<template>
    <v-layout column>
        <h5 class="headline ml-2 mb-1">Pengiriman Hasil</h5>

        <v-layout row>
            <v-flex xs6 pa-2>
                <v-layout>
                    <v-checkbox                        
                        hide-details class="shrink mr-1"
                    ></v-checkbox>

                    <v-text-field
                        outline
                        label="Alamat Pasien"
                        hide-details
                    ></v-text-field>                
                </v-layout>

                <v-layout mt-2>
                    <v-checkbox                        
                        hide-details class="shrink mr-1"
                    ></v-checkbox>

                    <v-text-field
                        outline
                        label="Alamat Dokter"
                        hide-details
                    ></v-text-field>                
                </v-layout>

                <v-layout mt-2>
                    <v-checkbox                        
                        hide-details class="shrink mr-1"
                    ></v-checkbox>

                    <v-text-field
                        outline
                        label="Alamat Rekanan"
                        hide-details
                    ></v-text-field>                
                </v-layout>
            </v-flex>

            <v-flex xs6 pa-2>
                <v-layout>
                    <v-checkbox                        
                        hide-details class="shrink mr-1"
                    ></v-checkbox>

                    <v-text-field
                        outline
                        label="Email Pasien"
                        hide-details
                    ></v-text-field>                
                </v-layout>

                <v-layout mt-2>
                    <v-checkbox                        
                        hide-details class="shrink mr-1"
                    ></v-checkbox>

                    <v-text-field
                        outline
                        label="Email Dokter"
                        hide-details
                    ></v-text-field>                
                </v-layout>

                <v-layout mt-2>
                    <v-checkbox                        
                        hide-details class="shrink mr-1"
                    ></v-checkbox>

                    <v-text-field
                        outline
                        label="Email Rekanan"
                        hide-details
                    ></v-text-field>                
                </v-layout>
            </v-flex>
        </v-layout>
    </v-layout>
    
</template>

<script>
module.exports = {}
</script>