51 lines
3.0 KiB
PHP
51 lines
3.0 KiB
PHP
<div id="div_saisie_ecart">
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<INPUT class="sr-only" TYPE="text" id="idBeneficiaireEcart" name="idBeneficiaireEcart" value="<?= $this->nettoyer($beneficiaire['idBeneficiaire']) ?>" >
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<INPUT class="sr-only datepicker" TYPE="text" id="debutMoisDecompte" NAME="debutMoisDecompte" value="<?= dateLang($_SESSION['debutMoisDecompte']) ?>" readonly>
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<INPUT class="sr-only datepicker" TYPE="text" id="finMoisDecompte" name="finMoisDecompte">
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<INPUT class="sr-only datepicker" TYPE="text" id="dateFactureReelle" NAME="dateFactureReelle" readonly>
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<div id="recherche_assure" onkeypress="javascript:ctrlkeypressbeneficiaireecart(event);">
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<table class="table table-responsive table-condensed" style='font-size:8pt;' >
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<tbody>
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<tr>
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<td width="7%" > <?= _("No Bénéf") ?> </td>
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<td width="12%">
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<INPUT style='text-align:center; font-size:8pt;' class="form-control" TYPE="text" id="numeroBeneficiaire" name="numeroBeneficiaire"
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value="<?=$numeroBeneficiaire?>" onChange="javascript:chercher_beneficiaireecart(this.value);" >
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</td>
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<td width="10%"> <button type="button" style="font-size:8pt;" class="form-control btn btn-primary" onclick="javascript:$('#numeroBeneficiaire').blur();" > <?= _("Rechercher...") ?> </button> </td>
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<td width="5%" align="center"> <?= _("Nom") ?> </td>
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<td> <INPUT style='text-align:center; font-size:8pt;' class="form-control" TYPE="text" value="<?= $this->nettoyer($beneficiaire['nomBeneficiaire']) . " " . $this->nettoyer($beneficiaire['prenomsBeneficiaire']) ?>" readonly > </td>
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<td width="10%" align="center"> <?= _("Souscripteur") ?> </td>
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<td> <INPUT style='text-align:center; font-size:8pt;' class="form-control" TYPE="text" value="<?= $this->nettoyer($beneficiaire['nomClient']) ?>" readonly > </td>
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<td width="5%" align="center"> <?= _("Lien") ?> </td>
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<td width="5%" > <INPUT style='text-align:center; font-size:8pt;' class="form-control" TYPE="text" value="<?= $this->nettoyer($beneficiaire['codeLienParente']) ?>" readonly > </td>
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</tr>
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<tr>
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<td> Date </td>
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<td colspan="2" > <INPUT class="form-control datepicker" TYPE="text" id="dateFacture" NAME="dateFacture" style="text-align: center; font-size:8pt;" ></td>
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<td align="center"> Montant </td>
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<td align='center'>
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<input class="form-control"style="text-align: center; font-size:8pt;" type="text" id="montantPrestataire" name="montantPrestataire" onChange="controle_numerique(this);" >
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</td>
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<td align="center"> Obs </td>
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<td><INPUT class="form-control" TYPE="text" id="observations" NAME="observations" style='font-size:8pt;' ></td>
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<td> </td>
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<td style='text-align:center'> <input class = "form-control btn btn-info" type="button" value=" + " onClick="javascript:ajouter_ecartdecompte_non_saisi();" style='font-size:20pt;' > </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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</div>
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