<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>
<div class="col-md-4"></div>
<div class="col-md-4">
<form class="form-horizontal">
<div class="form-group">
<label class="control-label col-sm-5" for="email">Codigo Autorización:</label>
<div class="col-sm-7">
<input id="textinput" name="textinput" readonly="readonly" value="999999" type="text" style="background-color:lightgoldenrodyellow; font-weight: bold; font-size: medium;" class="form-control text-center">
</div>
</div>
<hr/>
<label class="control-label col-sm-5" for="email">Plan Financiacion:</label>
<div class="col-sm-7">
<p class="form-control-static">4177 - MOTOS 25 A 36 CUOTAS P/ 48 HS.</p>
</div>
<label class="control-label col-sm-5" for="email">Capital:</label>
<div class="col-sm-7">
<p class="form-control-static">100,00</p>
</div>