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<pen lineWidth="0.5"/>
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<line>
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<pen lineWidth="4.0" lineStyle="Double"/>
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<line>
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<pen lineWidth="0.5" lineStyle="Solid"/>
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<reportElement x="49" y="106" width="84" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Nomor Kode RS]]></text>
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<staticText>
<reportElement x="49" y="119" width="84" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Nama Pasien]]></text>
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<staticText>
<reportElement x="49" y="132" width="84" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[No. RM]]></text>
</staticText>
<staticText>
<reportElement x="49" y="145" width="84" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Jenis Kelamin]]></text>
</staticText>
<staticText>
<reportElement x="118" y="106" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
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<staticText>
<reportElement x="118" y="119" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="118" y="132" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
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<staticText>
<reportElement x="118" y="145" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
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<textField pattern="dd/MM/yyyy">
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<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
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<textFieldExpression class="java.lang.String"><![CDATA[3276124]]></textFieldExpression>
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<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
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<textFieldExpression class="java.lang.String"><![CDATA[$F{nm_pasien}]]></textFieldExpression>
</textField>
<textField pattern="">
<reportElement x="122" y="132" width="165" height="12"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{no_rkm_medis}]]></textFieldExpression>
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<textField pattern="">
<reportElement x="122" y="145" width="165" height="12"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{jk}.equals("L")? "Laki-Laki":"Perempuan"]]></textFieldExpression>
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<staticText>
<reportElement x="118" y="171" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
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<textField pattern="">
<reportElement x="122" y="171" width="165" height="12"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{no_peserta}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="50" y="171" width="68" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[No. Kartu Pasien]]></text>
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<textField pattern="dd/MM/yyyy" isBlankWhenNull="true">
<reportElement x="122" y="158" width="165" height="12"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{tgl_lahir}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="49" y="158" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Tanggal Lahir]]></text>
</staticText>
<staticText>
<reportElement x="118" y="158" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<line>
<reportElement x="41" y="191" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5" lineStyle="Solid"/>
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</line>
<staticText>
<reportElement x="46" y="194" width="117" height="12"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9" isBold="true"/>
</textElement>
<text><![CDATA[A. DIAGNOSIS]]></text>
</staticText>
<line>
<reportElement x="41" y="208" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5" lineStyle="Solid"/>
</graphicElement>
</line>
<line>
<reportElement x="41" y="337" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5" lineStyle="Solid"/>
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</line>
<staticText>
<reportElement x="357" y="765" width="194" height="12"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Dokter yang merawat]]></text>
</staticText>
<textField pattern="">
<reportElement x="357" y="846" width="194" height="12"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{nm_dokter}]]></textFieldExpression>
</textField>
<textField pattern="">
<reportElement x="371" y="119" width="170" height="12"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{tgl_registrasi}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="290" y="119" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Tanggal Registrasi]]></text>
</staticText>
<staticText>
<reportElement x="367" y="119" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="290" y="106" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Poliklinik]]></text>
</staticText>
<staticText>
<reportElement x="367" y="106" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="428" y="194" width="117" height="12"/>
<textElement textAlignment="Right" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9" isBold="true"/>
</textElement>
<text><![CDATA[Kode ICD X]]></text>
</staticText>
<line>
<reportElement x="41" y="319" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5" lineStyle="Solid"/>
</graphicElement>
</line>
<line>
<reportElement x="41" y="468" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5" lineStyle="Solid"/>
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</line>
<line>
<reportElement x="41" y="486" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5" lineStyle="Solid"/>
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</line>
<line>
<reportElement x="42" y="601" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5" lineStyle="Solid"/>
</graphicElement>
</line>
<line>
<reportElement x="42" y="583" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5" lineStyle="Solid"/>
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</line>
<staticText>
<reportElement x="428" y="323" width="117" height="12"/>
<textElement textAlignment="Right" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9" isBold="true"/>
</textElement>
<text><![CDATA[Kode ICD IX]]></text>
</staticText>
<staticText>
<reportElement x="46" y="323" width="189" height="12"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9" isBold="true"/>
</textElement>
<text><![CDATA[B. TINDAKAN / PROSEDUR]]></text>
</staticText>
<staticText>
<reportElement x="47" y="472" width="189" height="12"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9" isBold="true"/>
</textElement>
<text><![CDATA[C. PEMERIKSAAN PENUNJANG]]></text>
</staticText>
<staticText>
<reportElement x="48" y="587" width="189" height="12"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9" isBold="true"/>
</textElement>
<text><![CDATA[D. BIAYA]]></text>
</staticText>
<textField>
<reportElement x="357" y="753" width="103" height="12"/>
<textElement textAlignment="Right" verticalAlignment="Middle" lineSpacing="Single" markup="none">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{kotars}+", "]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="41" y="78" width="510" height="20"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="12" isBold="true"/>
</textElement>
<text><![CDATA[LEMBAR CASEMIX]]></text>
</staticText>
<staticText>
<reportElement x="50" y="220" width="219" height="12"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9" isBold="true"/>
</textElement>
<text><![CDATA[Diagnosis utama :]]></text>
</staticText>
<staticText>
<reportElement x="50" y="270" width="219" height="12"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9" isBold="true"/>
</textElement>
<text><![CDATA[Diagnosis Sekunder :]]></text>
</staticText>
<staticText>
<reportElement x="50" y="360" width="181" height="12"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9" isBold="true"/>
</textElement>
<text><![CDATA[Operatif :]]></text>
</staticText>
<staticText>
<reportElement x="50" y="410" width="181" height="12"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9" isBold="true"/>
</textElement>
<text><![CDATA[Non Operatif :]]></text>
</staticText>
<image scaleImage="FillFrame" onErrorType="Blank">
<reportElement x="50" y="0" width="68" height="68"/>
<imageExpression class="java.io.InputStream"><![CDATA[$P{logo}]]></imageExpression>
</image>
<textField pattern="">
<reportElement x="371" y="106" width="170" height="12"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{nm_poli}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="290" y="132" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Jam Registrasi]]></text>
</staticText>
<textField pattern="">
<reportElement x="371" y="132" width="170" height="12"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{jam_reg}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="367" y="132" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="367" y="145" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="290" y="145" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Nama Dokter]]></text>
</staticText>
<textField pattern="">
<reportElement x="371" y="145" width="170" height="12"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{nm_dokter}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="120" y="0" width="431" height="17"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="14" isBold="true"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{namars}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="120" y="31" width="430" height="37"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="10"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{alamatrs}+", "+$P{kotars}+", "+$P{propinsirs}+", "+$P{kontakrs}+", "+
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<staticText>
<reportElement x="133" y="17" width="405" height="15"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[C A R E | C O M M I T M E N T | C O N S C I E N C E]]></text>
</staticText>
<staticText>
<reportElement x="290" y="158" width="77" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[No. Registrasi]]></text>
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<textField pattern="">
<reportElement x="371" y="158" width="170" height="12"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
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<textFieldExpression class="java.lang.String"><![CDATA[$F{no_reg}]]></textFieldExpression>
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<staticText>
<reportElement x="367" y="158" width="3" height="12"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<textField pattern="dd/MM/yyyy" isBlankWhenNull="false">
<reportElement key="textField" x="460" y="753" width="91" height="12" forecolor="#000000" backcolor="#FFFFFF"/>
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<topPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
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<bottomPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
<rightPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
</box>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<textFieldExpression class="java.util.Date"><![CDATA[new Date()]]></textFieldExpression>
</textField>
</band>