<band height="895">
<staticText>
<reportElement x="40" y="68" width="510" height="20"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10"/>
</textElement>
<text><![CDATA[SURAT JAMINAN PELAYANAN (SJP) BPJS]]></text>
</staticText>
<textField>
<reportElement x="9" y="56" width="553" height="14"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA["E-mail : "+$P{emailrs}]]></textFieldExpression>
</textField>
<image scaleImage="FillFrame" onErrorType="Blank">
<reportElement x="25" y="15" width="43" height="45"/>
<imageExpression class="java.io.InputStream"><![CDATA[$P{logo}]]></imageExpression>
</image>
<textField>
<reportElement x="9" y="46" width="553" height="14"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{kontakrs}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="17" y="83" width="510" height="12"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[SJP RDTL No. ]]></text>
</staticText>
<line>
<reportElement x="9" y="70" width="553" height="1"/>
</line>
<textField>
<reportElement x="40" y="15" width="510" height="18"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="14" isBold="true"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{namars}]]></textFieldExpression>
</textField>
<line>
<reportElement x="9" y="96" width="553" height="1"/>
</line>
<textField>
<reportElement x="9" y="35" width="553" height="14"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{alamatrs}+", "+$P{kotars}+", "+$P{propinsirs}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="20" y="184" width="118" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[5. Diagnosa Awal]]></text>
</staticText>
<staticText>
<reportElement x="20" y="249" width="118" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[9. Pemeriksaan Paket]]></text>
</staticText>
<staticText>
<reportElement x="333" y="120" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Nama Pasien]]></text>
</staticText>
<staticText>
<reportElement x="138" y="120" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="20" y="315" width="118" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[11. Jaminan Pelayanan]]></text>
</staticText>
<staticText>
<reportElement x="138" y="152" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="20" y="120" width="118" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[1. Tanggal SJP]]></text>
</staticText>
<staticText>
<reportElement x="138" y="232" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="20" y="152" width="118" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[3. Tanggal Rujukan]]></text>
</staticText>
<staticText>
<reportElement x="20" y="232" width="118" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[8. SIP]]></text>
</staticText>
<staticText>
<reportElement x="20" y="102" width="118" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Kunjungan Sebelumnya ]]></text>
</staticText>
<staticText>
<reportElement x="20" y="136" width="118" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[2. Nomor Rujukan]]></text>
</staticText>
<staticText>
<reportElement x="138" y="184" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="20" y="200" width="118" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[6. Tujuan Rujukan]]></text>
</staticText>
<staticText>
<reportElement x="408" y="120" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="138" y="249" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="138" y="216" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="138" y="136" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="138" y="168" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="20" y="216" width="118" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[7. Nama Dokter]]></text>
</staticText>
<staticText>
<reportElement x="20" y="282" width="118" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[10. Rujukan Intern Ke ]]></text>
</staticText>
<staticText>
<reportElement x="20" y="168" width="118" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[4. Asal Rujukan]]></text>
</staticText>
<staticText>
<reportElement x="138" y="282" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="138" y="200" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="138" y="315" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="138" y="102" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="147" y="250" width="183" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[2)__P2A 3)__P2B 4)__P2C]]></text>
</staticText>
<staticText>
<reportElement x="147" y="265" width="183" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[5)__P3A 6)__P2A 7)__P3C]]></text>
</staticText>
<staticText>
<reportElement x="147" y="282" width="33" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[8) Poli :]]></text>
</staticText>
<staticText>
<reportElement x="147" y="297" width="33" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[9) Poli :]]></text>
</staticText>
<staticText>
<reportElement x="147" y="315" width="33" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[10)]]></text>
</staticText>
<staticText>
<reportElement x="147" y="330" width="33" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[11)]]></text>
</staticText>
<staticText>
<reportElement x="20" y="347" width="118" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[12. Catatan Khusus]]></text>
</staticText>
<staticText>
<reportElement x="138" y="347" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="138" y="363" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="20" y="363" width="118" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[13. Biaya Pelayanan]]></text>
</staticText>
<staticText>
<reportElement x="41" y="379" width="97" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Diajukan]]></text>
</staticText>
<staticText>
<reportElement x="41" y="395" width="97" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Disetujui]]></text>
</staticText>
<staticText>
<reportElement x="138" y="395" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="138" y="379" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="145" y="379" width="18" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Rp]]></text>
</staticText>
<staticText>
<reportElement x="145" y="395" width="18" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Rp]]></text>
</staticText>
<staticText>
<reportElement x="138" y="411" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="20" y="411" width="118" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[13. Riwayat Alergi Obat]]></text>
</staticText>
<textField>
<reportElement x="415" y="120" width="100" height="12"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{nm_pasien}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="333" y="136" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Berat Badan]]></text>
</staticText>
<staticText>
<reportElement x="408" y="136" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="333" y="152" width="75" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single" markup="none">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Nomer Medrec]]></text>
</staticText>
<staticText>
<reportElement x="408" y="152" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single" markup="none">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<textField>
<reportElement x="415" y="152" width="100" height="12"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{no_rkm_medis}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="408" y="168" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single" markup="none">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="333" y="160" width="47" height="32"/>
<textElement verticalAlignment="Middle" lineSpacing="Single" markup="none">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Nomer Register]]></text>
</staticText>
<textField>
<reportElement x="415" y="168" width="100" height="12"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{no_reg}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="408" y="200" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single" markup="none">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="333" y="200" width="75" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single" markup="none">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Jenis Kelamin]]></text>
</staticText>
<textField>
<reportElement x="415" y="200" width="100" height="16"/>
<textElement lineSpacing="Single"/>
<textFieldExpression class="java.lang.String"><![CDATA[$F{jk}.replaceAll("P","Perempuan").replaceAll("L","Laki-Laki")]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="333" y="216" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Tanggal Lahir]]></text>
</staticText>
<staticText>
<reportElement x="408" y="232" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="408" y="216" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="333" y="232" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Status]]></text>
</staticText>
<textField>
<reportElement x="415" y="216" width="100" height="12"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.util.Date"><![CDATA[$F{tgl_lahir}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="408" y="248" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="333" y="248" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Diagnosa RS]]></text>
</staticText>
<staticText>
<reportElement x="334" y="298" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Pasien]]></text>
</staticText>
<staticText>
<reportElement x="334" y="334" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[1)...........]]></text>
</staticText>
<staticText>
<reportElement x="334" y="350" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[2)...........]]></text>
</staticText>
<staticText>
<reportElement x="334" y="366" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[3)...........]]></text>
</staticText>
<staticText>
<reportElement x="334" y="415" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[6)...........]]></text>
</staticText>
<staticText>
<reportElement x="334" y="399" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[5)...........]]></text>
</staticText>
<staticText>
<reportElement x="334" y="383" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[4)...........]]></text>
</staticText>
<staticText>
<reportElement x="408" y="383" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[4)...........]]></text>
</staticText>
<staticText>
<reportElement x="408" y="415" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[6)...........]]></text>
</staticText>
<staticText>
<reportElement x="408" y="366" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[3)...........]]></text>
</staticText>
<staticText>
<reportElement x="408" y="350" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[2)...........]]></text>
</staticText>
<staticText>
<reportElement x="408" y="334" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[1)...........]]></text>
</staticText>
<staticText>
<reportElement x="408" y="298" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Dokter RS]]></text>
</staticText>
<staticText>
<reportElement x="408" y="399" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[5)...........]]></text>
</staticText>
<staticText>
<reportElement x="482" y="383" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[4)...........]]></text>
</staticText>
<staticText>
<reportElement x="482" y="415" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[6)...........]]></text>
</staticText>
<staticText>
<reportElement x="482" y="366" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[3)...........]]></text>
</staticText>
<staticText>
<reportElement x="482" y="350" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[2)...........]]></text>
</staticText>
<staticText>
<reportElement x="482" y="334" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[1)...........]]></text>
</staticText>
<staticText>
<reportElement x="482" y="298" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Petugas]]></text>
</staticText>
<staticText>
<reportElement x="482" y="399" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[5)...........]]></text>
</staticText>
<staticText>
<reportElement x="20" y="437" width="184" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9" isBold="true"/>
</textElement>
<text><![CDATA[BERKAS INI TIDAK DIBAWA PULANG]]></text>
</staticText>
<line>
<reportElement x="20" y="460" width="100" height="1"/>
</line>
<line>
<reportElement x="20" y="518" width="100" height="1"/>
</line>
<line>
<reportElement x="20" y="461" width="1" height="57"/>
</line>
<line>
<reportElement x="119" y="461" width="1" height="57"/>
</line>
<line>
<reportElement x="20" y="474" width="100" height="1"/>
</line>
<line>
<reportElement x="20" y="489" width="100" height="1"/>
</line>
<line>
<reportElement x="20" y="504" width="100" height="1"/>
</line>
<line>
<reportElement x="56" y="461" width="1" height="57"/>
</line>
<staticText>
<reportElement x="35" y="461" width="7" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9" isBold="true"/>
</textElement>
<text><![CDATA[V]]></text>
</staticText>
<staticText>
<reportElement x="35" y="490" width="7" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9" isBold="true"/>
</textElement>
<text><![CDATA[D]]></text>
</staticText>
<staticText>
<reportElement x="35" y="475" width="7" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9" isBold="true"/>
</textElement>
<text><![CDATA[R]]></text>
</staticText>
<staticText>
<reportElement x="35" y="505" width="7" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9" isBold="true"/>
</textElement>
<text><![CDATA[S]]></text>
</staticText>
<textField pattern="HH.mm.ss">
<reportElement x="443" y="460" width="100" height="20"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.util.Date"><![CDATA[new java.util.Date()]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="416" y="474" width="95" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Petugas Pengendali RS]]></text>
</staticText>
<staticText>
<reportElement x="418" y="537" width="95" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[(...............................)]]></text>
</staticText>
<textField>
<reportElement x="299" y="83" width="100" height="12"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{no_reg}]]></textFieldExpression>
</textField>
<textField pattern="dd/MM/yyyy HH.mm.ss">
<reportElement x="145" y="120" width="100" height="20"/>
<textElement lineSpacing="Single"/>
<textFieldExpression class="java.util.Date"><![CDATA[new java.util.Date()]]></textFieldExpression>
</textField>
<textField>
<reportElement x="147" y="200" width="98" height="16"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA["1) "+$F{nm_poli}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="147" y="216" width="183" height="20"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{nm_dokter}]]></textFieldExpression>
</textField>
<textField pattern="dd MMMMM yyyy">
<reportElement x="450" y="446" width="100" height="20"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[new java.util.Date()]]></textFieldExpression>
</textField>
<textField>
<reportElement x="404" y="446" width="47" height="20"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{kotars}+","]]></textFieldExpression>
</textField>
</band>