🏥 Classia Longevity

Patient Screening Form & Back Office Evaluation Dashboard

Patient form: collects health information only. It does not show qualification, risk, or diet approval to the customer.
Back office form: for internal Classia team evaluation and doctor/dietitian review.

Patient Screening Form

1st Row • Member Access
1. Basic Information Customer-facing
2. Body Measurements
3. Health Goals
4. Medical History
5. Current Medicines
6. Food Preference
7. Lifestyle & Symptoms
8. Reports & Declaration
Upload relevant medical reports. Supported formats: PDF, JPG, PNG, DOC, XLS. Max 10MB per file.
Uploading...

Report Checklist

2nd Row • Member Access
Report Upload Checklist Member-facing upload area
Members can upload PDF, image, Word or Excel files for each report below. Files will be automatically saved to the server. Supported formats: PDF, JPG, PNG, DOC, XLS. Max size: 10MB per file.
Uploading reports...

Admin Panel

3rd Row • Staff Restricted
👋 Welcome, Admin!

Total Patients

0

Total Reports

0

Pending Review

0

Approved

0

Rejected

0
📋 All Patients Click a row to view details
ID Name Mobile Age Primary Goal Reports Approval Status Submitted Action
Loading patients...
Complete PHP-based system with MySQL database and automatic file upload handling. Patient Screening and Report Checklist are member-facing. Admin panel requires login. Files are stored in uploads/reports/ folder automatically.