Quote system for drug store

I started to get a freelance job from the internet. This one is the first project I got from AtlanticSoft at GAF which I bid really low price, $50, because I wanted to win the first project so bad. I believe this my work worth more than $200.

The project is about create the function of quote system for drug store, zencart system. Customer can fill the form from that prescription, then the store will give the price.

The website and all logo will be removed because the project owner ask not to reveal, but please refer to GAF project.

See the screenshot below. The actual site is different than below images a little bit.

This is the quote form with 5 sets of product form.

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