bad-form.html

<div class="form-wrapper">
  <div class="input-item">
    <div class="field-name">
      <span class="smaller-size">*</span>
      Date of birth
    </div>
    <div class="date-picker-container input-field">
      <input class="date-picker" ...>
    </div>
    <div class="error">This field is mandatory</div>
  </div>

  <div class="input-item">
    <div class="field-name">
      <span class="smaller-size">*</span>
      Clinic code
    </div>
    <div class="input-field">
      <input class="clinic-code" ...>
    </div>
    <div class="error">This field is mandatory</div>
  </div>
</div>