{{#header}} {{>hypolab-hypo-menu}} {{/header}}
<div class="container">
  {{#breadcrumb}} {{>hypolab-hypo-drobeckova}} {{/breadcrumb}}
</div>
<main role="main" class="container">
  {{#head}} {{>hypolab-hypolab-header}} {{/head}}
  <h2 class="h2 pb-3"><i class="icon icon--lg icon--money ml-3 mr-2"></i> Informace o obchodu</h2>
  <div class="card card-body">
    <!-- alert  -->
    <div class="alert alert--warning mb-4" role="alert">
      <div class="row">
        <div class="col-lg-1 col-md-1 col-sm-1 col-2 text-center">
          <i class="icon icon--alert__warning"></i>
        </div>
        <div class="col-lg-8 col-md-7 col-sm-6 col-10">
          <p class="mb-0"> <strong> Ups, something went wrong. </strong></p>
          <p class="mb-0">Try again.</p>
        </div>
        <div class="col-lg-3 col-md-4 col-sm-5 col-12 text-right">

        </div>
      </div>
    </div>
    <!-- endif alert  -->
    <form class="" action="" method="">
      <div class="row">
        <div class="col-lg-2">
          <div class="form-group ">
            <label for="moleculeId" id="labelId" aria-label="" aria-labelledby="" class="form-control-label ">Jméno <span class="required"> </span> </label>
            <input type="text" aria-labelledby="" disabled aria-required="true" id="" name="input" tabindex="" placeholder="Patternlab Input" class="form-control " value="Jan Novák">
          </div>
        </div>
        <div class="col-lg-2">
          <div class="form-group ">
            <label for="moleculeId" id="labelId" aria-label="" aria-labelledby="" class="form-control-label ">Rodné číslo <span class="required"> </span> </label>
            <input type="number" aria-labelledby="" aria-required="true" id="" name="input" tabindex="" placeholder="Patternlab Input" class="form-control " value="">
          </div>
        </div>
        <div class="col-lg-2">
          <div class="form-group ">
            <label for="moleculeId" id="labelId" aria-label="" aria-labelledby="" class="form-control-label ">Číslo OP <span class="required"> </span> </label>
            <input type="number" aria-labelledby="" aria-required="true" id="" name="input" tabindex="" placeholder="Patternlab Input" class="form-control " value="">
          </div>
        </div>
        <div class="col-lg-2">
          <div class="row no-gutters">
            <div class="col-lg-12">
              <label for="" class="form-control-label">Platnost OP</label>
              <div class="input-group form-group">
                <input type="text" aria-labelledby="" aria-required="true" id="" name="input" tabindex="" placeholder="D" class="form-control pl-2 pr-2" value="">
                <input type="text" aria-labelledby="" aria-required="true" id="" name="input" tabindex="" placeholder="M" class="form-control pl-2 pr-2 mr-1 ml-1" value="">
                <input type="text" aria-labelledby="" aria-required="true" id="" name="input" tabindex="" placeholder="R" class="form-control pl-2 pr-2" value="">
              </div>
            </div>
          </div>
        </div>
        <div class="col-lg-2">
          <div class="form-group ">
            <label for="moleculeId" id="labelId" aria-label="" aria-labelledby="" class="form-control-label ">E-mail <span class="required"> </span> </label>
            <input type="email" aria-labelledby="" aria-required="true" id="" name="input" tabindex="" placeholder="Patternlab Input" class="form-control " value="">
          </div>
        </div>
        <div class="col-lg-2">
          <div class="form-group ">
            <label for="moleculeId" id="labelId" aria-label="" aria-labelledby="" class="form-control-label ">Telefon <span class="required"> </span> </label>
            <input type="tel" aria-labelledby="" aria-required="true" id="" name="input" tabindex="" placeholder="Patternlab Input" class="form-control " value="">
          </div>
        </div>
      </div>
      <div class="row mt-4">
        <div class="col-lg-12">
          <button type="" class="btn btn btn-primary float-right" aria-label="">Údaje souhlasí</button>
        </div>
      </div>
    </form>
  </div>
</main>