Blanko Status Gizi Balita 2018.docx

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Nama Posyandu Bulan Tahun

No 1

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

: : : 2018

Nama 2

Tanggal Lahir / Umur

Alamat

3

4

BB 5

TB 6

INDIKATOR BB/TB

TB/U

BB/U

Sangat Pendek

Pendek

Normal

Tinggi

Sangat Kurus

Kurus

Normal

Gemuk

Buruk

Kurang

Baik

Lebih

7

8

9

10

11

12

13

14

15

16

17

18

Nama Posyandu Bulan Tahun

No 1

1 2 3 4 5

: : :

Nama Posyandu 2

Jumlah Sasaran

3

Jumlah Yang Diukur 4

INDIKATOR BB/TB

TB/U Sangat Pendek

Pendek

Normal

5

6

7

BB/U

Tinggi

Sangat Kurus

Kurus

Normal

Gemuk

Buruk

Kurang

Baik

Lebih

8

9

10

11

12

13

14

15

16

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