55 lines
1.9 KiB
PHP
Executable File
55 lines
1.9 KiB
PHP
Executable File
<?php $this->titre = "INTER SANTE - Cartes des assurés"; ?>
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<div id="div_patienter" ></div>
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<legend> <?= _("CARTES DES ASSURES") ?> (Maximum : 100) </legend>
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<input class="sr-only" id="nomForm" name="nomForm" type="text" value= "frmcarteassure" >
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<input class="sr-only" id="typeEdition" name="typeEdition" type="text" value= "garant">
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<table class="table table-responsive table-condensed" style='font-size:10pt;'>
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<tbody>
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<tr>
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<td width="6%" class="required"> <?= _("Garant") ?> </td>
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<td>
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<SELECT style="font-size:10pt;" class="form-control selectpicker" data-live-search="true" id="codeGcAssureur" NAME="codeGcAssureur" required
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onChange="javascript:filtrespoliceencoursgarant()">
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<?php liste_options_consultation($garants, "" ,false); ?>
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</SELECT>
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</td>
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<td width="8%" class="text-center required"> <?= _("Police") ?> </td>
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<td >
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<div id="div_policegarant">
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<SELECT style="font-size:10pt;" class="form-select" id="idPolice" NAME="idPolice" required>
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<?php liste_options($polices,"");
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?>
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</SELECT>
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</div>
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</td>
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<td width="8%" class="text-center"> <?= _("Collège") ?> </td>
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<td>
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<div id="div_college">
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<SELECT style="font-size:10pt;" class="form-select" id="idCollege" NAME="idCollege">
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<?php liste_options($colleges,"");
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?>
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</SELECT>
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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 colspan="2"> <input class="form-control" style="text-align: center; font-size:10pt;" type="text" id="nbligne" name="nbligne" value="Lignes : 0" readonly> </td>
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<td ></td>
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<td colspan="3"> <button style='font-size:10pt;' type="button" class="form-control btn btn-primary" onclick="javascript:afficher_liste_carteassure();"> <?= _("Réinitialiser...") ?> </button> </td>
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</tr>
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</tbody>
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</table>
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<div id ="div_export_a">
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</div>
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<div id="div_liste_carte">
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</div>
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