80 lines
4.0 KiB
PHP
Executable File
80 lines
4.0 KiB
PHP
Executable File
<?php
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$this->titre = "Intersanté - Consulter Dérogation";
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$codeDerogation = $this->nettoyer($derogation['codeDerogation']);
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?>
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<form id="frmderogation" name="frmderogation" method="post" >
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<INPUT class="sr-only" TYPE="text" id="idDemandederogation" name="idDemandederogation" value="<?= $this->nettoyer($derogation['idDemandederogation']) ?>">
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<INPUT class="sr-only" TYPE="text" id="prestataire" name="prestataire" value="<?= $this->nettoyer($derogation['prestataire']) ?>">
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<INPUT class="sr-only" TYPE="text" id="beneficiaire" name="beneficiaire" value="<?= $this->nettoyer($derogation['beneficiaire']) ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroBeneficiaire" name="numeroBeneficiaire" value="<?= $this->nettoyer($derogation['numeroBeneficiaire']) ?>">
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<INPUT class="sr-only" TYPE="text" id="libelleDerogation" name="libelleDerogation" value="<?= $this->nettoyer($derogation['libelleDerogation']) ?>">
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<INPUT class="sr-only" TYPE="text" id="codeDerogation" name="codeDerogation" value="<?= $codeDerogation ?>">
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<legend> Consultation d'une dérogation </legend>
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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%" > Numéro </td>
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<td width="20%"> <INPUT id="numeroDerogation" name="numeroDerogation" class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['numeroDerogation']) ?>" readonly> </td>
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<td width="15%" align="center"> Dérogation </td>
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<td colspan="3"> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['libelleDerogation']) ?>" readonly> </td>
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</tr>
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<tr>
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<td> Date </td>
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<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= dateheureFr($this->nettoyer($derogation['dateSysteme'])) ?>" readonly> </td>
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<td align="center"> Prestataire </td>
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<td colspan="3"> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['prestataire']) ?>" readonly> </td>
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</tr>
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<tr>
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<td> Bénéficiaire </td>
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<td colspan="5"><INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['beneficiaire']) ?>" readonly> </td>
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</tr>
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<tr>
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<td> Motivations </td>
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<td colspan="5"><INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['observations']) ?>" readonly> </td>
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</tr>
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<tr>
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<td> Répondu le </td>
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<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= dateheureFr($this->nettoyer($derogation['dateReponse'])) ?>" readonly> </td>
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<td align="center"> Réponse </td>
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<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['reponseDerogation']) ?>" readonly> </td>
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<td align="center"> Par </td>
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<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['responsableDerogation']) ?>" readonly> </td>
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</tr>
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<tr>
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<td> Motif </td>
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<td colspan="5"><INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['motifRefusAssure']) ?>" readonly> </td>
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</tr>
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<tr>
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<td> Début jeton </td>
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<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= dateFr($this->nettoyer($derogation['debut'])) ?>" readonly> </td>
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<td align="center" > Fin jeton </td>
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<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= dateFr($this->nettoyer($derogation['fin'])) ?>" readonly> </td>
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<td align="center" > TM </td>
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<td> <INPUT class="form-control" TYPE="text" style='font-size:10pt;' value="<?= $this->nettoyer($derogation['tmDerogation']) ?>" readonly> </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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<div id ="div_wait">
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</div>
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