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	<parameter name="alamatrs" class="java.lang.String"/>
	<parameter name="kotars" class="java.lang.String"/>
	<parameter name="propinsirs" class="java.lang.String"/>
	<parameter name="kontakrs" class="java.lang.String"/>
	<parameter name="emailrs" class="java.lang.String"/>
	<parameter name="logo" class="java.io.InputStream"/>
	<parameter name="petugas" class="java.lang.String"/>
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		<![CDATA[select pasien.no_rkm_medis, pasien.nm_pasien, pasien.no_ktp, pasien.jk,
pasien.tmp_lahir, pasien.tgl_lahir,pasien.nm_ibu, concat(pasien.alamat,', ',kelurahan.nm_kel,', ',kecamatan.nm_kec,', ',kabupaten.nm_kab) as alamat, pasien.gol_darah, pasien.pekerjaan,
pasien.stts_nikah,pasien.agama,pasien.tgl_daftar,pasien.no_tlp,pasien.umur,
pasien.pnd, pasien.keluarga, pasien.namakeluarga,penjab.png_jawab,pasien.pekerjaanpj,
concat(pasien.alamatpj,', ',pasien.kelurahanpj,', ',pasien.kecamatanpj,', ',pasien.kabupatenpj) as alamatpj from pasien
inner join kelurahan inner join kecamatan inner join kabupaten
inner join penjab on pasien.kd_pj=penjab.kd_pj and pasien.kd_kel=kelurahan.kd_kel
and pasien.kd_kec=kecamatan.kd_kec and pasien.kd_kab=kabupaten.kd_kab]]>
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		<fieldDescription><![CDATA[]]></fieldDescription>
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	<field name="jk" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
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	<field name="tmp_lahir" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
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	<field name="tgl_lahir" class="java.sql.Date">
		<fieldDescription><![CDATA[]]></fieldDescription>
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	<field name="nm_ibu" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
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	<field name="alamat" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
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	<field name="gol_darah" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
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	<field name="pekerjaan" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
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	<field name="stts_nikah" class="java.lang.String">
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	<field name="agama" class="java.lang.String">
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	<field name="tgl_daftar" class="java.sql.Date">
		<fieldDescription><![CDATA[]]></fieldDescription>
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		<fieldDescription><![CDATA[]]></fieldDescription>
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	<field name="png_jawab" class="java.lang.String">
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	<field name="pekerjaanpj" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="alamatpj" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
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				<textElement verticalAlignment="Middle" lineSpacing="Single">
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			<textField>
				<reportElement mode="Opaque" x="220" y="383" width="282" height="13"/>
				<textElement verticalAlignment="Middle" lineSpacing="Single">
					<font fontName="Tahoma" size="10" isBold="false"/>
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				<textFieldExpression class="java.lang.String"><![CDATA[$F{alamatpj}]]></textFieldExpression>
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			<textField>
				<reportElement mode="Opaque" x="221" y="409" width="282" height="13"/>
				<textElement verticalAlignment="Middle" lineSpacing="Single">
					<font fontName="Tahoma" size="10" isBold="false"/>
				</textElement>
				<textFieldExpression class="java.lang.String"><![CDATA[$F{no_tlp}]]></textFieldExpression>
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				<reportElement x="146" y="71" width="269" height="16"/>
				<textElement textAlignment="Center" lineSpacing="Single">
					<font fontName="Tahoma" size="12"/>
				</textElement>
				<text><![CDATA[FORMULIR DATA PRIBADI PASIEN]]></text>
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				<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
					<font fontName="Tahoma" size="14"/>
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				<text><![CDATA[NOMOR REKAM MEDIK]]></text>
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				<text><![CDATA[Nama Lengkap Pasien]]></text>
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				<textElement textAlignment="Left" lineSpacing="Single">
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				<text><![CDATA[:]]></text>
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				<text><![CDATA[:]]></text>
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				<textElement textAlignment="Left" lineSpacing="Single">
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				<text><![CDATA[NAMA IBU :]]></text>
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				<text><![CDATA[NO Identititas]]></text>
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			<staticText>
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				<textElement textAlignment="Left" lineSpacing="Single">
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				<text><![CDATA[(KTP/SIM/ Paspor)]]></text>
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				<text><![CDATA[Agama]]></text>
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				<text><![CDATA[:]]></text>
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				<textElement textAlignment="Left" lineSpacing="Single">
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				<text><![CDATA[Tanggal Lahir]]></text>
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			<staticText>
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				<textElement textAlignment="Left" lineSpacing="Single">
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				<text><![CDATA[:]]></text>
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				<text><![CDATA[Jenis Kelamin]]></text>
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				<text><![CDATA[Pendidikan]]></text>
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				<text><![CDATA[Status]]></text>
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				<text><![CDATA[:]]></text>
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				<text><![CDATA[Alamat]]></text>
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				<text><![CDATA[:]]></text>
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				<textElement textAlignment="Left" lineSpacing="Single">
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				<text><![CDATA[Nama Keluarga]]></text>
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				<textElement textAlignment="Left" lineSpacing="Single">
					<font fontName="Tahoma"/>
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				<text><![CDATA[Hubungan Keluarga :]]></text>
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				<textElement textAlignment="Left" lineSpacing="Single">
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				<text><![CDATA[:]]></text>
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				<textElement textAlignment="Left" lineSpacing="Single">
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				<text><![CDATA[Pekerjaan]]></text>
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				<textElement textAlignment="Left" lineSpacing="Single">
					<font fontName="Tahoma"/>
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				<text><![CDATA[Alamat Lengkap/Domisili]]></text>
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				<text><![CDATA[:]]></text>
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				<text><![CDATA[:]]></text>
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				<textElement textAlignment="Left" lineSpacing="Single">
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				<text><![CDATA[Nama Ayah / Ibu]]></text>
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				<text><![CDATA[Alamat]]></text>
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				<text><![CDATA[Telp. / HP]]></text>
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				<imageExpression class="java.io.InputStream"><![CDATA[$P{logo}]]></imageExpression>
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					<font fontName="Tahoma" size="10"/>
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				<textFieldExpression class="java.lang.String"><![CDATA["E-mail : "+$P{emailrs}]]></textFieldExpression>
			</textField>
			<textField>
				<reportElement x="83" y="45" width="349" height="14"/>
				<textElement textAlignment="Center" lineSpacing="Single">
					<font fontName="Tahoma" size="10"/>
				</textElement>
				<textFieldExpression class="java.lang.String"><![CDATA[$P{kontakrs}]]></textFieldExpression>
			</textField>
			<textField>
				<reportElement x="83" y="18" width="349" height="17"/>
				<textElement textAlignment="Center" lineSpacing="Single">
					<font fontName="Tahoma" size="14"/>
				</textElement>
				<textFieldExpression class="java.lang.String"><![CDATA[$P{namars}]]></textFieldExpression>
			</textField>
			<textField>
				<reportElement x="83" y="34" width="349" height="14"/>
				<textElement textAlignment="Center" lineSpacing="Single">
					<font fontName="Tahoma" size="10"/>
				</textElement>
				<textFieldExpression class="java.lang.String"><![CDATA[$P{alamatrs}+", "+$P{kotars}+", "+$P{propinsirs}]]></textFieldExpression>
			</textField>
			<textField>
				<reportElement mode="Opaque" x="408" y="119" width="120" height="13"/>
				<textElement verticalAlignment="Middle" lineSpacing="Single">
					<font fontName="Tahoma" size="10" isBold="false"/>
				</textElement>
				<textFieldExpression class="java.lang.String"><![CDATA[$F{nm_ibu}]]></textFieldExpression>
			</textField>
			<componentElement>
				<reportElement x="432" y="21" width="95" height="47"/>
				<jr:barbecue xmlns:jr="http://jasperreports.sourceforge.net/jasperreports/components" xsi:schemaLocation="http://jasperreports.sourceforge.net/jasperreports/components http://jasperreports.sourceforge.net/xsd/components.xsd" type="Code128" drawText="false" checksumRequired="false" barHeight="85">
					<jr:codeExpression><![CDATA[$F{no_rkm_medis}]]></jr:codeExpression>
				</jr:barbecue>
			</componentElement>
			<textField>
				<reportElement mode="Opaque" x="153" y="267" width="230" height="13"/>
				<textElement verticalAlignment="Middle" lineSpacing="Single">
					<font fontName="Tahoma" size="10" isBold="false"/>
				</textElement>
				<textFieldExpression class="java.lang.String"><![CDATA[$F{pekerjaanpj}]]></textFieldExpression>
			</textField>
			<textField pattern="">
				<reportElement mode="Opaque" x="475" y="144" width="52" height="13"/>
				<textElement verticalAlignment="Middle" lineSpacing="Single">
					<font fontName="Tahoma" size="10" isBold="false"/>
				</textElement>
				<textFieldExpression class="java.lang.String"><![CDATA[$F{umur}]]></textFieldExpression>
			</textField>
			<staticText>
				<reportElement x="468" y="145" width="6" height="13"/>
				<textElement textAlignment="Left" lineSpacing="Single">
					<font fontName="Tahoma"/>
				</textElement>
				<text><![CDATA[:]]></text>
			</staticText>
			<staticText>
				<reportElement mode="Opaque" x="403" y="145" width="65" height="13"/>
				<textElement textAlignment="Left" lineSpacing="Single">
					<font fontName="Tahoma"/>
				</textElement>
				<text><![CDATA[Umur]]></text>
			</staticText>
			<staticText>
				<reportElement x="146" y="338" width="269" height="16"/>
				<textElement textAlignment="Center" lineSpacing="Single">
					<font fontName="Tahoma" size="12"/>
				</textElement>
				<text><![CDATA[KHUSUS PASIEN ANAK]]></text>
			</staticText>
			<staticText>
				<reportElement x="154" y="396" width="66" height="13"/>
				<textElement textAlignment="Left" lineSpacing="Single">
					<font fontName="Tahoma"/>
				</textElement>
				<text><![CDATA[Pekerjaan]]></text>
			</staticText>
			<staticText>
				<reportElement x="212" y="396" width="14" height="13"/>
				<textElement textAlignment="Left" lineSpacing="Single">
					<font fontName="Tahoma"/>
				</textElement>
				<text><![CDATA[:]]></text>
			</staticText>
			<textField>
				<reportElement mode="Opaque" x="221" y="396" width="281" height="13"/>
				<textElement verticalAlignment="Middle" lineSpacing="Single">
					<font fontName="Tahoma" size="10" isBold="false"/>
				</textElement>
				<textFieldExpression class="java.lang.String"><![CDATA[$F{pekerjaan}]]></textFieldExpression>
			</textField>
			<staticText>
				<reportElement x="28" y="440" width="117" height="13"/>
				<textElement textAlignment="Left" lineSpacing="Single">
					<font fontName="Tahoma"/>
				</textElement>
				<text><![CDATA[Wali]]></text>
			</staticText>
			<staticText>
				<reportElement x="149" y="466" width="67" height="13"/>
				<textElement textAlignment="Left" lineSpacing="Single">
					<font fontName="Tahoma"/>
				</textElement>
				<text><![CDATA[Alamat]]></text>
			</staticText>
			<staticText>
				<reportElement x="149" y="479" width="67" height="13"/>
				<textElement textAlignment="Left" lineSpacing="Single">
					<font fontName="Tahoma"/>
				</textElement>
				<text><![CDATA[Pekerjaan]]></text>
			</staticText>
			<staticText>
				<reportElement x="149" y="492" width="67" height="13"/>
				<textElement textAlignment="Left" lineSpacing="Single">
					<font fontName="Tahoma"/>
				</textElement>
				<text><![CDATA[Telp. / HP]]></text>
			</staticText>
			<staticText>
				<reportElement x="216" y="466" width="14" height="13"/>
				<textElement textAlignment="Left" lineSpacing="Single">
					<font fontName="Tahoma"/>
				</textElement>
				<text><![CDATA[:]]></text>
			</staticText>
			<staticText>
				<reportElement x="216" y="479" width="14" height="13"/>
				<textElement textAlignment="Left" lineSpacing="Single">
					<font fontName="Tahoma"/>
				</textElement>
				<text><![CDATA[:]]></text>
			</staticText>
			<staticText>
				<reportElement x="216" y="492" width="14" height="13"/>
				<textElement textAlignment="Left" lineSpacing="Single">
					<font fontName="Tahoma"/>
				</textElement>
				<text><![CDATA[:]]></text>
			</staticText>
			<staticText>
				<reportElement x="29" y="306" width="117" height="13"/>
				<textElement textAlignment="Left" lineSpacing="Single">
					<font fontName="Tahoma"/>
				</textElement>
				<text><![CDATA[Jenis Pembayaran]]></text>
			</staticText>
			<staticText>
				<reportElement x="146" y="306" width="7" height="13"/>
				<textElement textAlignment="Left" lineSpacing="Single">
					<font fontName="Tahoma"/>
				</textElement>
				<text><![CDATA[:]]></text>
			</staticText>
			<staticText>
				<reportElement x="145" y="440" width="6" height="13"/>
				<textElement textAlignment="Left" lineSpacing="Single">
					<font fontName="Tahoma"/>
				</textElement>
				<text><![CDATA[:]]></text>
			</staticText>
			<staticText>
				<reportElement x="78" y="628" width="55" height="20"/>
				<textElement lineSpacing="Single"/>
				<text><![CDATA[PETUGAS,]]></text>
			</staticText>
			<textField>
				<reportElement mode="Opaque" x="74" y="713" width="71" height="13"/>
				<textElement verticalAlignment="Middle" lineSpacing="Single">
					<font fontName="Tahoma" size="10" isBold="false"/>
				</textElement>
				<textFieldExpression class="java.lang.String"><![CDATA[$P{petugas}]]></textFieldExpression>
			</textField>
			<staticText>
				<reportElement x="350" y="628" width="142" height="20"/>
				<textElement lineSpacing="Single"/>
				<text><![CDATA[PASIEN, KELUARGA/WALI]]></text>
			</staticText>
			<textField>
				<reportElement mode="Opaque" x="394" y="713" width="71" height="13"/>
				<textElement verticalAlignment="Middle" lineSpacing="Single">
					<font fontName="Tahoma" size="10" isBold="false"/>
				</textElement>
				<textFieldExpression class="java.lang.String"><![CDATA[$F{nm_pasien}]]></textFieldExpression>
			</textField>
			<textField>
				<reportElement x="330" y="608" width="101" height="20"/>
				<textElement textAlignment="Right" lineSpacing="Single" markup="none"/>
				<textFieldExpression class="java.lang.String"><![CDATA[$P{kotars}+","]]></textFieldExpression>
			</textField>
			<textField pattern="dd/MM/yyyy">
				<reportElement x="432" y="608" width="70" height="20"/>
				<textElement lineSpacing="Single" markup="none"/>
				<textFieldExpression class="java.util.Date"><![CDATA[$F{tgl_daftar}]]></textFieldExpression>
			</textField>
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