Can this be done in HTML?

Please someone check the photo and tell me if this can be done in HTML5?

How can I put my code here so you can help me do this :slight_smile:

The form I understand, and yes, that should be doable using HTML and CSS.

I’m not clear about the arrows. If you mean taking form input values and doing something with them, that will require server/client side script.

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For the disabled input with the different sized text you would need to use a dummy input for presentation (CSS div and span) and then use a hidden input to hold the value for the form.

As mentioned above you would need to program the actions accordingly.

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