e="alat_bantu" class="form-control" required>
                <option value="Tidak" {if: $penilaian_igd.alat_bantu == 'Tidak'}selected{/if}>Tidak</option>
                <option value="Ya" {if: $penilaian_igd.alat_bantu == 'Ya'}selected{/if}>Ya</option>
              </select>
            </div>
          </div>
        </div>

        <div class="row">
          <div class="col-md-12">
            <div class="form-group">
              <label>Keterangan Alat Bantu</label>
              <input type="text" 