<div class="callout callout-success">
    <div class="form-group row">
        <div class="col-md-2">
            {!! html()->label( 'Nb enfants','nb_enf') !!}
            {!! html()->text('nb_enf', null)->placeholder('Nombre d\'enfants')->attributes([($mode=="show"?'disabled':''), 'class' => 'form-control']) !!}
        </div>
    </div>
    <div class="form-group row">
        <div class="col-md-3 text-success">
            {!! html()->label( 'Montants allocation','montants_allocations') !!}
            <div class="input-group mb-3">
                {!! html()->text('mt_allloc', null)->placeholder('Montant')->attributes([($mode=="show"?'disabled':''), 'class' => 'text-success text-right form-control']) !!}
                <div class="input-group-append">
                    <span class="input-group-text ">CFP</span>
                </div>
            </div>
        </div>

        <div class="col-md-3 text-primary">
            {!! html()->label( 'Montants calculé','mt_calc') !!}
            <div class="input-group mb-3">
                {!! html()->text('mt_calc', null)->placeholder('Montant calculé')->attributes([($mode=="show"?'disabled':''), 'class' => 'text-primary text-right form-control']) !!}
                <div class="input-group-append">
                    <span class="input-group-text">CFP</span>
                </div>
            </div>
        </div>

        <div class="col-md-3 text-danger">
            {!! html()->label( 'Montants rappel','rappel') !!}
            <div class="input-group mb-3">
                {!! html()->text('rappel', null)->placeholder('Montant rappel')->attributes([($mode=="show"?'disabled':''), 'class' => 'text-danger text-right form-control']) !!}
                <div class="input-group-append">
                    <span class="input-group-text">CFP</span>
                </div>
            </div>
        </div>
    </div>
    <div class="form-group row">
        <div class="col-md-8">
            {!! html()->label( 'Observations','obs_vers') !!}
            {!! html()->textarea('obs_vers', null)->placeholder('Observations')->attributes([($mode=="show"?'disabled':''), 'class' => 'form-control', 'rows'=>'3']) !!}
        </div>
    </div>

</div>

