<band height="804">
<rectangle>
<reportElement x="0" y="372" width="557" height="267"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</rectangle>
<rectangle>
<reportElement x="0" y="80" width="557" height="283"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</rectangle>
<rectangle>
<reportElement x="368" y="247" width="13" height="13"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</rectangle>
<rectangle>
<reportElement x="368" y="263" width="13" height="13"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</rectangle>
<rectangle>
<reportElement x="168" y="247" width="13" height="13"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</rectangle>
<rectangle>
<reportElement x="168" y="263" width="13" height="13"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</rectangle>
<rectangle>
<reportElement x="77" y="262" width="13" height="13"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</rectangle>
<rectangle>
<reportElement x="77" y="246" width="13" height="13"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</rectangle>
<textField>
<reportElement x="152" y="81" width="219" height="14"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{nama}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="152" y="93" width="219" height="14"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{jkel}]]></textFieldExpression>
</textField>
<textField pattern="">
<reportElement x="152" y="105" width="219" height="14"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{lahir}]]></textFieldExpression>
</textField>
<textField>
<reportElement mode="Transparent" x="423" y="81" width="133" height="14"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{norm}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="423" y="93" width="133" height="14"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{ruang}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="423" y="105" width="133" height="14"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="11" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{kelas}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="152" y="123" width="126" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{tanggaldaftar}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="301" y="123" width="77" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{jamdaftar}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="446" y="123" width="106" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{noreg}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="76" y="134" width="121" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{jkel}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="274" y="134" width="125" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{pendidikan}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="446" y="134" width="106" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{agama}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="76" y="145" width="121" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{bangsa}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="274" y="145" width="125" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{pekerjaan}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="446" y="145" width="106" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{status}]]></textFieldExpression>
</textField>
<textField isStretchWithOverflow="true">
<reportElement stretchType="RelativeToBandHeight" mode="Opaque" x="152" y="156" width="400" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{alamat}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="152" y="178" width="247" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{keluarga}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="446" y="167" width="106" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{telp}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="76" y="200" width="261" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{rujukandari}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="385" y="200" width="167" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{tanggaldaftar}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="79" y="247" width="15" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{chkri}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="79" y="263" width="15" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{chkrj}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="112" y="248" width="56" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{rike}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="112" y="264" width="56" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{rjke}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="170" y="248" width="15" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{chkruang}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="170" y="264" width="15" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{chkbangsal}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="220" y="248" width="143" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{riruang}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="220" y="264" width="143" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{rjruang}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="468" y="248" width="84" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{riterakhir}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="468" y="263" width="84" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{rjterakhir}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="370" y="248" width="15" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{chkkelri}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="370" y="264" width="15" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{chkkelrj}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="359" y="339" width="187" height="11"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{petugas}]]></textFieldExpression>
</textField>
<textField pattern="dd/MM/yyyy">
<reportElement x="288" y="571" width="119" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.util.Date"><![CDATA[$F{tanggal}]]></textFieldExpression>
</textField>
<textField pattern="HH.mm.ss">
<reportElement x="440" y="571" width="69" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.sql.Time"><![CDATA[$F{jam}]]></textFieldExpression>
</textField>
<line>
<reportElement x="0" y="56" width="557" height="1"/>
<graphicElement>
<pen lineWidth="1.25"/>
</graphicElement>
</line>
<rectangle>
<reportElement x="519" y="60" width="38" height="16"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</rectangle>
<staticText>
<reportElement x="521" y="61" width="34" height="13"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[RM 2D]]></text>
</staticText>
<staticText>
<reportElement x="5" y="123" width="141" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Tanggal dan Jam datang di IGD]]></text>
</staticText>
<staticText>
<reportElement x="378" y="81" width="40" height="14"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[No RM]]></text>
</staticText>
<staticText>
<reportElement x="378" y="93" width="40" height="14"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Ruang]]></text>
</staticText>
<staticText>
<reportElement x="378" y="105" width="40" height="14"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Kelas]]></text>
</staticText>
<staticText>
<reportElement x="416" y="81" width="7" height="14"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="416" y="93" width="7" height="14"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="416" y="105" width="7" height="14"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<line>
<reportElement x="0" y="120" width="557" height="1"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<line>
<reportElement x="372" y="80" width="1" height="40"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<staticText>
<reportElement x="145" y="81" width="7" height="14"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="76" y="81" width="70" height="14"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Nama Pasien]]></text>
</staticText>
<staticText>
<reportElement x="0" y="87" width="70" height="14"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[ASSESMEN]]></text>
</staticText>
<staticText>
<reportElement x="0" y="99" width="70" height="14"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[PASIEN IGD]]></text>
</staticText>
<line>
<reportElement x="70" y="80" width="1" height="40"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<staticText>
<reportElement x="76" y="93" width="70" height="14"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Jenis Kelamin]]></text>
</staticText>
<staticText>
<reportElement x="76" y="105" width="70" height="14"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[Tanggal Lahir]]></text>
</staticText>
<staticText>
<reportElement x="145" y="93" width="7" height="14"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="145" y="105" width="7" height="14"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="278" y="123" width="23" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Jam :]]></text>
</staticText>
<staticText>
<reportElement x="378" y="123" width="62" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[WIB No.Reg]]></text>
</staticText>
<staticText>
<reportElement x="5" y="134" width="65" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Jenis Kelamin]]></text>
</staticText>
<staticText>
<reportElement x="70" y="134" width="6" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="70" y="145" width="6" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="5" y="145" width="65" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Suku Bangsa]]></text>
</staticText>
<staticText>
<reportElement x="268" y="134" width="6" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="203" y="134" width="65" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Pendidikan]]></text>
</staticText>
<staticText>
<reportElement x="268" y="145" width="6" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="203" y="145" width="65" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Pekerjaan]]></text>
</staticText>
<staticText>
<reportElement x="440" y="134" width="6" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="405" y="134" width="35" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Agama]]></text>
</staticText>
<staticText>
<reportElement x="440" y="145" width="6" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="405" y="145" width="35" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Status]]></text>
</staticText>
<staticText>
<reportElement x="440" y="123" width="6" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="146" y="123" width="6" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="146" y="156" width="6" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="5" y="156" width="141" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Alamat dan No.Telp/HP Pasien]]></text>
</staticText>
<staticText>
<reportElement x="405" y="178" width="35" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Telp/HP]]></text>
</staticText>
<staticText>
<reportElement x="440" y="178" width="112" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[: .....................................]]></text>
</staticText>
<staticText>
<reportElement x="146" y="178" width="6" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="5" y="178" width="141" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Keluarga yang dapat dihubungi]]></text>
</staticText>
<staticText>
<reportElement x="5" y="200" width="65" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Rujukan dari]]></text>
</staticText>
<staticText>
<reportElement x="70" y="200" width="6" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="337" y="200" width="41" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Tanggal]]></text>
</staticText>
<staticText>
<reportElement x="378" y="200" width="6" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="70" y="211" width="267" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[: ........................................................................................]]></text>
</staticText>
<staticText>
<reportElement x="5" y="211" width="65" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Jenis Pelayanan]]></text>
</staticText>
<staticText>
<reportElement x="5" y="222" width="65" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[DPJP]]></text>
</staticText>
<staticText>
<reportElement x="70" y="222" width="267" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[: ........................................................................................]]></text>
</staticText>
<staticText>
<reportElement x="337" y="211" width="41" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Debitur]]></text>
</staticText>
<staticText>
<reportElement x="378" y="211" width="174" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[: .............................................................]]></text>
</staticText>
<staticText>
<reportElement x="337" y="222" width="41" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[PPJP]]></text>
</staticText>
<staticText>
<reportElement x="378" y="222" width="174" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[: .............................................................]]></text>
</staticText>
<staticText>
<reportElement x="70" y="247" width="6" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="5" y="247" width="65" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Rawat Inap]]></text>
</staticText>
<staticText>
<reportElement x="5" y="263" width="65" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Rawat Jalan]]></text>
</staticText>
<staticText>
<reportElement x="70" y="263" width="6" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="97" y="248" width="15" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Ke]]></text>
</staticText>
<staticText>
<reportElement x="97" y="264" width="15" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Ke]]></text>
</staticText>
<staticText>
<reportElement x="185" y="248" width="35" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Ruang :]]></text>
</staticText>
<staticText>
<reportElement x="80" y="257" width="6" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="185" y="264" width="35" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Ruang :]]></text>
</staticText>
<staticText>
<reportElement x="385" y="248" width="82" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Keluar Terakhir Tgl]]></text>
</staticText>
<staticText>
<reportElement x="385" y="263" width="82" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Keluar Terakhir Tgl]]></text>
</staticText>
<staticText>
<reportElement x="353" y="288" width="199" height="11"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Petugas Pendaftaran Pasien/TPPGD]]></text>
</staticText>
<line>
<reportElement x="0" y="354" width="557" height="1"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<staticText>
<reportElement x="353" y="339" width="6" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[(]]></text>
</staticText>
<staticText>
<reportElement x="546" y="339" width="6" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[)]]></text>
</staticText>
<staticText>
<reportElement x="6" y="374" width="81" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ASESMEN TRIASE]]></text>
</staticText>
<line>
<reportElement x="6" y="385" width="551" height="1"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<staticText>
<reportElement x="6" y="386" width="71" height="11"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[PENGKAJIAN]]></text>
</staticText>
<staticText>
<reportElement x="77" y="386" width="120" height="11"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[PUTIH]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="437" y="386" width="120" height="11" backcolor="#00FF00"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[HIJAU]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="317" y="386" width="120" height="11" backcolor="#FFFF00"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[KUNING]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="197" y="386" width="120" height="11" backcolor="#FF0000"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[MERAH]]></text>
</staticText>
<line>
<reportElement x="6" y="397" width="551" height="1"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<staticText>
<reportElement x="6" y="398" width="71" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Jalan Napas]]></text>
</staticText>
<staticText>
<reportElement x="77" y="398" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Obstruksi]]></text>
</staticText>
<staticText>
<reportElement x="197" y="398" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Obstruksi]]></text>
</staticText>
<staticText>
<reportElement x="437" y="398" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Paten]]></text>
</staticText>
<line>
<reportElement x="6" y="409" width="551" height="1"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<staticText>
<reportElement x="6" y="410" width="71" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Pernapasan]]></text>
</staticText>
<staticText>
<reportElement x="77" y="410" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Gagal nafas. Distress nafas]]></text>
</staticText>
<staticText>
<reportElement x="197" y="410" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Gagal nafas. Distres nafas]]></text>
</staticText>
<staticText>
<reportElement x="317" y="410" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Distress nafas ringan]]></text>
</staticText>
<staticText>
<reportElement x="437" y="410" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Bicara lancar, tak ada reaksi]]></text>
</staticText>
<staticText>
<reportElement x="77" y="420" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ berat/gangguan kesadaran,]]></text>
</staticText>
<staticText>
<reportElement x="77" y="430" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ sianosis, retraksi otot]]></text>
</staticText>
<staticText>
<reportElement x="77" y="440" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ pernafasan, tidak bisa]]></text>
</staticText>
<staticText>
<reportElement x="77" y="450" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ bicara lancar]]></text>
</staticText>
<staticText>
<reportElement x="197" y="420" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ berat(gangguan kesadaran,]]></text>
</staticText>
<staticText>
<reportElement x="197" y="430" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ sianosis, retraksi otot]]></text>
</staticText>
<staticText>
<reportElement x="197" y="450" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ bicara lancar)]]></text>
</staticText>
<staticText>
<reportElement x="197" y="440" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ pernafasan, tidak bisa]]></text>
</staticText>
<staticText>
<reportElement x="317" y="420" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ (masih bisa mengucapkan]]></text>
</staticText>
<staticText>
<reportElement x="317" y="430" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ kalimat, retraksi otot nafas]]></text>
</staticText>
<staticText>
<reportElement x="317" y="440" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ minimal)]]></text>
</staticText>
<staticText>
<reportElement x="437" y="420" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ oto nafas]]></text>
</staticText>
<line>
<reportElement x="6" y="461" width="551" height="1"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<staticText>
<reportElement x="6" y="462" width="71" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Sirkulasi]]></text>
</staticText>
<staticText>
<reportElement x="77" y="462" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Nadi tak teraba. Bradikari]]></text>
</staticText>
<staticText>
<reportElement x="77" y="472" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ /denyut tak teratur. Akral]]></text>
</staticText>
<staticText>
<reportElement x="77" y="482" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ dingin. Pendarahan tak]]></text>
</staticText>
<staticText>
<reportElement x="77" y="492" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ terkontrol]]></text>
</staticText>
<staticText>
<reportElement x="197" y="462" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Nadi tak teraba. Bradikari]]></text>
</staticText>
<staticText>
<reportElement x="197" y="472" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ /denyut tak teratur. Akral]]></text>
</staticText>
<staticText>
<reportElement x="197" y="482" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ dingin. Pendarahan tak]]></text>
</staticText>
<staticText>
<reportElement x="197" y="492" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ terkontrol]]></text>
</staticText>
<staticText>
<reportElement x="317" y="462" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Takikardi. Akral hangat]]></text>
</staticText>
<staticText>
<reportElement x="437" y="462" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Nadi kuat. Akral hangat]]></text>
</staticText>
<line>
<reportElement x="6" y="503" width="551" height="1"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<staticText>
<reportElement x="6" y="504" width="71" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ GCS]]></text>
</staticText>
<staticText>
<reportElement x="77" y="504" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ GCS 3]]></text>
</staticText>
<staticText>
<reportElement x="197" y="504" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ GCS < 7]]></text>
</staticText>
<staticText>
<reportElement x="317" y="504" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ GCS 9 - 13]]></text>
</staticText>
<staticText>
<reportElement x="437" y="504" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ GCS 14 - 15]]></text>
</staticText>
<line>
<reportElement x="6" y="515" width="551" height="1"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<staticText>
<reportElement x="6" y="516" width="71" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Nyeri]]></text>
</staticText>
<staticText>
<reportElement x="77" y="516" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ -]]></text>
</staticText>
<staticText>
<reportElement x="197" y="516" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ -]]></text>
</staticText>
<staticText>
<reportElement x="317" y="516" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Nyeri sedang - berat]]></text>
</staticText>
<staticText>
<reportElement x="437" y="516" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Nyeri ringan]]></text>
</staticText>
<line>
<reportElement x="6" y="527" width="551" height="1"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<staticText>
<reportElement x="6" y="528" width="71" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Kondisi Mental]]></text>
</staticText>
<staticText>
<reportElement x="77" y="528" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ -]]></text>
</staticText>
<staticText>
<reportElement x="197" y="528" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ -]]></text>
</staticText>
<staticText>
<reportElement x="317" y="528" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Agitasi. Tidak Kooporatif]]></text>
</staticText>
<staticText>
<reportElement x="437" y="528" width="120" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[ Kooporatif]]></text>
</staticText>
<line>
<reportElement x="6" y="539" width="551" height="1"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<line>
<reportElement x="5" y="385" width="1" height="155"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<line>
<reportElement x="76" y="385" width="1" height="155"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<line>
<reportElement x="196" y="385" width="1" height="155"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<line>
<reportElement x="316" y="385" width="1" height="155"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<line>
<reportElement x="437" y="385" width="1" height="155"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<staticText>
<reportElement x="18" y="540" width="424" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Hitam Diteruskan ke instalasi pemulasaraan jenazah setelah observasi 2 jam]]></text>
</staticText>
<line>
<reportElement x="0" y="551" width="557" height="1"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<staticText>
<reportElement x="6" y="552" width="106" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Diteruskan kepada unit :]]></text>
</staticText>
<line>
<reportElement x="0" y="568" width="557" height="1"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<staticText>
<reportElement x="6" y="571" width="139" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Tanda Tangan Petugas Triage]]></text>
</staticText>
<line>
<reportElement x="237" y="568" width="1" height="71"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<staticText>
<reportElement x="242" y="571" width="46" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Tanggal :]]></text>
</staticText>
<staticText>
<reportElement x="407" y="571" width="32" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[Jam :]]></text>
</staticText>
<staticText>
<reportElement x="511" y="571" width="46" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[WIB]]></text>
</staticText>
<staticText>
<reportElement x="7" y="625" width="230" height="11"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<text><![CDATA[.............................................................................]]></text>
</staticText>
<line>
<reportElement x="0" y="698" width="557" height="1"/>
<graphicElement>
<pen lineWidth="2.0" lineStyle="Solid"/>
</graphicElement>
</line>
<staticText>
<reportElement x="0" y="699" width="230" height="20"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="11"/>
</textElement>
<text><![CDATA[REKAM MEDIS GAWAT DARURAT]]></text>
</staticText>
<textField>
<reportElement x="49" y="4" width="461" height="17"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="13"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{namars}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="49" y="29" width="461" height="14"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{kontakrs}]]></textFieldExpression>
</textField>
<image scaleImage="FillFrame" onErrorType="Blank">
<reportElement x="0" y="4" width="49" height="49"/>
<imageExpression class="java.io.InputStream"><![CDATA[$P{logo}]]></imageExpression>
</image>
<textField>
<reportElement x="49" y="18" width="461" height="14"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{alamatrs}+", "+$P{kotars}+", "+$P{propinsirs}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="49" y="39" width="461" height="14"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA["E-mail : "+$P{emailrs}]]></textFieldExpression>
</textField>
<textField pattern="">
<reportElement x="5" y="234" width="547" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="9"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA["PERNAH DIRAWAT DI "+$P{namars}.toUpperCase()+" :"]]></textFieldExpression>
</textField>
</band>