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- Jenis Kelamin: <br>
- <label><input type="radio" name="jenkel" value="L" {{ old('jenkel') == "L" ? 'checked' : '' }}>L</label><br>
- <label><input type="radio" name="jenkel" value="P" {{ old('jenkel') == "" ? 'checked' : '' }}>P</label><br>
- Golongan Darah :
- <select name="goldar">
- <option value="">- Pilih Goldar -</option>
- <option value="A" {{ old('goldar') == 'A' ? 'selected' : '' }}>A</option>
- <option value="B" {{ old('goldar') == 'B' ? 'selected' : '' }}>B</option>
- <option value="AB" {{ old('goldar') == 'AB' ? 'selected' : '' }}>AB</option>
- <option value="O" {{ old('goldar') == 'O' ? 'selected' : '' }}>O</option>
- </select>
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