"Ficha médica"
Bootstrap 3.2.0 Snippet by jdisla

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<link href="//netdna.bootstrapcdn.com/bootstrap/3.2.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/bootstrap/3.2.0/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>Ficha médica del alumn@</legend>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label" for="contactoEmergencia">Contacto alternativo</label>
<div class="col-md-5">
<input id="contactoEmergencia" name="contactoEmergencia" placeholder="" class="form-control input-md" required="" type="text">
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label" for="telefonosContacto">Tel(s) contacto</label>
<div class="col-md-5">
<input id="telefonosContacto" name="telefonosContacto" placeholder="" class="form-control input-md" required="" type="text">
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label" for="medicoParticular">Médico particular</label>
<div class="col-md-5">
<input id="medicoParticular" name="medicoParticular" placeholder="" class="form-control input-md" type="text">
</div>
</div>
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