me="c_31" class="form-control" placeholder="31"/>
              </div>
              <div class="form-group">
                  <input type="text" name="c_36" class="form-control" placeholder="36"/>
              </div>
            </div>
          </div>
          <div class="col-md-12">
            <div class="form-group">
              <br>
              <button class="btn btn-success simpanohis">Simpan</button>
            </div>
          </div>
        </div>
      </div>
      <div class="tampildatao