</td>
                <td>{$value.debris}</td>
                <td>{$value.calculus}</td>
                <td>{$value.nilai}</td>
                <td>{$value.kriteria}</td>
                <td><a href="#" class="btn btn-xs btn-danger deleteohis" data-tgl_input="{$value.tgl_input}"><span class="fa fa-trash"></span><span class="hidden-xs">Hapus</span></a></td>
              </tr>
            {/loop}
          </tbody>
        </table>
      </div>      
    </div> 
  </div>
</div>
<div class="modal-footer">
 