Small POC for Patient Registration Form

Job ID: 35606266

Budget: $10 – $30 USD

Small PHP web form to Save data to MYSQL/Maria DB.

Requirement:
1. Entry Form
2. Edit Form
3. List Page (List of all registrations with criteria to filter by City, State, and Zipcode)
4. In addition to form fields, capture create date and update date
4. 3 Tables (registration, state, country)

Requirements:
2 days to complete
Built with PHP 8.0.25 & MariaDB Server version 10+
MariaDB


Average Bid Price is $25.
Do not bid if you're going over the average bid price.
Related categories: PHP JavaScript AJAX MySQL HTML