25 lines
1.1 KiB
PHP
25 lines
1.1 KiB
PHP
<?php $this->titre = "INTER-SANTE - Créer un nouveau tarif médicaments"; ?>
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<legend> <?= _("Nouveau Tarif Médicaments") ?> </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="15%" > <?= _("Nom Français") ?> </td>
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<td><INPUT style="font-size:10pt;" class="form-control majuscule" TYPE="text" id="libelle" NAME="libelle" required AUTOCOMPLETE="OFF" autofocus ></td>
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<td align="center" width="15%" > <?= _("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> </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_medicaments();" 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_medicaments();" style='font-size:10pt;' > </td>
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</tr>
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</tbody>
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</table>
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