When the user selects “No” for referral in both Chest X-ray and Truenat, and submits the form with a denial reason (e.g., {}Patient refused{_}), the system does not retain the correct selection.

After submission and when revisiting the record or after result processing:

• The system incorrectly shows “Yes” in the conducted field
• Diagnostic results are generated and displayed
• System behaves as if tests were conducted, even though the patient refused

Steps to Reproduce:

1. Navigate to Referral module
2. Select:
   • Chest X-ray → No
   • Truenat → No
3. Provide denial reason (e.g., Patient refused)
4. Click Submit
5. Reopen the same record / wait for result sync
6. Observe the fields

Expected Result:

• Selected value “No” should persist for both modules
• Denial reason should be saved and displayed correctly
• No “conducted” status should be marked as Yes
• No diagnostic results should be generated or shown

Actual Result:

• Value changes from “No” → “Yes” automatically
• “Conducted” field shows Yes
• Results are generated and displayed
• System treats the case as completed diagnostics