DIETARY INFORMATION SHEET

NAME RAHMAH @ LIZA BINTI ILLUN RN 058445

DAY DATE TIME OF MEAL TYPE OF MEAL FOOD SERVING SIZE DRINKS DRINK SIZE

5.30 AM BREAKFAST BUN 2 MILO 2 GLASSES

LUNCH - - - -
14/10/2019
1
FASTING RICE, CHICKEN, FISH,
7.30PM DINNER 1 PLATE PLAIN WATER 2 GLASSES
VEGETABLES
9.30PM SNACKS KUIH SERIMUKA 2 SLICES TEA 1 CUP

7.00 AM BREAKFAST FRIED NOODLES & CHICKEN 1 PLATE HOT TEA 1 CUP

2.00 PM LUNCH RICE, CHICKEN, VEGETABLES 1 PLATE PLAIN WATER 500ML

2 15/10/2019
8.00PM DINNER RICE, FISH, VEGETABLES 1 PLATE PLAIN WATER 500ML

9.30PM SNACKS CHOCOLATE 1 SMALL BAR PLAIN WATER 2 GLASSES

7.00 AM BREAKFAST NASI LEMAK & FISH BALL 1 HOT TEA 1 CUP

11.30 AM LUNCH RICE, CHICKEN 1 PLAIN WATER 500ML

3 16/10/2019
9.00 PM DINNER CHICKEN CHOP, FRIES, BUN 1 BARLI 1 CUP

10 PM SNACKS CRACKERS 1 MILK 1 GLASS

9.30 AM BREAKFAST FRIED RICE & CHICKEN 1 HOT TEA 1 CUP

2.30 PM LUNCH RICE, CHICKEN, MEAT 1 ICE TEA 1 GLASS

4 17/10/2019
8.00 PM DINNER NOODLES SOUP 1 BOWL PLAIN WATER 500ML

10.00 PM SNACKS CRACKERS 1 MILK 1 GLASS

7.00AM BREAKFAST FRIED NOODLES 1 PLATE HOT TEA 1 CUP

12.30PM LUNCH RICE, FISH, VEGETABLES 1 ICED TEA 1 GLASS

5 18/10/2019
8.30PM DINNER RICE, CHICKEN, SEAFOOD SOUP 1 ICED LEMON 1 GLASS

10.30PM SNACKS CJOCOLATES 2 PLAIN WATER 500ML