"ticket -login"
Bootstrap 3.3.0 Snippet by abhi7489

<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>Login</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="txtUsername">Aetna ID</label> <div class="col-md-3"> <input name="txtUsername" class="form-control input-md" id="txtUsername" required="" type="text" placeholder=""> </div> </div> <!-- Password input--> <div class="form-group"> <label class="col-md-4 control-label" for="txtPassword">Password</label> <div class="col-md-3"> <input name="txtPassword" class="form-control input-md" id="txtPassword" required="" type="password" placeholder=""> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="btnLogin"></label> <div class="col-md-4"> <button name="btnLogin" class="btn btn-primary" id="btnLogin">Login</button> </div> </div> </fieldset> </form>

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