</tr>
        			<tr valign="top"> 
          				<td><strong>Ville - Code postal :</strong></td>
          				<td><input type="text" name="ville_mutuelle" value="<?php 
    echo $res_infos["ville_mutuelle"];
    ?>
"></td>
        			</tr>
      			</table>
				</td>
			</tr>
		</table>		
		</td>
	</tr>
</table>
		
<br/>

<table border="0" align="center">			
	<tr>
		<td>			
		<?php 
    petit_tab("Infos complémentaires", "infos", "80", "8", $res_infos["infos"], "N", "");
    ?>
		</td>
	</tr>
</table>

<?php 
}
require_once "footer.inc.php";
Esempio n. 2
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        						</tr>
      						</table>
	   						</td>
						</tr>	
					</table>
					</td>
					<td><?php 
    petit_tab("Vaccins", "vaccins", "40", "8", "", "N", "liste.vaccins.php");
    ?>
					</td>
				</tr>
				<tr valign="top">
					<td><?php 
    petit_tab("ATCD familiaux", "atcd_fam", "40", "4", "", "N", "");
    ?>
					</td>
					<td><?php 
    petit_tab("Autres Infos", "autres_infos", "40", "4", "", "N", "");
    ?>
					</td>
				</tr>
			</table>
		</td>
		<?php 
}
?>
	</tr>
</table>
</form>
<?php 
require_once "footer.inc.php";
Esempio n. 3
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					</td>
        		</tr>
      		</table>
	   		</td>
		</tr>	
	</table>
	</form>
	
	<table border="0" align="center">
				<tr valign="top">
					<td><?php 
        petit_tab("Allergies", "allergies", "37", "4", $res_infos["allergies"], "Y", "");
        ?>
</td>
					<td><?php 
        petit_tab("Précautions", "precautions", "37", "4", $res_infos["precautions"], "Y", "");
        ?>
</td>
				</tr>
			</table>
			<script language="javascript">
function Enr_ordonnance(){
var f = document.ordonnance;
f.action="actions.php?q=enr_ordonnance";
f.target="_top";
f.submit();
}
</script>
	<form name="ordonnance" method="post" action="actions.php?q=ordonnances" target="_blank">
	<table border="0" bgcolor="#C0FFC0" cellspacing="0" cellpadding="1" align="center">
		<tr>