50 lines
2.2 KiB
PHP
50 lines
2.2 KiB
PHP
<?php $this->titre = "INTER-SANTE - Forcer la sortie"; ?>
|
|
|
|
<div id="div_fichefamille">
|
|
<fieldset >
|
|
<legend><?= _("Informations sur le Bénéficiaire") . " : " . $beneficiaire['numeroBeneficiaire']?></legend>
|
|
<table class="table table-responsive table-condensed">
|
|
<tbody>
|
|
<tr>
|
|
<td> <?= _("Nom") ?> </td>
|
|
<td><INPUT class="form-control" TYPE="text" id="nomBeneficiaire" NAME="nomBeneficiaire" value="<?=$beneficiaire['nomBeneficiaire']?>" readonly></td>
|
|
|
|
<td align="center"> <?= _("Prénoms") ?> </td>
|
|
<td><INPUT class="form-control" TYPE="text" id="prenomsBeneficiaire" NAME="prenomsBeneficiaire" value="<?=$beneficiaire['prenomsBeneficiaire']?>"readonly ></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("Entrée") ?> </td>
|
|
<td><INPUT class="form-control datepicker" TYPE="text" id="dateEntree" NAME="dateEntree" value="<?= dateLang($this->nettoyer($beneficiaire['dateEntree'])) ?>" readonly></td>
|
|
|
|
<td align="center"> <?= _("Etat") ?> </td>
|
|
<td><INPUT class="form-control" TYPE="text" id="etatbeneficiaire" NAME="etatbeneficiaire" value="<?= $beneficiaire['etatbeneficiaire'] ?>" readonly ></td>
|
|
</tr>
|
|
</tbody>
|
|
</table>
|
|
</fieldset>
|
|
</div>
|
|
|
|
<form method="post" action="Majdatesortie/enregistrer">
|
|
<input class="sr-only" id="btn_enreg" name="btn_enreg" type="submit" value="<?= _("Enregistrer") ?>" />
|
|
|
|
<fieldset>
|
|
<legend> <?= _("Forcer la date de sortie") ?> </legend>
|
|
<table class="table table-responsive table-condensed">
|
|
<tbody>
|
|
<tr>
|
|
<td width="15%"><?= _("Date Sortie") ?></td>
|
|
<td width="20%"><INPUT class="form-control datepicker" TYPE="text" id="dateSortie" NAME="dateSortie" Value="<?= dateCouranteLang($_SESSION['p_lang']) ?>" required AUTOCOMPLETE="OFF" ></td>
|
|
|
|
|
|
<td width="10%" align="center"> <?= _("Motif") ?> </td>
|
|
<td><INPUT class="form-control" TYPE="text" id="motifSortie" NAME="motifSortie" required AUTOCOMPLETE="OFF" ></td>
|
|
|
|
<td></td>
|
|
<td> <button style='font-size:10pt;' type="button" class="form-control btn btn-primary" onclick="javascript:enregistrer_maj_date_sortie();"> <?= _("Enregistrer") ?> </button> </td>
|
|
</tr>
|
|
</tbody>
|
|
</table>
|
|
</fieldset>
|
|
</form>
|