amilan == 'Hamil'}selected{/if}>Hamil</option>
              </select>
            </div>
          </div>
          <div class="col-md-3">
            <div class="form-group">
              <label>Gravida</label>
              <input type="text" name="gravida" class="form-control" value="{$penilaian_igd.gravida}">
            </div>
          </div>
          <div class="col-md-3">
            <div class="form-group">
              <label>Para</label>
              <input type="text" name="para" class="for