<form class="list">

  <input id="i1_id" type="hidden" value="">

  <ul>

    <li class="item-content item-input">

      <div class="item-inner">

        <div class="item-title item-label">Name</div>

        <div class="item-input-wrap">

          <input id="i1_name" value="" type="text" placeholder="Name">

        </div>

      </div>

    </li>

    <li class="item-content item-input">

      <div class="item-inner">

        <div class="item-title item-label">Brand</div>

        <div class="item-input-wrap">

          <input id="i1_brand" value="" type="text" placeholder="Brand">

        </div>

      </div>

    </li>

    <li class="item-content item-input">

      <div class="item-inner">

        <div class="item-title item-label">Unit</div>

        <div class="item-input-wrap">

          <input id="i1_unit" value="" type="text" placeholder="Unit">

        </div>

      </div>

    </li>

    <li class="item-content item-input">

      <div class="item-inner">

        <div class="item-title item-label">Remark</div>

        <div class="item-input-wrap">

          <input id="i1_remark" value="" type="text" placeholder="Remark">

        </div>

      </div>

    </li>

    <li class="item-content item-input">

      <div class="item-inner">

        <div class="item-title item-label">Qty</div>

        <div class="item-input-wrap">

          <input id="i1_qty" value="" type="text" placeholder="Qty">

        </div>

      </div>

    </li>

    <li class="item-content item-input">

      <div class="item-inner">

        <div class="item-title item-label">Will Age</div>

        <div class="item-input-wrap">

          <input id="i1_will_age" value="" type="text" placeholder="Will Age">

        </div>

      </div>

    </li>

    <li class="item-content item-input">

      <div class="item-inner">

        <div class="item-title item-label">Price/Unit</div>

        <div class="item-input-wrap">

          <input id="i1_price_per_unit" type="text" placeholder="Price/Unit">

        </div>

      </div>

    </li>

  </ul>

  <div class="separator-medium"></div>

  <div class="container">

    <button id="inventory_edit_button" class="btn btn-primary btn-block fw-700">Save</button>

  </div>

</form>

<div class="separator-large"></div>