<div class="form-group"> <input type="hidden" id="id2" value=" " /> <label for="exampleInputEmail1">Tag Host</label> <input type="domain" class="form-control" id="tag" value=" " > </div> <div class="form-group"> <input type="hidden" id="id2" value=" " /> <label for="exampleInputEmail1">Domain/IP</label> <input type="domain" class="form-control" id="ip" value=" " > </div> <div class="form-group"> <label for="exampleInputPassword1">Port</label> <input type="number" class="form-control" id="port2" value=" "> </div> <div class="form-group"> <label for="timeout">timeout</label> <select id="timeout"> <option value="on">ON</option> <option value="off">OFF</option> </select> <label for="lblset">lblset</label> <select id="lblset"> <option value="on">ON</option> <option value="off">OFF</option> </select> <label for="route">route</label> <select id="route"> <option value="on">ON</option> <option value="off">OFF</option> </select> <label for="loadfactor">loadfactor</label> <select id="loadfactor"> <option value="on">ON</option> <option value="off">OFF</option> </select> <label for="status">status</label> <select id="status"> <option value="on">ON</option> <option value="off">OFF</option> </select> </div>
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