58 lines
2.0 KiB
PHP
58 lines
2.0 KiB
PHP
<?php $this->titre = "INTER-SANTE - Etats Production";
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?>
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<script type="text/javascript">
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</script>
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<table class="table table-bordered table-condensed table-responsive" style="font-size:10pt; paddind:0px;">
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<tbody>
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<thead>
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<tr>
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<th colspan="6" style='text-align:center'> <?= _("Couverture de la police") ?> </th>
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</tr>
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</thead>
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<tr>
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<td width="10%" > <?= _("Date Effet Initiale") ?> </td>
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<td><INPUT style="font-size:10pt; text-align:center" class="form-control" TYPE="text" id="dateEffet" NAME="dateEffet" value="<?= dateLang($this->nettoyer($entete_stat['dateEffetInitial']), $_SESSION['lang']) ?>" readonly></td>
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<td align="center"> <?= _("Date Effet") ?> </td>
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<td><INPUT style="font-size:10pt; text-align:center" class="form-control" TYPE="text" id="dateEffet" NAME="dateEffet" value="<?= dateLang($this->nettoyer($entete_stat['dateEffet']), $_SESSION['lang']) ?>" readonly></td>
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<td align="center"> <?= _("Echéance") ?> </td>
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<td><INPUT style="font-size:10pt; text-align:center" class="form-control" TYPE="text" id="dateEcheance" NAME="dateEcheance" value="<?= dateLang($this->nettoyer($entete_stat['dateFin']), $_SESSION['lang']) ?>" readonly></td>
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</tr>
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<tr>
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<td > <?= _("Requête") ?> </td>
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<td colspan="1" >
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<SELECT class="form-control" id="codeEnteteEtat" NAME="codeEnteteEtat" autofocus style="font-size:10pt;" onChange="javascript:ajaxenteteetatassurancefamiliale();">
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<?php liste_options($enteteetats, "" ,false); ?>
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</SELECT>
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</td>
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<td align="center" > => </td>
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<td colspan="3" >
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<div id="div_sous_etat">
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<SELECT class="form-control" id="codeEtat" NAME="codeEtat" autofocus style="font-size:10pt;" onChange="javascript:ajaxenteteetatprod();">
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<?php liste_options($etats, "" ,false); ?>
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</SELECT>
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</div>
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</td>
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</tr>
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</tbody>
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</table>
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<div id="div_ente_requete">
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</div>
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<div id="div_detail_requete">
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</div>
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