42 lines
2.7 KiB
PHP
42 lines
2.7 KiB
PHP
<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%"> <?= _("Frais") ?> </td>
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<td width="10%" > <INPUT style='font-size:9pt; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($totalfeuillemaladies['fraisReel'])) ?>" readonly > </td>
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<td width="10%" align="center"> <?= _("T M") ?> </td>
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<td width="10%" > <INPUT style='font-size:9pt; color:red; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($totalfeuillemaladies['montantTm'])) ?>" readonly ></td>
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<td width="10%" align="center"> <?= _("A Remb") ?></td>
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<td><INPUT style='font-size:9pt; text-align:center; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($totalfeuillemaladies['montantArembourser'])) ?>" readonly ></td>
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<td width="10%" align="center"> <?= _("Dépas") ?> </td>
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<td width="10%" > <INPUT style='font-size:9pt; color:red;text-align:center; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($totalfeuillemaladies['depassement'])) ?>" readonly ></td>
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<td width="10%" align="center"> <?= _("Retenu") ?> </td>
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<td><INPUT style='font-size:9pt; color:blue; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($totalfeuillemaladies['fraisRetenu'])) ?>" readonly ></td>
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</tr>
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<tr>
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<td> <?= _("Forcé") ?> </td>
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<td><INPUT style='font-size:9pt; text-align:center; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($totalfeuillemaladies['montantForce'])) ?>" readonly ></td>
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<td align="center"> <?= _("Rejeté") ?> </td>
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<td><INPUT style='font-size:9pt; color:red;text-align:center; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($totalfeuillemaladies['montantRejete'])) ?>" readonly ></td>
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<td align="center"> <?= _("En Attente") ?> </td>
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<td><INPUT style='font-size:9pt; color:blue; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($totalfeuillemaladies['montantAttente'])) ?>" readonly ></td>
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<td align="center"><?= _("A Payer") ?></td>
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<td><INPUT style='font-size:9pt; text-align:center; color:blue;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($totalfeuillemaladies['montantApayer'])) ?>" readonly ></td>
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<td align="center"><?= _("Payé") ?></td>
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<td><INPUT style='font-size:9pt; text-align:center; color:blue;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($totalfeuillemaladies['montantPaye'])) ?>" readonly ></td>
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</tr>
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</tbody>
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</table>
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