<band height="557">
<staticText>
<reportElement x="4" y="10" width="261" height="12"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[CHECK LIST KELENGKAPAN PENDAFTARAN PASIEN]]></text>
</staticText>
<textField>
<reportElement x="94" y="51" width="97" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{poli}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="4" y="21" width="261" height="12"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[IGD/IRJ/IRI]]></text>
</staticText>
<line>
<reportElement x="8" y="45" width="252" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<staticText>
<reportElement x="14" y="51" width="75" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[KLINIK DITUJU]]></text>
</staticText>
<staticText>
<reportElement x="14" y="75" width="75" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[NAMA]]></text>
</staticText>
<staticText>
<reportElement x="14" y="87" width="75" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[NO.RM]]></text>
</staticText>
<staticText>
<reportElement x="14" y="99" width="75" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[CARA PEMBAYARAN]]></text>
</staticText>
<staticText>
<reportElement x="14" y="111" width="75" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[TANGGAL PERIKSA]]></text>
</staticText>
<staticText>
<reportElement x="89" y="51" width="5" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="89" y="75" width="5" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="89" y="87" width="5" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="89" y="99" width="5" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="89" y="111" width="5" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="191" y="51" width="43" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[ NO.ANTRI :]]></text>
</staticText>
<textField>
<reportElement x="234" y="51" width="21" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{antrian}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="94" y="75" width="161" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{nama}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="94" y="87" width="161" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{norm}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="94" y="99" width="161" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{bayar}]]></textFieldExpression>
</textField>
<textField pattern="dd/MM/yyyy" isBlankWhenNull="true">
<reportElement x="94" y="111" width="161" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<textFieldExpression class="java.util.Date"><![CDATA[$F{sekarang}]]></textFieldExpression>
</textField>
<line>
<reportElement x="5" y="10" width="260" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="9" y="129" width="251" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<staticText>
<reportElement x="9" y="130" width="13" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[NO]]></text>
</staticText>
<staticText>
<reportElement x="24" y="130" width="136" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[PERSYARATAN]]></text>
</staticText>
<staticText>
<reportElement x="160" y="130" width="100" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[CHECK LIST]]></text>
</staticText>
<staticText>
<reportElement x="235" y="140" width="25" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[Bag]]></text>
</staticText>
<staticText>
<reportElement x="210" y="140" width="25" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[Bag]]></text>
</staticText>
<staticText>
<reportElement x="185" y="140" width="25" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[Bag]]></text>
</staticText>
<staticText>
<reportElement x="160" y="140" width="25" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[Bag]]></text>
</staticText>
<line>
<reportElement x="9" y="139" width="251" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="9" y="158" width="251" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<staticText>
<reportElement x="185" y="149" width="25" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[......]]></text>
</staticText>
<staticText>
<reportElement x="235" y="149" width="25" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[......]]></text>
</staticText>
<staticText>
<reportElement x="210" y="149" width="25" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[......]]></text>
</staticText>
<staticText>
<reportElement x="160" y="149" width="25" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[......]]></text>
</staticText>
<staticText>
<reportElement x="24" y="159" width="136" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[SKP]]></text>
</staticText>
<staticText>
<reportElement x="24" y="169" width="136" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[Surat Rujukan]]></text>
</staticText>
<staticText>
<reportElement x="24" y="179" width="136" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[Foto Copy Kartu Peserta]]></text>
</staticText>
<staticText>
<reportElement x="24" y="189" width="136" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[Foto Copy KTP]]></text>
</staticText>
<staticText>
<reportElement x="24" y="199" width="136" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[Foto Copy KK]]></text>
</staticText>
<staticText>
<reportElement x="24" y="209" width="136" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[Foto Copy Surat Keterangan beda tanggal]]></text>
</staticText>
<staticText>
<reportElement x="24" y="218" width="136" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[Lahir dan Nama]]></text>
</staticText>
<staticText>
<reportElement x="24" y="228" width="136" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[Foto Copy Akte Kelahiran]]></text>
</staticText>
<staticText>
<reportElement x="24" y="238" width="136" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[Lain-Lain :]]></text>
</staticText>
<line>
<reportElement x="9" y="168" width="251" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="9" y="178" width="251" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="9" y="188" width="251" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="9" y="198" width="251" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="9" y="208" width="251" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="9" y="227" width="251" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="9" y="237" width="251" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="9" y="247" width="251" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<staticText>
<reportElement x="24" y="248" width="136" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[a)]]></text>
</staticText>
<line>
<reportElement x="9" y="257" width="251" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<staticText>
<reportElement x="24" y="258" width="136" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[b)]]></text>
</staticText>
<staticText>
<reportElement x="24" y="268" width="136" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[c)]]></text>
</staticText>
<line>
<reportElement x="9" y="267" width="251" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="9" y="277" width="251" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<staticText>
<reportElement x="24" y="278" width="136" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[]]></text>
</staticText>
<line>
<reportElement x="9" y="287" width="251" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<staticText>
<reportElement x="24" y="288" width="136" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[]]></text>
</staticText>
<line>
<reportElement x="9" y="297" width="251" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<staticText>
<reportElement x="24" y="298" width="136" height="17"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[Paraf Petugas Check List]]></text>
</staticText>
<line>
<reportElement x="9" y="315" width="251" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="8" y="130" width="1" height="185"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<staticText>
<reportElement x="9" y="159" width="12" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[1]]></text>
</staticText>
<staticText>
<reportElement x="9" y="169" width="12" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[2]]></text>
</staticText>
<staticText>
<reportElement x="9" y="179" width="12" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[3]]></text>
</staticText>
<staticText>
<reportElement x="9" y="189" width="12" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[4]]></text>
</staticText>
<staticText>
<reportElement x="9" y="199" width="12" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[5]]></text>
</staticText>
<staticText>
<reportElement x="9" y="209" width="12" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[6]]></text>
</staticText>
<staticText>
<reportElement x="9" y="228" width="12" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[7]]></text>
</staticText>
<staticText>
<reportElement x="9" y="238" width="12" height="9"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[8]]></text>
</staticText>
<line>
<reportElement x="22" y="130" width="1" height="185"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="159" y="130" width="1" height="185"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="184" y="140" width="1" height="175"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="209" y="140" width="1" height="175"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="234" y="140" width="1" height="175"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="260" y="130" width="1" height="185"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<staticText>
<reportElement x="14" y="320" width="136" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[Nb :]]></text>
</staticText>
<staticText>
<reportElement x="37" y="329" width="223" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[- Pengisian kolom check list diisi oleh masing-masing bagian]]></text>
</staticText>
<staticText>
<reportElement x="37" y="338" width="136" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[ dengan tanda (V)]]></text>
</staticText>
<staticText>
<reportElement x="37" y="356" width="223" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[- Semua Persyaratan foto copy rangkap 3]]></text>
</staticText>
<staticText>
<reportElement x="37" y="347" width="136" height="9"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[]]></text>
</staticText>
<line>
<reportElement x="4" y="11" width="1" height="361"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="265" y="11" width="1" height="361"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="5" y="372" width="260" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<textField>
<reportElement x="4" y="32" width="261" height="12"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="8"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{namars}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="10" y="450" width="48" height="11"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="6"/>
</textElement>
<text><![CDATA[Alamat]]></text>
</staticText>
<textField>
<reportElement x="58" y="483" width="202" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="6"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[": "+$F{sekarang}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="58" y="439" width="202" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="6"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[": "+$P{norm}]]></textFieldExpression>
</textField>
<line>
<reportElement x="5" y="496" width="260" height="1" forecolor="#006666"/>
<graphicElement>
<pen lineStyle="Solid"/>
</graphicElement>
</line>
<line direction="BottomUp">
<reportElement x="4" y="395" width="1" height="101" forecolor="#006666"/>
<graphicElement>
<pen lineStyle="Solid"/>
</graphicElement>
</line>
<staticText>
<reportElement x="10" y="461" width="48" height="11"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="6"/>
</textElement>
<text><![CDATA[Poli Dituju]]></text>
</staticText>
<staticText>
<reportElement x="10" y="439" width="48" height="11"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="6"/>
</textElement>
<text><![CDATA[No.RM]]></text>
</staticText>
<textField>
<reportElement x="58" y="450" width="202" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="6"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[": "+$P{alamat}]]></textFieldExpression>
</textField>
<line>
<reportElement x="5" y="395" width="260" height="1" forecolor="#006666"/>
<graphicElement>
<pen lineStyle="Solid"/>
</graphicElement>
</line>
<line>
<reportElement x="5" y="422" width="260" height="1" forecolor="#006666"/>
<graphicElement>
<pen lineStyle="Solid"/>
</graphicElement>
</line>
<textField>
<reportElement x="5" y="397" width="260" height="8"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="6"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{namars}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="10" y="483" width="48" height="11"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="6"/>
</textElement>
<text><![CDATA[Tanggal]]></text>
</staticText>
<line direction="BottomUp">
<reportElement x="265" y="395" width="1" height="101" forecolor="#006666"/>
<graphicElement>
<pen lineStyle="Solid"/>
</graphicElement>
</line>
<textField>
<reportElement x="5" y="413" width="259" height="8"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="6"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{kontakrs}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="58" y="461" width="202" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="6"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[": "+$P{poli}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="10" y="428" width="48" height="11"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="6"/>
</textElement>
<text><![CDATA[Nama]]></text>
</staticText>
<textField>
<reportElement x="5" y="405" width="259" height="8"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="6"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{alamatrs}+", "+$P{kotars}+", "+$P{propinsirs}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="58" y="428" width="202" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="6"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[": "+$P{nama}]]></textFieldExpression>
</textField>
<line>
<reportElement x="5" y="384" width="260" height="1"/>
<graphicElement>
<pen lineWidth="0.5" lineStyle="Dashed"/>
</graphicElement>
</line>
<staticText>
<reportElement x="10" y="472" width="48" height="11"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="6"/>
</textElement>
<text><![CDATA[Dokter Dituju]]></text>
</staticText>
<textField>
<reportElement x="58" y="472" width="202" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="6"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[": "+$P{dokter}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="89" y="63" width="5" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="14" y="63" width="75" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<text><![CDATA[DOKTER DITUJU]]></text>
</staticText>
<textField>
<reportElement x="94" y="63" width="161" height="12"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="7" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{dokter}]]></textFieldExpression>
</textField>
</band>