  <form class="form-horizontal" action="" method="post">
    <div class="form-group">
		  <div class="form-row">

      <label for="disabledInput" class="col-sm-2 control-label">Pkg ID</label>
      <div class="col-sm-3">
        <input class="form-control" name="pkg_id" id="disabledInput" type="text" placeholder="" disabled>
      </div>
      <label class="col-sm-2 control-label">Pkg Name</label>
      <div class="col-sm-3">
        <input class="form-control" name="pkg_name" id="focusedInput" type="text" placeholder="Pkg Name">
      </div>
	  </div>
	  		  <div class="form-row">

<label class="col-sm-2 control-label">Pkg Detail</label>
      <div class="col-sm-3">
        <input class="form-control" name="pkg_detail" id="focusedInput" type="text" placeholder="Pkg Detail">
      </div>
 <label class="col-sm-2 control-label">Price</label>
      <div class="col-sm-3">
        <input class="form-control" name="pkg_amount" id="focusedInput" type="number" placeholder="amount">
      </div></div>		  <div class="form-row">

  <label class="col-sm-2 control-label">Date</label>
      <div class="col-sm-3">
        <input class="form-control" name="pkg_date" id="focusedInput" type="date" placeholder="Date">
      </div>
  <label class="col-sm-2 control-label">Click</label>
	  <div class="col-sm-3">
   <input class="btn btn-primary" type="submit" name="submit" value="Submit" />

      </div>
  </div>
 </div>
  </form>
