Completed

BUILD A WEB FORM

Simple input and fetch data from database and display on HTML table using PHP & CSS

Back end to input the details should contain: (Must have a track number)

Patient Pic upload

Patient Name:

Patient illness

Type of Treatment

Doctor Name

Doctor Email

Nurse (RN) Name

Hospital Ward Number

Room Number

Comments

FRONT END SHOULD OUTPUT WITH A NICE DESIGN

Patient Pic display

Patient Name:

Patient illness

Type of Treatment

Doctor Name

Doctor Email

Nurse (RN) Name

Hospital Ward Number

Room Number

The Comments/Remarks

Skills: PHP, HTML, Website Design, MySQL, CSS

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About the Employer:
( 0 reviews ) Dayton, Nigeria

Project ID: #31504798

Awarded to:

fantasyinfo

Hey i am ready to do this amazing job Hey Thanks for Messege me, 1. Yes i can manage both PHP & MySQL. 2. I have created Since Now 2 Custom Themes & 1 Plugin Recently About 15 Days Ago. 3. I have 3+ years Experience i More

$15 USD in 7 days
(63 Reviews)
4.8

14 freelancers are bidding on average $23 for this job

mdjafferali

Hello I am php developer I can create input page and save data into mysql database And also fetch data Please message me for details Thanks Jaffer I.

$30 USD in 1 day
(38 Reviews)
4.6
Digitalwebspot

Hi Sir, I have read the detail of your project and I can create a website according to you. I have a 5 years’ experience in WordPress, Php, and html and in past I have created very amazing websites. I will do this wor More

$30 USD in 7 days
(7 Reviews)
3.9
(12 Reviews)
3.9
codewithonkar

I WILL BUILD THIS WEB FORM IN ONE DAY. JUST DO A MESSAGE TO DISCUSS MORE THANKS

$20 USD in 1 day
(14 Reviews)
3.7
VIPGEOS

Hello Recruiter, I’ve carefully checked your project " WEBSITE DEVELOPMENT and really interested in this job. I have better skill in Web developing. I am hard working and positive attitude man. I work with focus and More

$20 USD in 7 days
(5 Reviews)
2.3
thesinghkshitij

Hey there I have Gone Through Your Project and Required Demand. As Far as Our Experience goes for Website Designing , I have Worked With Many Businesses ,Brands , Influencers , Groups , and much more in Past 4+ Year More

$19 USD in 1 day
(3 Reviews)
1.9
Infoneo

Hello Just to introduce my self ,We have more than 8+ years of experience in design & development. And as a policy we will provide 3 month maintenance "free of cost" for the project done by us for new projects that is More

$20 USD in 7 days
(1 Review)
1.0
SahilGupta15

Hi, I have read the work description and found that i can do it with my full potential, since i am a new to this platform so i assure you that i will give my 100% to complete your work for the best feedback you can p More

$25 USD in 7 days
(0 Reviews)
0.0
(0 Reviews)
0.0
achhu3212

Hi, Hope you are doing well! Thanks for sharing your project requirement with us. It will be our great pleasure to work on your project. I have checked your requirement, yes we can do it. Hey i am ready to do this am More

$20 USD in 7 days
(0 Reviews)
0.0
ducktaleitdev01

Hello, I have seen your requirement regarding web developer and I can help you to build a web form. I appreciate it if you initiate an interview to proceed further. I assure you of the completion of a quality job wit More

$20 USD in 7 days
(0 Reviews)
0.0
shivani23897

I have experience in building forms. I have worked with MySQL, CSS, PHP and HTML. I'm dedicated toward my work and I can deliver projects within deadline.

$30 USD in 7 days
(0 Reviews)
0.0
rk7042484

I have gone through your project It's a simple 2 page development 1 for input value and other for display Please connect with for more details in chat

$15 USD in 7 days
(0 Reviews)
0.0