67 lines
4.2 KiB
PHP
Executable File
67 lines
4.2 KiB
PHP
Executable File
<?php $this->titre = "INTER-SANTE - Remplacement Famille"; ?>
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<INPUT class="sr-only" TYPE="text" id="idPolice" name="idPolice" value="<?= $_SESSION['idPolice_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroPolice" name="numeroPolice" value="<?= $_SESSION['numeroPolice_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="codeEtatFacturation" name="codeEtatFacturation" value="<?=$adherent['codeEtatFacturation']?>" >
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<INPUT class="sr-only" TYPE="text" id="consommation_adherent" name="consommation_adherent" value="<?=$adherent['consommation_adherent']?>" >
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<INPUT class="sr-only" TYPE="text" id="rapport_sp_police" name="rapport_sp_police" value="<?=$adherent['rapport_sp_police']?>" >
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<INPUT class="sr-only" TYPE="text" id="idCollege" name="idCollege" value="<?=$adherent['idCollege']?>" >
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<INPUT class="sr-only" TYPE="text" id="dateEffetAdherent" name="dateEffetAdherent" value="<?=$adherent['dateEffetAdherent']?>" >
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<INPUT class="sr-only" TYPE="text" id="dateSortieAdherent" name="dateSortieAdherent" value="<?=$adherent['dateSortieAdherent']?>" >
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<INPUT class="sr-only" TYPE="text" id="remplacementAdherent" name="remplacementAdherent" value="<?= $adherent['remplacementAdherent'] ?>" >
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<INPUT class="sr-only" TYPE="text" id="etatRetrait" name="etatRetrait" value="<?= $adherent['etatRetrait'] ?>" >
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<INPUT class="sr-only" TYPE="text" id="dateRetrait" name="dateRetrait" value="<?=$adherent['dateRetrait']?>" >
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<INPUT class="sr-only" TYPE="text" id="ristourneRetrait" name="ristourneRetrait" value="<?=$adherent['ristourneRetrait']?>" >
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<table class="table table-responsive table-condensed" style='font-size:9pt;'>
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<tbody>
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<tr>
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<td width="10%" > <?= _("Famille Sortante") ?> </th>
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<td> <INPUT style='font-size:9pt; text-align:center' class="form-control" TYPE="text" Value="<?= $this->nettoyer($adherent['nom']) ?>" readonly > </td>
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<td> <INPUT style='font-size:9pt; text-align:center' class="form-control" TYPE="text" Value="<?= $this->nettoyer($adherent['prenoms']) ?>" readonly > </td>
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<td style='text-align:center'> <?= _("Effet Police") ?> </td>
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<td> <INPUT style='font-size:9pt; text-align:center' class="form-control" TYPE="text" Value="<?= dateLang($this->nettoyer($adherent['dateEffetPolice'])) ?>" readonly > </td>
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<th style='text-align:center'> <?= _("Effet Famille") ?> </td>
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<td> <INPUT style='font-size:9pt; text-align:center' class="form-control" TYPE="text" Value="<?= dateLang($this->nettoyer($adherent['dateEffetAdherent'])) ?>" readonly > </td>
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<td style='text-align:center'> <?= _("Echéance") ?> </td>
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<td> <INPUT style='font-size:9pt; text-align:center' class="form-control" TYPE="text" Value="<?= dateLang($this->nettoyer($adherent['dateFinPolice'])) ?>" readonly > </td>
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</tr>
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</tbody>
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</table>
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<div id="div_remplacement_adherent">
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<table class="table table-responsive table-condensed" style='font-size:9pt;'>
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<tbody>
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<tr>
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<td width="10%" > <?= _("Sortie") ?> </td>
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<td width="25%" >
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<INPUT style='font-size:9pt; text-align:center' class="form-control datepicker" TYPE="text" id="dateSortieAdh" NAME="dateSortieAdh" Value="<?= dateCouranteLang($_SESSION['p_lang']) ?>" required AUTOCOMPLETE="OFF" >
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</td>
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<td width="10%" style='font-size:9pt; text-align:center' > <?= _("Remplacement") ?> </td>
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<td width="25%" >
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<INPUT style='font-size:9pt; text-align:center' class="form-control datepicker" TYPE="text" id="dateRemplacement" NAME="dateRemplacement" Value="<?= dateCouranteLang($_SESSION['p_lang']) ?>" required AUTOCOMPLETE="OFF" >
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</td>
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<td width="10%" style='font-size:9pt; text-align:center' > <?= _("Carte") ?> </td>
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<td > <INPUT style='font-size:9pt;' class="form-control" id="fraisCarte" NAME="fraisCarte" TYPE="text" value="<?=$adherent['fraisCarte']?>"> </td>
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</tr>
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<tr>
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<td > <?= _("Motif") ?> </td>
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<td colspan="3" > <INPUT style='font-size:9pt;' class="form-control" TYPE="text" id="motifavenant" NAME="motifavenant"> </td>
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<td> </td>
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<td> <button style='font-size:9pt;' type="button" class="form-control btn btn-primary" onclick="javascript:init_remplacement_adherent();"> <?= _("Initier...") ?> </button> </td>
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</tr>
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</tbody>
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</table>
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</div>
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