130 lines
6.8 KiB
PHP
130 lines
6.8 KiB
PHP
<div id="div_ente_requete">
|
|
|
|
<INPUT class="sr-only" TYPE="text" id="codePrestataire" name="codePrestataire" value="<?= $_SESSION['p_codePrestataire_C'] ?>">
|
|
<INPUT class="sr-only" TYPE="text" id="codeTypePrestataire" name="codeTypePrestataire" value="<?= $_SESSION['p_codeTypePrestataire_C'] ?>">
|
|
|
|
<input class="sr-only" type="text" id="codeMedecin" name="codeMedecin">
|
|
|
|
<table class="table table-responsive table-condensed" style='font-size:7pt;'>
|
|
<tbody>
|
|
<tr>
|
|
<td width="5%"><?= _("Opticien") ?></td>
|
|
<td width="13%"> <INPUT style='tfont-size:7pt;' class="form-control" type="text" value="<?= $this->nettoyer($_SESSION['p_prestataire_C']) ?>" readonly> </td>
|
|
|
|
<td width="5%" align="center"> <?= _("Période du") ?> </td>
|
|
<td width="13%" colspan="3"> <INPUT style='text-align:center; font-size:7pt;' class="form-control datepicker" TYPE="text" id="dateLivraison1" NAME="dateLivraison1" value="<?= $_SESSION['p_debutRequeteFr_C'] ?>" required AUTOCOMPLETE="OFF" ></td>
|
|
|
|
<td width="5%" align="center" > <?= _("au") ?> </td>
|
|
<td width="13%" colspan="3"> <INPUT style='text-align:center; font-size:7pt;' class="form-control datepicker" TYPE="text" id="dateLivraison2" NAME="dateLivraison2" value="<?= $_SESSION['p_finRequeteFr_C'] ?>" required AUTOCOMPLETE="OFF" > </td>
|
|
|
|
<td width="5%" align="center" > <?= _("No Fam") ?> </td>
|
|
<td width="13%" colspan="3"> <INPUT style='text-align:center; font-size:7pt;' class="form-control" TYPE="text" id="numeroAdherent" name="numeroAdherent" > </td>
|
|
|
|
<td width="5%" align="center" >No Benef</td>
|
|
<td width="13%"> <INPUT style='text-align:center; font-size:7pt;' class="form-control" TYPE="text" id="numeroBeneficiaire" name="numeroBeneficiaire"></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
|
|
<td> <?= _("Médecin") ?> </td>
|
|
<td>
|
|
<button type="button" class="form-control btn btn-primary" data-bs-toggle="modal" data-bs-target="#popRechercheMedecin" style='font-size:7pt;' ><span id="nomMedecin" name="nomMedecin"> <?= _("Rechercher un Médecin...") ?> </span></button>
|
|
</td>
|
|
|
|
<td align="center"> <?= _("Bon Cons") ?> </td>
|
|
<td width="6%"> <INPUT style='text-align:center; font-size:7pt;' class="form-control" type="number" id="numeroBonConsultation1" name="numeroBonConsultation1" value="0" > </td>
|
|
<td width="1%" align="center"> - </td>
|
|
<td width="6%"> <INPUT style='text-align:center; font-size:7pt;' class="form-control" type="number" id="numeroBonConsultation2" name="numeroBonConsultation2" value="0" > </td>
|
|
|
|
<td align="center"> <?= _("Ordon") ?> </td>
|
|
<td width="6%"> <INPUT style='text-align:center; font-size:7pt;' class="form-control" type="number" id="numeroBonOptique1" name="numeroBonOptique1" value="0" > </td>
|
|
<td width="1%" align="center"> - </td>
|
|
<td width="6%"> <INPUT style='text-align:center; font-size:7pt;' class="form-control" type="number" id="numeroBonOptique2" name="numeroBonOptique2" value="0" > </td>
|
|
|
|
<td align="center"> <?= _("No Feuil") ?></td>
|
|
<td width="6%"> <INPUT style='text-align:center; font-size:7pt;' class="form-control" type="number" id="numeroFeuilleMaladie1" name="numeroFeuilleMaladie1" value="0" > </td>
|
|
<td width="1%" align="center"> - </td>
|
|
<td width="6%"> <INPUT style='text-align:center; font-size:7pt;' class="form-control" type="number" id="numeroFeuilleMaladie2" name="numeroFeuilleMaladie2" value="0" > </td>
|
|
|
|
<td align="center"> Prescript </td>
|
|
<td>
|
|
<SELECT class="form-control" id="codePrestatairePrescription" NAME="codePrestatairePrescription" style='font-size:7pt;'>
|
|
<?php liste_options_consultation($prestataireprescription, ""); ?>
|
|
</SELECT>
|
|
</td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("Adhér") ?></td>
|
|
<td colspan="5"> <INPUT style='tfont-size:7pt;' class="form-control" type="text" id="adherent" name="adherent" > </td>
|
|
|
|
<td align="center"> Benef</td>
|
|
<td colspan="11"> <INPUT style='font-size:7pt;' class="form-control" type="text" id="beneficiaire" name="beneficiaire" > </td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("Verres") ?> </td>
|
|
<td colspan="17"> <INPUT style='font-size:7pt;' class="form-control" type="text" id="libelleOptique" name="libelleOptique" > </td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> </td>
|
|
<td colspan="5"> <button style='font-size:10pt;' type="button" class="form-control btn btn-primary" onclick="javascript:requetes_optique();"><?= _("Afficher résultats...") ?></button> </td>
|
|
|
|
<td colspan="5">
|
|
<input class="form-control" style="text-align: center; font-size:10pt;" type="text" id="nbligne" name="nbligne" value="Result : 0" readonly>
|
|
</td>
|
|
|
|
<td colspan="5"> <button style='font-size:10pt;' type="button" class="form-control btn btn-primary" onclick="javascript:requetes_optique_export();"><?= _("Exporter vers Excel...") ?></button> </td>
|
|
</tr>
|
|
|
|
</tbody>
|
|
</table>
|
|
|
|
<div class="modal fade" id="popRechercheMedecin" role="dialog">
|
|
<div class="modal-dialog modal-lg">
|
|
<div class="modal-content">
|
|
|
|
<div class="modal-header">
|
|
<button id="btn_close_pop" name="btn_close_pop" type="button" class="close" data-bs-dismiss="modal"> <?= _("Fermer") ?> </button>
|
|
<h4 class="modal-title"><?= _("Rechercher un Médecin...") ?></h4>
|
|
</div>
|
|
|
|
<div class="modal-body">
|
|
<div id="div_listemedecins" onkeypress="javascript:ctrlkeypress_medecin_requete(event);">
|
|
<table class="table table-striped table-bordered table-hover table-condensed table-responsive" style='font-size:10pt;'>
|
|
<thead>
|
|
<tr>
|
|
<th style="text-align:center" width="15%" > Code </th>
|
|
<th width="50%" style="text-align:center" > <?= _("Nom contenant...") ?> </th>
|
|
<th colspan="2" style="text-align:center" > <?= _("Spécialité") ?> </th>
|
|
</tr>
|
|
</thead>
|
|
<tbody>
|
|
<tr>
|
|
<td><input type="text" class="form-control" id="noOrdreMedecin" name="noOrdreMedecin" autofocus style='font-size:10pt;' ></td>
|
|
<td><input type="text" class="form-control" id="nomsearch" name="nomsearch" autofocus style='font-size:10pt;' ></td>
|
|
<td><input type="button" class = "form-control btn btn-info" style='font-size:10pt;' value="<?= _("Rechercher...") ?>" onclick="javascript:afficher_pop_recherche_medecin_requete();" /></td>
|
|
<td><input type="button" class = "form-control btn btn-info" style='font-size:10pt;' value="<?= _("Ré-initialiser...") ?>" onclick="javascript:reinitialiser_medecin();" /></td>
|
|
</tr>
|
|
</tbody>
|
|
</table>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="modal-footer">
|
|
<button id="close_pop" name="close_pop" type="button" class="btn btn-default" data-bs-dismiss="modal"> <?= _("Fermer") ?> </button>
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
</div>
|
|
|
|
<div id="div_detail_requete">
|
|
</div>
|
|
|
|
<div id="div_export_a">
|
|
</div>
|