</div>

        <div class="panel panel-primary">
            <div class="panel-heading">
                <h3 class="panel-title">Pelvic Examination</h3>
            </div>
            <div class="panel-body">

                <div class="form-group">
                    <?php 
echo $form->labelEx($pelvic_examination_model, 'perenium', array('class' => 'control-label col-sm-4'));
?>
                    <div class="col-sm-8">
                        <div class="checkbox">
                            <?php 
echo $form->checkBoxList($pelvic_examination_model, 'perenium', PelvicExamination::getPerenium());
?>
                        </div>
                        <?php 
echo $form->error($pelvic_examination_model, 'perenium', array('class' => 'text-danger'));
?>
                    </div>
                </div>

                <div class="form-group">
                    <?php 
echo $form->labelEx($pelvic_examination_model, 'v****a', array('class' => 'control-label col-sm-4'));
?>
                    <div class="col-sm-8">
                        <div class="checkbox">
                            <?php