{!! html()->select('sasaran', ['1' => 'Penduduk', '2' => 'Keluarga/KK'])->class('form-control')->value(old('sasaran', isset($suplemen) ? $suplemen->sasaran : '')) !!}

{!! html()->text('nama')->class('form-control')->required()->placeholder('Nama Data Suplemen')->value(old('nama', isset($suplemen) ? $suplemen->nama : '')) !!}

{!! html()->textarea('keterangan')->class('textarea')->style( 'width: 100%; height: 200px; font-size: 14px; line-height: 18px; border: 1px solid #dddddd; padding: 10px;', )->placeholder('Keterangan')->value(old('keterangan', isset($suplemen) ? $suplemen->keterangan : '')) !!}