<div class="row">
	<div class="col-xs-12">
		<div class="col-xs-12 col-sm-3 form-group">
			<?php echo Form::label('cod', 'Código del medicamento:', ['class' => 'control-label']); ?>

			<?php echo Form::text('cod', null, ['class'=>'form-control']); ?>

		</div>
		<div class="col-xs-12 col-sm-3 form-group">
			<?php echo Form::label('cum', 'CUM del medicamento:', ['class' => 'control-label']); ?>

			<?php echo Form::text('cum', null, ['class'=>'form-control']); ?>

		</div>
		<div class="col-xs-12 col-sm-6 form-group">
			<?php echo Form::label('nombre', 'Nombre del medicamento:', ['class' => 'control-label']); ?>

			<?php echo Form::text('nombre', null, ['class'=>'form-control']); ?>

		</div>
		<div class="col-xs-12 col-sm-4 form-group">
			<?php echo Form::label('tipo_medicamento', 'Tipo medicamento:',  ['class' => 'control-label']); ?>

			<?php echo Form::select('tipo_medicamento', [1 =>"POS", 2 =>"NO POS", 3 =>"MATERIAL / INSUMO"], null, ['class'=>'form-control']); ?>

		</div>
		<div class="col-xs-12 col-sm-4 form-group">
			<?php echo Form::label('forma_farmaceutica', 'Forma farmacéutica:',  ['class' => 'control-label']); ?>

			<?php echo Form::text('forma_farmaceutica', null, ['class'=>'form-control']); ?>

		</div>
		<div class="col-xs-12 col-sm-4 form-group">
			<?php echo Form::label('concentracion', 'Concentracion:',  ['class' => 'control-label']); ?>

			<?php echo Form::text('concentracion', null, ['class'=>'form-control']); ?>

		</div>
		<div class="col-xs-12 col-sm-4 form-group">
			<?php echo Form::label('unidad_de_medida', 'Unidad de medida:',  ['class' => 'control-label']); ?>

			<?php echo Form::text('unidad_de_medida', null, ['class'=>'form-control']); ?>

		</div>
	</div>
</div>
