{% extends 'MainBundle:Master:templateReport.html.twig' %}
{% block more_head %}
    <style>
        * {
            font-size: 12px;
            /*color : #888888;*/
        }
        .text_bold {
            font-weight: bold;
        }
        .text_minus {
            font-size: 11px;
        }
        p.saltodepagina {
            page-break-after: always;
        }
        html {
            font-family: sans-serif;
            -webkit-text-size-adjust: 100%;
            -ms-text-size-adjust: 100%;
        }
        body {
            margin: 0;
            font-size: 7px;
        }
        .clearfix:before,
        .clearfix:after {
            display: table;
            content: " ";
        }
        .clearfix:after {
            clear: both;
        }
        .table-bordered {
            border-collapse: collapse;
        }
        .table-bordered, .table-bordered td, .table-bordered th {
            border: 1px solid black;
        }
        hr.new {
            border-top: 0.2px dashed red;
            left: -40px;
            right: -25px;
        }
    </style>
{% endblock %}
{% block content %}
<!-- Recibo original -->

{% set signo ='$' %}
{% set dec =2 %}
{% if(id_cliente=="RIS-DPI") %}
    {% set signo ='S/' %}
    {% set dec =2 %}
{% endif %}
{% set cabecera = '' %}
    {% if margen is defined %}
        {% for margin in margen %}
            {% if margin.cabecera == true %}
                {% set cabecera = margin.urlLogoFactura %}
            {% endif %}

        {% endfor %}
    {% endif %}

 <div style="height:425px !important; " >
<div style="text-align:center;font-size:12px;margin-top:15px;">
    Original
</div>
<div class="clearfix"></div>
<div style="width:95%; margin:0 auto;">
    <table width="100%"> 
                    <tr>
                        <td style="width:25%;" rowspan="2">
                            {% if datosOrden[0].urlLogoFactura is defined %}
                                  <img src="{{asset(datosOrden[0].urlLogoFactura)}}" style="width:120px;" alt="Logo">
                            {% endif %}
                        </td>
                        <td style="width:50%;"> <center>
                              <b> {{ datosOrden[0].entityName }}</b> <br>
                                SEDE
                                {{ datosOrden[0].headquarterName }}
                                </center>
                        </td>
                        <td style="width:25%; font-weight:bold;text-align:right;">Recibo de Caja N°
                                {{ datosOrden[0].consecutivoReciboCaja }}
                        </td>
                    </tr>
                    <tr>
                        <td> <center> NIT:  {{ datosOrden[0].entityNit }} </center></td>
                        <td> </td>
                    </tr>
                </table>
                <table width="100%"> 
                    <tr> 
                        <td width="80%" colspan="2" >Convenio:      {{ datosOrden[0].name }}</td>
                        <td>Fecha:      {{ datosOrden[0].fechaD }}</td>
                    </tr>
                  
                    <tr>
                        <td width="20%">Identificación:        {{ datosOrden[0].document }}</td>
                        <td width="60%">Nombre paciente:
                            {{ datosOrden[0].firstName }}
                            {{ datosOrden[0].secondName }}
                            {{ datosOrden[0].firstLastName }}
                            {{ datosOrden[0].secondLastName }}
                        </td>
                        <td >Código factura:  {{ datosOrden[0].codigoFactura }}</td>
                    </tr> 
                    <tr>
                        <td colspan="2">Valor a cargo del paciente:
                            {{ signo }}
                            {{ datosOrden[0].valorPaciente|number_format(dec,',','.') }}</td>
                             <td >Cod. Autorización: {{ datosOrden[0].codigoAutorizacion }}</td>
                    </tr>
                </table>
                 
        <table width="100%" class="table-bordered">
                <tbody>
                    <tr>
                        <td>Cantidad</td>
                        <td width="60%">Detalle de servicios, Insumos y Medicamentos</td>
                        <td>Valor unitario</td>
                        <td>IVA</td>
                        <td>Valor Total</td>
                    </tr>
                    {% for st in estudios %}
                        <tr>
                            <td>
                                {{ st.contador }}</td>
                            <td>
                                {{ st.cups }}
                                -
                                {{ st.studyName }}</td>
                            {#<td>{{ signo }} {{ (st.valorUnitario)|number_format(dec,',','.') }} </td>
                                                <td>{{ signo }}  {{ (st.valorIva)|number_format(dec,',','.') }}</td>
                                                <td>{{ signo }}  {{ (st.valorTotal)|number_format(dec,',','.') }}</td>#}
                            <td>
                                {{ signo }}
                                0</td>
                            <td>
                                {{ signo }}
                                0</td>
                            <td>
                                {{ signo }}
                                0</td>
                        </tr>
                    {% endfor %}
                    {% for ins in insumos %}
                        <tr>
                            <td>
                                {{ ins.contador }}</td>
                            <td>
                                {{ ins.codigoInsumo }}
                                -
                                {{ ins.nombreInsumo }}</td>
                            <td>
                                {{ signo }}
                                0</td>
                            {#<td>{{ signo }} {{ (st.valorUnitario)|number_format(dec,',','.') }}</td>#}
                            <td>
                                {{ signo }}
                                0</td>
                            <td>
                                {{ signo }}
                                0</td>
                        </tr>
                    {% endfor %}
                    <tr>
                        <td style="border:none;" colspan="3" rowspan="3"> <b> Valor en Letras : </b>  {{ datosOrden[0].valorPacienteLetras }}</td>
                        <td  style="text-align: right; border:none;">Subtotal</td>
                        <td style="text-align: right; border:none;">
                            {{ signo }}
                            {#{{ datosOrden[0].valorTotal|number_format(dec,',','.') }}#}
                            0</td>
                    </tr>
                    {% if(datosOrden[0].copago!= 'null' or datosOrden[0].copago!='') %}
                        <tr>
                            <td style="text-align: right; border:none;">Copago-Cuota Moderadora</td>
                            <td style="text-align: right; border:none;">
                                {{ signo }}
                                {{ datosOrden[0].copago|number_format(dec,',','.') }}</td>
                        </tr>
                    {% endif %}
                    <tr>
                        <td style="text-align: right; border:none;">Total</td>
                        <td style="text-align: right; border:none;">
                            {{ signo }}
                            {{ datosOrden[0].valorPaciente|number_format(dec,',','.') }}</td>
                    </tr>
                </tbody>
            </table>

 
            <table style="width:100%;">
                <tr>
                    <td style="width:25%; height: 50px; border-bottom: 0.5px solid black; ">
                        <br>  {{ datosOrden[0].userCreation }}</td>
                    <td style="width:15%;"></td>
                    <td style="width:60%; height: 50px; border-bottom: 0.5px solid black; " colspan="2"></td>
                </tr>
                <tr>
                    <td style="width:25%;"> Realizada por</td>
                    <td style="width:15%;"></td>
                    <td style="width:60%;" colspan="2">Firma </td>
                </tr>
                <tr>
                    <td style="width:25%;"></td>
                    <td style="width:15%;"></td>
                    <td style="width:30%;">
                        Recibì Conforme - CC.
                    </td>
                    <td style="width:30%;">
                        Fecha
                    </td>
                </tr>
            </table>         
</div>
</div>
    <hr class="new">
          <div class="clearfix"></div>
<div  >
<div style="text-align:center;font-size:12px;margin-top:25px;">
    Copia
    </div>
<div class="clearfix"></div><div style="width:95%; margin:0 auto;">
    <table width="100%"> 
                    <tr>
                        <td style="width:25%;" rowspan="2">
                            {% if datosOrden[0].urlLogoFactura is defined %}
                                  <img src="{{asset(datosOrden[0].urlLogoFactura)}}" style="width:120px;" alt="Logo">
                            {% endif %}
                        </td>
                        <td style="width:50%;"> <center>
                              <b> {{ datosOrden[0].entityName }}</b> <br>
                                SEDE
                                {{ datosOrden[0].headquarterName }}
                                </center>
                        </td>
                        <td style="width:25%; font-weight:bold;text-align:right;">Recibo de Caja N°
                                {{ datosOrden[0].consecutivoReciboCaja }}
                        </td>
                    </tr>
                    <tr>
                        <td> <center> NIT:  {{ datosOrden[0].entityNit }} </center></td>
                        <td> </td>
                    </tr>
                </table>
                <table width="100%"> 
                    <tr> 
                        <td width="80%" colspan="2" >Convenio:      {{ datosOrden[0].name }}</td>
                        <td>Fecha:      {{ datosOrden[0].fechaD }}</td>
                    </tr>
                  
                    <tr>
                        <td width="20%">Identificación:        {{ datosOrden[0].document }}</td>
                        <td width="60%">Nombre paciente:
                            {{ datosOrden[0].firstName }}
                            {{ datosOrden[0].secondName }}
                            {{ datosOrden[0].firstLastName }}
                            {{ datosOrden[0].secondLastName }}
                        </td>
                        <td >Código factura:  {{ datosOrden[0].codigoFactura }}</td>
                    </tr> 
                    <tr>
                        <td colspan="2">Valor a cargo del paciente:
                            {{ signo }}
                           {{ datosOrden[0].valorPaciente|number_format(dec,',','.') }}</td>
                        <td >Cod. Autorización: {{ datosOrden[0].codigoAutorizacion }}</td>
                    </tr>
                </table>
      <table width="100%" class="table-bordered">
                <tbody>
                    <tr>
                        <td>Cantidad</td>
                        <td width="60%">Detalle de servicios, Insumos y Medicamentos</td>
                        <td>Valor unitario</td>
                        <td>IVA</td>
                        <td>Valor Total</td>
                    </tr>
                    {% for st in estudios %}
                        <tr>
                            <td>
                                {{ st.contador }}</td>
                            <td>
                                {{ st.cups }}
                                -
                                {{ st.studyName }}</td>
                            {#<td>{{ signo }} {{ (st.valorUnitario)|number_format(dec,',','.') }} </td>
                                                <td>{{ signo }}  {{ (st.valorIva)|number_format(dec,',','.') }}</td>
                                                <td>{{ signo }}  {{ (st.valorTotal)|number_format(dec,',','.') }}</td>#}
                            <td>
                                {{ signo }}
                                0</td>
                            <td>
                                {{ signo }}
                                0</td>
                            <td>
                                {{ signo }}
                                0</td>
                        </tr>
                    {% endfor %}
                    {% for ins in insumos %}
                        <tr>
                            <td>
                                {{ ins.contador }}</td>
                            <td>
                                {{ ins.codigoInsumo }}
                                -
                                {{ ins.nombreInsumo }}</td>
                            <td>
                                {{ signo }}
                                0</td>
                            {#<td>{{ signo }} {{ (st.valorUnitario)|number_format(dec,',','.') }}</td>#}
                            <td>
                                {{ signo }}
                                0</td>
                            <td>
                                {{ signo }}
                                0</td>
                        </tr>
                    {% endfor %}
                    <tr>
                        <td style="border:none;" colspan="3" rowspan="3"> <b> Valor en Letras : </b>  {{ datosOrden[0].valorPacienteLetras }}</td>
                        <td  style="text-align: right; border:none;">Subtotal</td>
                        <td style="text-align: right; border:none;">
                            {{ signo }}
                            {#{{ datosOrden[0].valorTotal|number_format(dec,',','.') }}#}
                            0</td>
                    </tr>
                    {% if(datosOrden[0].copago!= 'null' or datosOrden[0].copago!='') %}
                        <tr>
                            <td style="text-align: right; border:none;">Copago-Cuota Moderadora</td>
                            <td style="text-align: right; border:none;">
                                {{ signo }}
                                {{ datosOrden[0].copago|number_format(dec,',','.') }}</td>
                        </tr>
                    {% endif %}
                    <tr>
                        <td style="text-align: right; border:none;">Total</td>
                        <td style="text-align: right; border:none;">
                            {{ signo }}
                            {{ datosOrden[0].valorPaciente|number_format(dec,',','.') }}</td>
                    </tr>
                </tbody>
            </table>
 
            <table style="width:100%;">
                <tr>
                    <td style="width:25%; height: 50px; border-bottom: 0.5px solid black; ">
                        <br>  {{ datosOrden[0].userCreation }}</td>
                    <td style="width:15%;"></td>
                    <td style="width:60%; height: 50px; border-bottom: 0.5px solid black; " colspan="2"></td>
                </tr>
                <tr>
                    <td style="width:25%;"> Realizada por</td>
                    <td style="width:15%;"></td>
                    <td style="width:60%;" colspan="2">Firma </td>
                </tr>
                <tr>
                    <td style="width:25%;"></td>
                    <td style="width:15%;"></td>
                    <td style="width:30%;">
                        Recibì Conforme - CC.
                    </td>
                    <td style="width:30%;">
                        Fecha
                    </td>
                </tr>
            </table>         
</div>
</div>
    <hr class="new">
          <div class="clearfix"></div>
<div  >

</div>{% endblock %}