"col-md-12">
            <div class="form-group">
              <label for="jenis">Catatan Pemeriksaan</label>
              <textarea name="catatan" id="catatan" class="form-control" col="4" row="4"></textarea>
            </div>
          </div>
          <div class="col-md-12">
              <button class="btn btn-success simpan">Simpan</button>
          </div>
        </div>
      </div>
      <br>
      <div class="tampildata">
        <h4>History Odontogram</h4>
        <table class="table table-bord