This commit is contained in:
KONE SOREL 2026-01-22 19:23:14 +00:00
parent 88bd74612e
commit 928fad334e
2 changed files with 26 additions and 4 deletions

View File

@ -132,7 +132,7 @@
<div class="col-md-4">
<label class="form-label small text-muted"><?= _("Téléphone Portable") ?></label>
<input class="form-control" type="tel" id="telephonePortable" name="telephonePortable" value="<?= $_SESSION['telephonePortable'] ?>">
<input class="form-control" type="tel" id="telephonePortable" name="telephonePortable" value="<?= $_SESSION['indicatifTelephone'] ?>">
</div>
<div class="col-md-4">
<label class="form-label small text-muted"><?= _("E-mail") ?></label>

View File

@ -32,7 +32,7 @@
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Référence de la demande") ?></label>
<div class="input-group shadow-sm">
<span class="input-group-text bg-white"><i class="fas fa-hashtag text-primary"></i></span>
<input class="form-control fw-bold bg-white" type="text" value="<?= $numeroDemandeRemboursement; ?>" readonly>
<input class="form-control fw-bold bg-white" type="text" value="<?= $numeroDemandeRemboursement; ?>" disabled>
</div>
</div>
@ -41,14 +41,14 @@
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Titulaire (Adhérent)") ?></label>
<div class="input-group">
<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>
<input class="form-control small" type="text" value="<?= $adherent." (".$numeroAdherent.")"; ?>" disabled>
</div>
</div>
<div class="col-md-6">
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Patient (Bénéficiaire)") ?></label>
<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>
<input class="form-control small" type="text" value="<?= $beneficiaire." (".$numeroBeneficiaire.")"; ?>" disabled>
</div>
</div>
</div>
@ -56,6 +56,7 @@
<hr class="text-muted opacity-25">
<div class="row g-3">
<?php if($codeStatutPaiement=="2"): ?>
<div class="col-12">
<label class="form-label fw-bold"><?= _("Décision de validation") ?> <span class="text-danger">*</span></label>
<select class="form-select border-primary" id="codeStatutPaiementAjax" name="codeStatutPaiementAjax">
@ -71,15 +72,36 @@
id="motifRejetRh"
rows="4"></textarea>
</div>
<?php else: ?>
<div class="col-12">
<label class="form-label fw-bold"><?= _("Décision de validation") ?> <span class="text-danger">*</span></label>
<select class="form-select border-primary" id="codeStatutPaiementAjax" name="codeStatutPaiementAjax" disabled>
<?php liste_options($reponsedemande, $codeStatutPaiement); ?>
</select>
</div>
<div class="col-12">
<label class="form-label fw-bold"><?= _("Motif ou Observation") ?></label>
<textarea class="form-control"
placeholder="<?= _("Saisissez ici le motif (obligatoire en cas de refus)..."); ?>"
name="motifRejetRh"
id="motifRejetRh"
rows="4" disabled></textarea>
</div>
<?php endif; ?>
</div>
</div>
</div>
<div class="modal-footer bg-light">
<?php if($codeStatutPaiement=="2"): ?>
<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>
<?php else: ?>
<button type="button" class="btn btn-outline-secondary px-4" data-bs-dismiss="modal"><?= _("Fermer") ?></button>
<?php endif; ?>
</div>
</div>
</div>