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  • Form Laporan Kasus Harian

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    Falya Naftharina
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    6 views1 page

    Form Laporan Kasus Harian

    Uploaded by

    Falya Naftharina

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    I.

    Data umum
    Nama : An. F
    NRM : 00072642
    Usia : 1 tahun 9 bulan ( 21 bulan )
    Jenis kelamin : Perempuan
    Agama : Islam
    Diagnosis medis : Suspect Tyfoid

    II. Assesment Gizi


    Kategori Data Normal Interpretasi

    III. Diagnosis Gizi


    Domain Intake

    Domain

    IV. Intervensi Gizi


    Tujuan Intervensi Prinsip & Syarat Preskripsi Diet

    Edukasi Gizi

    Konseling Gizi

    Koordinasi Asuhan Gizi

    V. Rencana Monitoring Dan Evaluasi Gizi


    Indikator Evaluasi Pelaksanaan Target

    VI. Hasil Monitoring Dan Evaluasi


    Indikator Evaluasi Target Hasil

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