JSFiddle - React, Tailwind, and code Playground
by Claudius
HTML
<div id="form-container">
<form>
<label>PATIENT FIRST NAME:</label>
<input type="text" name="firstname"/>
<label>PATIENT MIDDLE INITIAL:(OPTIONAL)</label>
<input type="text" name="firstname" />
<label>PATIENT LAST NAME:</label>
<input type="text" name="firstname" />
<label>DATE OF BIRTH:</label>
<input type="text" name="firstname" />
<label>GENDER:</label>
<input type="text" name="firstname" />
<label>SUBSCRIBER ID:</label>
<input type="text" name="firstname"/>
</form>
</div>
CSS
#form-container ul {
display: block;
list-style: none;
padding: 0;
margin-left: -20px;
}
#form-container li {
display: block;
list-style: none;
padding: 10px 0 0 0;
margin: 0 0 0 0;
}
#form-container label {
color: #2D2D2D;
font-size: 11px;
display: block;
margin: 6px 0px 2px 0px;
}