"Control"
Bootstrap 3.2.0 Snippet by HCForms

<link href="//netdna.bootstrapcdn.com/bootstrap/3.2.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.2.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Control</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="motivoConsulta">Motivo de la Consulta</label> <div class="col-md-5"> <input id="motivoConsulta" name="motivoConsulta" type="text" placeholder="" class="form-control input-md"> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="enfermedadActual">Enfermedad Actual</label> <div class="col-md-4"> <textarea class="form-control" id="enfermedadActual" name="enfermedadActual"></textarea> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="examenFisico">Exámen Físico</label> <div class="col-md-4"> <textarea class="form-control" id="examenFisico" name="examenFisico"></textarea> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="tratamiento">Plan de manejo - Tratamiento</label> <div class="col-md-4"> <textarea class="form-control" id="tratamiento" name="tratamiento"></textarea> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="botonGuardarControl"></label> <div class="col-md-4"> <button id="botonGuardarControl" name="botonGuardarControl" class="btn btn-primary">Guardar</button> </div> </div> </fieldset> </form>

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