Accurate and timely patients data collection has been a challenge for developing countries. Traditional methods used for patients data collection in epidemic outbreaks has proven to be insufficient. Emerging technology calls for faster, reliable and easy data collection tools. This paper presents the design and implementation of mobile based patients data collection system for epidemic surveillance especially in remote areas. It shows how the emerging technology of smart phones can revolutionize the traditional data collection methods. An easy and user friendly interface is developed for medical staff to provide them with much easier system than inept existing systems. The system provides solid basis for government organizations in order to take on-time precautionary steps. The proposed system can be used at health departments as part of electronic health record systems for timely, accurate and easy collection of data from disease struck regions in the developing countries that lack basic infrastructure for the surveillance of disease.