NO DIET 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 JLH

1
T.KALORI /T.PROTEIN TKTP 0

BIASA 0

LUNAK 3 6 6 5 2 3 3 3 6 5 6 6 5 3 4 3 6 6 5 1 3 3 93

SARING 0

DM 0

RENDAH SISA 0

RG 0
2
DIABETES MILITUS (DM) 0

BIASA 0

LUNAK 3 3 3 3 3 2 17

SARING 0

RP 0

RG 0

RGRP 0

DMRGRCHOL 0

3 RENDAH KOLESTROL 0

4 RENDAH GARAM (RG) 3 3 6 6 5 1 24

5 RENDAH KALORI 0

6 RENDAH KALSIUM 0

7 RENDAH LEMAK 0

8 RENDAH PROTEIN (RP) 0

9 RENDAH PROTEIN RG 0

10 RENDAH PROTEIN RENDAH KALIUM 0

11 RENDAH KALIUM 0

12 RENDAH SISA 0

13 JANTUNG 0

14 LAMBUNG 3 3 3 3 3 3 3 2 23

15 HATI 0

16 HIPEREMESIS 0

17 PREEKLAMSI 0

18 FRS/SONDE 0

19 EKSTRA PUTEL 0

20 PENDAMPING ASI (0-3 BLN) 0

21 BUAH/BISKUIT(0-4 BLN) 0

22 MAKANAN LUMAT (4-6 BLN) 0

23 MAKAN LEMBEK (6-12 BLN) 0

24 ANTI DIARE/PREDA* 0

25 NUTRINIDRINK 0

26 INFANTRINI 0

27 F75 0

28 F100 0

29 SUSU* 0

30 PUASA 0

JUMLAH 3 3 3 3 6 9 12 11 8 4 0 0 0 0 3 3 3 6 8 9 12 11 8 5 3 6 6 5 1 3 3 157

KETERANGAN:

KA. INSTALASI GIZI

(Samuel Bulu, S. Gz)

NIP. 199309192019021003
 NO DIET 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 JLH

1
T.KALORI /T.PROTEIN TKTP 0

BIASA 0

LUNAK 0

SARING 0

RENDAH SISA 0

RG 0
2
DIABETES MILITUS (DM) 0

BIASA 0

LUNAK 0

SARING 0

RP 0

RG 0

RGRP 0

DMRGRCHOL 0

3 RENDAH KOLESTROL 0

4 RENDAH GARAM (RG) 0

5 RENDAH KALORI 0

6 RENDAH KALSIUM 0

7 RENDAH LEMAK 0

8 RENDAH PROTEIN (RP) 0

9 RENDAH PROTEIN RG 0

10 RENDAH PROTEIN RENDAH KALIUM 0

11 RENDAH KALIUM 0

12 RENDAH SISA 0

13 JANTUNG 0

14 LAMBUNG 0

15 HATI 0

16 HIPEREMESIS 0

17 PREEKLAMSI 0

18 FRS/SONDE 0

19 EKSTRA PUTEL 0

20 PENDAMPING ASI (0-3 BLN) 0

21 BUAH/BISKUIT(0-4 BLN) 0

22 MAKANAN LUMAT (4-6 BLN) 0

23 MAKAN LEMBEK (6-12 BLN) 0

24 ANTI DIARE/PREDA* 0

25 NUTRINIDRINK 0

26 INFANTRINI 0

27 F75 0

28 F100 0

29 SUSU* 0

30 PUASA 0

JUMLAH 0

KETERANGAN:

KA. INSTALASI GIZI

(Samuel Bulu, S. Gz)

NIP. 199309192019021003
 NO DIET 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 JLH

1
T.KALORI /T.PROTEIN TKTP 0

BIASA 0

LUNAK 0

SARING 0

DM 0

RENDAH SISA 0

RG 0
2
DIABETES MILITUS (DM) 0

BIASA 0

LUNAK 0

SARING 0

RP 0

RG 0

RGRP 0

DMRGRCHOL 0

3 RENDAH KOLESTROL 0

4 RENDAH GARAM (RG) 0

5 RENDAH KALORI 0

6 RENDAH KALSIUM 0

7 RENDAH LEMAK 0

8 RENDAH PROTEIN (RP) 0

9 RENDAH PROTEIN RG 0

10 RENDAH PROTEIN RENDAH KALIUM 0

11 RENDAH KALIUM 0

12 RENDAH SISA 0

13 JANTUNG 0

14 LAMBUNG 0

15 HATI 0

16 HIPEREMESIS 0

17 PREEKLAMSI 0

18 FRS/SONDE 0

19 EKSTRA PUTEL 0

20 PENDAMPING ASI (0-3 BLN) 0

21 BUAH/BISKUIT(0-4 BLN) 0

22 MAKANAN LUMAT (4-6 BLN) 0

23 MAKAN LEMBEK (6-12 BLN) 0

24 ANTI DIARE/PREDA* 0

25 NUTRINIDRINK 0

26 INFANTRINI 0

27 F75 0

28 F100 0

29 SUSU* 0

30 PUASA 0

JUMLAH 0

KETERANGAN:

KA. INSTALASI GIZI

(Samuel Bulu, S. Gz)

NIP. 199309192019021003
 NO DIET 1 2 3 4 5 6 7 8 9 10 11 12 JLH/ THN

1
T.KALORI /T.PROTEIN TKTP 0 0 0 0

BIASA 0 0 0

LUNAK 93 0 93

SARING 0 0 0

DM 0 0 0

RENDAH SISA 0 0 0

RG 0 0 0
2
DIABETES MILITUS (DM) 0 0 0

BIASA 0 0 0

LUNAK 17 0 17

SARING 0 0 0

RP 0 0 0

RG 0 0 0

RGRP 0 0 0

DMRGRCHOL 0 0 0

3 RENDAH KOLESTROL 0 0 0

4 RENDAH GARAM (RG) 24 0 24

5 RENDAH KALORI 0 0 0

6 RENDAH KALSIUM 0 0 0

7 RENDAH LEMAK 0 0 0

8 RENDAH PROTEIN (RP) 0 0 0

9 RENDAH PROTEIN RG 0 0 0

10 RENDAH PROTEIN RENDAH KALIUM 0 0 0

11 RENDAH KALIUM 0 0 0

12 RENDAH SISA 0 0 0

13 JANTUNG 0 0 0

14 LAMBUNG 23 0 23

15 HATI 0 0 0

16 HIPEREMESIS 0 0 0

17 PREEKLAMSI 0 0 0

18 FRS/SONDE 0 0 0

19 EKSTRA PUTEL 0 0 0

20 PENDAMPING ASI (0-3 BLN) 0 0 0

21 BUAH/BISKUIT(0-4 BLN) 0 0 0

22 MAKANAN LUMAT (4-6 BLN) 0 0 0

23 MAKAN LEMBEK (6-12 BLN) 0 0 0

24 ANTI DIARE/PREDA* 0 0 0

25 NUTRINIDRINK 0 0 0

26 INFANTRINI 0 0 0

27 F75 0 0 0

28 F100 0 0 0

29 SUSU* 0 0 0

30 PUASA 0 0 0

0 0 0

JUMLAH 157 0 157

KETERANGAN: