226 lines
12 KiB
PHP
Executable File
226 lines
12 KiB
PHP
Executable File
<?php
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$this->titre = "Intersanté - Rechercher assuré";
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// $nbligne = 0;
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?>
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<form id="frmrecherche" name="frmrecherche" method="post" action="Recherche/index/" style='font-size:10pt;' >
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<legend>Critères de recherche de l'assuré</legend>
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<table class="table table-condensed table-responsive" style='font-size:10pt;'>
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<tbody>
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<tr>
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<td width="10%" >N° Bénéf.</td>
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<td width="23%" ><INPUT style='font-size:9pt;' class="form-control" TYPE="text" id="numeroBeneficiaire" name="numeroBeneficiaire" autofocus ></td>
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<td align="center" width="10%">N° Adhér.</td>
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<td width="23%" ><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="numeroAdherent" name="numeroAdherent" ></td>
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<td align="center" width="10%"> Nom</td>
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<td colspan="2" width="24%" ><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="nomBeneficiaire" name="nomBeneficiaire" ></td>
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</tr>
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<tr>
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<td> Prénom</td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="prenomsBeneficiaire" name="prenomsBeneficiaire"></td>
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<td align="center"> Téléph.</td>
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<td> <INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="telephonePortable" NAME="telephonePortable"></td>
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<td align="center">E-mail</td>
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<td colspan="2"><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="email" NAME="email"></td>
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</tr>
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<tr style='background-color:white'>
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<td colspan="7" height="10"></td>
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</tr>
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<?php if ($_SESSION['codeProfil_C']=="PHA") : ?>
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<tr>
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<td> Bon Consult. </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonConsultation" name="numeroBonConsultation" readonly > </td>
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<td align="center"> Bon Pharmac. </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonOrdonnance" NAME="numeroBonOrdonnance" placeholder="Pharmacie" > </td>
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<td align="center"> Bon Hospit. </td>
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<td colspan="2"><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonHospitalisation" NAME="numeroBonHospitalisation" readonly> </td>
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</tr>
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<tr>
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<td> Prescr Exam </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonExamen" NAME="numeroBonExamen" readonly></td>
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<td align="center"> Bon Optique </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonOptique" NAME="numeroBonOptique" readonly></td>
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<td align="center"> Séances Kine </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonKine" NAME="numeroBonKine" readonly></td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonSeance" NAME="numeroBonSeance" readonly></td>
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</tr>
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<?php elseif($_SESSION['codeProfil_C']=="OPT"): ?>
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<tr>
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<td> Bon Consult. </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonConsultation" name="numeroBonConsultation" readonly > </td>
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<td align="center"> Bon Pharmac. </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonOrdonnance" NAME="numeroBonOrdonnance" readonly > </td>
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<td align="center"> Bon Hospit. </td>
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<td colspan="2"><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonHospitalisation" NAME="numeroBonHospitalisation" readonly> </td>
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</tr>
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<tr>
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<td> Prescr Exam </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonExamen" NAME="numeroBonExamen" readonly></td>
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<td align="center"> Bon Optique </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonOptique" NAME="numeroBonOptique" placeholder="Optique" ></td>
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<td align="center"> Séances Kine</td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonKine" NAME="numeroBonKine" readonly></td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonSeance" NAME="numeroBonSeance" readonly></td>
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</tr>
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<?php elseif($_SESSION['codeProfil_C']=="LAB"): ?>
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<tr>
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<td> Bon Consult. </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonConsultation" name="numeroBonConsultation" readonly > </td>
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<td align="center"> Bon Pharmac. </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonOrdonnance" NAME="numeroBonOrdonnance" readonly > </td>
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<td align="center"> Bon Hospit. </td>
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<td colspan="2"><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonHospitalisation" NAME="numeroBonHospitalisation" readonly> </td>
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</tr>
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<tr>
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<td> Prescr Exam </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonExamen" NAME="numeroBonExamen" placeholder="Examen"></td>
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<td align="center"> Bon Optique </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonOptique" NAME="numeroBonOptique" readonly></td>
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<td align="center"> Séances Kine</td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonKine" NAME="numeroBonKine" readonly></td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonSeance" NAME="numeroBonSeance" readonly></td>
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</tr>
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<?php elseif($_SESSION['codeProfil_C']=="SEA"): ?>
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<tr>
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<td> Bon Consult. </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonConsultation" name="numeroBonConsultation" readonly > </td>
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<td align="center"> Bon Pharmac. </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonOrdonnance" NAME="numeroBonOrdonnance" readonly > </td>
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<td align="center"> Bon Hospit. </td>
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<td colspan="2"><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonHospitalisation" NAME="numeroBonHospitalisation" readonly> </td>
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</tr>
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<tr>
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<td> Prescr Exam </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonExamen" NAME="numeroBonExamen" readonly></td>
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<td align="center"> Bon Optique </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonOptique" NAME="numeroBonOptique" readonly></td>
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<td align="center"> Séances Kine</td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonKine" NAME="numeroBonKine" placeholder="Prescript°"></td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonSeance" NAME="numeroBonSeance" placeholder="Séances"></td>
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</tr>
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<?php else: ?>
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<!--
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CONS
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ORDO
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HOSP
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EXAM
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OPTQ
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KINE
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numeroBonKine
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numeroPrescriptionKine
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-->
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<tr>
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<td> Bon Consult. </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonConsultation" name="numeroBonConsultation" placeholder="Consultation"></td>
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<td align="center"> Bon Pharmac. </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonOrdonnance" NAME="numeroBonOrdonnance" placeholder="Pharmacie"></td>
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<td align="center"> Bon Hospit. </td>
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<td colspan="2"><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonHospitalisation" NAME="numeroBonHospitalisation" placeholder="Hospitalisation"></td>
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</tr>
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<tr>
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<td> Prescr Exam </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonExamen" NAME="numeroBonExamen" placeholder="Examen"></td>
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<td align="center"> Bon Optique </td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonOptique" NAME="numeroBonOptique" placeholder="Optique"></td>
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<td align="center"> Séances Kine</td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonKine" NAME="numeroBonKine" placeholder="Prescript°"></td>
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<td><INPUT style='font-size:10pt;text-align:center;' class="form-control" type="number" id="numeroBonSeance" NAME="numeroBonSeance" placeholder="Séances"></td>
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</tr>
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<?php endif; ?>
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<tr>
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<td><input id="lancerrecherche" name="lancerrecherche" class="sr-only" type="submit" value="<?= _("Rechercher") ?>" ></td>
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</tr>
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</tbody>
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</table>
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<input class="form-control" style="text-align: center; font-size:10pt;" type="text" id="nbassure" name="nbassure" value="Nombre de lignes affichées : <?= $nbligne ?>" readonly>
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<table class="table table-striped table-bordered table-hover table-condensed table-responsive" style='font-size:8pt;'>
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<thead>
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<tr>
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<th width="8%" style="text-align: center"> N° Bénéf. </th>
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<th width="8%" style="text-align: center"> N° Fam. </th>
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<th>Nom</th>
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<th>Prénoms</th>
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<th style="text-align: center">Lien</th>
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<th style="text-align: center">Naiss.</th>
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<th style="text-align: center">Sexe</th>
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<th style="text-align: center">Tél.</th>
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<th>E-mail</th>
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<th>Client / Entreprise</th>
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</tr>
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</thead>
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<tbody>
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<?php foreach ($beneficiaires as $beneficiaire):
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$idBeneficiaire=$this->nettoyer($beneficiaire['idBeneficiaire']);
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$numeroBeneficiaire=$this->nettoyer($beneficiaire['numeroBeneficiaire']);
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// $nbligne++;
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?>
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<tr onclick="javascript:selectionner_beneficiaire(<?= $idBeneficiaire ?>,'<?= $numeroBeneficiaire ?>');"
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ondblclick="javascript:selectionner_beneficiaire(<?= $idBeneficiaire ?>,'<?= $numeroBeneficiaire ?>');afficher_beneficiaire_id();" valign="top">
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<td align="center"> <input type="button" value="<?= $numeroBeneficiaire ?>" onClick="javascript:selectionner_beneficiaire(<?= $idBeneficiaire ?>,'<?= $numeroBeneficiaire ?>');javascript:afficher_beneficiaire_id();"> </td>
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<td align="center"> <?= $this->nettoyer($beneficiaire['numeroAdherent']) ?></td>
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<td><?= $this->nettoyer($beneficiaire['nomBeneficiaire']) ?></td>
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<td><?= $this->nettoyer($beneficiaire['prenomsBeneficiaire']) ?></td>
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<td align="center"><?= $this->nettoyer($beneficiaire['lienparente']) ?></td>
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<td align="center"><?= dateFr($this->nettoyer($beneficiaire['dateNaissance'])) ?></td>
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<td align="center"><?= $this->nettoyer($beneficiaire['sexe']) ?></td>
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<td align="center"><?= $this->nettoyer($beneficiaire['telephonePortableAdherent']) ?></td>
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<td><?= $this->nettoyer($beneficiaire['emailAdherent']) ?></td>
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<td><?= $this->nettoyer($beneficiaire['nomClient']) ?></td>
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</tr>
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<?php endforeach; ?>
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</tbody>
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</table>
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</form>
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