99 lines
4.3 KiB
PHP
99 lines
4.3 KiB
PHP
<?php $this->titre = "INTER-SANTE - Livraison verres et montures";
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$numeroBonOptique = $_SESSION['numeroBonOptique_C'];
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$prestataireLivraison = $this->nettoyer($prescription['prestataireLivraison']);
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?>
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<script type="text/javascript">
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</script>
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<input style='text-align:center; font-size:11pt;' class="form-control" type="text" value= "Informations sur Livraison de verres et de montures
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=> Prestataire : <?= $prestataireLivraison ?> => Feuille Maladie : <?= $_SESSION['numeroFeuilleMaladie_C'] ?>" readonly >
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<table class="table table-responsive table-condensed" style='font-size:9pt;' >
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<tbody>
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<tr>
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<td width="7%" > <?= _("No Ordonn") ?> </td>
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<td width="10%"> <INPUT style='text-align:center; font-size:11pt; background-color:blue;color:white;' class="form-control" TYPE="text" id="numeroBonOptique"
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name="numeroBonOptique" value="<?= $numeroBonOptique ?>" readonly >
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</td>
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<td width="10%" align="center" > <?= _("Date Prescription") ?> </td>
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<td width="10%" > <INPUT class="form-control" TYPE="text" value="<?= dateLang($this->nettoyer($prescription['datePrescription'])) ?>" readonly style="text-align: center; font-size:9pt;" > </td>
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<td width="7%" align="center"> <?= _("Médecin") ?> </td>
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<td> <INPUT class="form-control" TYPE="text" value="<?= $this->nettoyer($prescription['medecinPrescription']) ?>" readonly style='font-size:9pt;'> </td>
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<td width="7%" align="center"> <?= _("Tél Méd") ?> </td>
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<td width="15%"> <INPUT class="form-control" TYPE="text" value="<?= $this->nettoyer($prescription['telephoneMedecin']) ?>" readonly style='font-size:9pt;'> </td>
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</tr>
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</tbody>
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</table>
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<div class="alert alert-danger" style="height:40px" >
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<H4><?= "Prescrit à : ". $_SESSION['prestataire_C'] ?></H4>
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</div>
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<table class="table table-striped table-bordered table-hover table-condensed table-responsive" style='font-size:8pt;'>
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<thead>
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<tr>
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<th style="text-align:center"> <?= _("Libellé") ?> </th>
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<th width="8%" style="text-align:center"> <?= _("Verres") ?> </th>
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<th width="8%" style="text-align:center"> <?= _("Monture") ?> </th>
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<th width="8%" style="text-align:center"> <?= _("Frais") ?> </th>
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<th width="5%" style="text-align:center"> <?= _("T M") ?> </th>
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<th width="8%" style="text-align:center"> <?= _("A Remb") ?> </th>
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</tr>
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</thead>
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<tfoot>
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<tr>
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<td colspan="3" style='text-align:center'> Total </td>
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<td align='center'><?= format_N($this->nettoyer($prescription['fraisReel'])) ?></td>
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<td align='center'><?= format_N($this->nettoyer($prescription['montantTm'])) ?></td>
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<td align='center'><?= format_N($this->nettoyer($prescription['montantArembourser'])) ?></td>
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</tr>
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</tfoot>
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<tbody>
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<?php foreach ($detaillivres as $detaillivre):
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$typeSysteme = $this->nettoyer($detaillivre['typeSysteme']);
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?>
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<?php if($typeSysteme=="1") : ?>
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<tr valign="top" style="background-color: red; color:white;">
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<?php else: ?>
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<tr valign="top">
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<?php endif; ?>
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<td> <?= $this->nettoyer($detaillivre['libelleOptique']) ?> </td>
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<td align='center'> <?= format_N($this->nettoyer($detaillivre['valeurActe'])) ?> </td>
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<td align='center'> <?= format_N($this->nettoyer($detaillivre['monture'])) ?> </td>
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<td align='center'> <?= format_N($this->nettoyer($detaillivre['fraisReel'])) ?> </td>
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<td align='center'> <?= format_N($this->nettoyer($detaillivre['montantTm'])) ?> </td>
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<td align='center'> <?= format_N($this->nettoyer($detaillivre['montantArembourser'])) ?> </td>
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</tr>
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<?php endforeach; ?>
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<tr style='background-color:white'>
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<td colspan="6" height="3"></td>
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</tr>
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</tbody>
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</table>
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<div id="recap">
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<table class="table table-responsive table-condensed" style='font-size:12pt;' >
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<tbody>
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<tr>
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<td > <?= _("Dépas") ?> </td>
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<td > <INPUT class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($prescription['fraisExclu'])) ?>" readonly style="text-align: center; font-size:12pt; color:red;" > </td>
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<td align="center" > <?= _("Ret") ?> </td>
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<td > <INPUT class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($prescription['fraisRetenu'])) ?>" readonly style="text-align: center; font-size:12pt; color:blue;" > </td>
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</tr>
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</tbody>
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</table>
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</div>
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