<?xml version="1.0" encoding="UTF-8"?>
<!-- Created with Jaspersoft Studio version 6.9.0.final using JasperReports Library version 6.9.0-cb8f9004be492ccc537180b49c026951f4220bf3  -->
<jasperReport xmlns="http://jasperreports.sourceforge.net/jasperreports" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://jasperreports.sourceforge.net/jasperreports http://jasperreports.sourceforge.net/xsd/jasperreport.xsd" name="null" pageWidth="1080" pageHeight="612" orientation="Landscape" columnWidth="1040" leftMargin="20" rightMargin="20" topMargin="20" bottomMargin="20" uuid="bcb3e510-7415-4476-99ab-9859d410f2c6">
	<property name="ireport.zoom" value="1.5"/>
	<property name="ireport.x" value="0"/>
	<property name="ireport.y" value="0"/>
	<parameter name="tanggal" class="java.util.Date"/>
	<parameter name="namars" class="java.lang.String"/>
	<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="periode" class="java.lang.String"/>
	<parameter name="unit" class="java.lang.String"/>
	<parameter name="carabayar" class="java.lang.String"/>
	<parameter name="perujuk" class="java.lang.String"/>
	<parameter name="kab" class="java.lang.String"/>
	<parameter name="kec" class="java.lang.String"/>
	<parameter name="kel" class="java.lang.String"/>
	<queryString>
		<![CDATA[select * from temporary order by no asc]]>
	</queryString>
	<field name="no" class="java.lang.Integer">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp1" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp2" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp3" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp4" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp5" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp6" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp7" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp8" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp9" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp10" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp11" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp12" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp13" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp14" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp15" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp16" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp17" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp18" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp19" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp20" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp21" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp22" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp23" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp24" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp25" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp26" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<field name="temp27" class="java.lang.String">
		<fieldDescription><![CDATA[]]></fieldDescription>
	</field>
	<background>
		<band splitType="Stretch"/>
	</background>
	<title>
		<band height="61" splitType="Stretch">
			<staticText>
				<reportElement x="6" y="1" width="1024" height="16" uuid="941003ff-26d7-4f10-8fb3-768eb7e33276"/>
				<textElement textAlignment="Center">
					<font fontName="Tahoma" size="13" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[LAPORAN KUNJUNGAN RADIOLOGI RAWAT JALAN]]></text>
			</staticText>
			<staticText>
				<reportElement mode="Transparent" x="3" y="25" width="67" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="37396db1-0d48-4d15-b2c3-d090d3078f7b"/>
				<textElement>
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Kabupaten]]></text>
			</staticText>
			<staticText>
				<reportElement mode="Transparent" x="3" y="35" width="67" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="d1b95b3e-51d5-44c2-b4db-5f56cf0c56f2"/>
				<textElement>
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Rumah Sakit]]></text>
			</staticText>
			<staticText>
				<reportElement mode="Transparent" x="325" y="25" width="67" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="db5c89bd-af82-4ac7-9c1e-533f7cfd87ce"/>
				<textElement>
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Perujuk]]></text>
			</staticText>
			<staticText>
				<reportElement mode="Transparent" x="325" y="35" width="67" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="639491ba-3862-4006-b00b-d8d2bdf79777"/>
				<textElement>
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Unit/Poli]]></text>
			</staticText>
			<textField pattern="yyyy" isBlankWhenNull="true">
				<reportElement key="textField" x="393" y="35" width="138" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="241fb70e-d4b7-4070-b7a3-6753df79463d"/>
				<box>
					<topPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<leftPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<bottomPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<rightPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
				</box>
				<textElement>
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[": "+$P{unit}]]></textFieldExpression>
			</textField>
			<textField pattern="MM" isBlankWhenNull="true">
				<reportElement key="textField" x="393" y="25" width="138" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="c486232d-17f9-488c-bf2d-17d1986ea2ac"/>
				<box>
					<topPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<leftPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<bottomPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<rightPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
				</box>
				<textElement>
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[": "+$P{perujuk}]]></textFieldExpression>
			</textField>
			<textField>
				<reportElement x="71" y="25" width="208" height="11" uuid="0a88a540-f91e-4952-b64b-2baa4ed90518"/>
				<textElement textAlignment="Left">
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[": "+$P{kotars}]]></textFieldExpression>
			</textField>
			<textField>
				<reportElement x="71" y="35" width="208" height="11" uuid="5f5581d8-82dd-4b73-9ce3-2c6421a7d57d"/>
				<textElement textAlignment="Left">
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[": "+$P{namars}]]></textFieldExpression>
			</textField>
			<staticText>
				<reportElement mode="Transparent" x="3" y="45" width="67" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="0bb2f08e-575a-40ab-949a-a070932a5fc8"/>
				<textElement>
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Tanggal]]></text>
			</staticText>
			<textField>
				<reportElement x="71" y="45" width="208" height="11" uuid="50c99b20-ac08-4f0e-8a0c-de778aff0a89"/>
				<textElement textAlignment="Left">
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[": "+$P{periode}]]></textFieldExpression>
			</textField>
			<textField pattern="yyyy" isBlankWhenNull="true">
				<reportElement key="textField" x="393" y="45" width="138" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="0404f826-0e72-4f18-bc90-4bee2733f2d5"/>
				<box>
					<topPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<leftPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<bottomPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<rightPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
				</box>
				<textElement>
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[": "+$P{carabayar}]]></textFieldExpression>
			</textField>
			<staticText>
				<reportElement mode="Transparent" x="325" y="45" width="67" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="20c146bd-84fd-4a2c-a7ae-d55cade38692"/>
				<textElement>
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Cara Bayar]]></text>
			</staticText>
			<textField pattern="yyyy" isBlankWhenNull="true">
				<reportElement key="textField" x="667" y="35" width="95" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="2ae965a8-3044-450c-845a-c11161e64216"/>
				<box>
					<topPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<leftPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<bottomPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<rightPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
				</box>
				<textElement>
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[": "+$P{kec}]]></textFieldExpression>
			</textField>
			<staticText>
				<reportElement mode="Transparent" x="599" y="35" width="67" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="3e04c677-4df4-4961-9f9b-bd38fdfa997c"/>
				<textElement>
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Kecamatan]]></text>
			</staticText>
			<staticText>
				<reportElement mode="Transparent" x="599" y="25" width="67" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="8fbe9a1d-4afa-4593-a2dc-0d7ec20dc3e9"/>
				<textElement>
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Kab/Kota]]></text>
			</staticText>
			<textField pattern="MM" isBlankWhenNull="true">
				<reportElement key="textField" x="667" y="25" width="95" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="1013952a-e164-4503-a62a-c68f876020e2"/>
				<box>
					<topPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<leftPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<bottomPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<rightPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
				</box>
				<textElement>
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[": "+$P{kab}]]></textFieldExpression>
			</textField>
			<staticText>
				<reportElement mode="Transparent" x="599" y="45" width="67" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="5878c7fa-b9e3-429f-9055-72fad7b7c8ae"/>
				<textElement>
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Kelurahan]]></text>
			</staticText>
			<textField pattern="yyyy" isBlankWhenNull="true">
				<reportElement key="textField" x="667" y="45" width="95" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="63fb5168-eead-415b-b0a6-ec4067c6410f"/>
				<box>
					<topPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<leftPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<bottomPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<rightPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
				</box>
				<textElement>
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[": "+$P{kel}]]></textFieldExpression>
			</textField>
		</band>
	</title>
	<pageHeader>
		<band splitType="Stretch"/>
	</pageHeader>
	<columnHeader>
		<band height="27" splitType="Stretch">
			<line>
				<reportElement x="1" y="0" width="1038" height="1" uuid="ebcf4634-c40b-4915-bfdf-4cdb4a9b1d58"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<staticText>
				<reportElement mode="Transparent" x="1" y="2" width="23" height="23" forecolor="#000000" backcolor="#FFFFFF" uuid="789bb038-2f66-4f6c-855f-10a1b1170194"/>
				<textElement textAlignment="Center" verticalAlignment="Middle">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[No]]></text>
			</staticText>
			<line>
				<reportElement x="0" y="1" width="1" height="25" uuid="a2a67f4b-5924-45b4-8aec-1fa7ae17db1d"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<staticText>
				<reportElement mode="Transparent" x="106" y="2" width="112" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="09a7e5c4-d17d-4f48-8ec2-aa1d7a0908f9"/>
				<textElement textAlignment="Center" verticalAlignment="Middle">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Nomor]]></text>
			</staticText>
			<staticText>
				<reportElement mode="Transparent" x="106" y="14" width="65" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="39aabf20-32f9-418e-aca2-1084909bdc9d"/>
				<textElement textAlignment="Center" verticalAlignment="Middle">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Radiologi]]></text>
			</staticText>
			<staticText>
				<reportElement mode="Transparent" x="173" y="14" width="45" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="d5fb5785-2775-452f-819b-fbc29af02033"/>
				<textElement textAlignment="Center" verticalAlignment="Middle">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[R.M.]]></text>
			</staticText>
			<staticText>
				<reportElement mode="Transparent" x="350" y="14" width="23" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="7b363520-09ed-4749-b136-7ae82c955975"/>
				<textElement textAlignment="Center" verticalAlignment="Middle">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[L]]></text>
			</staticText>
			<staticText>
				<reportElement mode="Transparent" x="376" y="14" width="23" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="2cfc48ce-1490-4b39-a893-6bbf95671ef5"/>
				<textElement textAlignment="Center" verticalAlignment="Middle">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[P]]></text>
			</staticText>
			<line>
				<reportElement x="1" y="26" width="1038" height="1" uuid="dcaa08df-d13b-4244-bff7-1e74d9385a41"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement x="24" y="1" width="1" height="25" uuid="3532d91a-9bc7-4af0-b4c2-8e488d431983"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement x="218" y="1" width="1" height="25" uuid="098f1bbd-4152-44b7-9798-62190c5d4819"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement x="105" y="13" width="113" height="1" uuid="e6e6673b-a8af-4af8-aefa-9fe4d73cc207"/>
				<graphicElement>
					<pen lineWidth="0.25"/>
				</graphicElement>
			</line>
			<line>
				<reportElement x="171" y="14" width="1" height="12" uuid="f761b999-1095-4530-8793-5bc9c3219185"/>
				<graphicElement>
					<pen lineWidth="0.25"/>
				</graphicElement>
			</line>
			<line>
				<reportElement x="374" y="14" width="1" height="12" uuid="79f59132-6c0e-4a51-bcfb-9cb5936c17f0"/>
				<graphicElement>
					<pen lineWidth="0.25"/>
				</graphicElement>
			</line>
			<staticText>
				<reportElement mode="Transparent" x="350" y="2" width="50" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="3a4aa7f6-d37c-44a1-8893-44e3e1771cc2"/>
				<textElement textAlignment="Center" verticalAlignment="Middle">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Umur]]></text>
			</staticText>
			<line>
				<reportElement x="349" y="1" width="1" height="25" uuid="334a5b24-77cc-47e5-a43c-b3e5ade48e7c"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement x="400" y="1" width="1" height="25" uuid="3222eb91-428c-412d-9267-e985d9c61f64"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement x="538" y="1" width="1" height="25" uuid="7412045e-121d-40d0-9b46-7a7209664dde"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement x="695" y="1" width="1" height="25" uuid="6c52ae81-6690-4da0-a041-76c1b56f57cb"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement x="968" y="1" width="1" height="25" uuid="780cbb3f-7be9-4d85-90d9-e7abdcb447d5"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement x="350" y="13" width="50" height="1" uuid="8f002ed2-2ac7-4b3a-a540-2c9847ac1c62"/>
				<graphicElement>
					<pen lineWidth="0.25"/>
				</graphicElement>
			</line>
			<staticText>
				<reportElement mode="Transparent" x="570" y="2" width="125" height="23" forecolor="#000000" backcolor="#FFFFFF" uuid="ed6708be-7a76-44fd-9854-83af7119292d"/>
				<textElement textAlignment="Center" verticalAlignment="Middle">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Diagnosa]]></text>
			</staticText>
			<staticText>
				<reportElement mode="Transparent" x="220" y="2" width="130" height="23" forecolor="#000000" backcolor="#FFFFFF" uuid="3747ea25-6b8c-48d8-b7b7-34b75559cc2a"/>
				<textElement textAlignment="Center" verticalAlignment="Middle">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Nama Pasien]]></text>
			</staticText>
			<staticText>
				<reportElement mode="Transparent" x="402" y="2" width="136" height="23" forecolor="#000000" backcolor="#FFFFFF" uuid="d4e2d9dc-6a68-41e7-b755-7046d0385b31"/>
				<textElement textAlignment="Center" verticalAlignment="Middle">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Alamat]]></text>
			</staticText>
			<staticText>
				<reportElement mode="Transparent" x="865" y="2" width="103" height="23" forecolor="#000000" backcolor="#FFFFFF" uuid="a7244a13-535d-42e7-aa95-bc70d2a79b16"/>
				<textElement textAlignment="Center" verticalAlignment="Middle">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Dokter Perujuk/Pengirim]]></text>
			</staticText>
			<line>
				<reportElement x="568" y="1" width="1" height="25" uuid="5cc0e4f7-826e-4430-b4ca-34923d15b1e2"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<staticText>
				<reportElement mode="Transparent" x="539" y="2" width="29" height="23" forecolor="#000000" backcolor="#FFFFFF" uuid="95c03f58-40e8-489b-af8b-d52c3e6f0aaa"/>
				<textElement textAlignment="Center" verticalAlignment="Middle">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Kode]]></text>
			</staticText>
			<line>
				<reportElement x="104" y="1" width="1" height="25" uuid="f165b5b5-6642-47f9-ac50-8c7e82ad78a9"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<staticText>
				<reportElement mode="Transparent" x="25" y="2" width="79" height="23" forecolor="#000000" backcolor="#FFFFFF" uuid="232ea0d0-b120-40da-bde9-b14d9bb7dd69"/>
				<textElement textAlignment="Center" verticalAlignment="Middle">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Tanggal & Jam]]></text>
			</staticText>
			<staticText>
				<reportElement mode="Transparent" x="971" y="2" width="67" height="23" forecolor="#000000" backcolor="#FFFFFF" uuid="e59c2bf7-a970-4caf-b92f-f5972f8f291f"/>
				<textElement textAlignment="Center" verticalAlignment="Middle">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Asal Poli]]></text>
			</staticText>
			<line>
				<reportElement x="1039" y="1" width="1" height="25" uuid="d5d3c6cf-5098-41d2-ba19-3276592a9357"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement x="863" y="1" width="1" height="25" uuid="57806bf3-d31c-47be-a619-49ef57c8ae36"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<staticText>
				<reportElement mode="Transparent" x="697" y="2" width="166" height="23" forecolor="#000000" backcolor="#FFFFFF" uuid="e82acd20-a3a7-4429-986c-4409ed4063f6"/>
				<textElement textAlignment="Center" verticalAlignment="Middle">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Jenis Pemeriksaan]]></text>
			</staticText>
		</band>
	</columnHeader>
	<detail>
		<band height="12" splitType="Stretch">
			<textField isStretchWithOverflow="true" isBlankWhenNull="true">
				<reportElement stretchType="RelativeToBandHeight" x="1" y="1" width="23" height="10" uuid="70a22306-650a-4d99-a1c2-07767fd1d582"/>
				<textElement textAlignment="Center">
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[$F{temp1}]]></textFieldExpression>
			</textField>
			<textField isStretchWithOverflow="true" isBlankWhenNull="true">
				<reportElement stretchType="RelativeToBandHeight" x="106" y="1" width="65" height="10" uuid="61159b42-03d2-4d0e-90c6-4ab3f6ac6e98"/>
				<textElement textAlignment="Center">
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[$F{temp3}]]></textFieldExpression>
			</textField>
			<textField isStretchWithOverflow="true" isBlankWhenNull="true">
				<reportElement stretchType="RelativeToBandHeight" x="220" y="1" width="130" height="10" uuid="d5ae596a-13e2-440b-8008-464f9acb88b1"/>
				<textElement textAlignment="Left">
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[$F{temp5}]]></textFieldExpression>
			</textField>
			<textField isStretchWithOverflow="true" isBlankWhenNull="true">
				<reportElement stretchType="RelativeToBandHeight" x="350" y="1" width="23" height="10" uuid="21267c48-799e-4166-b1cd-5f834331b642"/>
				<textElement textAlignment="Center">
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[$F{temp6}]]></textFieldExpression>
			</textField>
			<textField isStretchWithOverflow="true" isBlankWhenNull="true">
				<reportElement stretchType="RelativeToBandHeight" x="376" y="1" width="23" height="10" uuid="536b7c43-0b67-4341-a911-035f7a2a0f53"/>
				<textElement textAlignment="Center">
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[$F{temp7}]]></textFieldExpression>
			</textField>
			<textField isStretchWithOverflow="true" isBlankWhenNull="true">
				<reportElement stretchType="RelativeToBandHeight" x="402" y="1" width="135" height="10" uuid="8ac4ff85-0047-4348-af5b-984075324e4a"/>
				<textElement textAlignment="Left">
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[$F{temp8}]]></textFieldExpression>
			</textField>
			<textField isStretchWithOverflow="true" isBlankWhenNull="true">
				<reportElement stretchType="RelativeToBandHeight" x="570" y="1" width="125" height="10" uuid="540fdbd8-85c2-4d51-87ff-ff6a7c240f1f"/>
				<textElement textAlignment="Left">
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[$F{temp10}]]></textFieldExpression>
			</textField>
			<textField isStretchWithOverflow="true" isBlankWhenNull="true">
				<reportElement stretchType="RelativeToBandHeight" x="865" y="1" width="103" height="10" uuid="eb1d12da-6cb2-47b1-b3e3-2e173c6414fa"/>
				<textElement textAlignment="Left">
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[$F{temp12}]]></textFieldExpression>
			</textField>
			<textField isStretchWithOverflow="true" isBlankWhenNull="true">
				<reportElement stretchType="RelativeToBandHeight" x="173" y="1" width="45" height="10" uuid="e777ca47-8649-46ec-91ef-1d1fb522ee99"/>
				<textElement textAlignment="Center">
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[$F{temp4}]]></textFieldExpression>
			</textField>
			<textField isStretchWithOverflow="true" isBlankWhenNull="true">
				<reportElement stretchType="RelativeToBandHeight" x="539" y="1" width="29" height="10" uuid="4ec92638-61ab-4505-ab67-43279ce35a11"/>
				<textElement textAlignment="Center">
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[$F{temp9}]]></textFieldExpression>
			</textField>
			<textField isStretchWithOverflow="true" isBlankWhenNull="true">
				<reportElement stretchType="RelativeToBandHeight" x="26" y="1" width="78" height="10" uuid="cf1fcb43-2c30-41b5-8e27-2bc30f018043"/>
				<textElement textAlignment="Left">
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[$F{temp2}]]></textFieldExpression>
			</textField>
			<textField isStretchWithOverflow="true" isBlankWhenNull="true">
				<reportElement stretchType="RelativeToBandHeight" x="971" y="1" width="67" height="10" uuid="44b4809f-055b-4e76-8155-d20165b4a94b"/>
				<textElement textAlignment="Left">
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[$F{temp13}]]></textFieldExpression>
			</textField>
			<textField isStretchWithOverflow="true" isBlankWhenNull="true">
				<reportElement stretchType="RelativeToBandHeight" x="697" y="1" width="166" height="10" uuid="36066463-3cca-498f-9bea-a36e97941cb8"/>
				<textElement textAlignment="Left">
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[$F{temp11}]]></textFieldExpression>
			</textField>
			<line>
				<reportElement stretchType="RelativeToBandHeight" x="0" y="0" width="1" height="12" uuid="c38d0564-e72a-4846-80f9-06d1d7f1bf6e"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement stretchType="RelativeToBandHeight" x="24" y="0" width="1" height="12" uuid="dbd06c91-2bda-4520-902d-72895ba42059"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement stretchType="RelativeToBandHeight" x="218" y="0" width="1" height="12" uuid="c56f9072-8980-4925-9d00-6d6373b15348"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement stretchType="RelativeToBandHeight" x="171" y="0" width="1" height="12" uuid="d2fc555b-23e9-4bcb-bc90-85b5b0e7795f"/>
				<graphicElement>
					<pen lineWidth="0.25"/>
				</graphicElement>
			</line>
			<line>
				<reportElement stretchType="RelativeToBandHeight" x="349" y="0" width="1" height="12" uuid="014895ad-db1a-42a9-b146-d8fd5a92311f"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement stretchType="RelativeToBandHeight" x="400" y="0" width="1" height="12" uuid="0e9fd79b-8421-4f22-b5f9-aa597866a954"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement stretchType="RelativeToBandHeight" x="374" y="0" width="1" height="12" uuid="b2b46071-8cda-4b82-a7cb-38fa8b092e56"/>
				<graphicElement>
					<pen lineWidth="0.25"/>
				</graphicElement>
			</line>
			<line>
				<reportElement stretchType="RelativeToBandHeight" x="538" y="0" width="1" height="12" uuid="5dcf8ee2-6a80-4468-8792-b4bf64573bf9"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement stretchType="RelativeToBandHeight" x="695" y="0" width="1" height="12" uuid="94449c7e-48ed-40cc-8a4e-ad56c2586d50"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement stretchType="RelativeToBandHeight" x="968" y="0" width="1" height="12" uuid="48d888a5-1706-47a1-8df9-87df80364d9b"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement positionType="Float" x="1" y="11" width="1038" height="1" uuid="52b000a1-6f1b-437f-8c15-127c5cb38458"/>
				<graphicElement>
					<pen lineWidth="0.25"/>
				</graphicElement>
			</line>
			<line>
				<reportElement stretchType="RelativeToBandHeight" x="568" y="0" width="1" height="12" uuid="c613dfdd-85d1-4187-be91-2ba6dcc15049"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement stretchType="RelativeToBandHeight" x="104" y="0" width="1" height="12" uuid="2355925c-e3f7-4c16-a9db-2c9da4447cea"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement stretchType="RelativeToBandHeight" x="1039" y="0" width="1" height="12" uuid="84771f73-72f8-42d8-b122-1c6ace59f99a"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement stretchType="RelativeToBandHeight" x="863" y="0" width="1" height="12" uuid="a78ce825-21c0-48ea-acbf-cf12d7229848"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
		</band>
	</detail>
	<columnFooter>
		<band splitType="Stretch"/>
	</columnFooter>
	<summary>
		<band height="70">
			<staticText>
				<reportElement mode="Transparent" x="667" y="12" width="243" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="7dca44ae-a85f-4ed2-8a40-9e552c878e92"/>
				<textElement textAlignment="Center">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Pelapor]]></text>
			</staticText>
			<textField pattern="dd/MM/yyyy" isBlankWhenNull="false">
				<reportElement key="textField" x="787" y="2" width="123" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="45af916b-52a7-4e88-9a43-b137c79ebfbb"/>
				<box>
					<topPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<leftPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<bottomPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
					<rightPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
				</box>
				<textElement>
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[$P{tanggal}]]></textFieldExpression>
			</textField>
			<staticText>
				<reportElement mode="Transparent" x="667" y="56" width="243" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="152a8ac4-4be8-4a33-b896-ecbdee3c3ff9"/>
				<textElement textAlignment="Center">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[NIP.                                                                     ]]></text>
			</staticText>
			<line>
				<reportElement positionType="FixRelativeToBottom" stretchType="RelativeToTallestObject" x="1" y="0" width="1038" height="1" uuid="ec1e8e50-95a1-4f82-9d07-b98b8cba91ab"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<line>
				<reportElement x="688" y="55" width="200" height="1" uuid="10312735-2b4d-4069-b211-2db4fb410c7a"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<staticText>
				<reportElement mode="Transparent" x="2" y="12" width="226" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="ac22608a-fa44-40fd-97df-28ad6538c618"/>
				<textElement textAlignment="Center">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[An. Direktur RS ..................................................]]></text>
			</staticText>
			<staticText>
				<reportElement mode="Transparent" x="2" y="56" width="226" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="304d0d65-771c-42d6-ad99-513c6e547c61"/>
				<textElement textAlignment="Center">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[NIP.                                                                     ]]></text>
			</staticText>
			<staticText>
				<reportElement mode="Transparent" x="2" y="2" width="226" height="11" forecolor="#000000" backcolor="#FFFFFF" uuid="f6444dc4-0eb5-4084-a5d3-d7e5e2de86ab"/>
				<textElement textAlignment="Center">
					<font fontName="Tahoma" size="8" isBold="false"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<text><![CDATA[Mengetahui,]]></text>
			</staticText>
			<line>
				<reportElement x="23" y="55" width="183" height="1" uuid="d448b8e1-813a-4d55-8692-e420c2fecbaf"/>
				<graphicElement>
					<pen lineWidth="0.5"/>
				</graphicElement>
			</line>
			<textField>
				<reportElement x="667" y="2" width="120" height="11" uuid="646b34d1-849e-45c0-a383-7a5d3a16e290"/>
				<textElement textAlignment="Right">
					<font fontName="Tahoma" size="8"/>
					<paragraph lineSpacing="Single"/>
				</textElement>
				<textFieldExpression><![CDATA[$P{kotars}+", "]]></textFieldExpression>
			</textField>
		</band>
	</summary>
</jasperReport>
