91 lines
4.8 KiB
PHP
91 lines
4.8 KiB
PHP
<?php $this->titre = "INTER-SANTE - Encaisser bordereau"; ?>
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<form method="post" action="Encaisserbordereau/initencaissement">
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<INPUT class="sr-only" TYPE="text" id="idClient" name="idClient" value="<?= $_SESSION['idClient_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroClient" name="numeroClient" value="<?= $_SESSION['numeroClient_C'] ?>">
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<input class="sr-only" id="btn_depot" name="btn_depot" class = "form-control btn btn-primary" type="submit" value="Dépôt" />
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<fieldset>
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<legend> <?= _("Informations Générales sur l'encaissement") ?> </legend>
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<table class="table table-responsive table-condensed">
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<tbody>
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<tr>
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<td width="15%" > <?= _("L'apporteur") ?> </td>
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<td width="35%" >
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<SELECT class="form-control" id="codeApporteur" NAME="codeApporteur" required AUTOCOMPLETE="OFF" autofocus onChange="$('#numeroCompte').val('');
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$('#nomTireur').val(this.options[this.selectedIndex].text);">
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<?php liste_options($apporteur,$encaissement['codeApporteur']); ?>
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</SELECT>
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</td>
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<td width="15%" align="center"> <?= _("Mode Paiement") ?> </td>
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<td>
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<SELECT class="form-control" id="codeModePaiement" NAME="codeModePaiement" required AUTOCOMPLETE="OFF" onChange="ajaxListerMoyenPaiement();$('#numeroCompte').val('');">
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<?php liste_options($modepaiement,$encaissement['codeModePaiement']); ?>
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</SELECT>
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</td>
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</tr>
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<tr>
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<td> <?= _("Moyen Paiement") ?> </td>
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<td>
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<div id="listemoyenpaiement">
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<SELECT class="form-control" id="codeMoyenPaiement" NAME="codeMoyenPaiement" required AUTOCOMPLETE="OFF" onChange="ajax_no_cpt_paiement();">
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<?php liste_options($moyenpaiement,$encaissement['codeMoyenPaiement']); ?>
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</SELECT>
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</div>
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</td>
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<td align="center"> <?= _("Cpte bancaire") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="numeroCompte" NAME="numeroCompte" value="<?=$encaissement['numeroCompte']?>" readonly ></td>
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</tr>
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<tr>
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<td> <?= _("Réf Paiement") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="referencePaiement" NAME="referencePaiement" value="<?=$encaissement['referencePaiement']?>" required AUTOCOMPLETE="OFF" ></td>
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<td align="center"> <?= _("Nom du Tireur") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="nomTireur" NAME="nomTireur" value="<?=$encaissement['nomTireur']?>" ></td>
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</tr>
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<tr>
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<td> <?= _("Etab Payeur") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="banquePayeur" NAME="banquePayeur" value="<?=$encaissement['banquePayeur']?>" ></td>
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<td align="center"> <?= _("No Bordereau") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="numeroBordereau" NAME="numeroBordereau" value="<?=$encaissement['numeroBordereau']?>" required AUTOCOMPLETE="OFF" ></td>
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</tr>
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<tr>
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<td> <?= _("Date Bordereau") ?> </td>
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<td><INPUT class="form-control datepicker" TYPE="text" id="dateBordereau" NAME="dateBordereau" value="<?= (!empty($encaissement['dateBordereau'])) ? dateLang($encaissement['dateBordereau']) : dateCouranteLang($_SESSION['p_lang']); ?>" required AUTOCOMPLETE="OFF" ></td>
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<td align="center"> <?= _("Montant") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="montant" NAME="montant" value="<?=$encaissement['montant']?>" required AUTOCOMPLETE="OFF" onBlur="controle_numerique(this);" ></td>
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</tr>
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<tr>
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<td> <?= _("Libellé") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="libelleOperation" NAME="libelleOperation" value="<?=$encaissement['libelleOperation']?>" required AUTOCOMPLETE="OFF" ></td>
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<td align="center"> <?= _("Date Encaissement") ?> </td>
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<td><INPUT class="form-control datepicker" TYPE="text" id="dateEncaissement" NAME="dateEncaissement" value="<?= (!empty($encaissement['dateEncaissement'])) ? dateLang($encaissement['dateEncaissement']) : dateCouranteLang($_SESSION['p_lang']); ?>" required AUTOCOMPLETE="OFF" ></td>
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</tr>
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<tr>
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<td> <?= _("Date Cpt") ?> </td>
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<td><INPUT class="form-control datepicker" TYPE="text" id="dateComptable" NAME="dateComptable" value="<?= (!empty($encaissement['dateComptable'])) ? dateLang($encaissement['dateComptable']) : dateCouranteLang($_SESSION['p_lang']); ?>" required AUTOCOMPLETE="OFF" ></td>
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<td></td>
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<td align="center"><input id="btn_suivant" name="btn_suivant" class = "form-control btn btn-primary" type="submit" value="SUITE ==>>" /></td>
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</tr>
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</tbody>
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</table>
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</fieldset>
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<div id="infonocpt" style="display: none">
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<input type="text" id="numeroCompte_info" name="numeroCompte_info" value="<?= $numeroCompte_info ?>">
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</div>
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</form>
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