disi" id="kondisi" class="form-control">
                <option value="">------------</option>
                <option value="Erupsi">Erupsi</option>
                <option value="Tanggal">Tanggal</option>
                <option value="Karies">Karies</option>
                <option value="Akar">Sisa Akar</option>
                <option value="Tumpat">Tumpatan</option>
                <option value="Goyang">Goyang</option>
              </select>
            </div>
          </div>
          <div class=