Computer repair

I require a automated numeric database form computer repair work order. This form will be used when a customer requires PC repair. The salesperson will fill out all the information on the screen and then print two copies. One signed and kept and the other copy goes to the customer. And two labels one for computer and one for customer Please note the work order number must increase automatically and the date must also be automatically inserted from system date and time. The fields must include make, model #Lap top or desktop adapter yes or no, password if any , back up required or not, back up folder documents ,pictures ,music, video and other required check mark, diagnosis, system problem, requirement install software, install following parts, estimated charges, final charges and requires all fields. I also require a field to I require to be able to edit fields easily encase change or field description change. Customer signature and technician signature Field also required. also i need script that my customers can see the status of his computer online , like working on it , waiting for partss , finish ...etc also i need the ability to allow my customer say yes or no for the total cost .... no user name and password required i will give my customer his ticket number plus his last name .. if you have more idea please let me know . im willing to do this ASAP . Thanks for all