diff --git a/leptos/Cargo.toml b/leptos/Cargo.toml
index d317212..e40ee4e 100644
--- a/leptos/Cargo.toml
+++ b/leptos/Cargo.toml
@@ -18,6 +18,7 @@ leptos-use = { version = "0.15.7", features = [
 leptos_meta = "0.7.7"
 leptos_router = { version = "0.7.7", features = ["tracing"] }
 reactive_stores = "0.1.8"
+reqwest.workspace = true
 serde = { workspace = true, features = ["derive"] }
 stylance = "0.5.5"
 thaw = { version = "0.4.4", features = ["csr"] }
@@ -29,4 +30,8 @@ web-sys = { version = "0.3.77", features = [
   "CanvasRenderingContext2d",
   "MediaRecorder",
   "AudioNode",
+  "File",
+  "FileList",
 ] }
+itertools.workspace = true
+strum = { workspace = true, features = ["derive"] }
diff --git a/leptos/README.md b/leptos/README.md
index f1f6b07..a3c3475 100644
--- a/leptos/README.md
+++ b/leptos/README.md
@@ -4,5 +4,15 @@ A simple SPA using leptos.
 
 ![](https://file.notion.so/f/f/5f1a3a94-a29f-407d-80af-617105cb793d/8938aed8-802c-4a23-9d47-10cd593ef1ca/image.png?table=block&id=1c0e579b-ff89-80df-abb6-c7766ae48094&spaceId=5f1a3a94-a29f-407d-80af-617105cb793d&expirationTimestamp=1742860800000&signature=FwK8fJ19MquzJKhRT0vRtm7JaOl7yjWOgEYxAz95gtE&downloadName=image.png)
 
-- A QR Scanner
+## A QR Scanner
+
+Scans QR code in `single` or `multiple` mode.
+
 - A Audio Recorder
+
+## A Form 
+
+The values are stored in local storage at key set by field `Code`.
+
+![leptos_gif](https://github.com/user-attachments/assets/41e725d9-bb92-4976-9880-e849d378cbde_gif](https://github.com/user-attachments/assets/41e725d9-bb92-4976-9880-e849d378cbde)
+
diff --git a/leptos/app.css b/leptos/app.css
index 9d3b3dd..d3bd57a 100644
--- a/leptos/app.css
+++ b/leptos/app.css
@@ -46,3 +46,8 @@ main {
   max-height: 100px;
   background-color: ivory;
 }
+
+.ehr_list-372e0a1 label {
+  width: 150px;
+  align-items: center;
+}
diff --git a/leptos/rust-toolchain.toml b/leptos/rust-toolchain.toml
index e7b48e6..0954352 100644
--- a/leptos/rust-toolchain.toml
+++ b/leptos/rust-toolchain.toml
@@ -1,2 +1,4 @@
 [toolchain]
+channel = "stable"
 targets = ["wasm32-unknwon-unknown"]
+profile = "minimal"
diff --git a/leptos/src/_app.module.scss b/leptos/src/_app.module.scss
index 9a1ddc6..ccdeb56 100644
--- a/leptos/src/_app.module.scss
+++ b/leptos/src/_app.module.scss
@@ -46,3 +46,8 @@ main {
   max-height: 100px;
   background-color: ivory;
 }
+
+.ehr_list label {
+  width: 150px;
+  align-items: center;
+}
diff --git a/leptos/src/app.rs b/leptos/src/app.rs
index e8546d5..b1d6b9a 100644
--- a/leptos/src/app.rs
+++ b/leptos/src/app.rs
@@ -34,6 +34,7 @@ pub fn App() -> impl IntoView {
                 <main>
                     <Routes fallback=|| "Page not found.">
                         <Route path=path!("/") view=Home />
+                        <Route path=path!("/form") view=Form />
                         <Route path=path!("/qr") view=QrScanner />
                         <Route path=path!("/audio") view=AudioStream />
                     </Routes>
@@ -52,6 +53,7 @@ fn AppSpinner() -> impl IntoView {
     let loading = store.loading();
 
     view! {
+        // Show spinner when global `loading` is set to true.
         <Show when=move || loading.get()>
             <Spinner />
         </Show>
diff --git a/leptos/src/components/audio.rs b/leptos/src/components/audio.rs
index aad895c..ae85f95 100644
--- a/leptos/src/components/audio.rs
+++ b/leptos/src/components/audio.rs
@@ -45,19 +45,21 @@ pub fn AudioStream() -> impl IntoView {
     }) as Box<dyn FnMut(JsValue)>);
 
     Effect::new(move |_| {
-        node.get().map(|v| match stream.get() {
-            Some(Ok(s)) => {
-                tracing::info!("Setting stream {s:?} to src...");
-                v.set_src_object(Some(&s));
-                let recorder = MediaRecorder::new_with_media_stream(&s).unwrap();
-                recorder.set_ondataavailable(Some(on_data_available.as_ref().unchecked_ref()));
-                recorder.start_with_time_slice(500).unwrap();
+        if let Some(v) = node.get() {
+            match stream.get() {
+                Some(Ok(s)) => {
+                    tracing::info!("Setting stream {s:?} to src...");
+                    v.set_src_object(Some(&s));
+                    let recorder = MediaRecorder::new_with_media_stream(&s).unwrap();
+                    recorder.set_ondataavailable(Some(on_data_available.as_ref().unchecked_ref()));
+                    recorder.start_with_time_slice(500).unwrap();
+                }
+                Some(Err(e)) => tracing::error!("Failed to get media stream: {e:?}"),
+                None => tracing::debug!("No stream yet"),
             }
-            Some(Err(e)) => tracing::error!("Failed to get media stream: {e:?}"),
-            None => tracing::debug!("No stream yet"),
-        });
+        }
     });
-
+    
     // start/stop recording
     let _effect = Effect::watch(
         move || start_rec.get(),
@@ -103,12 +105,10 @@ pub fn AudioStream() -> impl IntoView {
     view! {
         <Space vertical=true>
             // Eventually I was to draw something related to audio stream here.
-            <canvas node_ref=canvas_node class=styles::canvas  />
+            <canvas node_ref=canvas_node class=styles::canvas />
             <audio node_ref=node controls />
             <Switch checked=start_rec label="Start Record" />
-            <div>
-                "Record and plot every half second of data"
-            </div>
+            <div>"Record and plot every half second of data"</div>
         </Space>
     }
 }
diff --git a/leptos/src/components/form.rs b/leptos/src/components/form.rs
new file mode 100644
index 0000000..746e2e9
--- /dev/null
+++ b/leptos/src/components/form.rs
@@ -0,0 +1,65 @@
+//! A sample forms
+
+use strum::IntoEnumIterator;
+
+use codee::string::JsonSerdeCodec;
+use leptos::prelude::*;
+use leptos_qr_scanner::Scan;
+use leptos_use::storage::use_local_storage;
+use reactive_stores::Store;
+use thaw::*;
+
+use crate::components::*;
+use crate::css::styles;
+use crate::storage::KeyVal;
+use crate::storage::{GlobalState, GlobalStateStoreFields};
+
+#[derive(Debug, strum::EnumIter, strum::Display)]
+enum Gender {
+    Male,
+    Female,
+    Other,
+}
+
+#[component]
+pub fn Form() -> impl IntoView {
+    let storage_key = RwSignal::new("".to_string());
+
+    let (state, set_state, _) = use_local_storage::<KeyVal, JsonSerdeCodec>(storage_key);
+
+    let upload_patient_consent_form = move |file_list: FileList| {
+        let len = file_list.length();
+        for i in 0..len {
+            if let Some(file) = file_list.get(i) {
+                tracing::info!("File to upload: {}", file.name());
+            }
+        }
+    };
+
+    view! {
+        <h5>"Form"</h5>
+        <Space vertical=true class=styles::ehr_list>
+
+            // Everything starts with this key
+            <ListItem label="Code".to_string()>
+                <input bind:value=storage_key />
+            </ListItem>
+
+            // Patient
+            <InputWithLabel key="phone".to_string() state set_state></InputWithLabel>
+            <InputWithLabel key="name".to_string() state set_state></InputWithLabel>
+            <SelectWithLabel
+                key="gender".to_string()
+                options=Gender::iter().map(|x| x.to_string()).collect()
+                state
+                set_state
+            ></SelectWithLabel>
+            <InputWithLabel key="extra".to_string() state set_state></InputWithLabel>
+
+            <Upload custom_request=upload_patient_consent_form>
+                <UploadDragger>"Drag file here"</UploadDragger>
+            </Upload>
+
+        </Space>
+    }
+}
diff --git a/leptos/src/components/input.rs b/leptos/src/components/input.rs
new file mode 100644
index 0000000..c5fc94d
--- /dev/null
+++ b/leptos/src/components/input.rs
@@ -0,0 +1,79 @@
+//! Input component.
+
+use crate::storage::KeyVal;
+use itertools::Itertools;
+use leptos::prelude::*;
+use thaw::*;
+
+#[component]
+pub fn InputWithLabel(
+    key: String,
+    state: Signal<KeyVal>,
+    set_state: WriteSignal<KeyVal>,
+) -> impl IntoView {
+    let label = key.split("_").join(" ");
+    let key1 = key.to_string();
+
+    view! {
+        <Flex>
+            <Label>{label}</Label>
+            // Could not get thaw::Input to change when value in parent changes.
+            <input
+                prop:value=move || {
+                    state.get().0.get(&key1).map(|x| x.to_string()).unwrap_or_default()
+                }
+                on:input=move |e| {
+                    set_state
+                        .update(|s| {
+                            s.0.insert(key.to_string(), event_target_value(&e));
+                        })
+                }
+            />
+        </Flex>
+    }
+}
+
+#[component]
+pub fn SelectWithLabel(
+    key: String,
+    options: Vec<String>,
+    state: Signal<KeyVal>,
+    set_state: WriteSignal<KeyVal>,
+) -> impl IntoView {
+
+    let label = key.split("_").join(" ");
+    let key1 = key.to_string();
+
+    view! {
+        <Flex>
+            <Label>{label}</Label>
+            <select
+                prop:value=move || {
+                    state.get().0.get(&key1).map(|x| x.to_string()).unwrap_or_default()
+                }
+                on:input=move |e| {
+                    set_state
+                        .update(|s| {
+                            s.0.insert(key.to_string(), event_target_value(&e));
+                        })
+                }
+            >
+                {options.iter().map(|v| view! { <option>{v.to_string()}</option> }).collect_view()}
+
+            </select>
+        </Flex>
+    }
+}
+
+#[component]
+pub fn ListItem(
+    label: String,
+    children: Children,
+) -> impl IntoView {
+    view! {
+        <Flex>
+            <Label>{label}</Label>
+            {children()}
+        </Flex>
+    }
+}
diff --git a/leptos/src/components/mod.rs b/leptos/src/components/mod.rs
index 8ef4491..8af89f5 100644
--- a/leptos/src/components/mod.rs
+++ b/leptos/src/components/mod.rs
@@ -11,3 +11,9 @@ pub use qr::*;
 
 pub(crate) mod audio;
 pub use audio::*;
+
+pub(crate) mod form;
+pub use form::*;
+
+pub(crate) mod input;
+pub use input::*;
diff --git a/leptos/src/storage.rs b/leptos/src/storage.rs
index fd7b73c..bb53b84 100644
--- a/leptos/src/storage.rs
+++ b/leptos/src/storage.rs
@@ -2,18 +2,26 @@
 
 #![allow(dead_code)]
 
+use std::collections::HashMap;
 use reactive_stores::Store;
 
+// Local store to store data before we 
 #[derive(serde::Serialize, serde::Deserialize, Clone, PartialEq, Default)]
-pub(crate) struct LocalStorage {
-    pub trainer: String,
+pub(crate) struct EhrSection1 {
+    pub sample_code: String,
+    pub patient_name: String,
 }
 
-impl LocalStorage {
+// Local store to store data before we 
+#[derive(serde::Serialize, serde::Deserialize, Clone, PartialEq, Default)]
+pub(crate) struct KeyVal(pub HashMap<String, String>);
+
+impl EhrSection1 {
     /// Key to use in local storage
-    pub const KEY: &'static str = "login-state";
+    pub const KEY: &'static str = "ehr-section-1";
 }
 
+
 /// Global state to be shared across components.
 #[derive(Clone, Debug, Default, Store)]
 pub struct GlobalState {