<band height="895">
<rectangle>
<reportElement x="41" y="14" width="510" height="868"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</rectangle>
<textField>
<reportElement mode="Opaque" x="141" y="99" width="287" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{nm_pasien}]]></textFieldExpression>
</textField>
<line>
<reportElement x="41" y="75" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="41" y="95" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.75"/>
</graphicElement>
</line>
<staticText>
<reportElement x="48" y="99" width="85" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Nama]]></text>
</staticText>
<image scaleImage="FillFrame" onErrorType="Blank">
<reportElement x="58" y="18" width="51" height="51"/>
<imageExpression class="java.io.InputStream"><![CDATA[$P{logo}]]></imageExpression>
</image>
<textField>
<reportElement x="112" y="56" width="368" height="14"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="10"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA["E-mail : "+$P{emailrs}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="112" y="45" width="368" height="14"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="10"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{kontakrs}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="112" y="18" width="368" height="17"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="14"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{namars}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="112" y="34" width="368" height="14"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="10"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$P{alamatrs}+", "+$P{kotars}+", "+$P{propinsirs}]]></textFieldExpression>
</textField>
<staticText>
<reportElement mode="Transparent" x="42" y="199" width="47" height="26" backcolor="#FFFFFF"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" isBold="true"/>
</textElement>
<text><![CDATA[Tanggal]]></text>
</staticText>
<staticText>
<reportElement mode="Transparent" x="90" y="199" width="151" height="26" backcolor="#FFFFFF"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" isBold="true"/>
</textElement>
<text><![CDATA[Anamnesa]]></text>
</staticText>
<staticText>
<reportElement mode="Transparent" x="241" y="199" width="81" height="26" backcolor="#FFFFFF"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" isBold="true"/>
</textElement>
<text><![CDATA[Diagnosa]]></text>
</staticText>
<staticText>
<reportElement mode="Transparent" x="323" y="199" width="52" height="26" backcolor="#FFFFFF"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" isBold="true"/>
</textElement>
<text><![CDATA[Kode ICD]]></text>
</staticText>
<staticText>
<reportElement mode="Transparent" x="467" y="199" width="84" height="26" backcolor="#FFFFFF"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" isBold="true"/>
</textElement>
<text><![CDATA[Nama & TTD Dokter]]></text>
</staticText>
<line>
<reportElement x="41" y="197" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="89" y="198" width="1" height="684"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="241" y="199" width="1" height="683"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="321" y="198" width="1" height="684"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="374" y="198" width="1" height="684"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<line>
<reportElement x="467" y="198" width="1" height="684"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<textField>
<reportElement mode="Transparent" x="411" y="1" width="140" height="13"/>
<textElement verticalAlignment="Top" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{png_jawab}]]></textFieldExpression>
</textField>
<componentElement>
<reportElement x="437" y="112" width="112" height="47"/>
<jr:barbecue xmlns:jr="http://jasperreports.sourceforge.net/jasperreports/components" xsi:schemaLocation="http://jasperreports.sourceforge.net/jasperreports/components http://jasperreports.sourceforge.net/xsd/components.xsd" type="Code128" drawText="false" checksumRequired="false" barHeight="85">
<jr:codeExpression><![CDATA[$F{no_rkm_medis}]]></jr:codeExpression>
</jr:barbecue>
</componentElement>
<staticText>
<reportElement x="42" y="77" width="509" height="18"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="12" isBold="true"/>
</textElement>
<text><![CDATA[FORMULIR PEMERIKSAAN RAWAT JALAN]]></text>
</staticText>
<staticText>
<reportElement x="134" y="99" width="5" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="134" y="115" width="5" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="48" y="115" width="85" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[No. RM]]></text>
</staticText>
<textField>
<reportElement mode="Opaque" x="141" y="115" width="287" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{no_rkm_medis}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="134" y="131" width="5" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="48" y="131" width="85" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Umur & Tgl. Lahir]]></text>
</staticText>
<textField pattern="dd/MM/yyyy">
<reportElement mode="Opaque" x="215" y="131" width="213" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.util.Date"><![CDATA[$F{tgl_lahir}]]></textFieldExpression>
</textField>
<textField>
<reportElement mode="Opaque" x="141" y="147" width="287" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{jk}.replaceAll("L","Laki-Laki").replaceAll("P","Perempuan")]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="134" y="147" width="5" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="48" y="147" width="85" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Jenis Kelamin]]></text>
</staticText>
<textField>
<reportElement mode="Opaque" x="141" y="163" width="408" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{alamat}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="134" y="163" width="5" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="48" y="163" width="85" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Alamat]]></text>
</staticText>
<textField>
<reportElement mode="Opaque" x="141" y="179" width="287" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{pekerjaan}]]></textFieldExpression>
</textField>
<staticText>
<reportElement x="134" y="179" width="5" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
<staticText>
<reportElement x="48" y="179" width="85" height="13"/>
<textElement textAlignment="Left" lineSpacing="Single">
<font fontName="Tahoma"/>
</textElement>
<text><![CDATA[Pekerjaan]]></text>
</staticText>
<staticText>
<reportElement mode="Transparent" x="375" y="199" width="92" height="26" backcolor="#FFFFFF"/>
<textElement textAlignment="Center" verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" isBold="true"/>
</textElement>
<text><![CDATA[Terapi]]></text>
</staticText>
<line>
<reportElement x="41" y="226" width="510" height="1"/>
<graphicElement>
<pen lineWidth="0.5"/>
</graphicElement>
</line>
<textField>
<reportElement mode="Opaque" x="141" y="131" width="74" height="13"/>
<textElement verticalAlignment="Middle" lineSpacing="Single">
<font fontName="Tahoma" size="10" isBold="false"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[$F{umur}]]></textFieldExpression>
</textField>
</band>