37 lines
2.5 KiB
PHP
Executable File
37 lines
2.5 KiB
PHP
Executable File
<div id="infosacte" style='font-size:10pt;'>
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<input class="sr-only" type="number" id="prixActe" name="prixActe" value="<?= $prixActe ?>">
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<input class="sr-only" type="number" id="valeurActe" name="valeurActe" value="<?= $valeurActe ?>">
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<input class="sr-only" type="number" id="montantTm" name="montantTm" value="<?= $montantTm ?>">
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<input class="sr-only" type="number" id="aRembourser" name="aRembourser" value="<?= $aRembourser ?>">
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<input class="sr-only" type="text" id="ententePrealable" name="ententePrealable" value="<?= $ententePrealable ?>">
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<input class="sr-only" type="text" id="acteExclu" name="acteExclu" value="<?= $acteExclu ?>">
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<table class="table table-responsive table-condensed" style='font-size:10pt;'>
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<tbody>
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<tr>
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<td width="10%" > <?= _("Prix Acte") ?> </td>
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<td width="30%" > <input id="prixActe_info" name="prixActe_info" class="form-control" style="background-color: rgb(190,190,190);text-align: center; font-size:10pt;'" type="text" value="<?= format_N($prixActe) ?>" readonly> </td>
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<td width="10%" align="center"> <?= _("Quantité") ?> </td>
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<td width="20%" > <input class="form-control" type="number" id="quantite" name="quantite" style="text-align: center; font-size:10pt;'"
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value="<?= $quantite ?>" onBlur="ajax_changer_qte_acte();" ></td>
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<td width="10%" align="center"> <?= _("Valeur Acte") ?> </td>
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<td width="20%" > <input id="valeurActe_info" name="valeurActe_info" class="form-control" style="background-color: rgb(190,190,190);text-align: center; font-size:10pt;'" type="text" value="<?= format_N($valeurActe) ?>" readonly ></td>
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</tr>
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<tr>
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<td width="10%" align="center"> <?= _("T M") ?> </td>
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<td width="20%" > <input id="montantTm_info" name="montantTm_info" class="form-control" style="background-color: rgb(190,190,190);text-align: center; font-size:10pt;'" type="text" value="<?= format_N($montantTm) ?>" readonly ></td>
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<td width="10%" align="center"> <?= _("A Remb") ?> </td>
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<td width="20%" > <input id="aRembourser_info" name="aRembourser_info" class="form-control" style="background-color: rgb(190,190,190);text-align: center; font-size:10pt;'" type="text" value="<?= format_N($aRembourser) ?>" readonly ></td>
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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:enregistreractemedical();" style='font-size:10pt;' ></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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