body {
    font-family: 'Segoe UI', Tahoma, Geneva, Verdana, sans-serif;
}

.dlg-input {
    width: 500px;
    display: grid;
    grid-template-columns: 1fr 2fr;
    grid-template-rows: 36px repeat(5, 25px);
    row-gap: 5px;

    background-color: #ff000030;
    border: 2px solid red;
    border-radius: 5px;
    padding: 10px;
}

.dlg-input input {
    height: 18px;
}