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@ -78,21 +78,31 @@
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</div>
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<div class="col-md-3">
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<label class="form-label small fw-bold text-uppercase"><?= _("N° Pièce") ?></label>
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<input class="form-control" type="text" id="numeroPiece" name="numeroPiece">
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<input class="form-control" type="text" id="numeroPiece" name="numeroPiece" onblur="controler_piece_beneficiaire();"
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required autocomplete="off">
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</div>
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<div class="col-md-3 d-flex align-items-end">
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<div id="div_controle_piece" class="w-100"></div>
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</div>
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<div class="col-md-2">
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<label class="form-label small fw-bold text-uppercase"><?= _("Genre") ?></label>
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<select class="form-select" id="sexe" name="sexe">
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<?php liste_options($sexe,""); ?>
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</select>
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</div>
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<div class="col-md-4">
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<label class="form-label small fw-bold text-uppercase"><?= _("Date Naissance") ?></label>
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<div class="col-md-3">
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<label class="form-label fw-bold small text-uppercase"><?= _("Date de Naissance") ?></label>
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<div class="input-group">
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<input class="form-control datepicker" type="text" id="dateNaissance" name="dateNaissance" onchange="controle_age($('#dateNaissance').datepicker('getDate'), 'A')">
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<input type="text" id="agepersonne" name="agepersonne" class="form-control-plaintext text-danger fw-bold text-center border-bottom" value="Age : 0" disabled>
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<span class="input-group-text bg-white text-muted"><i class="fas fa-calendar-alt"></i></span>
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<input type="text" class="form-control datepicker" id="dateNaissance" name="dateNaissance" required
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onchange="controle_age($('#dateNaissance').datepicker('getDate'), 'A')">
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</div>
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</div>
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<div class="col-md-2 text-center d-flex align-items-end justify-content-center pb-1">
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<input type="text" id="agepersonne" name="agepersonne" class="form-control-plaintext text-danger fw-bold text-center border-bottom" value="Age : 0" disabled>
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</div>
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</div>
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<hr>
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