ntrol" value="" readonly>
              </div>
            </div>
            <div id="daftar_racikan_eresep">
              <div class="form-group">
                <label for="" class="col-sm-3 control-label">Nama Racikan</label>
                <div class="col-sm-9">
                  <input type="text" id="nama_racik_eresep" name="nama_racik_eresep" class="form-control" value="">
                </div>
              </div>
              <div id="item_racikan_eresep">
                <div class="form-gro