Chapter 2, Problem 3EYK

design a basic patient registrtion form. This form should utilize all of the major form elements we've covered including text boxes, check boxes, radio buttons, select lists, and text areas. At least one of each of these should be utilized on the form and feel free to use others. It also should include sections to input: Patient Information - Name, Address, Phone numbers, Alergies Family Histroy - Space for at least three relatives, how they are related, and at lease two medical conditions per person Prescription History - Name of medication, dosage, how frequently it is taken, etc. Medical History - Space to enter previous medical conditions including when the condition first appeared, and whether it is an ongoing problem This form should then submit to a php page that will process the information and display it formatted as a 'medical chart'. Information about the patient should be placed at the top with some sort of separator to segment it from the rest of the information. Note: You…

Excel date fields have the date to the right of the decimal point, and time to the left of the decimal point. True False

create a form hat include: 1. Checkbox with ;ist (unversity of najran, king khalid, king abdullah, King Saud) 2/ Radio button with list (Najran, Abha, Jeddah) Validate the form to validate and use route to display selection in next page.