<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 ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Cylinders installation design</legend> <div class="panel panel-default"> <!-- Default panel contents --> <div class="panel-heading">Products</div> <div class="panel-body"> <table class="table"> <thead> <tr> <th>Unit</th> <th>Product 1</th> <th>Product 2</th> <th>Product 3</th> </tr> </thead> <tbody> <tr> <th scope="row">Gas</th> <td> <select id="gas" name="gas" class="form-control"> <option value="1">Oxygen</option> <option value="2">Argon</option> <option value="">Carbon dioxyde</option> <option value="">Hydrogen</option> <option value="">Flamel</option> <option value="">Ammoniac</option> <option value="">N/A</option> </select> </td> <td> <select id="gas" name="gas" class="form-control"> <option value="1">Oxygen</option> <option value="2">Argon</option> <option value="">Carbon dioxyde</option> <option value="">Hydrogen</option> <option value="">Flamel</option> <option value="">Ammoniac</option> <option value="">N/A</option> </select> </td> <td> <select id="gas" name="gas" class="form-control"> <option value="1">Oxygen</option> <option value="2">Argon</option> <option value="">Carbon dioxyde</option> <option value="">Hydrogen</option> <option value="">Flamel</option> <option value="">Ammoniac</option> <option value="">N/A</option> </select> </td> </tr> <tr> <th scope="row">Purity</th> <td> <input id="textinput" name="textinput" type="text" placeholder="purity" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="purity" class="form-control input-md"> </td> <td> <input id="textinput" name="textinput" type="text" placeholder="purity" class="form-control input-md"> </td> </tr> <tr> <th scope="row">System</th> <td> <select id="gas" name="gas" class="form-control"> <option value="1">Change-over</option> <option value="2">Module</option> <option value="">Other</option> </select> </td> <td> <select id="gas" name="gas" class="form-control"> <option value="1">Change-over</option> <option value="2">Module</option> <option value="">Other</option> </select> </td> <td> <select id="gas" name="gas" class="form-control"> <option value="1">Change-over</option> <option value="2">Module</option> <option value="">Other</option> </select> </td> </tr> <tr> <th scope="row">Placement</th> <td> <select id="gas" name="gas" class="form-control"> <option value="1">Vertical</option> <option value="2">Horizontal</option> </select> </td> <td> <select id="gas" name="gas" class="form-control"> <option value="1">Vertical</option> <option value="2">Horizontal</option> </select> </td> <td> <select id="gas" name="gas" class="form-control"> <option value="1">Vertical</option> <option value="2">Horizontal</option> </select> </td> </tr> <tr> <th scope="row">Consumtion <select id="gas" name="gas" class="form-control"> <option value="1">L/month</option> <option value="2">Kg/month</option> <option value="3">Sm³/month</option> </select> </th> <td> <input id="textinput" name="textinput" type="text" placeholder="Consumtion" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="Consumtion" class="form-control input-md"> </td> <td> <input id="textinput" name="textinput" type="text" placeholder="Consumtion" class="form-control input-md"> </td> </tr> <tr> <th scope="row">Average flow <select id="gas" name="gas" class="form-control"> <option value="1">L/hour</option> <option value="2">Kg/hour</option> <option value="3">Sm³/hour</option> </select> </th> <td> <input id="textinput" name="textinput" type="text" placeholder="Average flow" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="Average flow" class="form-control input-md"> </td> <td> <input id="textinput" name="textinput" type="text" placeholder="Average flow" class="form-control input-md"> </td> </tr> <tr> <th scope="row">Peak flow <select id="gas" name="gas" class="form-control"> <option value="1">L/hour</option> <option value="2">Kg/hour</option> <option value="3">Sm³/hour</option> </select> </th> <td> <input id="textinput" name="textinput" type="text" placeholder="Peak flow" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="Peak flow" class="form-control input-md"> </td> <td> <input id="textinput" name="textinput" type="text" placeholder="Peak flow" class="form-control input-md"> </td> </tr> <tr> <th scope="row">Peak frequence <select id="gas" name="gas" class="form-control"> <option value="1">nb/min</option> <option value="1">nb/hour</option> <option value="1">nb/day</option> <option value="1">nb/month</option> </select> </th> <td> <input id="textinput" name="textinput" type="text" placeholder="Peak frequence" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="Peak frequence" class="form-control input-md"> </td> <td> <input id="textinput" name="textinput" type="text" placeholder="Peak frequence" class="form-control input-md"> </td> </tr> <tr> <th scope="row">Peak duration <select id="gas" name="gas" class="form-control"> <option value="1">mmin</option> <option value="1">hour</option> <option value="1">day</option> <option value="1">month</option> </select> </th> <td> <input id="textinput" name="textinput" type="text" placeholder="Peak duration" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="Peak duration" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="Peak duration" class="form-control input-md" ></td> </tr> <tr> <th scope="row">Process profile <input id="textinput" name="textinput" type="text" placeholder="" class="form-control input-md" > </th> <td> <input id="textinput" name="textinput" type="text" placeholder="Process profile" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="Process profile" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="Process profile" class="form-control input-md" ></td> </tr> <tr> <th scope="row">Gass min temp <input id="textinput" name="textinput" type="text" placeholder="C°" class="form-control input-md" > </th> <td> <input id="textinput" name="textinput" type="text" placeholder="Gass min temp" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="Gass min temp" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="Gass min temp" class="form-control input-md" ></td> </tr> <tr> <th scope="row">Presssure <input id="textinput" name="textinput" type="text" placeholder="barg°" class="form-control input-md" > </th> <td> <input id="textinput" name="textinput" type="text" placeholder="Presssure" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="Presssure" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="Presssure" class="form-control input-md" ></td> </tr> <tr> <th scope="row">Presssure tol <input id="textinput" name="textinput" type="text" placeholder="barg°" class="form-control input-md" > </th> <td> <input id="textinput" name="textinput" type="text" placeholder="Presssure tol" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="Presssure tol" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="Presssure tol" class="form-control input-md" ></td> </tr> <tr> <th scope="row">Max pressure adminstrate <input id="textinput" name="textinput" type="text" placeholder="barg°" class="form-control input-md" > </th> <td> <input id="textinput" name="textinput" type="text" placeholder="Max pressure adminstrate" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="Max pressure adminstrate" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="Max pressure adminstrate" class="form-control input-md" ></td> </tr> <tr> <th scope="row">Min pressure adminstrate <input id="textinput" name="textinput" type="text" placeholder="barg°" class="form-control input-md" > </th> <td> <input id="textinput" name="textinput" type="text" placeholder="Min pressure adminstrate" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="Min pressure adminstrate" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="Min pressure adminstrate" class="form-control input-md" ></td> </tr> </tbody> </table> </div> <div class="panel-heading">Options</div> <div class="panel-body"> <table class="table"> <tr> <th scope="row">Data / signalisation</th> <td> <input id="textinput" name="textinput" type="text" placeholder="N/A" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="N/A" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="N/A" class="form-control input-md" ></td> </tr> <tr> <th scope="row">Others</th> <td> <input id="textinput" name="textinput" type="text" placeholder="" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="" class="form-control input-md" ></td> <td> <input id="textinput" name="textinput" type="text" placeholder="" class="form-control input-md" ></td> </tr> </table> </div> </div> </fieldset> </form>