97 lines
5.1 KiB
PHP
Executable File
97 lines
5.1 KiB
PHP
Executable File
<?php
|
|
$this->titre = "INTER-SANTE - Paiement facture Classique";
|
|
|
|
$idFacture = $_SESSION['idFacture_C'];
|
|
?>
|
|
|
|
<input class="sr-only" type="text" id="idFacture" name="idFacture" value="<?= $idFacture ?>" >
|
|
<input class="sr-only" type="text" id="montantPaye" name="montantPaye" value="<?= $facture['montantApayer'] ?>" >
|
|
|
|
<input style='text-align:center; font-size:11pt;' class="form-control" type="text"
|
|
value= "Informations sur la facture à rembourser hors tiers payant" readonly >
|
|
|
|
<table class="table table-responsive table-condensed" style='font-size:10pt;'>
|
|
<tbody>
|
|
<tr>
|
|
<td width="8%" > <?= _("Frais") ?> </td>
|
|
<td><INPUT style='font-size:10pt; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($facture['fraisReel'])) ?>" readonly ></td>
|
|
|
|
<td width="7%" align="center" > <?= _("T M") ?> </td>
|
|
<td><INPUT style='font-size:10pt; color:red; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($facture['montantTm'])) ?>" readonly ></td>
|
|
|
|
<td width="7%" align="center" > <?= _("A Remb") ?> </td>
|
|
<td> <INPUT style='font-size:10pt; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($facture['montantArembourser'])) ?>" readonly ></td>
|
|
|
|
<td width="7%" align="center" > <?= _("Dépas") ?> </td>
|
|
<td><INPUT style='font-size:10pt; color:red; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($facture['fraisExclu'])) ?>" readonly ></td>
|
|
|
|
<td width="7%" align="center"> <?= _("Retenu") ?> </td>
|
|
<td><INPUT style='font-size:10pt; color:blue; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($facture['fraisRetenu'])) ?>" readonly ></td>
|
|
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("Prestataire") ?> </td>
|
|
<td colspan="5"><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="prestataire" NAME="prestataire" value="<?= $this->nettoyer($facture['prestataire']) ?>" readonly ></td>
|
|
|
|
<td align="center" > <?= _("No Fact") ?> </td>
|
|
<td><INPUT class="form-control" style='font-size:10pt; text-align:center;' TYPE="text" id="numeroFacture" NAME="numeroFacture" value="<?= $this->nettoyer($facture['numeroFacture']) ?>" readonly ></td>
|
|
|
|
<td align="center" > <?= _("Date Fact") ?> </td>
|
|
<td><INPUT style='font-size:10pt; text-align:center;' class="form-control datepicker" TYPE="text" id="dateFacture" NAME="dateFacture" value="<?= dateLang($this->nettoyer($facture['dateFacture'])) ?>" readonly ></td>
|
|
<tr>
|
|
|
|
<tr>
|
|
<td > Observat </td>
|
|
<td colspan="5"><INPUT style='font-size:10pt;' id="observations" name="observations" class="form-control" TYPE="text" value="<?= $this->nettoyer($facture['observations']) ?>" readonly></td>
|
|
|
|
<td align="center"> <?= _("T M") ?> </td>
|
|
<td>
|
|
<INPUT id="tmFacture" name="tmFacture" style='font-size:10pt; text-align:center; color:red;' class="form-control" type="number" value="<?= $this->nettoyer($facture['tm']) ?>" readonly>
|
|
</td>
|
|
|
|
<td align="center"> Hospit </td>
|
|
<td><INPUT class="form-control" style='font-size:10pt; text-align:center;' TYPE="text" id="hospit" NAME="hospit" value="<?= $this->nettoyer($facture['hospit']) ?>" readonly ></td>
|
|
<tr>
|
|
|
|
</tbody>
|
|
</table>
|
|
|
|
<input style='text-align:center; font-size:11pt;' class="form-control" type="text" value= "Informations sur le paiement" readonly >
|
|
|
|
<table class="table table-responsive table-condensed" style='font-size:10pt;'>
|
|
<tbody>
|
|
<tr>
|
|
<td width="15%"> <?= _("Mode Paiement") ?> </td>
|
|
<td width="35%" >
|
|
<SELECT class="form-control" id="codeModePaiement" NAME="codeModePaiement" required AUTOCOMPLETE="OFF" style='font-size:10pt;' >
|
|
<?php liste_options($modepaiement,""); ?>
|
|
</SELECT>
|
|
</td>
|
|
|
|
<td width="15%" align="center"> <?= _("Réf Paiement") ?> </td>
|
|
<td width="35%" > <INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="referencePaiement" NAME="referencePaiement" placeholder="No Chèque / Virement" required AUTOCOMPLETE="OFF" > </td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("Montant payé") ?> </td>
|
|
<td> <INPUT style='font-size:10pt; color:blue; text-align:center;' class="form-control" TYPE="text" id="montantPaye" NAME="montantPaye" value="<?= format_N($this->nettoyer($facture['montantApayer'])) ?>" readonly > </td>
|
|
|
|
<td align="center"> <?= _("Date Cpt") ?> </td>
|
|
<td><INPUT style='font-size:10pt;' class="form-control datepicker" TYPE="text" id="dateComptable" NAME="dateComptable" value="<?= dateCouranteLang($_SESSION['p_lang']) ?>" readonly ></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
|
|
<td> </td>
|
|
<td colspan="3"> <input style='font-size:10pt;' id="btn_enreg" name="btn_enreg" class = "form-control btn btn-primary" type="button" value="<?= _("Enregistrer le Paiement") ?>" onClick="enregistrer_paiement_facture_classique();" style='font-size:10pt;' > </td>
|
|
</tr>
|
|
</tbody>
|
|
</table>
|
|
|
|
<?php if (isset($msgErreur)): ?>
|
|
<div id ="msgErreur" class="alert alert-danger" style="height:38px; padding:5px;" >
|
|
<H4><?= $msgErreur ?></H4>
|
|
</div>
|
|
<?php endif; ?>
|