Patient Feedback To Clinicon Design

patient feedback to clinicon design column (label text)

description

label name

input type

input type name

default table value referred

patient id

patients id

idlabel

idtxtbox

blank

feedback varch

first name

first name fnlabel of the patient last name of lnlabel the patient

text box text box

fntxtbox

blank

feedback varch

text box text box

lntxtbox

blank

feedback varch

mntxtbox

blank

feedback varch

subjectlabel

text box

unametxtbox

blank

feedback varch

commentlabel

text area

commenttxtare a

blank

feedback varch

citylabel

blank

feedback varch

blank

feedback varch

na

feedback na

na

feedback na

last name

middle name

middle name of the patient subject of the feedback comments provided by the patient name of the city

mnlabel

email id

email id of the patient

maillabel

submit

submits the feedback form resets the form.

submitlabel

text citytxtbox box text mailtxtbox box button submitbutton

resetlabel

button resetbutton

subject comments city

reset

data t store