<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 ----------> <div class="container"> <div class="row"> <h2>Create your snippet's HTML, CSS and Javascript in the editor tabs</h2> </div> </div> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Ampla Médica - Medicina Ocupacional</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Empresa</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="Razão Social da empresa" class="form-control input-md"> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="Ocorrencias">Ocorrências</label> <div class="col-md-4"> <textarea class="form-control" id="Ocorrencias" name="Ocorrencias"></textarea> </div> </div> <!-- Multiple Radios (inline) --> <div class="form-group"> <label class="col-md-4 control-label" for="">Período de cobrança</label> <div class="col-md-4"> <label class="radio-inline" for="-0"> <input type="radio" name="" id="-0" value="1" checked="checked"> 1 </label> <label class="radio-inline" for="-1"> <input type="radio" name="" id="-1" value="2"> 2 </label> <label class="radio-inline" for="-2"> <input type="radio" name="" id="-2" value="3"> 3 </label> <label class="radio-inline" for="-3"> <input type="radio" name="" id="-3" value="4"> 4 </label> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="mes">Mês</label> <div class="col-md-4"> <select id="mes" name="mes" class="form-control"> <option value="1">Janeiro</option> <option value="2">Fevereiro</option> <option value="3">Março</option> <option value="4">Abril</option> <option value="5">Maio</option> <option value="6">Junho</option> <option value="7">Julho</option> <option value="8">Agosto</option> <option value="9">Setembro</option> <option value="10">Outubro</option> <option value="11">Novembro</option> <option value="12">Dezembro</option> </select> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="consultar"></label> <div class="col-md-4"> <button id="consultar" name="consultar" class="btn btn-primary">Consultar</button> <button id="incluir" name="incluir" class="btn btn-primary">    Incluir    </button> </div> </div> </fieldset> </form>