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<text><![CDATA[SKRINING KESEHATAN GIGI & MULUT LANSIA]]></text>
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<text><![CDATA[Nama Pasien]]></text>
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<text><![CDATA[Tanggal Lahir]]></text>
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<text><![CDATA[J.K. :]]></text>
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<textFieldExpression><![CDATA[$P{alamatrs}+", "+$P{kotars}+", "+$P{propinsirs}]]></textFieldExpression>
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<text><![CDATA[Tanggal Skrining :]]></text>
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<text><![CDATA[I. ANAMNESIS]]></text>
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<text><![CDATA[Pertanyaan]]></text>
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<text><![CDATA[1. Apakah Rutin Kontrol Ke Dokter Gigi, Minimal Sekali Dalam 6 Bulan ?]]></text>
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<text><![CDATA[Jawaban]]></text>
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<text><![CDATA[:]]></text>
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<text><![CDATA[II. INTERPRETASI]]></text>
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<text><![CDATA[3. Berapa Kali Sikat Gigi Dalam Sehari (Minimal 2 Kali) ?]]></text>
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<text><![CDATA[4. Jika Menggunakan Gigi Palsu, Apakah Rutin Selalu Dibersihkan ?]]></text>
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<text><![CDATA[5. Apakah Masih Memiliki Gigi Yang Berfungsi Baik (Minimal 20 Gigi Tidak Goyang & Lubang) ?]]></text>
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