JSFiddle - React, Tailwind, and code Playground
HTML
<div id="myModal" class="modal fade">
<div class="modal-dialog boc">
<div class="modal-content">
<div class="modal-body">
<form class="form-horizontal" >
<fieldset>
<div class="control-group">
<label class="control-label" for="prependedtext-2"></label>
<div class="controls">
<div class="input-prepend">
<span class="add-on">Услуга</span>
<input id="prependedtext-2" name="prependedtext-2" class="input-xlarge" placeholder="" required="" type="text">
</div>
</div>
</div>
</fieldset>
</form>
</div>
</div>
</div>
</div>
<div class="col-xs-12 col-sm-12 col-md-6 col-lg-4 item">
<div class="grid_wrap">
<div class="name">Услуга1</div>
<button data-target="#myModal" type="button" class="extremum-click" data-toggle="modal">Заголовок</button>
</div>
</div>
<div class="col-xs-12 col-sm-12 col-md-6 col-lg-4 item">
<div class="grid_wrap">
<div class="name">Услуга2</div>
<button data-target="#myModal" type="button" class="extremum-click" data-toggle="modal">Заголовок</button>
</div>
</div>
JavaScript
$(".extremum-click").click(function () {
document.querySelector('.input-xlarge').value = document.querySelector('.name').innerText;
});