29 lines
1.3 KiB
PHP
Executable File
29 lines
1.3 KiB
PHP
Executable File
<?php
|
|
//$this->titre = "INTER-SANTE - Modification tarif médicaments";
|
|
?>
|
|
|
|
<legend> <?= _("Modification tarif Optiques") ?> </legend>
|
|
|
|
<input class="sr-only" type="text" id="idTarif" name="idTarif" value="<?= $this->nettoyer($tarif['idTarif']) ?>" >
|
|
|
|
<table class="table table-responsive table-condensed" style="font-size:10pt;">
|
|
<tbody>
|
|
<tr>
|
|
<td width="15%" > <?= _("Nom Français") ?> </td>
|
|
<td><INPUT style="font-size:10pt;" class="form-control" TYPE="text" id="libelle" NAME="libelle" value="<?=$this->nettoyer($tarif['libelle'])?>" required AUTOCOMPLETE="OFF" autofocus ></td>
|
|
|
|
<td align="center" width="15%" > <?= _("Nom Anglais") ?> </td>
|
|
<td><INPUT style="font-size:10pt;" class="form-control" TYPE="text" id="libelleEng" NAME="libelleEng" value="<?=$this->nettoyer($tarif['libelleEng'])?>" required AUTOCOMPLETE="OFF" ></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> </td>
|
|
<td> <input id="btn_enreg" name="btn_enreg" class = "form-control btn btn-primary" type="button" value="<?= _("Enregistrer") ?>" onClick="javascript:enregistrer_modif_tarif_optiques();" style='font-size:10pt;' > </td>
|
|
|
|
<td> </td>
|
|
<td> <input class = "form-control btn btn-warning" type="button" value="<?= _("Annuler") ?>" onClick="javascript:lister_tarif_optiques();" style='font-size:10pt;' > </td>
|
|
</tr>
|
|
</tbody>
|
|
</table>
|
|
|