<div class="form-group col-sm-12" id="">
    <div class="form-group col-sm-10" id=""style="background-color: #cccccc;">
        <div class="form-group col-sm-4">
            <label for="cash_payment_receipt_no">Cash Receipt Number:</label>
            <input class="form-control" type="text" name="cash_payment_receipt_no" value="">
        </div>
    </div>
</div>