83 lines
5.3 KiB
PHP
83 lines
5.3 KiB
PHP
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<div id="infosacte" style='font-size:10pt;'>
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<input class="sr-only" type="number" id="prixActe" name="prixActe" value="<?= $prixActe ?>">
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<input class="sr-only" type="number" id="prixBase" name="prixBase" value="<?= $prixBase ?>">
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<input class="sr-only" type="number" id="fraisReelBase" name="fraisReelBase" value="<?= $fraisReelBase ?>">
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<input class="sr-only" type="number" id="depassement" name="depassement" value="<?= $depassement ?>">
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<input class="sr-only" type="number" id="valeurActe" name="valeurActe" value="<?= $valeurActe ?>">
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<input class="sr-only" type="number" id="quantiteSeance" name="quantiteSeance" value="<?= $quantite ?>">
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<input class="sr-only" type="number" id="totalActe" name="totalActe" value="<?= $fraisReel ?>">
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<input class="sr-only" type="number" id="montantTm" name="montantTm" value="<?= $montantTm ?>">
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<input class="sr-only" type="number" id="aRembourser" name="aRembourser" value="<?= $aRembourser ?>">
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<input class="sr-only" type="text" id="acteExclu" name="acteExclu" value="<?= $acteExclu ?>">
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<input class="sr-only" type="text" id="ententePrealableSea" name="ententePrealableSea" value="<?= $ententePrealable ?>">
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<table class="table table-responsive table-condensed" style='font-size:10pt;'>
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<tbody>
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<!--
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<tr>
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<td class="required" style="font-size:10pt; border: 0; background: transparent; text-align:center;"> <?= _("Durée Traitement (en jour)") ?> </td>
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<td colspan="5"> <input class="form-control" style="text-align: center; font-size:10pt;" type="number" value="<?= $dureeTraitement ?>" required AUTOCOMPLETE="OFF" id="dureeTraitement" name="dureeTraitement" autofocus></td>
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</tr>
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-->
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<tr>
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<td width="16%" >
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<input class="form-control" style="font-size:10pt; border: 0; background: transparent; text-align:center;" type="text" value="<?= _("Prix Unitaire") ?>" readonly>
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<!--<input class="form-control" style="font-size:10pt; border: 0; background: transparent; text-align:center;" type="text" value="<?= _("Base Remb.") ?>" readonly>-->
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</td>
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<td width="20%" >
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<input id="prixActe_info" name="prixActe_info" class="form-control" style="background-color: rgb(190,190,190);text-align: center; font-size:10pt;" type="text" value="<?= format_N($prixActe) ?>" readonly>
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<!--<input id="prixBase_info" name="prixBase_info" class="form-control" style="background-color:blue;color:white;text-align: center; font-size:10pt;" type="text" value="<?= format_N($prixBase) ?>" readonly>-->
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</td>
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<td width="15%" style="font-size:10pt; border: 0; background: transparent; text-align:center;"> <?= _("Nbre Séance") ?> </td>
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<td width="20%" >
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<input class="form-control" id="quantite" name="quantite" type="number" min="1" value="<?= $quantite ?>" style="text-align: center; font-size:10pt; '"
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onChange="javascript:ajaxprixseance();" >
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</td>
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<td width="10%" style="font-size:10pt; border: 0; background: transparent; text-align:center;"> Total </td>
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<td width="25%" >
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<input id="fraisReelBase_info" name="fraisReel_info" class="form-control" style="background-color: rgb(190,190,190);text-align: center; font-size:10pt;'" type="text" value="<?= format_N($fraisReel) ?>" readonly >
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<!--<input id="fraisReelBase_info" name="fraisReel_info"class="form-control" style="background-color:blue;color:white;text-align: center; font-size:10pt;" type="text" value="<?= format_N($fraisReelBase) ?>" readonly >-->
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</td>
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</tr>
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<!--
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<tr>
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<td align="center"> <?= _("Montant TM") ?> </td>
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<td> <input id="montantTm_info" name="montantTm_info" class="form-control" style="background-color: rgb(190,190,190);text-align: center; font-size:10pt;'" type="text" value="<?= format_N($montantTm) ?>" readonly ></td>
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<td align="center"> <?= _("A Rembourser") ?> </td>
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<td > <input id="aRembourser_info" name="aRembourser_info" class="form-control" style="background-color: rgb(190,190,190);text-align: center; font-size:10pt;'" type="text" value="<?= format_N($aRembourser) ?>" readonly ></td>
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<td align="center"> <?= _("Dépassement") ?> </td>
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<td> <input id="depassement_info" name="depassement_info" class="form-control" style="background-color:red;color:white;text-align: center; font-size:10pt;" type="text" value="<?= format_N($depassement) ?>" readonly ></td>
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</tr>
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-->
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<tr>
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<td colspan="6">
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<?php if ($acteExclu=="1"): ?>
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<input id="btn_enreg_seance" name="btn_enreg_seance" class = "form-control btn btn-primary" type="button" value="<?= _("Enregistrer") ?>" disabled style='font-size:10pt;' >
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<?php else: ?>
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<input id="btn_enreg_seance" name="btn_enreg_seance" class = "form-control btn btn-primary" type="button" value="<?= _("Enregistrer") ?>" onClick="javascript:modifierprescriptionseance();" style='font-size:10pt;' >
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<?php endif; ?>
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</td>
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</tr>
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</tbody>
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</table>
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<div id="div_fraisExclu">
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<input class="sr-only" type="text" id="fraisExclu" name="fraisExclu" value="0" >
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</div>
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<?php if ($acteExclu=="1"): ?>
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<div class="alert alert-danger" style="height:38px; padding:5px;">
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<H4> <?= _("NON COUVERT !") ?> </H4>
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</div>
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<?php endif; ?>
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</div>
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