<template>

		<v-card class="my-right fill-height">
				<v-card-text>
<v-layout>
<v-flex  xs12   md3>
<v-checkbox  v-model="checkbox" :error-messages="checkboxErrors" label="Email Pasien" @change="$v.checkbox.$touch()" @blur="$v.checkbox.$touch()" ></v-checkbox>
</v-flex>
<v-flex  xs12   md9 >
<v-text-field v-model="email" :error-messages="emailErrors" label="E-mail"  @input="$v.email.$touch()" @blur="$v.email.$touch()" ></v-text-field>
</v-flex>
 </v-layout>

 <v-layout>
<v-flex  xs12   md3>
<v-checkbox  v-model="checkbox" :error-messages="checkboxErrors" label="Email Dokter " @change="$v.checkbox.$touch()" @blur="$v.checkbox.$touch()" ></v-checkbox>
</v-flex>
<v-flex  xs12   md9 >
<v-text-field v-model="email" :error-messages="emailErrors" label="E-mail"  @input="$v.email.$touch()" @blur="$v.email.$touch()" ></v-text-field>
</v-flex>
 </v-layout>

 <v-layout>
<v-flex  xs12   md3>
<v-checkbox  v-model="checkbox" :error-messages="checkboxErrors" label="Email Rekanan " @change="$v.checkbox.$touch()" @blur="$v.checkbox.$touch()" ></v-checkbox>
</v-flex>
<v-flex  xs12   md9 >
<v-text-field v-model="email" :error-messages="emailErrors" label="E-mail"  @input="$v.email.$touch()" @blur="$v.email.$touch()" ></v-text-field>
</v-flex>
 </v-layout>

 <v-layout>
 <v-flex  xs12   md3>
 <v-checkbox  v-model="checkbox" :error-messages="checkboxErrors" label="Kirim Rekanan" @change="$v.checkbox.$touch()" @blur="$v.checkbox.$touch()" ></v-checkbox>
 </v-flex>
 <v-flex  xs12   md9 >
 <v-text-field v-model="email" :error-messages="emailErrors" label="Alamat Rekanan"  @input="$v.email.$touch()" @blur="$v.email.$touch()" ></v-text-field>
 </v-flex>
 </v-layout>

 <v-layout>
 <v-flex  xs12   md3>
 <v-checkbox  v-model="checkbox" :error-messages="checkboxErrors" label="Kirim Dokter" @change="$v.checkbox.$touch()" @blur="$v.checkbox.$touch()" ></v-checkbox>
 </v-flex>
 <v-flex  xs12   md9 >
 <v-text-field v-model="email" :error-messages="emailErrors" label="Alamat Dokter"  @input="$v.email.$touch()" @blur="$v.email.$touch()" ></v-text-field>
 </v-flex>
 </v-layout>

 <v-layout>
<v-flex  xs12   md3>
<v-checkbox  v-model="checkbox" :error-messages="checkboxErrors" label="Ambil Sendiri " @change="$v.checkbox.$touch()" @blur="$v.checkbox.$touch()" ></v-checkbox>
</v-flex>
</v-card-text>
 </v-card>


</template>
<style scoped>
.my-right {
		margin-left:10px;
}
</style>
<script>
module.exports = {


}


</script>
