"Add new Item"
Bootstrap 3.3.0 Snippet by hossam

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<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<!------ Include the above in your HEAD tag ---------->
<div id="fullscreen_bg" class="fullscreen_bg"/>
<form class="form-signin">
<div class="container">
<div class="row">
<div class="col-md-4 col-md-offset-4">
<div class="panel panel-default">
<div class="panel-body">
<h3 class="text-center">
Adding new Item</h3>
<form class="form form-signup" role="form">
<div class="form-group">
<div class="input-group">
<span class="input-group-addon"><span class="glyphicon glyphicon-pencil"></span>
</span>
<input type="text" class="form-control" placeholder="Medicine Name" />
</div>
</div>
<div class="form-group">
<div class="input-group">
<span class="input-group-addon"><span class="glyphicon glyphicon-th"></span></span>
<input type="Text" class="form-control" placeholder="Amount" />
</div>
</div>
<div class="form-group">
<div class="input-group">
<span class="input-group-addon"><span class="glyphicon glyphicon-usd"></span></span>
<input type="Text" class="form-control" placeholder="Bill" />
</div>
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body
{
background-color: #1b1b1b;
padding-top: 40px;
}
.form-signin {
max-width: 280px;
padding: 15px;
margin:100px;
margin-top:190px;
margin-left:200px;
}
.input-group-addon
{
background-color: rgb(50, 118, 177);
border-color: rgb(40, 94, 142);
color: rgb(255, 255, 255);
}
.form-control:focus
{
background-color: rgb(50, 118, 177);
border-color: rgb(40, 94, 142);
color: rgb(255, 255, 255);
}
.form-signup input[type="text"],.form-signup input[type="password"] { border: 1px solid rgb(50, 118, 177); }
.fullscreen_bg {
position: fixed;
top: 0;
right: 0;
bottom: 0;
left: 0;
background-size: cover;
background-position: 50% 50%;
background-image: url('http://i.imgur.com/aFs5QmP.jpg');
background-repeat:repeat;
}
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