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<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Radiologi]]></text>
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<staticText>
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<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Terapi/Tindakan]]></text>
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<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Stts.Pasien]]></text>
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<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Stts.Registrasi]]></text>
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<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Laboratorium]]></text>
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<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Alergi]]></text>
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<staticText>
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<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Keadaan Umum]]></text>
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<staticText>
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<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Respirasi]]></text>
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<staticText>
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<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Nyeri]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="1815" y="84" width="41" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Kesadaran]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="1856" y="84" width="34" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Tensi]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="1890" y="84" width="20" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Nadi]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="1910" y="84" width="21" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Suhu]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="1656" y="84" width="159" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Anamnesis & Pemeriksaan Fisik]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="1507" y="84" width="149" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Dignosa Rujuk]]></text>
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<staticText>
<reportElement mode="Opaque" x="1429" y="84" width="78" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Tgl.Rujuk]]></text>
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<staticText>
<reportElement mode="Opaque" x="1364" y="84" width="65" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Status]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="1241" y="84" width="123" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Alasan Lainnya]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="1044" y="84" width="76" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Jenis Rujukan]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="1120" y="84" width="121" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Alasan]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="853" y="84" width="48" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Kode Tujuan]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="901" y="84" width="143" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Nama Faskes Tujuan]]></text>
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<staticText>
<reportElement mode="Opaque" x="710" y="84" width="143" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Nama Faskes Asal]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="670" y="84" width="40" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Kode Asal]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="621" y="84" width="49" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[No.Rujuk]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="534" y="84" width="87" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[NIK]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="458" y="84" width="16" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[J.K.]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="474" y="84" width="60" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[No.Kartu JKN]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="408" y="84" width="50" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Tgl.Lahir]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="345" y="84" width="63" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Tempat Lahir]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="242" y="84" width="103" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Alamat]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="179" y="84" width="63" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Kontak]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="66" y="84" width="113" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Nama Pasien]]></text>
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<staticText>
<reportElement mode="Opaque" x="20" y="84" width="46" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[RM Faskes]]></text>
</staticText>
<staticText>
<reportElement x="1" y="56" width="2839" height="23"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<text><![CDATA[Pencarian Referensi Dokter]]></text>
</staticText>
<line>
<reportElement x="0" y="48" width="2840" height="1"/>
<graphicElement>
<pen lineWidth="2.0" lineStyle="Double"/>
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<textField>
<reportElement x="2" y="14" width="2838" height="14"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{alamatrs}+", "+$P{kotars}+", "+$P{propinsirs}]]></textFieldExpression>
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<textField>
<reportElement x="2" y="35" width="2838" height="14"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
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<textFieldExpression class="java.lang.String"><![CDATA["E-mail : "+$P{emailrs}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="2" y="0" width="2838" height="17"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="12"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{namars}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="2" y="25" width="2838" height="14"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{kontakrs}]]></textFieldExpression>
</textField>
<image scaleImage="FillFrame" onErrorType="Blank">
<reportElement x="0" y="2" width="48" height="45"/>
<imageExpression class="java.io.InputStream"><![CDATA[$P{logo}]]></imageExpression>
</image>
<staticText>
<reportElement mode="Opaque" x="0" y="84" width="20" height="16" forecolor="#000000" backcolor="#F0F0DC"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
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<text><![CDATA[No.]]></text>
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<reportElement x="0" y="99" width="2840" height="1"/>
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<pen lineWidth="0.5"/>
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<line>
<reportElement x="0" y="84" width="2840" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
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