28 lines
1.1 KiB
PHP
28 lines
1.1 KiB
PHP
<table class="table table-striped table-bordered table-condensed table-responsive" style="font-size:8pt;">
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<thead>
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<tr>
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<th rowspan="2" style='text-align:center'> No </th>
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<th rowspan="2" style='text-align:center'> Date </th>
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<th rowspan="2" style='text-align:center'> <?= _("Médicament") ?> </th>
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<th rowspan="2" style='text-align:center'> <?= _("Qté") ?> </th>
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<th rowspan="2" style='text-align:center'> <?= _("Prestataire") ?> </th>
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<th rowspan="2" colspan="2" style='text-align:center'> <?= _("Bénéficiaire") ?> </th>
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<th rowspan="2" style='text-align:center'> <?= _("Répondue le") ?> </th>
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<th rowspan="2" style='text-align:center'> <?= _("Répondue par") ?> </th>
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<th rowspan="2" style='text-align:center'> <?= _("Situation") ?> </th>
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<th colspan="2" style='text-align:center'> <?= _("Motif Réponse") ?> </th>
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<th rowspan="2" style='text-align:center'> <?= _("Facturé") ?> </th>
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</tr>
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<tr>
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<th style='text-align:center'> <?= _("Réel") ?> </th>
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<th style='text-align:center'> <?= _("A l'assuré") ?> </th>
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</tr>
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</thead>
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<tbody>
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</tbody>
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</table>
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