<div class="panel panel-default mb-20">
    <div class="panel-header">贷款事项</div>
    <div class="panel-body">
        <div class="row cl">
            <div class="form-group col-sm-3 col-md-2">
                <label>申请金额</label>
                <input type="text" class="form-control input-text" readonly value="XXX">
                <span class="glyphicon glyphicon-rmb form-control-feedback" aria-hidden="true"></span>
            </div>
            <div class="form-group col-sm-3 col-md-2">
                <label>贷款期限</label>
                <span class="form-control select-box">
                    <select class="select" size="1" disabled>
                        <option value="1"></option>
                    </select>
                </span>
            </div>
            <div class="form-group col-sm-3 col-md-2">
                <label>还款方式</label>
                <span class="form-control select-box">
                    <select class="select" size="1" disabled>
                        <option value="1"></option>
                    </select>
                </span>
            </div>
            <div class="form-group col-sm-3 col-md-2">
                <label>贷款用途</label>
                <span class="form-control select-box">
                    <select class="select" size="1" disabled>
                        <option value="1"></option>
                    </select>
                </span>
            </div>
        </div>
    </div>
</div>