74 lines
4.1 KiB
PHP
Executable File
74 lines
4.1 KiB
PHP
Executable File
<?php $this->titre = "INTER SANTE - Encaisser bordereau"; ?>
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<form method="post" action="Encaissergarant/initencaissement">
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<INPUT class="sr-only" TYPE="text" id="idClient" name="idClient" value="<?= $_SESSION['idClient_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroClient" name="numeroClient" value="<?= $_SESSION['numeroClient_C'] ?>">
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<input class="sr-only" id="btn_depot" name="btn_depot" class = "form-control btn btn-primary" type="submit" value="Dépôt" />
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<INPUT class="sr-only" TYPE="text" id="codeMoyenPaiement" name="codeMoyenPaiement" value="">
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<INPUT class="sr-only" TYPE="text" id="numeroCompte" name="numeroCompte" value="">
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<fieldset>
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<legend> <?= _("Informations Générales sur l'encaissement") ?> </legend>
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<table class="table table-responsive table-condensed">
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<tbody>
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<tr>
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<td width="15%" class="required"> <?= _("Garant") ?> </td>
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<td width="35%">
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<SELECT style="font-size:10pt; height:30px;" class="form-control selectpicker" data-live-search="true" id="codeGcAssureur" NAME="codeGcAssureur" required AUTOCOMPLETE="OFF" autofocus
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onChange="javascript:nom_tireur(this);$('#codeModePaiement').focus();" >
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<?php liste_options($garants,$encaissement['codeGcAssureur'],false); ?>
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</SELECT>
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</td>
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<td width="15%" align="center" class="required"> <?= _("Mode Paiement") ?> </td>
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<td>
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<select class="form-select" id="codeModePaiement" NAME="codeModePaiement" required AUTOCOMPLETE="OFF" onChange="ajaxListerMoyenPaiement();$('#numeroCompte').val('');$('#referencePaiement').focus();">
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<?php liste_options($modepaiement,$encaissement['codeModePaiement']); ?>
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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 class="required"> <?= _("Référence Paiement") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="referencePaiement" NAME="referencePaiement" value="<?=$encaissement['referencePaiement']?>" required AUTOCOMPLETE="OFF" ></td>
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<td align="center"> <?= _("Nom du Tireur") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="nomTireur" NAME="nomTireur" value="<?=$encaissement['nomTireur']?>" ></td>
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</tr>
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<tr>
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<td> <?= _("Etablissement Payeur") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="banquePayeur" NAME="banquePayeur" value="<?=$encaissement['banquePayeur']?>" ></td>
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<td align="center" class="required"> <?= _("Montant") ?> </td>
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<td>
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<INPUT class="form-control" TYPE="text" id="montant" NAME="montant" value="<?=format_N($encaissement['montant'])?>" required AUTOCOMPLETE="OFF"
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onfocus="formatNumerique(this);" onkeyup="controle_numerique(this);" onblur="formatMonetaire(this);">
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</td>
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</tr>
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<tr>
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<td class="required"> <?= _("Libellé Opération") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="libelleOperation" NAME="libelleOperation" value="<?=$encaissement['libelleOperation']?>" required AUTOCOMPLETE="OFF" ></td>
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<td align="center" class="required"> <?= _("Date Encaissement") ?> </td>
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<td><INPUT class="form-control datepicker" TYPE="text" id="dateEncaissement" NAME="dateEncaissement" value="<?= (!empty($encaissement['dateEncaissement'])) ? dateLang($encaissement['dateEncaissement']) : dateCouranteLang($_SESSION['lang']); ?>" required AUTOCOMPLETE="OFF"></td>
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</tr>
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<tr>
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<td> <?= _("Date Comptable") ?> </td>
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<td><INPUT class="form-control datepicker" TYPE="text" id="dateComptable" NAME="dateComptable" value="<?= (!empty($encaissement['dateComptable'])) ? dateLang($encaissement['dateComptable']) : dateCouranteLang($_SESSION['lang']); ?>" required AUTOCOMPLETE="OFF"></td>
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<td></td>
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<td align="center"><input id="btn_suivant" name="btn_suivant" class = "form-control btn btn-primary" type="submit" value="SUITE ==>>" /></td>
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</tr>
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</tbody>
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</table>
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</fieldset>
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<div id="infonocpt" style="display: none">
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<input type="text" id="numeroCompte_info" name="numeroCompte_info" value="<?= $numeroCompte_info ?>">
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</div>
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</form>
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