48 lines
1.6 KiB
PHP
Executable File
48 lines
1.6 KiB
PHP
Executable File
<form id="formData">
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<legend id="titre_formData"><?= _("Ajouter des données") ?></legend>
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<table class="table table-responsive table-condensed">
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<tbody>
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<tr>
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<td width="10%" align="center" class="required"><?= _("Acte") ?></td>
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<td colspan="3">
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<select class="form-control selectpicker" data-live-search="true"
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id="codeActe" NAME="codeActe" required autofocus>
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<?php liste_options($listeacte,"", false); ?>
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</SELECT>
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</td>
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<td width="10%" align="center" class="required">Type</td>
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<td >
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<select class="form-control selectpicker" data-live-search="true"
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id="codeTypeConsultation" NAME="codeTypeConsultation" required>
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<?php liste_options($listetype,"", 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%" align="center"><?= _("Spécialité") ?></td>
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<td >
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<select class="form-control selectpicker" data-live-search="true"
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id="codeSpecialite" NAME="codeSpecialite" required>
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<?php liste_options($listeSpecialite,"", false); ?>
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</SELECT>
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</td>
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<td width="10%" align="center"><?= _("Visible en Consultation?") ?></td>
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<td >
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<select class="form-select" id="visibleEnConsultation" NAME="visibleEnConsultation">
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<?php liste_options($visibleOuinon,"0"); ?>
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</SELECT>
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</td>
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<td width="10%" align="center"><?= _("Acte de nuit/Férié?") ?></td>
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<td >
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<select class="form-select" id="nuitFerie" NAME="nuitFerie">
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<?php liste_options($nuitFerieOuinon,"0"); ?>
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</SELECT>
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</td>
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</tr>
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</tbody>
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</table>
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</form>
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