129 lines
6.2 KiB
PHP
Executable File
129 lines
6.2 KiB
PHP
Executable File
<?php
|
|
$this->titre = "INTER-SANTE - Paiement Frais Funéraires";
|
|
$idFraisfuneraire = $fraisfuneraire['idFraisfuneraire'];
|
|
$numeroLotDecompte = $fraisfuneraire['numeroLotDecompte'];
|
|
$montantApayer = $fraisfuneraire['montantApayer'];
|
|
?>
|
|
|
|
|
|
<form id="frmderogation" name="frmderogation" method="post" >
|
|
<input class="sr-only" type="text" id="idFraisfuneraire" name="idFraisfuneraire" value="<?= $idFraisfuneraire ?>" >
|
|
<input class="sr-only" type="text" id="montantPaye" name="montantPaye" value="<?= $montantApayer ?>" >
|
|
|
|
<input style='text-align:center; font-size:11pt;' class="form-control" type="text" value= "Informations sur la demande de frais funéraires => No Lot : <?= $numeroLotDecompte ?>" readonly >
|
|
|
|
<table class="table table-responsive table-condensed" style='font-size:10pt;'>
|
|
<tbody>
|
|
<tr>
|
|
<td width="10%" > <?= _("Date Demande") ?> </td>
|
|
<td width="40%" > <INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= dateheureLang($this->nettoyer($fraisfuneraire['dateSysteme'])) ?>" readonly> </td>
|
|
|
|
<td width="10%" align="center"> <?= _("No Demande") ?> </td>
|
|
<td ><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $this->nettoyer($fraisfuneraire['numeroFraisFuneraire']) ?>" readonly></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("Cause décès") ?> </td>
|
|
<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $this->nettoyer($fraisfuneraire['causeDeces']) ?>" readonly ></td>
|
|
|
|
<td align="center"> <?= _("Date décès") ?> </td>
|
|
<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= dateLang($this->nettoyer($fraisfuneraire['dateDeces'])) ?>" readonly></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> Observations </td>
|
|
<td colspan="3"><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['observations'] ?>" readonly ></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("Frais") ?> </td>
|
|
<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($fraisfuneraire['fraisReel'])) ?>" readonly ></td>
|
|
|
|
<td align="center" > <?= _("Retenu") ?> </td>
|
|
<td><INPUT style='font-size:10pt; color:red;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($fraisfuneraire['montantApayer'])) ?>" readonly ></td>
|
|
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("Demandeur") ?> </td>
|
|
<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['demandeur'] ?>" readonly ></td>
|
|
|
|
<td align="center"> Relation </td>
|
|
<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['liendemandeur'] ?>" readonly ></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("Bénéficiaire") ?> </td>
|
|
<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['beneficiaireReglement'] ?>" readonly ></td>
|
|
|
|
<td align="center"> <?= _("Lien Parenté") ?> </td>
|
|
<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['lienbeneficiaire'] ?>" readonly ></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td colspan="4"> <input style='text-align:center; font-size:11pt; background-color:green;color:white;' class="form-control" type="text" value= "Informations sur le paiement proposées par le bénéficiaire" disabled > </td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td > <?= _("Mode P") ?> </td>
|
|
<td > <INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['modepaiementBeneficiaire'] ?>" readonly > </td>
|
|
|
|
<td align="center"> <?= _("Banque Bénéf") ?> </td>
|
|
<td > <INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['banqueBeneficiaire'] ?>" readonly > </td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("No Cpte Bénéf") ?> </td>
|
|
<td > <INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['numeroCompteBeneficiaire'] ?>" readonly > </td>
|
|
</tr>
|
|
|
|
</tbody>
|
|
</table>
|
|
|
|
<input style='text-align:center; font-size:11pt; background-color:blue;color:white;' class="form-control" type="text" value= "Informations sur le paiement des frais funéraires" disabled >
|
|
|
|
|
|
<table class="table table-responsive table-condensed" style='font-size:10pt;'>
|
|
<tbody>
|
|
<tr>
|
|
<td width="10%"> <?= _("Mode P") ?> </td>
|
|
<td>
|
|
<SELECT class="form-control" id="codeModePaiement" NAME="codeModePaiement" required AUTOCOMPLETE="OFF" style='font-size:10pt;' >
|
|
<?php liste_options($modepaiement,""); ?>
|
|
</SELECT>
|
|
</td>
|
|
|
|
<td align="center" width="10%" > <?= _("Banque Payeur") ?> </td>
|
|
<td>
|
|
<SELECT style='font-size:10pt;' class="form-control" id="codeBanquePayeur" NAME="codeBanquePayeur" required AUTOCOMPLETE="OFF" >
|
|
<?php liste_options($banque, ""); ?>
|
|
</SELECT>
|
|
</td>
|
|
|
|
<td width="10%" align="center"> <?= _("Réf Paiement") ?> </td>
|
|
<td > <INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="referencePaiement" NAME="referencePaiement" placeholder="No Chèque / Virement" required AUTOCOMPLETE="OFF" > </td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> <?= _("Montant") ?> </td>
|
|
<td> <INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= format_N($fraisfuneraire['montantApayer']) ?>" required AUTOCOMPLETE="OFF" disabled > </td>
|
|
|
|
|
|
<td align="center"> <?= _("Date Cpt") ?> </td>
|
|
<td><INPUT style='font-size:10pt;' class="form-control datepicker" TYPE="text" id="dateComptable" NAME="dateComptable" value="<?= dateCouranteLang($_SESSION['p_lang']) ?>" required AUTOCOMPLETE="OFF" ></td>
|
|
|
|
<td> </td>
|
|
<td colspan="1"> <input style='font-size:10pt;' id="btn_enreg" name="btn_enreg" class = "form-control btn btn-primary" type="button" value="<?= _("Enregistrer le Règlement") ?>" onClick="enregistrerpaiementfraisfuneraire();" style='font-size:10pt;' > </td>
|
|
</tr>
|
|
</tbody>
|
|
</table>
|
|
|
|
<?php if (isset($msgErreur)): ?>
|
|
<div id ="msgErreur" class="alert alert-danger" style="height:38px; padding:5px;" >
|
|
<H4><?= $msgErreur ?></H4>
|
|
</div>
|
|
<?php endif; ?>
|
|
</form>
|
|
|
|
<div id="div_test">
|
|
</div>
|