There exist a current webpage which ask for 5 fields
once you enter the 5 fields and submit you get a confirmation page1, once you hit confirm you get a confirmation page2 showing something like

The Customer 54788454 has new balance: 551.51. Recharge (TxnId is 54564 ) for 200.00 (Airtime-200.00: Tax-0.00) was successful. Your credit Balance is 4000.00.

I need a page which allows me to enter field 1 to field 4 and then 32 instances of field 5. when i hit submit a script will process one of the 32 entries at a time and data must be marked in mysql db table
I need the following fields in db
field Date 1,2,3,4,5 54788454, 551.51, 54564 200.00 4000.00 (values from confirmation page)

There also exist a few error pages which can come up instead of confirmation page2, in that case I will need the error message marked in a field calls error

at end of run the input page will show which of the 32 entries has new balance and which have an error with the error marked next to it.

there will be an option to resubmit some entries by putting a check mark next to every entry you need to resubmit and hitting submit again.

the current webpage which accepts single entry at a time is a https page. I only have web access to this page
there is no captcha

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