<band height="802">
<rectangle>
<reportElement x="22" y="14" width="510" height="385"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</rectangle>
<textField>
<reportElement mode="Opaque" x="232" y="86" width="200" height="27"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="22" isBold="true"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{no_rkm_medis}]]></textFieldExpression>
</textField>
<textField>
<reportElement mode="Opaque" x="154" y="119" width="190" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{nm_pasien}]]></textFieldExpression>
</textField>
<textField>
<reportElement mode="Opaque" x="153" y="147" width="240" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{no_ktp}]]></textFieldExpression>
</textField>
<textField>
<reportElement mode="Opaque" x="153" y="165" width="230" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{agama}]]></textFieldExpression>
</textField>
<textField>
<reportElement mode="Opaque" x="153" y="186" width="230" height="13"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{stts_nikah}]]></textFieldExpression>
</textField>
<textField>
<reportElement mode="Opaque" x="153" y="207" width="230" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{pekerjaan}]]></textFieldExpression>
</textField>
<textField>
<reportElement mode="Opaque" x="153" y="227" width="375" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{alamat}]]></textFieldExpression>
</textField>
<textField pattern="dd/MM/yyyy">
<reportElement mode="Opaque" x="475" y="164" width="52" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.util.Date"><![CDATA[$F{tgl_lahir}]]></textFieldExpression>
</textField>
<textField pattern="">
<reportElement mode="Opaque" x="475" y="186" width="52" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{jk}]]></textFieldExpression>
</textField>
<textField>
<reportElement mode="Opaque" x="153" y="267" width="202" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{namakeluarga}]]></textFieldExpression>
</textField>
<textField>
<reportElement mode="Opaque" x="453" y="267" width="75" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{keluarga}]]></textFieldExpression>
</textField>
<textField>
<reportElement mode="Opaque" x="153" y="307" width="375" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{alamatpj}]]></textFieldExpression>
</textField>
<textField>
<reportElement mode="Opaque" x="254" y="325" width="243" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{namakeluarga}]]></textFieldExpression>
</textField>
<textField>
<reportElement mode="Opaque" x="254" y="346" width="274" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{alamatpj}]]></textFieldExpression>
</textField>
<textField>
<reportElement mode="Opaque" x="254" y="360" width="274" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{no_tlp}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="146" y="71" width="269" height="16"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="12"/>
</textElement>
<text><![CDATA[IDENTITAS PASIEN]]></text>
</staticText>
<line>
<reportElement x="22" y="70" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="22" y="86" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<staticText>
<reportElement x="29" y="87" width="177" height="27"/>
<textElement textAlignment="Left" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="14"/>
</textElement>
<text><![CDATA[NOMOR REKAM MEDIK]]></text>
</staticText>
<line>
<reportElement x="206" y="87" width="1" height="27"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="22" y="114" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<rectangle>
<reportElement x="482" y="91" width="40" height="19"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</rectangle>
<staticText>
<reportElement x="482" y="91" width="40" height="19"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="12"/>
</textElement>
<text><![CDATA[RM 1]]></text>
</staticText>
<staticText>
<reportElement x="29" y="119" width="117" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[NAMA PASIEN]]></text>
</staticText>
<staticText>
<reportElement x="146" y="119" width="6" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="146" y="146" width="6" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="350" y="119" width="56" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[NAMA IBU :]]></text>
</staticText>
<line>
<reportElement x="22" y="132" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<staticText>
<reportElement x="29" y="134" width="117" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[NO Identititas]]></text>
</staticText>
<staticText>
<reportElement x="29" y="146" width="117" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[(KTP/SIM/ Paspor)]]></text>
</staticText>
<line>
<reportElement x="22" y="160" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<staticText>
<reportElement x="29" y="165" width="117" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Agama]]></text>
</staticText>
<staticText>
<reportElement x="146" y="165" width="6" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="403" y="165" width="65" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Tanggal Lahir]]></text>
</staticText>
<staticText>
<reportElement x="468" y="165" width="6" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="468" y="186" width="6" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="403" y="186" width="65" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Jenis Kelamin]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="403" y="207" width="65" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Pendidikan]]></text>
</staticText>
<staticText>
<reportElement x="468" y="207" width="6" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<textField pattern="">
<reportElement mode="Opaque" x="475" y="207" width="52" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{pnd}]]></textFieldExpression>
</textField>
<line>
<reportElement x="22" y="181" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="22" y="202" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<staticText>
<reportElement x="29" y="186" width="117" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Status]]></text>
</staticText>
<staticText>
<reportElement x="146" y="186" width="6" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="29" y="207" width="117" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Pekerjaan]]></text>
</staticText>
<staticText>
<reportElement x="146" y="207" width="6" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<line>
<reportElement x="22" y="223" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="393" y="161" width="1" height="62"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<staticText>
<reportElement x="146" y="227" width="6" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="29" y="227" width="117" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Alamat]]></text>
</staticText>
<line>
<reportElement x="22" y="263" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<staticText>
<reportElement x="146" y="267" width="6" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="29" y="267" width="117" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Nama Keluarga]]></text>
</staticText>
<staticText>
<reportElement x="357" y="267" width="95" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Hubungan Keluarga :]]></text>
</staticText>
<staticText>
<reportElement x="146" y="287" width="6" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="29" y="287" width="117" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Pekerjaan]]></text>
</staticText>
<line>
<reportElement x="22" y="283" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="22" y="303" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<staticText>
<reportElement x="29" y="307" width="117" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Alamat]]></text>
</staticText>
<staticText>
<reportElement x="146" y="307" width="6" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<line>
<reportElement x="22" y="323" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<staticText>
<reportElement x="238" y="327" width="6" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="133" y="327" width="105" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Nama]]></text>
</staticText>
<staticText>
<reportElement x="133" y="347" width="105" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Alamat]]></text>
</staticText>
<staticText>
<reportElement x="238" y="347" width="6" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="238" y="360" width="6" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="133" y="360" width="105" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[No Telp ( Rumah/HP )]]></text>
</staticText>
<staticText>
<reportElement x="29" y="332" width="93" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Bila Ada Sesuatu]]></text>
</staticText>
<staticText>
<reportElement x="29" y="347" width="93" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Menghubungi]]></text>
</staticText>
<line>
<reportElement x="127" y="343" width="405" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="127" y="323" width="1" height="51"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="22" y="374" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<staticText>
<reportElement x="30" y="377" width="289" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[*) Lingkari yang sesuai]]></text>
</staticText>
<image scaleImage="FillFrame" onErrorType="Blank">
<reportElement x="28" y="18" width="51" height="51"/>
<imageExpression class="java.io.InputStream"><![CDATA[$P{logo}]]></imageExpression>
</image>
<textField>
<reportElement x="83" y="56" width="319" height="14"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="10"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA["E-mail : "+$P{emailrs}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="83" y="45" width="319" height="14"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="10"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{kontakrs}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="83" y="18" width="319" height="17"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="14"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{namars}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="83" y="34" width="319" height="14"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="10"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{alamatrs}+", "+$P{kotars}+", "+$P{propinsirs}]]></textFieldExpression>
</textField>
<textField>
<reportElement mode="Opaque" x="408" y="119" width="120" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{nm_ibu}]]></textFieldExpression>
</textField>
<textField>
<reportElement mode="Opaque" x="153" y="287" width="230" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{pekerjaanpj}]]></textFieldExpression>
</textField>
<textField pattern="">
<reportElement mode="Opaque" x="475" y="144" width="52" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{umur}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="468" y="145" width="6" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement mode="Opaque" x="403" y="145" width="65" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Umur]]></text>
</staticText>
<line>
<reportElement x="23" y="243" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<staticText>
<reportElement x="146" y="247" width="6" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="29" y="247" width="117" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Cara Bayar]]></text>
</staticText>
<textField>
<reportElement mode="Opaque" x="153" y="247" width="191" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{png_jawab}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="416" y="247" width="6" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="357" y="247" width="60" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[No.Peserta]]></text>
</staticText>
<textField>
<reportElement mode="Opaque" x="422" y="247" width="107" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{no_peserta}]]></textFieldExpression>
</textField>
</band>