Topic: Checkboxes and Radio Buttons not rendering properly
jpcantalino
pro
asked 7 years ago

jpcantalino
pro
answered 7 years ago
Marta Wierzbicka
staff
answered 7 years ago
<div class="row">
<div class="col-md-4">
</div>
<div class="col-md-4">
<hr>
<div class="text-xs-center">
<h3><i class="fa fa-heartbeat"></i> Compound Order</h3>
<hr class="m-t-2 m-b-2">
</div>
<div class="text-xs-center">
<p>Place a new order for a compounded prescription.</p>
</div>
<div class="card">
<hr>
<div class="card-block">
<div class="md-form">
<i class="fa fa-book prefix"></i>
<input type="text" id="form1" class="md-input">
<label for="form1">Species</label>
</div>
<div class="md-form">
<i class="fa fa-paw prefix"></i>
<input type="text" id="form2" class="md-input">
<label for="form2">Pet's Name</label>
</div>
<div class="md-form">
<i class="fa fa-user prefix"></i>
<input type="text" id="form3" class="md-input">
<label for="form3">Last Name</label>
</div>
<div class="md-form">
<i class="fa fa-phone prefix"></i>
<input type="text" id="form4" class="md-input">
<label for="form4">Phone Number</label>
</div>
<div class="md-form">
<i class="fa fa-medkit prefix"></i>
<input type="text" id="form5" class="md-input" name="drug">
<label for="form5" >Drug</label>
</div>
<div class="md-form">
<i class="fa fa-percent prefix"></i>
<input type="text" id="form6" class="md-input">
<label for="form6">Dose</label>
</div>
<div class="md-form">
<i class="fa fa-cogs prefix"></i>
<input type="text" id="form7" class="md-input">
<label for="form7">Form</label>
</div>
<div class="md-form">
<i class="fa fa-hashtag prefix"></i>
<input type="text" id="form8" class="md-input">
<label for="form8">Quantity</label>
</div>
<div class="md-form">
<i class="fa fa-user-md prefix"></i>
<input type="text" id="form9" class="md-input">
<label for="form9">Prescriber</label>
</div>
<div class="text-xs-center">
<h4>Bill To:</h4>
<form>
<fieldset class="form-group">
<input name="group1" type="radio" id="radio1" checked="checked">
<label for="radio1">Patient</label>
</fieldset>
<fieldset class="form-group">
<input name="group1" type="radio" id="radio2">
<label for="radio2">Clinic</label>
</fieldset>
</form>
<h4>Delivery:</h4>
<form>
<fieldset class="form-group">
<input name="group2" type="radio" id="radio3" checked="checked">
<label for="radio3">Ship to Patient</label>
</fieldset>
<fieldset class="form-group">
<input name="group2" type="radio" id="radio4">
<label for="radio4">Ship to Clinic</label>
</fieldset>
<fieldset class="form-group">
<input name="group2" type="radio" id="radio5">
<label for="radio5">Patient Pickup</label>
</fieldset>
</form>
</div>
<br>
<div class="text-xs-center">
<button class="btn btn-default">Submit</button>
</div>
</div>
</div>
</div>
</div>
jpcantalino
pro
answered 7 years ago
<div class="row">
<div class="col-md-4">
</div>
<div class="col-md-4">
<hr>
<div class="text-xs-center white-text">
<h3><i class="fa fa-heartbeat"></i> Compound Order</h3>
<hr class="m-t-2 m-b-2">
</div>
<div class="text-xs-center white-text">
<p>Place a new order for a compounded prescription.</p>
</div>
<div class="card">
<hr>
<div class="md-form">
<i class="fa fa-book prefix"></i>
<input type="text" id="form1" class="md-input"></input>
<label for="form1">Species</label>
</div>
<div class="md-form">
<i class="fa fa-paw prefix"></i>
<input type="text" id="form2" class="md-input"></input>
<label for="form2">Pet's Name</label>
</div>
<div class="md-form">
<i class="fa fa-user prefix"></i>
<input type="text" id="form3" class="md-input"></input>
<label for="form3">Last Name</label>
</div>
<div class="md-form">
<i class="fa fa-phone prefix"></i>
<input type="text" id="form4" class="md-input"></input>
<label for="form4">Phone Number</label>
</div>
<div class="md-form">
<i class="fa fa-medkit prefix"></i>
<input type="text" id="form5" class="md-input" name="drug"></input>
<label for="form5" >Drug</label>
</div>
<div class="md-form">
<i class="fa fa-percent prefix"></i>
<input type="text" id="form6" class="md-input"></input>
<label for="form6">Dose</label>
</div>
<div class="md-form">
<i class="fa fa-cogs prefix"></i>
<input type="text" id="form7" class="md-input"></input>
<label for="form7">Form</label>
</div>
<div class="md-form">
<i class="fa fa-hashtag prefix"></i>
<input type="text" id="form8" class="md-input"></input>
<label for="form8">Quantity</label>
</div>
<div class="md-form">
<i class="fa fa-user-md prefix"></i>
<input type="text" id="form9" class="md-input"></input>
<label for="form9">Prescriber</label>
</div>
<div class="text-xs-center">
<h4>Bill To:</h4>
<form class="form-inline">
<fieldset class="form-group">
<input name="group1" type="radio" id="radio1" checked="checked">
<label for="radio1">Patient</label>
</fieldset>
<fieldset class="form-group">
<input name="group1" type="radio" id="radio2">
<label for="radio2">Clinic</label>
</fieldset>
</form>
<h4>Delivery:</h4>
<form class="form-inline">
<fieldset class="form-group">
<input name="group2" type="radio" id="radio3" checked="checked">
<label for="radio3">Ship to Patient</label>
</fieldset>
<fieldset class="form-group">
<input name="group2" type="radio" id="radio4">
<label for="radio4">Ship to Clinic</label>
</fieldset>
<fieldset class="form-group">
<input name="group2" type="radio" id="radio5">
<label for="radio5">Patient Pickup</label>
</fieldset>
</form>
</div>
<br>
<div class="text-xs-center">
<button class="btn btn-default">Submit</button>
</div>
</div>
</div>
Marta Wierzbicka
staff
answered 7 years ago
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