enilaian_igd.intoksikasi == 'Zat Kimia'}selected{/if}>Zat Kimia</option>
                <option value="Gas" {if: $penilaian_igd.intoksikasi == 'Gas'}selected{/if}>Gas</option>
                <option value="Obat" {if: $penilaian_igd.intoksikasi == 'Obat'}selected{/if}>Obat</option>
              </select>
            </div>
          </div>
        </div>

        <!-- BAB dan BAK -->
        <h4>Eliminasi</h4>
        <div class="row">
          <div class="col-md-3">
            <div class="form-group">
