Hi, This is a HTML assignment. There are total two files. I don't need all the solution. I need the...

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Hi, This is a HTML assignment. There are total two files. I don't need all the solution. I need the solution for in Week 4 Practical (Exercise2) and Week 5+6 Practical ( Exercise 1). All the instruction are given in the pdf file. Ask me anything for any inquaries. I want someone good on it.

twa-jaz4xpmg.zip

Pratik · Accepted Answer

New Patient Form
  NEW PATIENT REGISTRATION FORM
  
    
    
      
      
      Mr
      Mrs
      Ms
      Miss
      Master
      Dr 
      Other
      
      
      
      
      Surname 
      
      
      
      First name
      
      
      
      Date of Birth
      
      
      Postal Address 
      
      
      
      
      
      Suburb
      
      
      
      
      
      Postcode 
      
      
      
      
      
      
       Phone
      (10 digit)
      
      
      
      
      Mobile 
      (10 digit)
      
      
      
      
      Work
      (10 digit)
      
      
      
      
      
      Email
      
      
      
      
    
   
    
      Emergency Contact Person
      
      Relationship to Patient
      N/A
Father
Mother
Daughter
Son
Sister
Brother
Aunt
Uncle
Niece
Nephew
Cousin
GrandParent
      Mobile No.
      (10 digit)
      Daytime Phone
      (10 digit)
    
  
    
      Same as Above
      
      Name of Kin 
      
      Relationship to Patient
      N/A
Father
Mother
Daughter
Son
Sister
Brother
Aunt
Uncle
Niece
Nephew
Cousin
GrandParent
      Mobile No.
      (10 digit)
      Daytime Phone
      (10 digit)
    
    
      Ethnicity
      Australian
      Aboriginal
      Torres Strait Islander
      
      
      Medicare No.
      (16 digit)
      or
      DVA No.
      (16 digit)
      Reference No. (Next to name)
      (3 digit)
       Card Expiry
      
      Pension or Centrelink Health Care Card Number
      (16 digit)
      Card Expiry
      
      Full time student card number
      (16 digit)
      Card Expiry

Hi, This is a HTML assignment. There are total two files. I don't need all the solution. I need the solution for in Week 4 Practical (Exercise2) and Week 5+6 Practical ( Exercise 1). All the...

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