depan724 commited on
Commit
438a474
·
verified ·
1 Parent(s): f092500

N°Carte Vitale,
une partie pièce jointe pour des photos ou documents

Files changed (2) hide show
  1. modifier-client.html +15 -1
  2. nouveau-client.html +6 -2
modifier-client.html CHANGED
@@ -128,6 +128,10 @@
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  <label class="block text-sm font-medium text-gray-700 mb-1">Numéro de Sécurité Sociale</label>
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  <input type="text" class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:outline-none focus:ring-2 focus:ring-blue-500 focus:border-transparent" value="1 85 06 75 115 007 36">
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  </div>
 
 
 
 
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  <div>
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  <label class="block text-sm font-medium text-gray-700 mb-1">Email</label>
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  <input type="email" value="martin.dupont@email.com" class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:outline-none focus:ring-2 focus:ring-blue-500 focus:border-transparent">
@@ -205,8 +209,18 @@
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  <i data-feather="trash-2" class="h-4 w-4"></i>
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  </button>
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  </div>
 
 
 
 
 
 
 
 
 
 
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  </div>
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- </div>
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  <!-- Nouvelle pièce jointe -->
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  <div class="mt-6">
 
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  <label class="block text-sm font-medium text-gray-700 mb-1">Numéro de Sécurité Sociale</label>
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  <input type="text" class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:outline-none focus:ring-2 focus:ring-blue-500 focus:border-transparent" value="1 85 06 75 115 007 36">
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  </div>
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+ <div>
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+ <label class="block text-sm font-medium text-gray-700 mb-1">N° Carte Vitale</label>
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+ <input type="text" class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:outline-none focus:ring-2 focus:ring-blue-500 focus:border-transparent" placeholder="1234567890123">
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+ </div>
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  <div>
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  <label class="block text-sm font-medium text-gray-700 mb-1">Email</label>
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  <input type="email" value="martin.dupont@email.com" class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:outline-none focus:ring-2 focus:ring-blue-500 focus:border-transparent">
 
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  <i data-feather="trash-2" class="h-4 w-4"></i>
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  </button>
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  </div>
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+ <div class="flex items-center p-3 border rounded-lg">
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+ <i data-feather="image" class="h-6 w-6 text-blue-400 mr-3"></i>
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+ <div>
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+ <p class="text-sm font-medium truncate">Carte_vitale.jpg</p>
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+ <p class="text-xs text-gray-500">0.8 MB</p>
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+ </div>
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+ <button class="ml-auto text-red-500 hover:text-red-700">
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+ <i data-feather="trash-2" class="h-4 w-4"></i>
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+ </button>
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+ </div>
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  </div>
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+ </div>
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  <!-- Nouvelle pièce jointe -->
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  <div class="mt-6">
nouveau-client.html CHANGED
@@ -121,6 +121,10 @@
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  <label class="block text-sm font-medium text-gray-700 mb-1">Numéro de Sécurité Sociale</label>
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  <input type="text" class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:outline-none focus:ring-2 focus:ring-blue-500 focus:border-transparent">
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  </div>
 
 
 
 
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  <div>
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  <label class="block text-sm font-medium text-gray-700 mb-1">Email</label>
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  <input type="email" class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:outline-none focus:ring-2 focus:ring-blue-500 focus:border-transparent">
@@ -182,8 +186,8 @@
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  </div>
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  <!-- Pièces jointes -->
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  <div>
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- <label class="block text-sm font-medium text-gray-700 mb-2">Pièces jointes</label>
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- <div class="mt-1 flex justify-center px-6 pt-5 pb-6 border-2 border-gray-300 border-dashed rounded-lg">
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  <div class="space-y-1 text-center">
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  <svg class="mx-auto h-12 w-12 text-gray-400" stroke="currentColor" fill="none" viewBox="0 0 48 48" aria-hidden="true">
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  <path d="M28 8H12a4 4 0 00-4 4v20m32-12v8m0 0v8a4 4 0 01-4 4H12a4 4 0 01-4-4v-4m32-4l-3.172-3.172a4 4 0 00-5.656 0L28 28M8 32l9.172-9.172a4 4 0 015.656 0L28 28m0 0l4 4m4-24h8m-4-4v8m-12 4h.02" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" />
 
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  <label class="block text-sm font-medium text-gray-700 mb-1">Numéro de Sécurité Sociale</label>
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  <input type="text" class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:outline-none focus:ring-2 focus:ring-blue-500 focus:border-transparent">
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  </div>
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+ <div>
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+ <label class="block text-sm font-medium text-gray-700 mb-1">N° Carte Vitale</label>
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+ <input type="text" class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:outline-none focus:ring-2 focus:ring-blue-500 focus:border-transparent" placeholder="1234567890123">
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+ </div>
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  <div>
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  <label class="block text-sm font-medium text-gray-700 mb-1">Email</label>
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  <input type="email" class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:outline-none focus:ring-2 focus:ring-blue-500 focus:border-transparent">
 
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  </div>
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  <!-- Pièces jointes -->
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  <div>
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+ <label class="block text-sm font-medium text-gray-700 mb-2">Pièces jointes (Carte Vitale, Documents d'identité, etc.)</label>
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+ <div class="mt-1 flex justify-center px-6 pt-5 pb-6 border-2 border-gray-300 border-dashed rounded-lg">
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  <div class="space-y-1 text-center">
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  <svg class="mx-auto h-12 w-12 text-gray-400" stroke="currentColor" fill="none" viewBox="0 0 48 48" aria-hidden="true">
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  <path d="M28 8H12a4 4 0 00-4 4v20m32-12v8m0 0v8a4 4 0 01-4 4H12a4 4 0 01-4-4v-4m32-4l-3.172-3.172a4 4 0 00-5.656 0L28 28M8 32l9.172-9.172a4 4 0 015.656 0L28 28m0 0l4 4m4-24h8m-4-4v8m-12 4h.02" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" />