59 lines
2.1 KiB
PHP
Executable File
59 lines
2.1 KiB
PHP
Executable File
<?php
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$this->titre = "INTER SANTE - Duplication tarif acte";
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?>
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<legend> <?= _("Duplication tarif actes") ?> </legend>
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<input class="sr-only" type="text" id="idTarif" name="idTarif" value="<?= $this->nettoyer($tarif['idTarif']) ?>" >
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<input class="sr-only" type="text" id="codeTarifActeSource" name="codeTarifActeSource" value="<?= $this->nettoyer($tarif['codeTarifActe']) ?>" >
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<div id="div_message">
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</div>
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<div id="div_form">
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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%"> <?= _("Tarif acte source") ?> </td>
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<td colspan="3"><INPUT style="font-size:10pt;" class="form-control" TYPE="text" id="libelle" NAME="libelle" value="<?=$this->nettoyer($tarif['libelle'])?>" readonly ></td>
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</tr>
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<tr>
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<td width="15%" class="required"> <?= _("Tarif acte cible") ?> </td>
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<td colspan="3">
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<select name="codeTarifActeCible" id="codeTarifActeCible" class="form-control selectpicker" data-live-search="true" required onchange="javascript:$('#div_message').html('')">
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<?= liste_options($tarifDestination,"") ?>
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</select>
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</td>
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<!--
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<td align="center" width="10%" class="required"> <?= _("Date effet") ?> </td>
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<td width="20%">
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<INPUT style='text-align:center; font-size:10pt;' class="form-control datepicker" TYPE="text" id="dateEffet"
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NAME="dateEffet" value="<?= dateCouranteLang($_SESSION['lang']) ?>" required>
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</td>
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-->
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</tr>
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<tr>
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<td colspan="4" height="20px"> </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_dupliquer" name="btn_dupliquer" class ="form-control btn btn-primary" type="button" value="<?= _("Dupliquer") ?>" onClick="javascript:dupliquertarifacte();" style='font-size:10pt;'> </td>
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<!--<td colspan="2"></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:lister_tarif_actes();" 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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