36 lines
1.7 KiB
PHP
36 lines
1.7 KiB
PHP
<div id="div_substitution">
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<form id="frmmedicament" name="frmmedicament" method="post" >
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<input class="sr-only" type="text" id="prixTarif" name="prixTarif" type="number" value="<?= $this->nettoyer($medicament['prixTarif']) ?>" >
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<input class="sr-only" type="text" id="idMedicament" name="idMedicament" value="<?= $this->nettoyer($medicament['id']) ?>">
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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="20%" > Original </td>
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<td colspan="3"> <input class="form-control" style="text-align: center; font-size:10pt;" value="<?= $this->nettoyer($medicament['libelleMedicament']) ?>" readonly > </td>
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</tr>
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<tr>
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<td> <?= _("Substitut") ?> </td>
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<td colspan="3"> <input class="form-control" style="text-align: center; font-size:10pt;" value="<?= $this->nettoyer($medicament['nomSubstitut']) ?>" readonly > </td>
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</tr>
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<tr>
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<td > <?= _("Tarif Original") ?> </td>
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<td> <input class="form-control" style="text-align: center; font-size:10pt;" value="<?= format_N($this->nettoyer($medicament['prixTarif'])) ?>" readonly > </td>
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<td align="center" > <?= _("Tarif Substitut") ?> </td>
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<td> <input class="form-control" style="text-align: center; font-size:10pt;" id="prixSubstitut" name="prixSubstitut" type="number" value="<?= $this->nettoyer($medicament['prixSubstitut']) ?>" > </td>
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</tr>
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<tr>
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<td> </td>
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<td colspan="3"><input id="btn_enreg" name="btn_enreg" class = "form-control btn btn-primary" type="button" value="<?= _("Enregistrer") ?>" onClick="enregistrersubstituion_medicament();" style='font-size:10pt;' ></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>
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