Ajaxgabarit
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@ -142,7 +142,6 @@ require_once 'Framework/Localisation.php';
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$licensed = getLicensed($codeSociete, $nomSociete);
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if(!$licensed )
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{
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if ($_SESSION['lang']=="en_US")
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@ -2,123 +2,97 @@
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?>
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<input class="sr-only" type="text" id="codeSociete" name="codeSociete" value="<?= isset($_SESSION['codeSociete']) ? $_SESSION['codeSociete'] : ""; ?>">
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<input class="sr-only" type="text" id="codeLangue" name="codeLangue" value="<?= isset($_SESSION['lang']) ? $_SESSION['lang'] : ""; ?>">
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<input type="hidden" id="codeSociete" value="<?= $_SESSION['codeSociete'] ?? '' ?>">
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<input type="hidden" id="codeLangue" value="<?= $_SESSION['lang'] ?? '' ?>">
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<input type="hidden" id="codeLangueSociete" value="<?= $_SESSION['codeLangueSociete'] ?? '' ?>">
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<input type="hidden" id="devise_C" value="<?= $_SESSION['devise_C'] ?? '' ?>">
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<input type="hidden" id="codeExercice_C" value="<?= $_SESSION['codeExercice_C'] ?? '' ?>">
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<input type="hidden" id="codeMois_C" value="<?= $_SESSION['codeMois_C'] ?? '' ?>">
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<input type="hidden" id="idClient_C" value="<?= $_SESSION['idClient_C'] ?? '' ?>">
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<input type="hidden" id="idPolice_C" value="<?= $_SESSION['idPolice_C'] ?? '' ?>">
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<input type="hidden" id="codeTypeAvenant_C" value="<?= $_SESSION['codeTypeAvenant_C'] ?? '' ?>">
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<INPUT class="sr-only" TYPE="text" id="fusionConsOrd" name="fusionConsOrd" value="<?= isset($_SESSION['fusionConsOrd']) ? $_SESSION['fusionConsOrd'] : ""; ?>">
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<input class="sr-only" type="text" id="codeLanguePrestataire" name="codeLanguePrestataire" value="<?= isset($_SESSION['codeLanguePrestataire']) ? $_SESSION['codeLanguePrestataire'] : ""; ?>">
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<input class="sr-only" type="text" id="codeLangueSociete" name="codeLangueSociete" value="<?= isset($_SESSION['codeLangueSociete']) ? $_SESSION['codeLangueSociete'] : ""; ?>">
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<input class="sr-only" type="text" id="codeLangueAdherent" name="codeLangueAdherent" value="<?= isset($_SESSION['codeLangueAdherent']) ? $_SESSION['codeLangueAdherent'] : ""; ?>">
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<input class="sr-only" type="text" id="fournisseurSms" name="fournisseurSms" value="<?= isset($_SESSION['fournisseurSms']) ? $_SESSION['fournisseurSms'] : ""; ?>">
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<input class="sr-only" type="text" id="envoismsactif" name="envoismsactif" value="<?= isset($_SESSION['envoismsactif']) ? $_SESSION['envoismsactif'] : ""; ?>">
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<input class="sr-only" type="text" id="smsAssure" name="smsAssure" value="<?= isset($_SESSION['smsAssure']) ? $_SESSION['smsAssure'] : ""; ?>">
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<input class="sr-only" type="text" id="copieSmsPrestataireAssure" name="copieSmsPrestataireAssure" value="<?= isset($_SESSION['copieSmsPrestataireAssure']) ? $_SESSION['copieSmsPrestataireAssure'] : ""; ?>">
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<input class="sr-only" type="text" id="devise_C" name="devise_C" value="<?= isset($_SESSION['devise_C']) ? $_SESSION['devise_C'] : ""; ?>">
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<input type="hidden" id="idClient_d_C" name="idClient_d_C" value="<?= $_SESSION['idClient_d_C'] ?? '' ?>">
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<input type="hidden" id="idPolice_d_C" name="idPolice_d_C" value="<?= $_SESSION['idPolice_d_C'] ?? '' ?>">
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<input type="hidden" id="idAdherent_C" name="idAdherent_C" value="<?= $_SESSION['idAdherent_C'] ?? '' ?>">
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<input type="hidden" id="idBeneficiaire_C" name="idBeneficiaire_C" value="<?= $_SESSION['idBeneficiaire_C'] ?? '' ?>">
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<input class="sr-only" type="text" id="codeExercice_C" name="codeExercice_C" value="<?= isset($_SESSION['codeExercice_C']) ? $_SESSION['codeExercice_C'] : ""; ?>">
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<input class="sr-only" type="text" id="codeMois_C" name="codeMois_C" value="<?= isset($_SESSION['codeMois_C']) ? $_SESSION['codeMois_C'] : ""; ?>">
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<input type="hidden" id="nomBeneficiaire_C" name="nomBeneficiaire_C" value="<?= $_SESSION['nomBeneficiaire_C'] ?? '' ?>">
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<input type="hidden" id="nomAdherent_C" name="nomAdherent_C" value="<?= $_SESSION['nomAdherent_C'] ?? '' ?>">
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<input type="hidden" id="idSubstitut_C" name="idSubstitut_C" value="<?= $_SESSION['idSubstitut_C'] ?? '' ?>">
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<input type="hidden" id="substitutnonassure_C" name="substitutnonassure_C" value="<?= $_SESSION['substitutnonassure_C'] ?? '' ?>">
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<input type="hidden" id="substitutenVigueur_C" name="substitutenVigueur_C" value="<?= $_SESSION['substitutenVigueur_C'] ?? '' ?>">
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<INPUT class="sr-only" TYPE="text" id="idClient_C" name="idClient_C" value="<?= isset($_SESSION['idClient_C']) ? $_SESSION['idClient_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="idPolice_C" name="idPolice_C" value="<?= isset($_SESSION['idPolice_C']) ? $_SESSION['idPolice_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="codeTypeAvenant_C" name="codeTypeAvenant_C" value="<?= isset($_SESSION['codeTypeAvenant_C']) ? $_SESSION['codeTypeAvenant_C'] : ""; ?>">
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<input type="hidden" id="codeProfil_C" name="codeProfil_C" value="<?= $_SESSION['codeProfilSysteme'] ?? '' ?>">
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<input type="hidden" id="codeEtatPolice_C" name="codeEtatPolice_C" value="<?= $_SESSION['codeEtatPolice_C'] ?? '' ?>">
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<input type="hidden" id="codeEtatAdherent_C" name="codeEtatAdherent_C" value="<?= $_SESSION['codeEtatAdherent_C'] ?? '' ?>">
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<input type="hidden" id="codeEtatBeneficiaire_C" name="codeEtatBeneficiaire_C" value="<?= $_SESSION['codeEtatBeneficiaire_C'] ?? '' ?>">
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<input type="hidden" id="enVigueur_C" name="enVigueur_C" value="<?= $_SESSION['enVigueur_C'] ?? '' ?>">
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<input type="hidden" id="etatbeneficiaire_C" name="etatbeneficiaire_C" value="<?= $_SESSION['etatbeneficiaire_C'] ?? '' ?>">
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<INPUT class="sr-only" TYPE="text" id="idClient_d_C" name="idClient_d_C" value="<?= isset($_SESSION['idClient_d_C']) ? $_SESSION['idClient_d_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="idPolice_d_C" name="idPolice_d_C" value="<?= isset($_SESSION['idPolice_d_C']) ? $_SESSION['idPolice_d_C'] : ""; ?>">
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<input type="hidden" id="adminBon" name="adminBon" value="<?= $_SESSION['adminBon'] ?? '' ?>">
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<input type="hidden" id="adminDiv" name="adminDiv" value="<?= $_SESSION['adminDiv'] ?? '' ?>">
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<input type="hidden" id="superUser" name="superUser" value="<?= $_SESSION['superUser'] ?? '' ?>">
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<input type="hidden" id="adminSin" name="adminSin" value="<?= $_SESSION['adminSin'] ?? '' ?>">
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<INPUT class="sr-only" TYPE="text" id="idAdherent_C" name="idAdherent_C" value="<?= isset($_SESSION['idAdherent_C']) ? $_SESSION['idAdherent_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="idBeneficiaire_C" name="idBeneficiaire_C" value="<?= isset($_SESSION['idBeneficiaire_C']) ? $_SESSION['idBeneficiaire_C'] : ""; ?>">
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<input type="hidden" id="datejour_C" name="datejour_C" value="<?= $this->datejour ?>">
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<input type="hidden" id="heuresysteme_C" name="heuresysteme_C" value="<?= $this->heuresysteme ?>">
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<input type="hidden" id="datejourfr_C" name="datejourfr_C" class="datepicker" value="<?= $this->datejourfr ?>">
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<input type="hidden" id="heuresystemefr_C" name="heuresystemefr_C" class="datepicker" value="<?= $this->heuresystemefr ?>">
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<INPUT class="sr-only" TYPE="text" id="nomBeneficiaire_C" name="nomBeneficiaire_C" value="<?= isset($_SESSION['nomBeneficiaire_C']) ? $_SESSION['nomBeneficiaire_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="nomAdherent_C" name="nomAdherent_C" value="<?= isset($_SESSION['nomAdherent_C']) ? $_SESSION['nomAdherent_C'] : ""; ?>">
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<input type="hidden" id="dUneSemaineAvant_C" name="dUneSemaineAvant_C" value="<?= $_SESSION['dUneSemaineAvant_C'] ?? '' ?>">
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<input type="hidden" id="dUneSemaineAvantFr_C" name="dUneSemaineAvantFr_C" value="<?= isset($_SESSION['dUneSemaineAvant_C']) ? dateLang($_SESSION['dUneSemaineAvant_C'], $_SESSION['dUneSemaineAvant_C']) : '' ?>">
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<input type="hidden" id="debutExercice_C" name="debutExercice_C" value="<?= $_SESSION['debutExercice_C'] ?? '' ?>">
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<input type="hidden" id="debutExerciceFr_C" name="debutExerciceFr_C" value="<?= $_SESSION['debutExerciceFr_C'] ?? '' ?>">
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<input type="hidden" id="debutMois_C" name="debutMois_C" value="<?= $_SESSION['debutMois_C'] ?? '' ?>">
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<input type="hidden" id="debutMoisFr_C" name="debutMoisFr_C" value="<?= $_SESSION['debutMoisFr_C'] ?? '' ?>">
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<input type="hidden" id="hier_C" name="hier_C" value="<?= $_SESSION['hier_C'] ?? '' ?>">
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<input type="hidden" id="hierFr_C" name="hierFr_C" value="<?= $_SESSION['hierFr_C'] ?? '' ?>">
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<input type="hidden" id="tm_C" name="tm_C" value="<?= $_SESSION['tm_C'] ?? '' ?>">
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<INPUT class="sr-only" TYPE="text" id="idSubstitut_C" NAME="idSubstitut_C" value="<?= isset($_SESSION['idSubstitut_C']) ? $_SESSION['idSubstitut_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="substitutnonassure_C" NAME="substitutnonassure_C" value="<?= isset($_SESSION['substitutnonassure_C']) ? $_SESSION['substitutnonassure_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="substitutenVigueur_C" NAME="substitutenVigueur_C" value="<?= isset($_SESSION['substitutenVigueur_C']) ? $_SESSION['substitutenVigueur_C'] : ""; ?>">
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<input type="hidden" id="numeroFeuilleMaladie_C" name="numeroFeuilleMaladie_C" value="<?= $_SESSION['numeroFeuilleMaladie_C'] ?? '' ?>">
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<input type="hidden" id="numeroPrescription_C" name="numeroPrescription_C" value="<?= $_SESSION['numeroPrescription_C'] ?? '' ?>">
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<input type="hidden" id="numeroOptique_C" name="numeroOptique_C" value="<?= $_SESSION['numeroOptique_C'] ?? '' ?>">
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<input type="hidden" id="numeroExamen_C" name="numeroExamen_C" value="<?= $_SESSION['numeroExamen_C'] ?? '' ?>">
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<input type="hidden" id="numeroPrescriptionKine_C" name="numeroPrescriptionKine_C" value="<?= $_SESSION['numeroPrescriptionKine_C'] ?? '' ?>">
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<input type="hidden" id="idFacture_C" name="idFacture_C" value="<?= $_SESSION['idFacture_C'] ?? '' ?>">
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<input type="hidden" id="numeroBonOrdonnance_C" name="numeroBonOrdonnance_C" value="<?= $_SESSION['numeroBonOrdonnance_C'] ?? '' ?>">
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<input type="hidden" id="numeroBonConsultation_C" name="numeroBonConsultation_C" value="<?= $_SESSION['numeroBonConsultation_C'] ?? '' ?>">
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<input type="hidden" id="numeroBonHospitalisation_C" name="numeroBonHospitalisation_C" value="<?= $_SESSION['numeroBonHospitalisation_C'] ?? '' ?>">
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<input type="hidden" id="numeroBonOptique_C" name="numeroBonOptique_C" value="<?= $_SESSION['numeroBonOptique_C'] ?? '' ?>">
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<input type="hidden" id="numeroBonExamen_C" name="numeroBonExamen_C" value="<?= $_SESSION['numeroBonExamen_C'] ?? '' ?>">
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<input type="hidden" id="numeroBonKine_C" name="numeroBonKine_C" value="<?= $_SESSION['numeroBonKine_C'] ?? '' ?>">
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<input type="hidden" id="numeroBonSeance_C" name="numeroBonSeance_C" value="<?= $_SESSION['numeroBonSeance_C'] ?? '' ?>">
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<INPUT class="sr-only" TYPE="text" id="codeProfil_C" name="codeProfil_C" value="<?= isset($_SESSION['codeProfilSysteme']) ? $_SESSION['codeProfilSysteme'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="codeEtatPolice_C" name="codeEtatPolice_C" value="<?= isset($_SESSION['codeEtatPolice_C']) ? $_SESSION['codeEtatPolice_C'] : ""; ?>">
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<input type="hidden" id="hospitalisation_C" name="hospitalisation_C" value="<?= $_SESSION['hospitalisation_C'] ?? '' ?>">
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<input type="hidden" id="dateEffetCouvert" name="dateEffetCouvert" value="<?= $_SESSION['dateEffetCouvert'] ?? '' ?>">
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<input type="hidden" id="dateEffetInitialPolice_C" class="datepicker" value="<?= isset($_SESSION['dateEffetInitialPolice_C']) ? dateLang($_SESSION['dateEffetInitialPolice_C'], $_SESSION['lang']) : '' ?>">
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<input type="hidden" id="dateAvenantPolice_C" class="datepicker" value="<?= isset($_SESSION['dateAvenantPolice_C']) ? dateLang($_SESSION['dateAvenantPolice_C'], $_SESSION['lang']) : '' ?>">
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<input type="hidden" id="dateEffetPolice_C" class="datepicker" value="<?= isset($_SESSION['dateEffetPolice_C']) ? dateLang($_SESSION['dateEffetPolice_C'], $_SESSION['lang']) : '' ?>">
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<input type="hidden" id="dateEffetPoliceFr_C" value="<?= isset($_SESSION['dateEffetPolice_C']) ? dateLang($_SESSION['dateEffetPolice_C'], $_SESSION['lang']) : '' ?>">
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<input type="hidden" id="dateFinPolice_C" value="<?= $_SESSION['dateFinPolice_C'] ?? '' ?>">
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<input type="hidden" id="dateFinPoliceFr_C" value="<?= isset($_SESSION['dateFinPolice_C']) ? dateLang($_SESSION['dateFinPolice_C'], $_SESSION['lang']) : '' ?>">
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<input type="hidden" id="dateEcheancePolice_C" class="datepicker" value="<?= isset($_SESSION['dateEcheancePolice_C']) ? dateLang($_SESSION['dateEcheancePolice_C'], $_SESSION['lang']) : '' ?>">
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<input type="hidden" id="dateEcheancePoliceFr_C" value="<?= isset($_SESSION['dateEcheancePolice_C']) ? dateLang($_SESSION['dateEcheancePolice_C'], $_SESSION['lang']) : '' ?>">
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<INPUT class="sr-only" TYPE="text" id="codeEtatAdherent_C" name="codeEtatAdherent_C" value="<?= isset($_SESSION['codeEtatAdherent_C']) ? $_SESSION['codeEtatAdherent_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="codeEtatBeneficiaire_C" name="codeEtatBeneficiaire_C" value="<?= isset($_SESSION['codeEtatBeneficiaire_C']) ? $_SESSION['codeEtatBeneficiaire_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="enVigueur_C" name="enVigueur_C" value="<?= isset($_SESSION['enVigueur_C']) ? $_SESSION['enVigueur_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="etatbeneficiaire_C" name="etatbeneficiaire_C" value="<?= isset($_SESSION['etatbeneficiaire_C']) ? $_SESSION['etatbeneficiaire_C'] : ""; ?>">
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<input type="hidden" id="dateEntreeBeneficiaire_C" class="datepicker" value="<?= $_SESSION['dateEntreeBeneficiaire_C'] ?? '' ?>">
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<input type="hidden" id="dateEntreeBeneficiaireFr_C" value="<?= isset($_SESSION['dateEntreeBeneficiaire_C']) ? dateLang($_SESSION['dateEntreeBeneficiaire_C'], $_SESSION['lang']) : '' ?>">
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<input type="hidden" id="dateEffetBeneficiaire_C" value="<?= $_SESSION['dateEffetBeneficiaire_C'] ?? '' ?>">
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<input type="hidden" id="dateEffetBeneficiaireFr_C" value="<?= isset($_SESSION['dateEffetBeneficiaire_C']) ? dateLang($_SESSION['dateEffetBeneficiaire_C'], $_SESSION['lang']) : '' ?>">
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<input type="hidden" id="dateSortieBeneficiaire_C" value="<?= $_SESSION['dateSortieBeneficiaire_C'] ?? '' ?>">
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<input type="hidden" id="dateSortieBeneficiaireFr_C" value="<?= isset($_SESSION['dateSortieBeneficiaire_C']) ? dateLang($_SESSION['dateSortieBeneficiaire_C'], $_SESSION['lang']) : '' ?>">
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<input type="hidden" id="decede_C" name="decede_C" value="<?= $_SESSION['decede_C'] ?? '' ?>">
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<input type="hidden" id="dateDeces_C" value="<?= $_SESSION['dateDeces_C'] ?? '' ?>">
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<input type="hidden" id="dateDecesFr_C" value="<?= isset($_SESSION['dateDeces_C']) ? dateLang($_SESSION['dateDeces_C'], $_SESSION['lang']) : '' ?>">
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<input type="hidden" id="fraisFuneraireDemande_C" value="<?= $_SESSION['fraisFuneraireDemande_C'] ?? '' ?>">
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<input type="hidden" id="fraisFunerairePaye_C" value="<?= $_SESSION['fraisFunerairePaye_C'] ?? '' ?>">
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<input type="hidden" id="idPaiementDecompte_C" value="<?= $_SESSION['idPaiementDecompte_C'] ?? '' ?>">
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<INPUT class="sr-only" TYPE="text" id="adminBon" name="adminBon" value="<?= isset($_SESSION['adminBon']) ? $_SESSION['adminBon'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="adminDiv" name="adminDiv" value="<?= isset($_SESSION['adminDiv']) ? $_SESSION['adminDiv'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="superUser" name="superUser" value="<?= isset($_SESSION['superUser']) ? $_SESSION['superUser'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="adminSin" name="adminSin" value="<?= isset($_SESSION['adminSin']) ? $_SESSION['adminSin'] : ""; ?>">
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<input type="hidden" id="indicatifTelephone" value="<?= $_SESSION['indicatifTelephone'] ?? '' ?>">
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<input type="hidden" id="actVisible" value="<?= $_SESSION['actVisible'] ?? '' ?>">
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<input type="hidden" id="estMedecin" value="<?= $_SESSION['estMedecin'] ?? '' ?>">
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<input type="hidden" id="nbAdh_C" value="<?= $_SESSION['ndAdh_C'] ?? '' ?>">
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<input type="hidden" id="codeTypeContrat_C" value="<?= $_SESSION['codeTypeContrat'] ?? '' ?>">
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<input type="hidden" id="prestationParLienParente_C" value="<?= $_SESSION['prestationParLienParente_C'] ?? '1' ?>">
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<INPUT class="sr-only" TYPE="text" id="datejour_C" name="datejour_C" value="<?= $this->datejour ?>" >
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<INPUT class="sr-only" TYPE="text" id="heuresysteme_C" name="heuresysteme_C" value="<?= $this->heuresysteme ?>" >
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<INPUT class="sr-only datepicker" TYPE="text" id="datejourfr_C" name="datejourfr_C" value="<?= $this->datejourfr ?>" >
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<INPUT class="sr-only datepicker" TYPE="text" id="heuresystemefr_C" name="heuresystemefr_C" value="<?= $this->heuresystemefr ?>" >
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<INPUT class="sr-only" TYPE="text" id="dUneSemaineAvant_C" name="dUneSemaineAvant_C" value="<?= isset($_SESSION['dUneSemaineAvant_C']) ? $_SESSION['dUneSemaineAvant_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="dUneSemaineAvantFr_C" name="dUneSemaineAvantFr_C" value="<?= isset($_SESSION['dUneSemaineAvant_C']) ? dateLang($_SESSION['dUneSemaineAvant_C'], $_SESSION['dUneSemaineAvant_C']) : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="debutExercice_C" name="debutExercice_C" value="<?= isset($_SESSION['debutExercice_C']) ? $_SESSION['debutExercice_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="debutExerciceFr_C" name="debutExerciceFr_C" value="<?= isset($_SESSION['debutExerciceFr_C']) ? $_SESSION['debutExerciceFr_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="debutMois_C" name="debutMois_C" value="<?= isset($_SESSION['debutMois_C']) ? $_SESSION['debutMois_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="debutMoisFr_C" name="debutMoisFr_C" value="<?= isset($_SESSION['debutMoisFr_C']) ? $_SESSION['debutMoisFr_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="hier_C" name="hier_C" value="<?= isset($_SESSION['hier_C']) ? $_SESSION['hier_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="hierFr_C" name="hierFr_C" value="<?= isset($_SESSION['hierFr_C'] ) ? $_SESSION['hierFr_C'] : "";?>">
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<INPUT class="sr-only" TYPE="text" id="tm_C" name="tm_C" value="<?= isset($_SESSION['tm_C']) ? $_SESSION['tm_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroFeuilleMaladie_C" name="numeroFeuilleMaladie_C" value="<?= isset($_SESSION['numeroFeuilleMaladie_C']) ? $_SESSION['numeroFeuilleMaladie_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroPrescription_C" name="numeroPrescription_C" value="<?= isset($_SESSION['numeroPrescription_C']) ? $_SESSION['numeroPrescription_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroOptique_C" name="numeroOptique_C" value="<?= isset($_SESSION['numeroOptique_C']) ? $_SESSION['numeroOptique_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroExamen_C" name="numeroExamen_C" value="<?= isset($_SESSION['numeroExamen_C']) ? $_SESSION['numeroExamen_C'] : ""; ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroPrescriptionKine_C" name="numeroPrescriptionKine_C" value="<?= isset($_SESSION['numeroPrescriptionKine_C']) ? $_SESSION['numeroPrescriptionKine_C'] : ""; ?>">
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||||
|
||||
<INPUT class="sr-only" TYPE="text" id="idFacture_C" name="idFacture_C" value="<?= isset($_SESSION['idFacture_C']) ? $_SESSION['idFacture_C'] : ""; ?>">
|
||||
|
||||
<INPUT class="sr-only" TYPE="text" id="numeroBonOrdonnance_C" name="numeroBonOrdonnance_C" value="<?= isset($_SESSION['numeroBonOrdonnance_C']) ? $_SESSION['numeroBonOrdonnance_C'] : ""; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="numeroBonConsultation_C" name="numeroBonConsultation_C" value="<?= isset($_SESSION['numeroBonConsultation_C']) ? $_SESSION['numeroBonConsultation_C'] : ""; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="numeroBonHospitalisation_C" name="numeroBonHospitalisation_C" value="<?= isset($_SESSION['numeroBonHospitalisation_C']) ? $_SESSION['numeroBonHospitalisation_C'] : ""; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="numeroBonOptique_C" name="numeroBonOptique_C" value="<?= isset($_SESSION['numeroBonOptique_C']) ? $_SESSION['numeroBonOptique_C'] : ""; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="numeroBonExamen_C" name="numeroBonExamen_C" value="<?= isset($_SESSION['numeroBonExamen_C']) ? $_SESSION['numeroBonExamen_C'] : ""; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="numeroBonKine_C" name="numeroBonKine_C" value="<?= isset($_SESSION['numeroBonKine_C']) ? $_SESSION['numeroBonKine_C'] : ""; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="numeroBonSeance_C" name="numeroBonSeance_C" value="<?= isset($_SESSION['numeroBonSeance_C']) ? $_SESSION['numeroBonSeance_C'] : ""; ?>">
|
||||
|
||||
<INPUT class="sr-only" TYPE="text" id="hospitalisation_C" name="hospitalisation_C" value="<?= isset($_SESSION['hospitalisation_C']) ? $_SESSION['hospitalisation_C'] : ""; ?>">
|
||||
|
||||
<INPUT class="sr-only" TYPE="text" id="dateEffetCouvert" name="dateEffetCouvert" value="<?= isset($_SESSION['dateEffetCouvert']) ? $_SESSION['dateEffetCouvert'] : ""; ?>">
|
||||
<INPUT class="sr-only datepicker" TYPE="text" id="dateEffetInitialPolice_C" name="dateEffetInitialPolice_C" value="<?= isset($_SESSION['dateEffetInitialPolice_C']) ? dateLang($_SESSION['dateEffetInitialPolice_C'], $_SESSION['lang']) : null; ?>">
|
||||
<INPUT class="sr-only datepicker" TYPE="text" id="dateAvenantPolice_C" name="dateAvenantPolice_C" value="<?= isset($_SESSION['dateAvenantPolice_C'])? dateLang($_SESSION['dateAvenantPolice_C'], $_SESSION['lang']): null; ?>">
|
||||
<INPUT class="sr-only datepicker" TYPE="text" id="dateEffetPolice_C" name="dateEffetPolice_C" value="<?= isset($_SESSION['dateEffetPolice_C']) ? dateLang($_SESSION['dateEffetPolice_C'], $_SESSION['lang']) : null; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="dateEffetPoliceFr_C" name="dateEffetPoliceFr_C" value="<?= isset($_SESSION['dateEffetPolice_C']) ? dateLang($_SESSION['dateEffetPolice_C'], $_SESSION['lang']) : null; ?>">
|
||||
|
||||
<INPUT class="sr-only" TYPE="text" id="dateFinPolice_C" name="dateFinPolice_C" value="<?= isset($_SESSION['dateFinPolice_C']) ? $_SESSION['dateFinPolice_C'] : null; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="dateFinPoliceFr_C" name="dateFinPoliceFr_C" value="<?= isset($_SESSION['dateFinPolice_C']) ? dateLang($_SESSION['dateFinPolice_C'], $_SESSION['lang']) : null; ?>">
|
||||
|
||||
<INPUT class="sr-only datepicker" TYPE="text" id="dateEcheancePolice_C" name="dateEcheancePolice_C" value="<?= isset($_SESSION['dateEcheancePolice_C']) ? dateLang($_SESSION['dateEcheancePolice_C'], $_SESSION['lang']) : null; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="dateEcheancePoliceFr_C" name="dateEcheancePoliceFr_C" value="<?= isset($_SESSION['dateEcheancePolice_C']) ? dateLang($_SESSION['dateEcheancePolice_C'], $_SESSION['lang']) : null; ?>">
|
||||
|
||||
<INPUT class="sr-only datepicker" TYPE="text" id="dateEntreeBeneficiaire_C" name="dateEntreeBeneficiaire_C" value="<?= isset($_SESSION['dateEntreeBeneficiaire_C']) ? $_SESSION['dateEntreeBeneficiaire_C'] : null; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="dateEntreeBeneficiaireFr_C" name="dateEntreeBeneficiaireFr_C" value="<?= isset($_SESSION['dateEntreeBeneficiaire_C']) ? dateLang($_SESSION['dateEntreeBeneficiaire_C'], $_SESSION['lang']) : null; ?>">
|
||||
|
||||
<INPUT class="sr-only" TYPE="text" id="dateEffetBeneficiaire_C" name="dateEffetBeneficiaire_C" value="<?= isset($_SESSION['dateEffetBeneficiaire_C']) ? $_SESSION['dateEffetBeneficiaire_C'] : null; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="dateEffetBeneficiaireFr_C" name="dateEffetBeneficiaireFr_C" value="<?= isset($_SESSION['dateEffetBeneficiaire_C']) ? dateLang($_SESSION['dateEffetBeneficiaire_C'], $_SESSION['lang']) : null; ?>">
|
||||
|
||||
<INPUT class="sr-only" TYPE="text" id="dateSortieBeneficiaire_C" name="dateSortieBeneficiaire_C" value="<?= isset($_SESSION['dateSortieBeneficiaire_C']) ? $_SESSION['dateSortieBeneficiaire_C'] : null; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="dateSortieBeneficiaireFr_C" name="dateSortieBeneficiaireFr_C" value="<?= isset($_SESSION['dateSortieBeneficiaire_C']) ? dateLang($_SESSION['dateSortieBeneficiaire_C'], $_SESSION['lang']) : null; ?>">
|
||||
|
||||
<INPUT class="sr-only" TYPE="text" id="decede_C" name="decede_C" value="<?= isset($_SESSION['decede_C']) ? $_SESSION['decede_C'] : ""; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="dateDeces_C" name="dateDeces_C" value="<?= isset($_SESSION['dateDeces_C']) ? $_SESSION['dateDeces_C'] : null; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="dateDecesFr_C" name="dateDecesFr_C" value="<?= isset($_SESSION['dateDeces_C']) ? dateLang($_SESSION['dateDeces_C'], $_SESSION['lang']) : null; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="fraisFuneraireDemande_C" name="fraisFuneraireDemande_C" value="<?= isset($_SESSION['fraisFuneraireDemande_C']) ? $_SESSION['fraisFuneraireDemande_C'] : ""; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="fraisFunerairePaye_C" name="fraisFunerairePaye_C" value="<?= isset($_SESSION['fraisFunerairePaye_C']) ? $_SESSION['fraisFunerairePaye_C'] : ""; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="idPaiementDecompte_C" name="idPaiementDecompte_C" value="<?= isset($_SESSION['idPaiementDecompte_C']) ? $_SESSION['idPaiementDecompte_C'] : ""; ?>">
|
||||
|
||||
<INPUT class="sr-only" TYPE="text" id="indicatifTelephone" name="indicatifTelephone" value="<?= isset($_SESSION['indicatifTelephone']) ? $_SESSION['indicatifTelephone'] : ""; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="actVisible" name="actVisible" value="<?= isset($_SESSION['actVisible']) ? $_SESSION['actVisible'] : ""; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="estMedecin" name="estMedecin" value="<?= isset($_SESSION['estMedecin']) ? $_SESSION['estMedecin'] : ""; ?>">
|
||||
|
||||
<INPUT class="sr-only" TYPE="text" id="nbAdh_C" name="nbAdh_C" value="<?= isset($_SESSION['ndAdh_C']) ? $_SESSION['ndAdh_C'] : ""; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="codeTypeContrat_C" name="codeTypeContrat_C" value="<?= isset($_SESSION['codeTypeContrat']) ? $_SESSION['codeTypeContrat'] : ""; ?>">
|
||||
<INPUT class="sr-only" TYPE="text" id="prestationParLienParente_C" name="prestationParLienParente_C" value="<?= isset($_SESSION['prestationParLienParente_C']) ? $_SESSION['prestationParLienParente_C'] : "1"; ?>">
|
||||
|
|
|
|||
Loading…
Reference in New Issue
Block a user