<band height="896" splitType="Stretch">
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<textElement verticalAlignment="Middle">
<font size="18" isBold="true"/>
<paragraph lineSpacing="Single"/>
</textElement>
<textFieldExpression><![CDATA[$F{pasien_no_rkm_medis}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="0" y="0" width="81" height="32" uuid="bac7a2ae-c726-42a0-9bf4-34c33da908fe"/>
<textElement textAlignment="Left" verticalAlignment="Middle">
<font size="18" isBold="true"/>
</textElement>
<text><![CDATA[NO. RM :]]></text>
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<textElement textAlignment="Center">
<font size="15" isBold="true" isUnderline="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{setting_nama_instansi}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="109" y="52" width="461" height="20" uuid="53d7fc65-f0c6-444e-9f68-578b705aa376"/>
<textElement textAlignment="Center" verticalAlignment="Middle">
<font isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{setting_alamat_instansi}+" "+$F{setting_kontak}]]></textFieldExpression>
</textField>
<staticText>
<reportElement mode="Opaque" x="0" y="270" width="81" height="26" backcolor="#DCE6DC" uuid="6e676148-81b0-4cd8-9227-cb9a9ae1728d"/>
<textElement textAlignment="Center" verticalAlignment="Middle">
<font fontName="Arial" isBold="true"/>
<paragraph lineSpacing="Single"/>
</textElement>
<text><![CDATA[TANGGAL]]></text>
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<staticText>
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<textElement textAlignment="Center" verticalAlignment="Middle">
<font fontName="Arial" isBold="true"/>
<paragraph lineSpacing="Single"/>
</textElement>
<text><![CDATA[POLIKLINIK YANG DIKUNJUNGI]]></text>
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<staticText>
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<textElement textAlignment="Center" verticalAlignment="Middle">
<font fontName="Arial" isBold="true"/>
<paragraph lineSpacing="Single"/>
</textElement>
<text><![CDATA[DIAGNOSA PEMERIKSAAN]]></text>
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<staticText>
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<textElement textAlignment="Center" verticalAlignment="Middle">
<font fontName="Arial" isBold="true"/>
<paragraph lineSpacing="Single"/>
</textElement>
<text><![CDATA[TTD DOKTER POLIKLINIK]]></text>
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<textElement textAlignment="Center" verticalAlignment="Middle">
<font fontName="Arial" isBold="true"/>
<paragraph lineSpacing="Single"/>
</textElement>
<text><![CDATA[THERAPI]]></text>
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<line>
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<textField pattern="dd MMMMM yyyy">
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<textElement textAlignment="Center" verticalAlignment="Middle"/>
<textFieldExpression><![CDATA[new java.util.Date()]]></textFieldExpression>
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<textField pattern="h.mm.ss a">
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<textElement textAlignment="Center" verticalAlignment="Middle"/>
<textFieldExpression><![CDATA[new java.util.Date()]]></textFieldExpression>
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<line>
<reportElement x="0" y="270" width="571" height="1" uuid="cc37af42-7607-479c-983b-010e62ead422"/>
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<line>
<reportElement x="1" y="270" width="1" height="626" uuid="2ae5bc9d-c4f1-4668-a486-4fde2c5efbc4"/>
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<line>
<reportElement x="81" y="270" width="1" height="626" uuid="49311074-5afb-4bf6-9db7-4437a3f91483"/>
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<line>
<reportElement x="374" y="271" width="1" height="625" uuid="40fb7c19-4151-446b-b327-8f0ca3c4f947"/>
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<line>
<reportElement x="197" y="270" width="1" height="626" uuid="29d309d5-d1e3-44ae-aaef-99b2aae667c7"/>
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<line>
<reportElement x="490" y="270" width="1" height="626" uuid="a0386e73-9306-46c8-9e0a-6add087197b7"/>
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<line>
<reportElement x="570" y="270" width="1" height="626" uuid="6afa3102-156d-4b47-998f-992e8d380f73"/>
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<line>
<reportElement x="0" y="895" width="570" height="1" uuid="472f70df-0557-49a1-a6d3-cccf4ac890de"/>
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<textField>
<reportElement x="420" y="241" width="129" height="20" uuid="c8087fbe-c760-4d5f-a6ea-f6dad3444190"/>
<textElement textAlignment="Left" verticalAlignment="Middle">
<font fontName="Arial" size="11" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{pasien_no_tlp}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="310" y="203" width="100" height="20" uuid="d53eb0ea-946e-4d15-b332-bf38abf97271"/>
<textElement verticalAlignment="Middle">
<font fontName="Arial" size="11" isBold="true"/>
</textElement>
<text><![CDATA[Kelompok Pasien]]></text>
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<staticText>
<reportElement x="1" y="90" width="569" height="27" uuid="7bb1861a-85f8-4c02-bdb2-8bdeed8d138e"/>
<textElement textAlignment="Center">
<font fontName="Arial Narrow" size="20" isBold="true"/>
</textElement>
<text><![CDATA[INSTALASI RAWAT JALAN]]></text>
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<line>
<reportElement x="1" y="117" width="569" height="1" uuid="a4995444-24b7-4ae5-8c46-bf0878a4b80b"/>
<graphicElement>
<pen lineWidth="2.0"/>
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<textElement verticalAlignment="Middle">
<font fontName="Arial" size="11" isBold="true"/>
</textElement>
<text><![CDATA[Pekerjaan]]></text>
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<staticText>
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<textElement verticalAlignment="Middle">
<font fontName="Arial" size="11" isBold="true"/>
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<text><![CDATA[Pendidikan]]></text>
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<staticText>
<reportElement x="310" y="146" width="100" height="20" uuid="73fd5fc8-cddb-4bfb-ae40-df8ecb7f7a1f"/>
<textElement verticalAlignment="Middle">
<font fontName="Arial" size="11" isBold="true"/>
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<text><![CDATA[Agama]]></text>
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<staticText>
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<textElement verticalAlignment="Middle">
<font fontName="Arial" size="11" isBold="true"/>
</textElement>
<text><![CDATA[Gol. Darah]]></text>
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<staticText>
<reportElement x="310" y="222" width="100" height="20" uuid="2ce6082a-0c09-4362-aa58-9c549c8b7cf9"/>
<textElement verticalAlignment="Middle">
<font fontName="Arial" size="11" isBold="true"/>
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<text><![CDATA[No. Asuransi]]></text>
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<staticText>
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<textElement verticalAlignment="Middle">
<font fontName="Arial" size="11" isBold="true"/>
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<text><![CDATA[No. Telp / HP]]></text>
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<staticText>
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<textElement textAlignment="Center" verticalAlignment="Middle">
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<text><![CDATA[:]]></text>
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<staticText>
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<text><![CDATA[:]]></text>
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<text><![CDATA[:]]></text>
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<text><![CDATA[:]]></text>
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<text><![CDATA[:]]></text>
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<text><![CDATA[:]]></text>
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<text><![CDATA[:]]></text>
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<textField>
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<textElement textAlignment="Left" verticalAlignment="Middle">
<font fontName="Arial" size="11" isBold="true"/>
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<textFieldExpression><![CDATA[$F{pasien_gol_darah}]]></textFieldExpression>
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<textField>
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<textElement textAlignment="Left" verticalAlignment="Middle">
<font fontName="Arial" size="11" isBold="true"/>
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<textFieldExpression><![CDATA[$F{pasien_agama}]]></textFieldExpression>
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<textField>
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<textElement textAlignment="Left" verticalAlignment="Middle">
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<textFieldExpression><![CDATA[$F{pasien_pekerjaan}]]></textFieldExpression>
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<textField>
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<textElement textAlignment="Left" verticalAlignment="Middle">
<font fontName="Arial" size="11" isBold="true"/>
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<textFieldExpression><![CDATA[$F{pasien_pnd}]]></textFieldExpression>
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<textField>
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<textElement textAlignment="Left" verticalAlignment="Middle">
<font fontName="Arial" size="11" isBold="true"/>
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<textFieldExpression><![CDATA[$F{pasien_no_peserta}]]></textFieldExpression>
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<textField>
<reportElement x="420" y="203" width="129" height="20" uuid="224d9eb6-e5f1-4f8a-82e9-f4e21b7832e3"/>
<textElement textAlignment="Left" verticalAlignment="Middle">
<font fontName="Arial" size="11" isBold="true"/>
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<textFieldExpression><![CDATA[$F{penjab_png_jawab}]]></textFieldExpression>
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<staticText>
<reportElement x="12" y="127" width="100" height="20" uuid="2a706a59-6559-4232-bf60-89f4637777a2"/>
<textElement verticalAlignment="Middle">
<font fontName="Arial" size="11" isBold="true"/>
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<text><![CDATA[Nama]]></text>
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<staticText>
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<text><![CDATA[:]]></text>
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<textElement textAlignment="Left" verticalAlignment="Middle">
<font fontName="Arial" size="11" isBold="true"/>
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<textFieldExpression><![CDATA[$F{pasien_nm_pasien}]]></textFieldExpression>
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<staticText>
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<textElement verticalAlignment="Middle">
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<text><![CDATA[Umur/Jns Kelamin]]></text>
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<staticText>
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<text><![CDATA[:]]></text>
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<textElement textAlignment="Left" verticalAlignment="Middle">
<font fontName="Arial" size="11" isBold="true"/>
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<textFieldExpression><![CDATA[$F{pasien_umur}+" / "+$F{pasien_jk}]]></textFieldExpression>
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<text><![CDATA[Alamat]]></text>
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<staticText>
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<text><![CDATA[:]]></text>
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<textElement textAlignment="Left" verticalAlignment="Middle">
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<textFieldExpression><![CDATA[$F{pasien_alamat}]]></textFieldExpression>
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<textField>
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<textElement textAlignment="Left" verticalAlignment="Top">
<font fontName="Arial" size="11" isBold="true"/>
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<textFieldExpression><![CDATA[$F{kelurahan_nm_kel}+"-"+$F{kecamatan_nm_kec}+"-"+$F{kabupaten_nm_kab}]]></textFieldExpression>
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<text><![CDATA[Status Marital]]></text>
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<textFieldExpression><![CDATA[$F{pasien_stts_nikah}]]></textFieldExpression>
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<staticText>
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<text><![CDATA[:]]></text>
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<textElement textAlignment="Center" verticalAlignment="Middle"/>
<textFieldExpression><![CDATA[$F{poliklinik_nm_poli}]]></textFieldExpression>
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<textField>
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<textElement textAlignment="Center" verticalAlignment="Middle">
<font size="12" isBold="true"/>
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<textFieldExpression><![CDATA[$F{setting_kabupaten}]]></textFieldExpression>
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<imageExpression><![CDATA[$F{setting_logo}]]></imageExpression>
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