Build a Website Form

Hello, The page will be in 2 Languages (Arabic,English) its a form to write people information, The information will be saved on Database(MySQL). Ability To Edit or Delete Information. Using PHP+jQuery AJAX. MySQL that can be updated without refreshing page or if the programmer know a better [login to view URL] should also have backing the information through searching and appearance on form with ability To Edit or Delete Information. form Specification: 0-Login,User name,[login to view URL] updating page. 1-Auto Billing Number 2-Name+Phone Number 4-Amount,Paid,Remaining Balance. 6-printing information in two different paper on 1 click that is :- The first paper should include(Billing number,Date,Name,Phone,Amount,Paid,Remaining Balance) The second paper have (Billing number,Name,Phone,Amount,Paid,Remaining Balance and eye Prescription) and they will be printed Vertical 7-Eye Prescription+Lenses Material+Frame Name. All the information will be printed on Thermal Printer (like super market printer) I have Attached example of how the form design Note:Price is Fixed. Thank you