<div class="panel panel-default">
    <div class="panel-body">
        <form class="form-horizontal">
            <div class="form-group">
                <label for="inputDate" class="col-sm-2 control-label">Tanggal:</label>
                <div class="col-sm-3">
                    <input type="date" class="form-control" id="inputDate" placeholder="Tanggal" name="input_date" value="{{ input_date }}">
                </div>
            </div>

            <div class="form-group hidden-print">
                <div class="col-sm-offset-2 col-sm-10">
                    <input type="submit" name="submit" value="Submit" class="btn btn-primary">
                </div>
            </div>
        </form>
    </div>
</div>