Customer Account & Order Entry

Required fields marked *. This screen supports customer data entry, order processing, and genetic sample kit creation.

Customer Information

First Name *

Last Name *

Date of Birth *

Age will be calculated automatically.

Email *

Phone

Address

Package Type *

Payment Status

Shipment blocked unless payment status is “Paid”.

Staff Notes (audit-tracked)

Created by: svc_agent_02 | Created at: 2025-11-15 13:14

All changes are recorded in the audit trail (user ID, timestamp, modified fields).