$from_detail = VenousThrombusAnswer::where('venous_thrombosis_risk_assessment_token', $venousThrombosisRiskAssessmentToken)
             ->orderBy('id','desc')
             ->first(['id','total','grade']);

$question_id = VenousThrombusForms::where('question', $venousFormsModel->question)
                                    ->first(['id'])
                                    ->toArray();

    $this->form_id = 0;
    $this->grade =   1;
    $this->total =   1;
    $this->save();