       <div class="row">
          <div class="col-md-6">
            <div class="form-group">
              <label>Keterangan Tinggal</label>
              <input type="text" name="ket_tinggal" class="form-control" value="{$penilaian_igd.ket_tinggal}" maxlength="50">
            </div>
          </div>
          <div class="col-md-6">
            <div class="form-group">
              <label>Budaya/Adat Istiadat</label>
              <select name="budaya" class="form-control" required>
                <opt