86 lines
3.7 KiB
PHP
86 lines
3.7 KiB
PHP
<?php
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// $this->titre = "INTER-SANTE - "._("Rechercher assuré") ;
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?>
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<form id="frmrecherche" name="frmrecherche" method="post" action="Recherche/index/">
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<fieldset>
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<legend> <?= _("Critères de recherche de l'assuré") ?> </legend>
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<table class="table table-condensed table-responsive" style='font-size:8pt;'>
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<tbody>
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<tr>
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<td width="10%" > <?= _("No Bénéf") ?> </td>
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<td width="40%" ><INPUT class="form-control" TYPE="text" id="numeroBeneficiaire" name="numeroBeneficiaire" autofocus></td>
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<td align="center" width="10%"> <?= _("No Fam") ?> </td>
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<td align="center"><INPUT class="form-control" TYPE="text" id="numeroAdherent" name="numeroAdherent" ></td>
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</tr>
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<tr>
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<td> <?= _("Nom") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="nomBeneficiaire" name="nomBeneficiaire" ></td>
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<td align="center"> <?= _("Prénoms") ?> </td>
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<td><INPUT class="form-control" TYPE="text" id="prenomsBeneficiaire" name="prenomsBeneficiaire"></td>
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</tr>
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<tr>
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<td>Tel</td>
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<td><INPUT class="form-control" TYPE="text" id="telephonePortable" NAME="telephonePortable"></td>
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<td align="center">E-mail</td>
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<td><INPUT class="form-control" TYPE="text" id="email" NAME="email"></td>
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</tr>
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<tr>
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<td><input id="lancerrecherche" name="lancerrecherche" class="sr-only" type="submit" value="<?= _("Rechercher") ?>" ></td>
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</tr>
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</tbody>
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</table>
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</fieldset>
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<h4> <?= _("Résultats de la recherche") ?> </h4>
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<table class="table table-striped table-bordered table-hover table-condensed table-responsive" style='font-size:8pt;'>
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<thead>
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<tr>
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<th width="8%" style="text-align: center"> <?= _("No Bénéf") ?> </th>
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<th width="8%" style="text-align: center"> <?= _("No Fam") ?> </th>
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<th width="20%" > <?= _("Nom") ?> </th>
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<th width="20%" > <?= _("Prénoms") ?> </th>
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<th style="text-align: center"> <?= _("Lien par") ?> </th>
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<th style="text-align: center"> <?= _("Naiss") ?> </th>
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<th style="text-align: center">Sex</th>
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<th style="text-align: center"> <?= _("Tél") ?> </th>
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<th width="20%" > <?= _("Souscripteur") ?> </th>
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<th> <?= _("Etat") ?> </th>
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</tr>
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</thead>
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<tbody>
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<?php foreach ($beneficiaires as $beneficiaire):
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$idBeneficiaire=$this->nettoyer($beneficiaire['id']);
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$numeroBeneficiaire=$this->nettoyer($beneficiaire['numeroBeneficiaire']);
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?>
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<tr onclick="javascript:selectionner_beneficiaire(<?= $idBeneficiaire ?>,'<?= $numeroBeneficiaire ?>');"
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ondblclick="javascript:selectionner_beneficiaire(<?= $idBeneficiaire ?>,'<?= $numeroBeneficiaire ?>');afficher_beneficiaire_id();" valign="top">
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<td align="center"> <input type="button" value="<?= $numeroBeneficiaire ?>" onClick="javascript:selectionner_beneficiaire(<?= $idBeneficiaire ?>,'<?= $numeroBeneficiaire ?>');afficher_beneficiaire_id();"> </td>
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<td align="center"> <?= $this->nettoyer($beneficiaire['numeroAdherent']) ?></td>
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<td><?= $this->nettoyer($beneficiaire['nomBeneficiaire']) ?></td>
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<td><?= $this->nettoyer($beneficiaire['prenomsBeneficiaire']) ?></td>
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<td align="center"><?= $this->nettoyer($beneficiaire['codeLienParente']) ?></td>
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<td align="center"><?= dateLang($this->nettoyer($beneficiaire['dateNaissance'])) ?></td>
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<td align="center"><?= $this->nettoyer($beneficiaire['sexe']) ?></td>
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<td align="center"><?= $this->nettoyer($beneficiaire['telephonePortable']) ?></td>
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<td><?= $this->nettoyer($beneficiaire['nomClient']) ?></td>
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<td align="center"><?= $this->nettoyer($beneficiaire['codeEtatBeneficiaire']) ?></td>
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</tr>
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<?php endforeach; ?>
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</tbody>
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</table>
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</form>
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