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<?php $this->titre = "INTER-SANTE - Modification Bénéficiaire"; ?>
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<div class="container-fluid py-4">
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<div id="div_adherent" class="container-fluid py-1 animate__animated animate__fadeIn">
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<h1 class="text-primary">
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<i class="fas fa-user-edit me-2"></i>
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<?= _('Modifier le bénéficiaire') ?>
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<span class="badge bg-white text-primary ms-2"><?= $beneficiaire['numeroBeneficiaire'] ?></span>
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</h1>
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<div class="card-header d-flex justify-content-between align-items-center py-1">
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<h5 class="mb-0 fw-bold">
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<?= _("POLICE") ?> : <span class="text-secondary"><?= $this->nettoyer($_SESSION['numeroPolice_C']) ?></span>
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<span class="ms-3 badge bg-primary text-light small fw-normal">ID: <?= $this->nettoyer($_SESSION['idPolice_C']) ?></span>
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</h5>
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</div>
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<form method="post" action="Modifierbeneficiaire/modifier/<?=$beneficiaire['id']?>/">
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<input type="hidden" id="idPolice" name="idPolice" value="<?= $_SESSION['idPolice_C'] ?>">
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<input type="hidden" id="codeProduit" name="codeProduit" value="<?= $adherent['codeProduit'] ?>">
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<div class="card shadow-sm border-0">
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<div class="card-header bg-primary text-white py-3">
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<h5 class="mb-0">
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<i class="fas fa-user-edit me-2"></i>
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<?= _("Informations sur le Bénéficiaire") ?> : <span class="badge bg-white text-primary ms-2"><?= $beneficiaire['numeroBeneficiaire'] ?></span>
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</h5>
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</div>
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<div class="card-body p-4">
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<h6 class="text-muted text-uppercase small fw-bold mb-3 border-bottom pb-2"><?= _("Référence Adhérent") ?></h6>
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<div class="row g-3 mb-4 bg-light p-3 rounded">
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