<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 ----------> <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> <div class="form-group"> <label class="control-label col-sm-5" for="email">Sellado:</label> <div class="col-sm-7"> <p class="form-control-static">5,30</p> </div> </div> <div class="form-group"> <label class="control-label col-sm-5" for="email">Gasto:</label> <div class="col-sm-7"> <p class="form-control-static">0,00</p> </div> </div> <div class="form-group"> <label class="control-label col-sm-5" for="email">Entrega:</label> <div class="col-sm-7"> <p class="form-control-static">94,87</p> </div> </div> <div class="form-group"> <label class="control-label col-sm-5" for="email">Disponible:</label> <div class="col-sm-7"> <p class="form-control-static">11900,00</p> </div> </div> <div class="form-group"> <label class="control-label col-sm-5" for="email">Cantidad Cuotas:</label> <div class="col-sm-7"> <p class="form-control-static">30</p> </div> </div> <div class="form-group"> <label class="control-label col-sm-5" for="email">Valor Cuota:</label> <div class="col-sm-7"> <p class="form-control-static">9,80</p> </div> </div> <div class="form-group"> <label class="control-label col-sm-5" for="email">Primer cuota:</label> <div class="col-sm-7"> <p class="form-control-static">ABR-2017</p> </div> </div> </form> <div class="alert alert-info text-center"> <span class="glyphicon glyphicon-info-sign" aria-hidden="true"></span> <strong>Autorización GRABADA SATISFACTORIAMENTE</strong> </div> </div> <div class="col-md-4"></div>