<link href="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/js/bootstrap.min.js"></script> <script src="//cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script> <!------ Include the above in your HEAD tag ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>REGISTER RADIOTHERAPY</legend> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="singlebutton"></label> <div class="col-md-4"> <button id="singlebutton" name="singlebutton" class="btn btn-primary">Tambah</button> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">No. Register</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="01202104070001" class="form-control input-md"> </div> </div> <!-- Appended Input--> <div class="form-group"> <label class="col-md-4 control-label" for="appendedtext">No. RM</label> <div class="col-md-4"> <div class="input-group"> <input id="appendedtext" name="appendedtext" class="form-control" placeholder="masukan no. rm lalu enter" type="text"> <span class="input-group-addon">Cari</span> </div> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Nama</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Tgl. Lahir</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="__ / __ / ___" class="form-control input-md"> </div> </div> <!-- Multiple Radios (inline) --> <div class="form-group"> <label class="col-md-4 control-label" for="radios">Jenis Kelamin</label> <div class="col-md-4"> <label class="radio-inline" for="radios-0"> <input type="radio" name="radios" id="radios-0" value="1" checked="checked"> Laki-laki </label> <label class="radio-inline" for="radios-1"> <input type="radio" name="radios" id="radios-1" value="2"> Perempuan </label> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">No. Tlp</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="" class="form-control input-md"> </div> </div> </fieldset> </form>