JSFiddle - React, Tailwind, and code Playground

HTML

<table border="1">
  <thead>
    <tr>
      <th>Status</th>
      <th>Type of Loss Dollar</th>
      <th>Reserve Amount</th>
      <th>Paid Amount</th>
      <th>Total This Loss</th>
    </tr>
  </thead>
  
  <tbody>
    <tr>
      <td rowspan="3">Open</td>
      <td>Medical</td>
      <td><input type="text" /></td>
      <td><input type="text" /></td>
      <td rowspan="3">TOTAL</td>
    </tr><tr>
      <td>Indemnity</td>
      <td><input type="text" /></td>
      <td><input type="text" /></td>
    </tr><tr>
      <td>Expense</td>
      <td><input type="text" /></td>
      <td><input type="text" /></td>
    </tr>
  </tbody>
</table>