Monitoring Respon Pasien Thd Terapi Gizi.docx
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PEMERINTAH KABUPATEN WONOSOBO DINAS KESEHATAN UPTD PUSKESMAS SELOMERTO 1 KECAMATAN SELOMERTO Jl.Banyumas Km.7 Selomerto Wonosobo 56361 Telp.(0286) 324306
MONITORING RESPON PASIEN TERHADAP TERAPI GIZI NAMA PASIEN TANGGAL
Menu Makan Pagi
: :
Bahan makanan
................................. ................................. Jumlah dimakan URT gr
Analisis Kal.
Protein
Lemak
KH
Kesimpu lan
Snack Menu Makan Siang
Snack Menu Makan Malam
Selomerto,
-
- 2013
Penanggungjawab Gizi
ERNI BERDIWATI NIP.19650715 198511 2 001
MONITORING RESPON PASIEN TERHADAP TERAPI GIZI NAMA PASIEN TANGGAL
Menu Makan Pagi
: :
Bahan makanan
................................. ................................. Jumlah dimakan URT gr
Analisis Kal.
Protein
Lemak
KH
Kesimpu lan
Snack Menu Makan Siang
Snack Menu Makan Malam
Selomerto,
-
- 2013
Penanggungjawab Gizi
ERNI BERDIWATI NIP.19650715 198511 2 001
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