Creating a small help desk ticket system using our SQL

We have a SQL Server sitting in the basement of the office with very much space available.
We are a mess with our help desk 'system' - we use emails to outlook. I was thinking to use the SQL Server. My question is, in what language to write the front end. I don't want to use ACCESS.

I don't want to use a free public service like freshdesk as our data is very Hippa sensitive.

I would investigate open source options that have a local install before trying to roll my own, because you'll end up using the new help desk system to support the new help desk system

A quick google turned up

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Or get free ones available

If it's Hippa sensitive in the least, buy a certified system, period.