JSFiddle - React, Tailwind, and code Playground
HTML
<div id="form-container">
<form>
<ul>
<li><label>PATIENT FIRST NAME:</label> <input type="text" name="firstname"/></li>
<li><label>PATIENT MIDDLE INITIAL:(OPTIONAL)</label> <input type="text" name="firstname" /></li>
<li><label>PATIENT LAST NAME:</label> <input type="text" name="firstname" /></li>
<li><label>DATE OF BIRTH:</label> <input type="text" name="firstname" /></li>
<li><label>GENDER:</label> <input type="text" name="firstname" /></li>
<li><label>SUBSCRIBER ID:</label> <input type="text" name="firstname"/></li>
</ul>
</form>
</div>
CSS
#form-container ul {
display: block;
list-style: none;
padding: 0;
margin-left: -20px;
width: 500px;
}
#form-container li {
display: block;
list-style: none;
padding: 10px 0 0 0;
margin: 0 0 0 0;
}
#form-container li label {
color: #2D2D2D;
font-size: 11px;
width: 200px;
float: left;
}
#form-container li input {
width: 200px;
float: left;
}