This commit is contained in:
KONE SOREL 2026-01-22 13:19:48 +00:00
parent dad937553e
commit f5edea6225

View File

@ -10,8 +10,10 @@
$numeroBeneficiaire = $this->nettoyer($demande['numeroBeneficiaire']);
$observation = $this->nettoyer($demande['observation']);
$codeStatutPaiement = $this->nettoyer($demande['codeStatutPaiement']);
$beneficiaireNom = $this->nettoyer($demande['beneficiaire']);
$beneficiaireNom = $this->nettoyer($demande['beneficiaire']);
$beneficiaire = $this->nettoyer($demande['beneficiaire']);
$adherent = $this->nettoyer($demande['adherent']);
$numeroAdherent = $this->nettoyer($demande['numeroAdherent']);
if (est_anglophone()){
$lien = $this->nettoyer($demande['lienEng']);
@ -20,47 +22,72 @@
?>
<div id="div_liste" class="card shadow-lg border-0 mb-4" style="border-radius: 15px;">
<div class="card-header py-3" style="border-radius: 15px 15px 0 0;">
<div class="d-flex justify-content-between align-items-center text-primary">
<div class="card-header bg-primary text-white py-3" style="border-radius: 15px 15px 0 0;">
<div class="d-flex justify-content-between align-items-center">
<h1 class="mb-0">
<i class="fas <?= ($idDemandeRemboursement > 0) ? 'fa-file-invoice-dollar' : 'fa-plus-circle' ?> me-2"></i>
<?= ($idDemandeRemboursement > 0) ? _("Détails du Remboursement") : _("Nouvelle Demande") ?>
</h1>
<?php if($idDemandeRemboursement > 0): ?>
<span class="badge bg-white text-primary fs-6"> <?= $numeroDemandeRemboursement ?></span>
<?php endif; ?>
</h1>
</div>
</div>
<div class="card-body p-4">
<div class="row g-4 mb-4">
<div class="col-md-7">
<div class="p-3 border rounded bg-light">
<h6 class="text-muted text-uppercase small fw-bold mb-3 border-bottom pb-2">
<i class="fas fa-user-injured me-2"></i><?= _("Bénéficiaire des soins") ?>
</h6>
<div class="row g-3">
<div class="col-md-8">
<label class="form-label small text-muted mb-0"><?= _("Patient") ?></label>
<div class="fw-bold fs-6"><?= $beneficiaireNom ?></div>
</div>
<div class="col-md-4">
<label class="form-label small text-muted mb-0"><?= _("Lien") ?></label>
<div class="fw-bold py-1 px-2 bg-white border rounded text-center small text-primary" id="div_lien">
<?= $lien ?: '--' ?>
</div>
</div>
<div class="col-12">
<label class="form-label small text-muted mb-0"><?= _("Commentaire / Motif du patient") ?></label>
<p class="mb-0 italic text-dark bg-white p-2 border rounded-1 small">
<?= $observation ?: _("Aucun commentaire fourni.") ?>
</p>
</div>
</div>
</div>
</div>
<div class="p-3 border rounded bg-light shadow-sm">
<h6 class="text-muted text-uppercase small fw-bold mb-3 border-bottom pb-2">
<i class="fas fa-id-card me-2 text-primary"></i><?= _("Identification du dossier") ?>
</h6>
<div class="row g-3">
<div class="col-12 mb-2">
<label class="form-label small text-muted mb-0"><?= _("Adhérent Principal (Titulaire)") ?></label>
<div class="d-flex align-items-center bg-white border rounded p-2">
<div class="flex-shrink-0">
<div class="bg-primary-subtle text-primary rounded-circle d-flex align-items-center justify-content-center" style="width: 35px; height: 35px;">
<i class="fas fa-user-shield"></i>
</div>
</div>
<div class="flex-grow-1 ms-3">
<div class="fw-bold text-dark fs-6">
<?= $adherent ?>
<span class="badge bg-secondary ms-2 small fw-normal"><?= $numeroAdherent ?></span>
</div>
</div>
</div>
</div>
<div class="col-md-8">
<label class="form-label small text-muted mb-0"><?= _("Bénéficiaire des soins (Patient)") ?></label>
<div class="flex-grow-1 ms-3">
<div class="fw-bold text-dark fs-6">
<?= $beneficiaire ?>
<span class="badge bg-secondary ms-2 small fw-normal"><?= $numeroBeneficiaire ?></span>
</div>
</div>
</div>
<div class="col-md-4">
<label class="form-label small text-muted mb-0"><?= _("Lien Parenté") ?></label>
<div class="fw-bold py-2 px-2 bg-white border rounded text-center text-primary" id="div_lien">
<i class="fas fa-users me-1 small"></i> <?= $lien ?: '--' ?>
</div>
</div>
<div class="col-12">
<label class="form-label small text-muted mb-0"><?= _("Commentaire du demandeur") ?></label>
<div class="p-2 bg-white border rounded-1 small text-dark min-vh-10" style="min-height: 80px;">
<?= $observation ?: '<span class="text-muted italic">' . _("Aucun commentaire fourni.") . '</span>' ?>
</div>
</div>
</div>
</div>
</div>
<div class="col-md-5">
<div class="card h-100 border-0 shadow-sm overflow-hidden">
<div class="card-body p-0">