tion>
                <option value="Nyeri Akut" {if: $penilaian_igd.nyeri == 'Nyeri Akut'}selected{/if}>Nyeri Akut</option>
                <option value="Nyeri Kronis" {if: $penilaian_igd.nyeri == 'Nyeri Kronis'}selected{/if}>Nyeri Kronis</option>
              </select>
            </div>
          </div>
          <div class="col-md-4">
            <div class="form-group">
              <label>Provokes</label>
              <select name="provokes" class="form-control" required>
                <option v