<div class="row">
<div class="row">
<div class="col-md-4">
<h4 class="heading">
Upload Patient's Photo :-
</h4>
</div>
<div class="col-md-4">
<input type="file" class="form-control" name="patientpic" id="patientpic" onchange="readURL(this)"/>
</div>
</div>