36 lines
1.7 KiB
PHP
Executable File
36 lines
1.7 KiB
PHP
Executable File
<?php
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$this->titre = "Intersanté - Historique Remboursement";
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?>
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<legend> <?= _("Historique des demandes en provenance de la plateforme assuré") ?> </legend>
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<input class="sr-only" id="nomForm" name="nomForm" value="historembdirect">
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<table class="table table-responsive table-condensed" style='font-size:10pt;'>
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<tbody>
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<tr>
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<td width="10%" class="required" > <?= _("Période du") ?> </td>
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<td width="20%" ><INPUT style='text-align:center; font-size:10pt;' class="form-control datepicker" TYPE="text" id="d1" NAME="d1" value="<?= dateLang($_SESSION['debutMois_C'], $_SESSION['lang']) ?>" required></td>
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<td width="10%" align="center" class="required" > <?= _("au") ?> </td>
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<td width="20%" ><INPUT style='text-align:center; font-size:10pt;' class="form-control datepicker" TYPE="text" id="d2" NAME="d2" value="<?= dateCouranteLang($_SESSION['lang'], $_SESSION['lang']) ?>" required></td>
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<td width="5%" align="center"> <?= _("Etat") ?> </td>
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<td>
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<select class="form-select" id="codeEtatDemandeRemboursement" NAME="codeEtatDemandeRemboursement" style='font-size:10pt;'>
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<?php liste_options_consultation($reponsedemande, "0"); ?>
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</SELECT>
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</td>
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<td> </td>
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<td> <button id="btn_filtre" style='font-size:10pt;' type="button" class="form-control btn btn-primary" onclick="javascript:listerremboursement();"><?= _("Actualiser...") ?></button> </td>
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</tr>
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</tbody>
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</table>
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<div id="div_dossiers">
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<?php require "Vue/Ajaxdemanderemboursement/index.php";?>
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</div>
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<div id="div_infos_beneficiaire" class="modal fade" role="dialog" data-backdrop="static" data-keyboard="false">
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</div>
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