JSFiddle - React, Tailwind, and code Playground
HTML
<script src="https://cdnjs.cloudflare.com/ajax/libs/jquery/2.1.2/jquery.min.js"></script>
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css">
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/js/bootstrap.min.js"></script>
<div class="well">Promo code</div>
<table class="table table-bordered">
<thead>
<tr>
<th>Promo code</th>
<th>Price</th>
<th>Total allocation</th>
</tr>
</thead>
<tbody>
<tr>
<td>INFSG7089</td>
<td>USD 450</td>
<td>1000</td>
</tr>
<tr>
<td>GENSI1517</td>
<td>USD 400</td>
<td>500</td>
</tr>
<tr>
<td>
<button class="btn btn-primary" data-toggle="modal" data-target="#myModal" id="">New</button>
</td>
<td></td>
<td></td>
</tr>
</tbody>
</table>
<!-- Modal -->
<div id="myModal" class="modal fade" role="dialog">
<div class="modal-dialog">
<!-- Modal content-->
<div class="modal-content">
<div class="modal-header">
<button type="button" class="close" data-dismiss="modal">×</button>
<h4 class="modal-title">Promo code details</h4>
</div>
<div class="modal-body">
<form action="#" method="post">
<div class="login-fields">
<div class="field">
<label for="promocode">Promo code:</label>
<input type="text" id="promotitle" name="promotitle" value="" class="login username-field form-control" />
</div>
<!-- /field -->
<div class="field">
<label for="password">Price:</label>
<div class="row">
<div class="col-md-3 col-xs-3">
<select class="form-control">
<option value="USD">$ USD</option>
<option value="SGD">$ SGD</option>
<option value="EUR">€ EUR</option>
<option value="AUD">$ AUD</option>
...