78 lines
4.0 KiB
PHP
Executable File
78 lines
4.0 KiB
PHP
Executable File
<?php
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$this->titre = "INTER-SANTE - Enregistrer bordereau";
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?>
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<form method="post" action="Enregencaisbord/enregistrer">
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<INPUT class="sr-only" TYPE="text" id="idEncaissementTemp" name="idEncaissementTemp" value="<?= $_SESSION['idEncaissementTemp'] ?>">
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<fieldset>
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<legend> <?= _("Informations Générales sur l'encaissement") ?> </legend>
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<table class="table table-responsive table-condensed">
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<tbody>
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<tr>
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<td width="15%" > <?= _("Apporteur") ?> </td>
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<td width="35%" > <INPUT class="form-control" TYPE="text" id="apporteur" NAME="apporteur" value="<?=$encaissement['apporteur']?>" readonly ></td>
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<td width="15%" align="center"> <?= _("Mode Paiement") ?> </td>
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<td> <INPUT class="form-control" TYPE="text" id="modepaiement" NAME="modepaiement" value="<?=$encaissement['modepaiement']?>" readonly ></td>
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</tr>
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<tr>
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<td> <?= _("Moyen Paiement") ?> </td>
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<td> <INPUT class="form-control" TYPE="text" id="moyenpaiement" NAME="moyenpaiement" value="<?=$encaissement['moyenpaiement']?>" readonly ></td>
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<td align="center"> <?= _("Cpte bancaire") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="numeroCompte" NAME="numeroCompte" value="<?=$encaissement['numeroCompte']?>" readonly ></td>
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</tr>
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<tr>
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<td> <?= _("Réf Paiement") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="referencePaiement" NAME="referencePaiement" value="<?=$encaissement['referencePaiement']?>" readonly ></td>
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<td align="center"> <?= _("Nom du Tireur") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="nomTireur" NAME="nomTireur" value="<?=$encaissement['nomTireur']?>" readonly></td>
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</tr>
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<tr>
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<td> <?= _("Etab Payeur") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="banquePayeur" NAME="banquePayeur" value="<?=$encaissement['banquePayeur']?>" readonly></td>
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<td align="center"> <?= _("No Bordereau") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="numeroBordereau" NAME="numeroBordereau" value="<?=$encaissement['numeroBordereau']?>" readonly></td>
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</tr>
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<tr>
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<td> <?= _("Date Bordereau") ?> </td>
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<td><INPUT class="form-control " TYPE="text" id="dateBordereau" NAME="dateBordereau" value="<?= dateLang($encaissement['dateBordereau']) ?>" readonly></td>
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<td align="center"> <?= _("Libellé") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="libelleOperation" NAME="libelleOperation" placeholder="Libellé de l'opération" value="<?=$encaissement['libelleOperation']?>" readonly></td>
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</tr>
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<tr>
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<td> <?= _("Date Cpt") ?> </td>
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<td><INPUT class="form-control " TYPE="text" id="dateComptable" NAME="dateComptable" value="<?= dateLang($encaissement['dateComptable']) ?>" readonly></td>
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<td align="center"> <?= _("Date Encaissement") ?> </td>
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<td><INPUT class="form-control " TYPE="text" id="dateEncaissement" NAME="dateEncaissement" value="<?= dateLang($encaissement['dateEncaissement']) ?>" readonly></td>
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</tr>
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<tr>
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<td> <?= _("Montant") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="montant" NAME="montant" value=" <?= format_N($this->nettoyer($encaissement['montant'])) ?>" readonly></td>
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<td align="center"> <?= _("Imput Quittances") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="montantSelection" NAME="montantSelection" value=" <?= format_N($this->nettoyer($encaissement['montantSelection'])) ?>" readonly></td>
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</tr>
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<tr>
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<td> <?= _("Ecart") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="montantEcart" NAME="montantEcart" value=" <?= format_N($this->nettoyer($encaissement['montantEcart'])) ?>" readonly></td>
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<td></td>
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<td align="center"><input id="btn_enreg" name="btn_enreg" class = "form-control btn btn-primary" type="submit" value="<?= _("Enregistrer") ?>" /></td>
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</tr>
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</tbody>
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</table>
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</fieldset>
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</form>
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