<band height="71" splitType="Stretch">
<staticText>
<reportElement x="1" y="1" width="802" height="16"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="13" isBold="false"/>
</textElement>
<text><![CDATA[SURVEILANS AKTIF DI RUMAH SAKIT]]></text>
</staticText>
<staticText>
<reportElement x="1" y="16" width="802" height="16"/>
<textElement textAlignment="Center" lineSpacing="Single">
<font fontName="Tahoma" size="13" isBold="false"/>
</textElement>
<text><![CDATA[LEMBAR PENGUMPULAN DATA AFP & PD3I]]></text>
</staticText>
<staticText>
<reportElement mode="Transparent" x="3" y="36" width="121" height="11" forecolor="#000000" backcolor="#FFFFFF"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Rumah Sakit]]></text>
</staticText>
<staticText>
<reportElement mode="Transparent" x="3" y="46" width="121" height="11" forecolor="#000000" backcolor="#FFFFFF"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Kabupaten/Kota]]></text>
</staticText>
<staticText>
<reportElement mode="Transparent" x="3" y="56" width="121" height="11" forecolor="#000000" backcolor="#FFFFFF"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[Tanggal Pengumpulan Data]]></text>
</staticText>
<textField pattern="dd/MM/yyyy" isBlankWhenNull="false">
<reportElement key="textField" x="129" y="56" width="281" height="11" forecolor="#000000" backcolor="#FFFFFF"/>
<box>
<topPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
<leftPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
<bottomPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
<rightPen lineWidth="0.0" lineStyle="Solid" lineColor="#000000"/>
</box>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="8"/>
</textElement>
<textFieldExpression class="java.util.Date"><![CDATA[new Date()]]></textFieldExpression>
</textField>
<staticText>
<reportElement mode="Transparent" x="756" y="1" width="43" height="11" forecolor="#000000" backcolor="#FFFFFF"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[FPPD]]></text>
</staticText>
<textField>
<reportElement x="124" y="36" width="291" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="8"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[": "+$P{namars}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="124" y="46" width="291" height="11"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="8"/>
</textElement>
<textFieldExpression class="java.lang.String"><![CDATA[": "+$P{kotars}]]></textFieldExpression>
</textField>
<staticText>
<reportElement mode="Transparent" x="124" y="56" width="5" height="11" forecolor="#000000" backcolor="#FFFFFF"/>
<textElement lineSpacing="Single">
<font fontName="Tahoma" size="8" isBold="false"/>
</textElement>
<text><![CDATA[:]]></text>
</staticText>
</band>