radiantproduction/Vue/Creerbeneficiairefamiliale/index.php

177 lines
7.1 KiB
PHP

<?php
// $this->titre = "INTER-SANTE - Ajout Adhérent";
//11/11/2020
$dateAvenant = $_SESSION['dateAvenant_C'];
$codeTypeApporteur = $_SESSION['codeTypeApporteur_C'];
$idApporteur = $_SESSION['idApporteur_C'];
$codeApporteur = $_SESSION['codeApporteur_C'];
$libelleApporteur = $_SESSION['libelleApporteur_C'];
// $idCollege = $adherent_temp['idCollege'];
$idAvenant = $_SESSION['dernierIdAvenant'];
$codeTypeEcheancier = $beneficiaire_temp['codeTypeEcheancier'];
//Fin 11/11/2020
?>
<legend> <?= _("Commercial") . " => " . $libelleApporteur . " ; " ._("Famille") . " => " . $_SESSION['adherent_C'] . " => " . _("Nouveau dépendant") ?> </legend>
<form method="post" action="Creerbeneficiairefamiliale/ajouter">
<INPUT class="sr-only" TYPE="text" id="idPolice" name="idPolice" value="<?= $_SESSION['idPolice_C'] ?>">
<INPUT class="sr-only" TYPE="text" id="numeroPolice" name="numeroPolice" value="<?= $_SESSION['numeroPolice_C'] ?>">
<INPUT class="sr-only" TYPE="text" id="idAdherent" name="idAdherent" value="<?= $_SESSION['idAdherent_C'] ?>">
<INPUT class="sr-only" TYPE="text" id="numeroAdherent" name="numeroAdherent" value="<?= $_SESSION['numeroAdherent_C'] ?>">
<INPUT class="sr-only" TYPE="text" id="primeTtc" name="primeTtc" value="0">
<input class="sr-only" type="text" id="idApporteur" name="idApporteur" value="<?= $idApporteur ?>" >
<input class="sr-only" type="text" id="codeApporteur" name="codeApporteur" value="<?= $codeApporteur ?>" >
<input class="sr-only" type="text" id="codeTypeApporteur" name="codeTypeApporteur" value="<?= $codeTypeApporteur ?>" >
<input class="sr-only" type="text" id="codeProduit" name="codeProduit" value="<?= $beneficiaire_temp['codeProduit'] ?>" >
<INPUT class="sr-only" TYPE="text" id="genreAdherent" NAME="genreAdherent" value="<?= $this->nettoyer($adherent['sexe']) ?>">
<INPUT class="sr-only" TYPE="text" id="sexeConjoint" NAME="sexeConjoint" value="">
<fieldset>
<table class="table table-responsive table-condensed" style='font-size:10pt;'>
<tbody>
<tr>
<td width="10%"> <?= _("Avenant") ?> </td>
<td>
<SELECT style='font-size:10pt;' class="form-control" id="idAvenant" NAME="idAvenant" required autofocus onChange="changer_avenant_incorporation_beneficiaire_familiale();">
<?php liste_options($avenant, $idAvenant); ?>
</SELECT>
</td>
<td width="10%" align="center"> <?= _("Entrée") ?> </td>
<td>
<div id="div_date_avenant">
<INPUT style='font-size:9pt;' class="form-control datepicker" TYPE="text" id="dateEntree" NAME="dateEntree" value="<?= dateLang($_SESSION['dateAvenant_C']) ?>" required
onChange="recap_prime_beneficiaire_temp();" style='font-size:10pt;'>
</div>
</td>
</tr>
<tr>
<td> <?= _("Nom Bénéf") ?> </td>
<td><INPUT class="form-control" TYPE="text" id="nomBeneficiaire" NAME="nomBeneficiaire" value="<?= $adherent['nom'] ?>" required style="font-size:10pt; text-transform: uppercase;"></td>
<td align="center"> <?= _("Prénoms") ?> </td>
<td><INPUT class="form-control" TYPE="text" id="prenomsBeneficiaire" NAME="prenomsBeneficiaire" style='font-size:10pt;' ></td>
</tr>
<tr>
<td> <?= _("Lien Parenté") ?> </td>
<td>
<SELECT class="form-control" id="codeLienParente" NAME="codeLienParente" required style='font-size:10pt;' onChange="recap_prime_beneficiaire_temp(); filtrergenreconjoint();" >
<?php liste_options($lienparente,""); ?>
</SELECT>
</td>
<td align="center"> Sex </td>
<td>
<SELECT class="form-control" id="sexe" NAME="sexe" required style='font-size:10pt;'>
<?php liste_options($sexe,""); ?>
</SELECT>
</td>
</tr>
<td> <?= _("Naissance") ?> </td>
<td>
<INPUT style='font-size:10pt;'class="form-control datepicker" TYPE="text" id="dateNaissance" NAME="dateNaissance" required
onchange="controle_age($('#dateNaissance').datepicker('getDate'), $('#codeLienParente').val())">
</td>
<td align="center"> <?= _("Nat Pièce") ?> </td>
<td>
<SELECT class="form-control" id="codeNaturePiece" NAME="codeNaturePiece" required style='font-size:10pt;'
onChange="javascript:controler_piece_beneficiaire();" >
<?php liste_options($naturepiece,""); ?>
</SELECT>
</td>
</tr>
<tr>
<td> <?= _("No Pièce") ?> </td>
<td>
<INPUT class="form-control" TYPE="text" id="numeroPiece" NAME="numeroPiece" style='font-size:10pt;'
onblur="javascript:controler_piece_beneficiaire();" required autocomplete="off" >
</td>
<td align="center"> <?= _("Groupe Sang") ?> </td>
<td>
<SELECT class="form-control" id="codeGroupeSanguin" NAME="codeGroupeSanguin" required style='font-size:10pt;'>
<?php liste_options($groupesanguin,""); ?>
</SELECT>
</td>
</tr>
<tr>
<td colspan="4" style="height:8px; background-color:white;">
<div id="div_controle_piece"></div>
</td>
</tr>
<tr>
<td> <?= _("Tél Port") ?> </td>
<td><INPUT style='font-size:10pt;' class="form-control" TYPE="tel" id="telephonePortable" NAME="telephonePortable" autocomplete="off" ></td>
<td><input style='font-size:10pt; text-align:center;color:red;' class="form-control" type="text" id="agepersonne" name="agepersonne" value="Age : 0" readonly ></td>
<td align='center'> <input style='font-size:10pt;' class = "form-control btn btn-info" type="button" value="<?= _("Calculer la prime") ?>" onClick="recap_prime_beneficiaire_temp();"> </td>
</tr>
<!-- débutt 11/11/2020 -->
<tr>
<td> <?= _("Prime Adhérent") ?> </td>
<td> <INPUT style='font-size:10pt;' class="form-control" TYPE="tel" value="<?= format_N($beneficiaire_temp['primeBaseAdherent']) ?>" NAME="primeBaseAdherent" readonly > </td>
<td align="center"> <?= _("Type Echéancier") ?> </td>
<td>
<SELECT class="form-control" id="codeTypeEcheancier" NAME="codeTypeEcheancier" required disabled style='font-size:10pt;'>
<?php liste_options($typeecheancier, $codeTypeEcheancier); ?>
</SELECT>
</td>
</tr>
<!-- Fin 11/11/2020 -->
<tr>
<td></td>
<td colspan="3" ><input style='font-size:10pt;' id="btn_submit" NAME="btn_submit" class = "form-control btn btn-primary" type="submit" value="<?= _("Enregistrer") ?>" disabled /></td>
</tr>
</tbody>
</table>
</fieldset>
<div id="div_prime">
<table class="table table-responsive table-condensed" style='font-size:10pt;'>
<thead>
<tr>
<th colspan="8" style='text-align:center'> <?= _("Récapitulatif primes") ?> </th>
</tr>
</thead>
<tbody>
</tbody>
</table>
</div>
</form>
<?php if (isset($msgErreur)): ?>
<div class="alert alert-danger" style="height:30px; padding:5px;" >
<H4><?= $msgErreur ?></H4>
</div>
<?php endif; ?>