<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 class="container"> <div class="row"> <h2>Registro de pacientes</h2> </div> <form class="form-horizontal"> <fieldset> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Registro Dental</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="nombre">Nombre</label> <div class="col-md-4"> <input id="nombre" name="nombre" type="text" placeholder="placeholder" class="form-control input-md"> <span class="help-block">help</span> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Apellidos</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="placeholder" class="form-control input-md"> <span class="help-block">help</span> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="correo">Correo</label> <div class="col-md-4"> <input id="correo" name="correo" type="text" placeholder="placeholder" class="form-control input-md"> <span class="help-block">help</span> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="telefono">Teléfono / Celular</label> <div class="col-md-4"> <input id="telefono" name="telefono" type="text" placeholder="placeholder" class="form-control input-md"> <span class="help-block">help</span> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="nuevoImplante"></label> <div class="col-md-4"> <button id="nuevoImplante" name="nuevoImplante" class="btn btn-primary">Nuevo implante</button> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="notas">notas</label> <div class="col-md-4"> <textarea class="form-control" id="notas" name="notas">default text</textarea> </div> </div> </fieldset> </form> </div>