Selection Code Picture Product Details Price Discount
Select This Item:(Check Box)
 8 9 10
Male:
Female(Radio Button)
 12 13 14 15
(Drop Down Box)
 17 18 19 20
Health information:
HeightWeight(FieldSet around data)
 22 23 24 25

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31 32 33 34 35
36 37 38 39 40