63 lines
2.4 KiB
PHP
63 lines
2.4 KiB
PHP
<?php
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$this->titre = "INTER-SANTE - Créer un nouveau tarif actes";
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?>
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<legend> <?= _("Nouveau Tarif Actes") ?> </legend>
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<table class="table table-responsive table-condensed" style="font-size:10pt;">
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<tbody>
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<tr>
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<td width="10%" > <?= _("Prestataire") ?> </td>
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<td>
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<select name="codePrestataire" id="codePrestataire" class="form-control selectpicker" data-live-search="true" onchange="tarifCentre(this);" autofocus>
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<?= liste_options($prestataires,'',false) ?>
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</select>
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</td>
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<td width="10%" align="center"> <?= _("Police") ?> </td>
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<td>
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<select name="idPolice" id="idPolice" class="form-control selectpicker" data-live-search="true" onchange="tarifPolice(this);">
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<?= liste_options($police,'',false) ?>
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</select>
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</td>
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</tr>
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<tr>
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<td width="10%" > <?= _("Groupe") ?> </td>
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<td colspan="3">
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<select name="codeGroupePrestataire" id="codeGroupePrestataire" class="form-control selectpicker" data-live-search="true" onchange="JAVASCRIPT:tarifGroupe(this);">
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<?= liste_options($groupes,'',false) ?>
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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 width="10%" class="required"> <?= _("Nom Français") ?> </td>
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<td width="40%"><INPUT style="font-size:10pt;" class="form-control majuscule" TYPE="text" id="libelle" NAME="libelle" required AUTOCOMPLETE="OFF" ></td>
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<td align="center" width="10%" class="required"> <?= _("Nom Anglais") ?> </td>
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<td ><INPUT style="font-size:10pt;" class="form-control majuscule" TYPE="text" id="libelleEng" NAME="libelleEng" required AUTOCOMPLETE="OFF" ></td>
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</tr>
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<tr>
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<td width="10%" class="required" > <?= _("Type Tarif") ?> </td>
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<td colspan="3">
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<div id="div_type_tarif">
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<select name="codeTypeTarifActe" id="codeTypeTarifActe" class="form-control" required AUTOCOMPLETE="OFF" >
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<?= liste_options($typeTarif,'',false) ?>
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</select>
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</div>
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</td>
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</tr>
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<tr>
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<td> </td>
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<td> <input id="btn_enreg" name="btn_enreg" class = "form-control btn btn-primary" type="button" value="<?= _("Enregistrer") ?>" onClick="javascript:creer_tarif_actes();" style='font-size:10pt;' > </td>
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<td> </td>
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<td> <input class = "form-control btn btn-warning" type="button" value="<?= _("Annuler") ?>" onClick="javascript:retour_tarifs_actes();" style='font-size:10pt;' > </td>
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</tr>
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</tbody>
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</table>
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