124 lines
12 KiB
PHP
124 lines
12 KiB
PHP
<?php
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?>
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<INPUT class="sr-only" TYPE="text" id="fusionConsOrd" name="fusionConsOrd" value="<?= $_SESSION['fusionConsOrd'] ?>">
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<input class="sr-only" type="text" id="codeLanguePrestataire" name="codeLanguePrestataire" value="<?= $_SESSION['codeLanguePrestataire'] ?>">
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<input class="sr-only" type="text" id="codeLangueSociete" name="codeLangueSociete" value="<?= $_SESSION['codeLangueSociete'] ?>">
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<input class="sr-only" type="text" id="codeLangueAdherent" name="codeLangueAdherent" value="<?= $_SESSION['codeLangueAdherent'] ?>">
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<input class="sr-only" type="text" id="codeSociete" name="codeSociete" value="<?= $_SESSION['codeSociete'] ?>">
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<input class="sr-only" type="text" id="codeLangue" name="codeLangue" value="<?= $_SESSION['lang'] ?>">
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<input class="sr-only" type="text" id="fournisseurSms" name="fournisseurSms" value="<?= $_SESSION['fournisseurSms'] ?>">
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<input class="sr-only" type="text" id="envoismsactif" name="envoismsactif" value="<?= $_SESSION['envoismsactif'] ?>">
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<input class="sr-only" type="text" id="smsAssure" name="smsAssure" value="<?= $_SESSION['smsAssure'] ?>">
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<input class="sr-only" type="text" id="copieSmsPrestataireAssure" name="copieSmsPrestataireAssure" value="<?= $_SESSION['copieSmsPrestataireAssure'] ?>">
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<input class="sr-only" type="text" id="devise_C" name="devise_C" value="<?= $_SESSION['devise_C'] ?>">
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<input class="sr-only" type="text" id="codeExercice_C" name="codeExercice_C" value="<?= $_SESSION['codeExercice_C'] ?>">
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<input class="sr-only" type="text" id="codeMois_C" name="codeMois_C" value="<?= $_SESSION['codeMois_C'] ?>">
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<input class="sr-only" type="text" id="codePeriodeMax" name="codePeriodeMax" value="<?= $_SESSION['codePeriodeMax'] ?>">
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<INPUT class="sr-only" TYPE="text" id="idClient_C" name="idClient_C" value="<?= $_SESSION['idClient_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="idPolice_C" name="idPolice_C" value="<?= $_SESSION['idPolice_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="codeTypeAvenant_C" name="codeTypeAvenant_C" value="<?= $_SESSION['codeTypeAvenant_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="idClient_d_C" name="idClient_d_C" value="<?= $_SESSION['idClient_d_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="idPolice_d_C" name="idPolice_d_C" value="<?= $_SESSION['idPolice_d_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="idAdherent_C" name="idAdherent_C" value="<?= $_SESSION['idAdherent_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="idBeneficiaire_C" name="idBeneficiaire_C" value="<?= $_SESSION['idBeneficiaire_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="nomBeneficiaire_C" name="nomBeneficiaire_C" value="<?= $_SESSION['nomBeneficiaire_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="nomAdherent_C" name="nomAdherent_C" value="<?= $_SESSION['nomAdherent_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="idSubstitut_C" NAME="idSubstitut_C" value="<?= $_SESSION['idSubstitut_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="substitutnonassure_C" NAME="substitutnonassure_C" value="<?= $_SESSION['substitutnonassure_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="substitutenVigueur_C" NAME="substitutenVigueur_C" value="<?= $_SESSION['substitutenVigueur_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="codeProfil_C" name="codeProfil_C" value="<?= $_SESSION['codeProfilSysteme'] ?>">
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<INPUT class="sr-only" TYPE="text" id="codeEtatPolice_C" name="codeEtatPolice_C" value="<?= $_SESSION['codeEtatPolice_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="codeEtatAdherent_C" name="codeEtatAdherent_C" value="<?= $_SESSION['codeEtatAdherent_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="codeEtatBeneficiaire_C" name="codeEtatBeneficiaire_C" value="<?= $_SESSION['codeEtatBeneficiaire_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="enVigueur_C" name="enVigueur_C" value="<?= $_SESSION['enVigueur_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="etatbeneficiaire_C" name="etatbeneficiaire_C" value="<?= $_SESSION['etatbeneficiaire_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="adminBon" name="adminBon" value="<?= $_SESSION['adminBon'] ?>">
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<INPUT class="sr-only" TYPE="text" id="adminDiv" name="adminDiv" value="<?= $_SESSION['adminDiv'] ?>">
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<INPUT class="sr-only" TYPE="text" id="superUser" name="superUser" value="<?= $_SESSION['superUser'] ?>">
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<INPUT class="sr-only" TYPE="text" id="adminSin" name="adminSin" value="<?= $_SESSION['adminSin'] ?>">
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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="<?= $_SESSION['dUneSemaineAvant_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dUneSemaineAvantFr_C" name="dUneSemaineAvantFr_C" value="<?= dateLang($_SESSION['dUneSemaineAvant_C'], $_SESSION['lang']) ?>">
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<INPUT class="sr-only" TYPE="text" id="debutExercice_C" name="debutExercice_C" value="<?= $_SESSION['debutExercice_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="debutExerciceFr_C" name="debutExerciceFr_C" value="<?= $_SESSION['debutExerciceFr_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="debutMois_C" name="debutMois_C" value="<?= $_SESSION['debutMois_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="debutMoisFr_C" name="debutMoisFr_C" value="<?= $_SESSION['debutMoisFr_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="hier_C" name="hier_C" value="<?= $_SESSION['hier_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="hierFr_C" name="hierFr_C" value="<?= $_SESSION['hierFr_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="tm_C" name="tm_C" value="<?= $_SESSION['tm_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroFeuilleMaladie_C" name="numeroFeuilleMaladie_C" value="<?= $_SESSION['numeroFeuilleMaladie_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroPrescription_C" name="numeroPrescription_C" value="<?= $_SESSION['numeroPrescription_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroOptique_C" name="numeroOptique_C" value="<?= $_SESSION['numeroOptique_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroExamen_C" name="numeroExamen_C" value="<?= $_SESSION['numeroExamen_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroPrescriptionKine_C" name="numeroPrescriptionKine_C" value="<?= $_SESSION['numeroPrescriptionKine_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="idFacture_C" name="idFacture_C" value="<?= $_SESSION['idFacture_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroBonOrdonnance_C" name="numeroBonOrdonnance_C" value="<?= $_SESSION['numeroBonOrdonnance_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroBonConsultation_C" name="numeroBonConsultation_C" value="<?= $_SESSION['numeroBonConsultation_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroBonHospitalisation_C" name="numeroBonHospitalisation_C" value="<?= $_SESSION['numeroBonHospitalisation_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroBonOptique_C" name="numeroBonOptique_C" value="<?= $_SESSION['numeroBonOptique_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroBonExamen_C" name="numeroBonExamen_C" value="<?= $_SESSION['numeroBonExamen_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroBonKine_C" name="numeroBonKine_C" value="<?= $_SESSION['numeroBonKine_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="numeroBonSeance_C" name="numeroBonSeance_C" value="<?= $_SESSION['numeroBonSeance_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="hospitalisation_C" name="hospitalisation_C" value="<?= $_SESSION['hospitalisation_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateEffetCouvert" name="dateEffetCouvert" value="<?= $_SESSION['dateEffetCouvert'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateEffetPolice_C" name="dateEffetPolice_C" value="<?= $_SESSION['dateEffetPolice_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateEffetPoliceFr_C" name="dateEffetPoliceFr_C" value="<?= dateLang($_SESSION['dateEffetPolice_C']) ?>">
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<INPUT class="sr-only" TYPE="text" id="dateFinPolice_C" name="dateFinPolice_C" value="<?= $_SESSION['dateFinPolice_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateFinPoliceFr_C" name="dateFinPoliceFr_C" value="<?= dateLang($_SESSION['dateFinPolice_C']) ?>">
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<INPUT class="sr-only" TYPE="text" id="dateEcheancePolice_C" name="dateEcheancePolice_C" value="<?= $_SESSION['dateEcheancePolice_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateEcheancePoliceFr_C" name="dateEcheancePoliceFr_C" value="<?= dateLang($_SESSION['dateEcheancePolice_C']) ?>">
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<INPUT class="sr-only" TYPE="text" id="dateEntreeBeneficiaire_C" name="dateEntreeBeneficiaire_C" value="<?= $_SESSION['dateEntreeBeneficiaire_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateEntreeBeneficiaireFr_C" name="dateEntreeBeneficiaireFr_C" value="<?= dateLang($_SESSION['dateEntreeBeneficiaire_C']) ?>">
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<INPUT class="sr-only" TYPE="text" id="dateEffetBeneficiaire_C" name="dateEffetBeneficiaire_C" value="<?= $_SESSION['dateEffetBeneficiaire_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateEffetBeneficiaireFr_C" name="dateEffetBeneficiaireFr_C" value="<?= dateLang($_SESSION['dateEffetBeneficiaire_C']) ?>">
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<INPUT class="sr-only" TYPE="text" id="dateSortieBeneficiaire_C" name="dateSortieBeneficiaire_C" value="<?= $_SESSION['dateSortieBeneficiaire_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateSortieBeneficiaireFr_C" name="dateSortieBeneficiaireFr_C" value="<?= dateLang($_SESSION['dateSortieBeneficiaire_C']) ?>">
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<INPUT class="sr-only" TYPE="text" id="decede_C" name="decede_C" value="<?= $_SESSION['decede_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateDeces_C" name="dateDeces_C" value="<?= $_SESSION['dateDeces_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="dateDecesFr_C" name="dateDecesFr_C" value="<?= dateLang($_SESSION['dateDeces_C']) ?>">
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<INPUT class="sr-only" TYPE="text" id="fraisFuneraireDemande_C" name="fraisFuneraireDemande_C" value="<?= $_SESSION['fraisFuneraireDemande_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="fraisFunerairePaye_C" name="fraisFunerairePaye_C" value="<?= $_SESSION['fraisFunerairePaye_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="idPaiementDecompte_C" name="idPaiementDecompte_C" value="<?= $_SESSION['idPaiementDecompte_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="indicatifTelephone" name="indicatifTelephone" value="<?= $_SESSION['indicatifTelephone'] ?>">
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<INPUT class="sr-only" TYPE="text" id="actVisible" name="actVisible" value="<?= $_SESSION['actVisible'] ?>">
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<INPUT class="sr-only" TYPE="text" id="estMedecin" name="estMedecin" value="<?= $_SESSION['estMedecin'] ?>">
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<INPUT class="sr-only" TYPE="text" id="nbAdh_C" name="nbAdh_C" value="<?= $_SESSION['ndAdh_C'] ?>">
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<INPUT class="sr-only" TYPE="text" id="codeTypeContrat_C" name="codeTypeContrat_C" value="<?= $_SESSION['codeTypeContrat'] ?>">
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<INPUT class="sr-only" TYPE="text" id="nbCollege_C" name="nbCollege_C" value="<?= $_SESSION['nbCollege_C'] ?>">
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