63 lines
2.6 KiB
PHP
Executable File
63 lines
2.6 KiB
PHP
Executable File
<?php $this->titre = "INTER SANTE - Créer facture garant"; ?>
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<legend><?= _("Créer facture garant")?></legend>
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<div id="div_patienter">
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<table class="table table-responsive table-condensed" style="font-size:12pt;">
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<tbody>
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<tr>
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<td width="10%" class="required" > <?= _("Garant") ?> </td>
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<td colspan="3" width="30%">
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<select class="form-control selectpicker" data-live-search="true" id="codeGcAssureur"
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NAME="codeGcAssureur" required AUTOCOMPLETE="OFF" onChange="javascript:filtrertypefacturegarant();get_type_garant()"
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style="font-size:12pt;">
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<?php liste_options($garants,""); ?>
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</SELECT>
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</td>
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<td align="center"><?= _("Type") ?></td>
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<td colspan="5">
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<div id="div_type_garant">
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<INPUT class="form-control" TYPE="text" value="" required AUTOCOMPLETE="OFF" style="font-size:12pt; height:30px;" disabled></td>
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</div>
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</td>
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</tr>
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<tr>
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<td class="required"> <?= _("Nature Facture") ?> </td>
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<td width="25%">
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<select class="form-select" id="codeNatureFacturationGarant" NAME="codeNatureFacturationGarant"
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required style="font-size:12pt; height:30px;" onChange="javascript:filtreperiodicitefacture();">
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<?php liste_options($naturefacture,"",false); ?>
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</SELECT>
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</td>
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<td width="10%" align="center" class="required"> <?= _("Périodicité") ?> </td>
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<td width="20%">
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<div id="div_periodicite">
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<select class="form-select" id="codePeriodicite" NAME="codePeriodicite" disabled required AUTOCOMPLETE="OFF" style="font-size:12pt; height:30px;">
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<?php liste_options($periodicites,"",false); ?>
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</SELECT>
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</div>
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</td>
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<td align="center"> <?= _("Exercice") ?> </td>
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<td >
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<select class="form-select" id="codeExercice" NAME="codeExercice" required AUTOCOMPLETE="OFF" style='font-size:12pt; height:30px;' >
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<?php liste_options($exercice, $_SESSION['codeExercice_C']); ?>
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</SELECT>
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</td>
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<td align="center" > <?= _("Date Facture") ?> </td>
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<td width="10%"><INPUT class="form-control datepicker" TYPE="text" id="dateFacture" NAME="dateFacture"
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value="<?= dateCouranteLang($_SESSION['lang']) ?>" required AUTOCOMPLETE="OFF" style="font-size:12pt; height:30px;" ></td>
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</tr>
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<tr>
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<td colspan="8"> <input id="btn_init" name="btn_init" class = "form-control btn btn-primary" type="button" value="<?= _("Initialiser...") ?>" onClick="initiergroupefacturegarant();" style='font-size:12pt;' > </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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