<div class="row form-group ">
<div class="col-md-2"><label class="form-text text-right">發生日期</label></div><div class="col-md-4 col-sm-4 form-inline"><input class="form-control" type="text"><button type="button" class="btn pull-right style="margin-left: 15px;">選擇</button></div>
</div>
</div>