60 lines
3.2 KiB
PHP
Executable File
60 lines
3.2 KiB
PHP
Executable File
<?php $this->titre = "Intersanté - Historique Remboursement"; ?>
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<input class="sr-only" id="nomForm" name="nomForm" value="historembdirect">
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<div id="div_liste" class="container-fluid py-3">
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<div class="d-flex align-items-center mb-4">
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<div class="bg-primary text-white p-3 rounded-3 shadow-sm me-3">
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<i class="fas fa-hand-holding-usd fa-2x"></i>
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</div>
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<div>
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<h1 class="mb-0 fw-bold text-uppercase text-primary"><?= _("Validation des remboursements") ?></h1>
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<p class="text-muted mb-0"><?= _("Liste des dossiers Hors Tiers Payant") ?></p>
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</div>
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</div>
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<div class="card shadow-sm border-0 mb-4" style="border-radius: 12px;">
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<div class="card-body p-3">
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<form id="form_filtres" class="row g-3 align-items-end">
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<div class="col-12 col-md-4 col-lg-3">
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<label class="form-label small fw-bold text-muted mb-1"><?= _("Période du") ?></label>
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<div class="input-group input-group-sm">
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<span class="input-group-text bg-white"><i class="far fa-calendar-alt"></i></span>
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<input class="form-control datepicker" type="text" id="d1" name="d1"
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value="<?= dateLang($_SESSION['debutMois_C'], $_SESSION['lang']) ?>" required>
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</div>
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</div>
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<div class="col-12 col-md-4 col-lg-3">
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<label class="form-label small fw-bold text-muted mb-1"><?= _("Au") ?></label>
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<div class="input-group input-group-sm">
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<span class="input-group-text bg-white"><i class="far fa-calendar-check"></i></span>
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<input class="form-control datepicker" type="text" id="d2" name="d2"
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value="<?= dateCouranteLang($_SESSION['lang'], $_SESSION['lang']) ?>" required>
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</div>
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</div>
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<div class="col-12 col-md-4 col-lg-3">
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<label class="form-label small fw-bold text-muted mb-1"><?= _("État du dossier") ?></label>
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<select class="form-select form-select-sm border-primary-subtle" id="codeEtatDemandeRemboursement" name="codeEtatDemandeRemboursement">
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<?php liste_options_consultation($reponsedemande, ""); ?>
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</select>
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</div>
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<div class="col-12 col-lg-3">
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<button id="btn_filtre" type="button" class="btn btn-primary btn-sm w-100 fw-bold shadow-sm" onclick="listerremboursement();">
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<i class="fas fa-search me-2"></i><?= _("Rechercher les dossiers") ?>
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</button>
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</div>
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</form>
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</div>
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</div>
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<div class="card shadow-sm border-0" style="border-radius: 12px;">
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<div id="div_dossiers" class="card-body p-0">
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<div class="text-center py-5 text-muted">
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<i class="fas fa-info-circle me-2"></i>
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<?= _("Veuillez cliquer sur rechercher pour afficher les résultats") ?>
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</div>
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</div>
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</div>
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</div>
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