<band height="895">
<textField>
<reportElement mode="Transparent" x="211" y="217" width="338" height="14"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{nm_pasien}]]></textFieldExpression>
</textField>
<line>
<reportElement x="42" y="74" width="508" height="1"/>
<graphicElement>
<pen lineWidth="1.75" lineStyle="Double"/>
</graphicElement>
</line>
<staticText>
<reportElement x="48" y="217" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Nama Lengkap]]></text>
</staticText>
<image scaleImage="FillFrame" onErrorType="Blank">
<reportElement x="48" y="18" width="51" height="51"/>
<imageExpression class="java.io.InputStream"><![CDATA[$P{logo}]]></imageExpression>
</image>
<textField>
<reportElement x="112" y="56" width="439" height="14"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="10"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA["E-mail : "+$P{emailrs}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="112" y="45" width="439" height="14"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="10"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{kontakrs}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="112" y="18" width="439" height="17"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="14"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{namars}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="112" y="34" width="439" height="14"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="10"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{alamatrs}+", "+$P{kotars}+", "+$P{propinsirs}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="42" y="82" width="509" height="18"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="12" isBold="true"/>
</textElement>
<text><![CDATA[RINGKASAN MASUK - KELUAR PASIEN]]></text>
</staticText>
<staticText>
<reportElement x="204" y="217" width="5" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="204" y="157" width="5" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="48" y="157" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[No. Rekam Medis]]></text>
</staticText>
<staticText>
<reportElement x="204" y="236" width="5" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="48" y="236" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Umur]]></text>
</staticText>
<textField>
<reportElement mode="Transparent" x="211" y="236" width="86" height="14"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{umur}]]></textFieldExpression>
</textField>
<textField>
<reportElement mode="Transparent" x="436" y="236" width="113" height="14"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{jk}.replaceAll("L","Lk").replaceAll("P","Pr")]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="429" y="236" width="5" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="352" y="236" width="77" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Jenis Kelamin]]></text>
</staticText>
<textField>
<reportElement mode="Transparent" x="211" y="369" width="340" height="40"/>
<textElement verticalAlignment="Top" lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{alamat}+" "+$F{no_tlp}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="204" y="369" width="5" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="48" y="369" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Alamat Lengkap & Telepon]]></text>
</staticText>
<textField>
<reportElement mode="Transparent" x="211" y="350" width="287" height="14"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{png_jawab}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="204" y="350" width="5" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="48" y="350" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Asuransi / Instansi]]></text>
</staticText>
<staticText>
<reportElement x="48" y="121" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Kamar]]></text>
</staticText>
<staticText>
<reportElement x="204" y="121" width="345" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: ................................................. Pindah : .............................]]></text>
</staticText>
<staticText>
<reportElement x="48" y="139" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Tanggal Masuk]]></text>
</staticText>
<staticText>
<reportElement x="204" y="139" width="5" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<textField pattern="dd/MM/yyyy">
<reportElement mode="Transparent" x="211" y="139" width="287" height="14"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.util.Date"><![CDATA[new Date()]]></textFieldExpression>
</textField>
<componentElement>
<reportElement x="211" y="157" width="200" height="27"/>
<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="50">
<jr:codeExpression><![CDATA[$F{no_rkm_medis}]]></jr:codeExpression>
</jr:barbecue>
</componentElement>
<staticText>
<reportElement x="48" y="255" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Tempat Tanggal Lahir]]></text>
</staticText>
<staticText>
<reportElement x="204" y="255" width="5" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<textField>
<reportElement mode="Transparent" x="211" y="255" width="141" height="14"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{tmp_lahir}]]></textFieldExpression>
</textField>
<textField pattern="dd/MM/yyyy">
<reportElement mode="Transparent" x="352" y="255" width="141" height="14"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.util.Date"><![CDATA[$F{tgl_lahir}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="204" y="274" width="148" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: ......................................]]></text>
</staticText>
<staticText>
<reportElement x="48" y="274" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Nama Suami/Ayah]]></text>
</staticText>
<staticText>
<reportElement x="352" y="274" width="77" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Nama Ibu]]></text>
</staticText>
<staticText>
<reportElement x="429" y="274" width="5" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<textField>
<reportElement mode="Transparent" x="436" y="274" width="113" height="14"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{nm_ibu}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="429" y="293" width="5" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<textField>
<reportElement mode="Transparent" x="436" y="293" width="113" height="14"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{keluarga}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="48" y="293" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Nama Penanggung Jawab]]></text>
</staticText>
<staticText>
<reportElement x="352" y="293" width="77" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Hubungan]]></text>
</staticText>
<staticText>
<reportElement x="204" y="293" width="5" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<textField>
<reportElement mode="Transparent" x="211" y="293" width="141" height="14"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{namakeluarga}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="48" y="312" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Agama]]></text>
</staticText>
<staticText>
<reportElement x="429" y="312" width="5" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<textField>
<reportElement mode="Transparent" x="436" y="312" width="113" height="14"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{stts_nikah}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="204" y="312" width="5" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="352" y="312" width="77" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Status Kawin]]></text>
</staticText>
<textField>
<reportElement mode="Transparent" x="211" y="312" width="141" height="14"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{agama}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="48" y="331" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Pekerjaan]]></text>
</staticText>
<staticText>
<reportElement x="204" y="331" width="5" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<textField>
<reportElement mode="Transparent" x="211" y="331" width="287" height="14"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{pekerjaan}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="204" y="420" width="347" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: ..................................................................................................]]></text>
</staticText>
<staticText>
<reportElement x="48" y="420" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Anamnesa Umum]]></text>
</staticText>
<staticText>
<reportElement x="204" y="439" width="347" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: ..................................................................................................]]></text>
</staticText>
<staticText>
<reportElement x="48" y="466" width="156" height="18"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="12" isBold="true"/>
</textElement>
<text><![CDATA[PEMERIKSAAN KHUSUS]]></text>
</staticText>
<staticText>
<reportElement x="204" y="466" width="160" height="18"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="12" isBold="true"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="48" y="497" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Keadaan Umum]]></text>
</staticText>
<staticText>
<reportElement x="204" y="497" width="148" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: ......................................]]></text>
</staticText>
<staticText>
<reportElement x="352" y="497" width="77" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Kesadaran]]></text>
</staticText>
<staticText>
<reportElement x="429" y="497" width="122" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: ................................]]></text>
</staticText>
<staticText>
<reportElement x="48" y="516" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Tanda Vital]]></text>
</staticText>
<staticText>
<reportElement x="204" y="516" width="14" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: ]]></text>
</staticText>
<staticText>
<reportElement x="352" y="516" width="77" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[TB]]></text>
</staticText>
<staticText>
<reportElement x="429" y="516" width="122" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: ................................]]></text>
</staticText>
<staticText>
<reportElement x="218" y="516" width="40" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[BB]]></text>
</staticText>
<staticText>
<reportElement x="258" y="516" width="94" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: .......................]]></text>
</staticText>
<staticText>
<reportElement x="258" y="536" width="94" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: .......................]]></text>
</staticText>
<staticText>
<reportElement x="352" y="536" width="77" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Temp.]]></text>
</staticText>
<staticText>
<reportElement x="218" y="536" width="40" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[TD]]></text>
</staticText>
<staticText>
<reportElement x="429" y="536" width="122" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: ................................]]></text>
</staticText>
<staticText>
<reportElement x="258" y="556" width="94" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: .......................]]></text>
</staticText>
<staticText>
<reportElement x="218" y="556" width="40" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Nadi]]></text>
</staticText>
<staticText>
<reportElement x="352" y="556" width="77" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Respirasi]]></text>
</staticText>
<staticText>
<reportElement x="429" y="556" width="122" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: ................................]]></text>
</staticText>
<staticText>
<reportElement x="48" y="576" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Lain-lain / Keterangan]]></text>
</staticText>
<staticText>
<reportElement x="204" y="576" width="347" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: .................................................................................................]]></text>
</staticText>
<staticText>
<reportElement x="204" y="612" width="347" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: 1. ..............................................................................................]]></text>
</staticText>
<staticText>
<reportElement x="48" y="612" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Dokter yang merawat]]></text>
</staticText>
<staticText>
<reportElement x="204" y="632" width="347" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: 2. ..............................................................................................]]></text>
</staticText>
<staticText>
<reportElement x="48" y="666" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Diagnosa Awal]]></text>
</staticText>
<staticText>
<reportElement x="204" y="666" width="148" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: ......................................]]></text>
</staticText>
<staticText>
<reportElement x="352" y="666" width="77" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Kode]]></text>
</staticText>
<staticText>
<reportElement x="429" y="666" width="121" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: ................................]]></text>
</staticText>
<staticText>
<reportElement x="352" y="686" width="77" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Kode]]></text>
</staticText>
<staticText>
<reportElement x="48" y="686" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Diagnosa Utama]]></text>
</staticText>
<staticText>
<reportElement x="204" y="686" width="148" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: ......................................]]></text>
</staticText>
<staticText>
<reportElement x="429" y="686" width="121" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: ................................]]></text>
</staticText>
<staticText>
<reportElement x="48" y="706" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Diagnosa Tambahan]]></text>
</staticText>
<staticText>
<reportElement x="352" y="706" width="77" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Kode]]></text>
</staticText>
<staticText>
<reportElement x="204" y="706" width="148" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: ......................................]]></text>
</staticText>
<staticText>
<reportElement x="429" y="706" width="121" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: ................................]]></text>
</staticText>
<staticText>
<reportElement x="352" y="727" width="77" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Kode]]></text>
</staticText>
<staticText>
<reportElement x="204" y="727" width="148" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: ......................................]]></text>
</staticText>
<staticText>
<reportElement x="48" y="727" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Operasi / Tindakan]]></text>
</staticText>
<staticText>
<reportElement x="429" y="727" width="121" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: ................................]]></text>
</staticText>
<staticText>
<reportElement x="48" y="747" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Tanggal Pulang]]></text>
</staticText>
<staticText>
<reportElement x="204" y="747" width="345" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: .................................................................................................]]></text>
</staticText>
<staticText>
<reportElement x="48" y="767" width="156" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Hasil]]></text>
</staticText>
<staticText>
<reportElement x="204" y="767" width="345" height="14"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[: Sembuh / Dirujuk / Meninggal < 48 jam / Meninggal > 48 jam]]></text>
</staticText>
<textField>
<reportElement mode="Transparent" x="228" y="184" width="183" height="29"/>
<textElement verticalAlignment="Top" lineSpacing="Single">
<font fontName="Tahoma" size="23" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{no_rkm_medis}]]></textFieldExpression>
</textField>
</band>