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KONE SOREL 2026-01-22 15:49:58 +00:00
parent 7425bf5504
commit 8ae1dadfde

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@ -17,59 +17,69 @@
} }
?> ?>
<div class="modal-dialog" style="max-width:70%" role="document"> <div class="modal-dialog modal-lg" role="document">
<div class="modal-content"> <div class="modal-content shadow-lg border-0">
<div class="modal-header"> <div class="modal-header bg-light border-bottom">
<button type="button" class="close" data-bs-dismiss="modal">&times;</button> <h5 class="modal-title fw-bold text-primary">
<legend class="modal-title" style="text-align:center;"><?= _('Valider une demande')?></legend> <i class="fas fa-check-circle me-2"></i><?= _('Valider une demande') ?>
</div> </h5>
<div class="modal-body"> <button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
<div id="div_motif"> </div>
<table class="table table-responsive table-condensed" style='font-size:12pt;'>
<tbody>
<tr>
<td width="15%"> <?= _("Demande N°");?></td>
<td colspan="3">
<input style="font-size:10pt;" class ="form-control" type="text" value="<?= $numeroDemandeRemboursement; ?>" readonly>
</td>
</tr>
<tr>
<td > <?= _("Titulaire");?></td>
<td >
<input style="font-size:10pt;" class ="form-control" type="text" value="<?= $adherent."(".$numeroAdherent.")"; ?>" readonly>
</td>
<td style='text-align:center' width="8%"> <?= _("Patient");?></td>
<td >
<input style="font-size:10pt;" class ="form-control" type="text" value="<?= $beneficiaire."(".$numeroBeneficiaire.")"; ?>" readonly>
</td>
</tr>
<tr>
<td ><?= _("Etat validation");?></td >
<td colspan="3">
<select class="form-select form-select-sm border-primary-subtle" id="codeStatutPaiement" name="codeStatutPaiement">
<?php liste_options($reponsedemande, $codeStatutPaiement); ?>
</select>
</td>
</tr>
<tr> <div class="modal-body p-4">
<td class="required" width="8%"> <?= _("Motif");?></td> <div id="div_motif">
<td colspan="3"> <div class="mb-4">
<textarea class="form-control-sm" placeholder="<?= _("Obligatoire si refus");?>" name="motifRejetRh" id="motifRejetRh" rows="5" required style="width:100%;"></textarea> <label class="form-label small fw-bold text-muted text-uppercase"><?= _("Référence de la demande") ?></label>
</td> <div class="input-group shadow-sm">
</tr> <span class="input-group-text bg-white"><i class="fas fa-hashtag text-primary"></i></span>
<tr> <input class="form-control fw-bold bg-white" type="text" value="<?= $numeroDemandeRemboursement; ?>" readonly>
<td colspan="4"> </div>
<input style="font-size:10pt;" class = "form-control btn btn-primary" type="button" value="<?= _("Enregistrer") ?>" onClick="javascript:enregistrer_validation_rd(<?= $idDemande ?>);"> </div>
</td>
</tr> <div class="row g-3 mb-4">
</tbody> <div class="col-md-6">
</table> <label class="form-label small fw-bold text-muted text-uppercase"><?= _("Titulaire (Adhérent)") ?></label>
</div> <div class="input-group">
</div> <span class="input-group-text bg-light"><i class="fas fa-user-shield"></i></span>
<input class="form-control small" type="text" value="<?= $adherent." (".$numeroAdherent.")"; ?>" readonly>
<div class="modal-footer"> </div>
<button type="button" id="" class="btn btn-default" data-bs-dismiss="modal" ><?= _("Fermer") ?></button> </div>
</div> <div class="col-md-6">
</div> <label class="form-label small fw-bold text-muted text-uppercase"><?= _("Patient (Bénéficiaire)") ?></label>
</div> <div class="input-group">
<span class="input-group-text bg-light"><i class="fas fa-user"></i></span>
<input class="form-control small" type="text" value="<?= $beneficiaire." (".$numeroBeneficiaire.")"; ?>" readonly>
</div>
</div>
</div>
<hr class="text-muted opacity-25">
<div class="row g-3">
<div class="col-12">
<label class="form-label fw-bold"><?= _("Décision de validation") ?> <span class="text-danger">*</span></label>
<select class="form-select border-primary" id="codeStatutPaiement" name="codeStatutPaiement">
<?php liste_options($reponsedemande, $codeStatutPaiement); ?>
</select>
</div>
<div class="col-12">
<label class="form-label fw-bold"><?= _("Motif ou Observation") ?></label>
<textarea class="form-control"
placeholder="<?= _("Saisissez ici le motif (obligatoire en cas de refus)..."); ?>"
name="motifRejetRh"
id="motifRejetRh"
rows="4"></textarea>
</div>
</div>
</div>
</div>
<div class="modal-footer bg-light">
<button type="button" class="btn btn-outline-secondary px-4" data-bs-dismiss="modal"><?= _("Annuler") ?></button>
<button type="button" class="btn btn-primary px-5 shadow" onClick="javascript:enregistrer_validation_rd(<?= $idDemande ?>);">
<i class="fas fa-save me-2"></i><?= _("Enregistrer la décision") ?>
</button>
</div>
</div>
</div>