) ?>" readonly> </td>
|
|
|
|
<td align="center" > <?= _("T M") ?> </td>
|
|
<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['tmDerogation']) ?>" readonly> </td>
|
|
</tr>
|
|
</tbody>
|
|
</table>
|
|
|
|
</form>
|
|
|
|
<div id ="div_wait">
|
|
</div>
|