ZAT GIZI

JENIS BAHAN MAKANAN DAN FREKUENSINYA

Hari Ke
1 2 3 4 5 6 7 8 9 10 TOTAL
Bahan
KH
Beras 3x 2x
Bihun 1x
Kwetiaw
Tepung Terigu
Jagung
Kentang
Tepung maizena
Tepung Beras
Roti
Talas
Ubi jalar 1x
Singkong
PROTEIN HEWANI
Ikan lele
Ikan patin 2x
Ikan gabus
Ikan tenggiri
Telur Ayam
Telur Puyuh
Hati ayam
Ayam 1x 2x
PROTEIN NABATI
Kedelai
Tahu 2x 1x
Tempe 1x 2x
Kacang Hijau 1x
Kedelai 1x
SAYURAN
Bayam 1x
Toge 1x
Kangkung
Kacang Panjang 1x
Labu Siam
Buncis 1x
Jamur kuping
Sawi
Jamur
Wortel 2x 2x
BUAH
Pisang 1x
Pepaya 2x 2x
Alpukat
Mangga 1x
Jeruk 1x
Susu 1x
Gula merah 1x
Santan 1x 1x
Gula 1x 1x
Teh
 MASTER MENU

Hari Ke
Waktu
1 2 3 4 5 6 7 8 9 10
Pagi Beras Beras
Ikan Ayam
Tahu Tempe
Wortel Toge
Pepaya Wortel
Susu Jeruk
10.00 Bubur Susu
Kacang Kedelai
Hijau
Siang Beras Bihun
Ayam Ayam
Tahu Tempe
Bayam Labu Siam
Pisang Pepaya
16.00 Puding Bubur
Mangga Candil Ubi
Jalar
Malam Beras Beras
Ikan Patin Ikan
Kacang Tenggiri
Panjang Tahu
Wortel Buncis
Tempe Wotel
Pepaya Pepaya
 SIKLUS BERDASARKAN MASTER MENU

Hari Ke
Waktu
1 2 3 4 5 6 7 8 9 10
Pagi Nasi Tim Nasi Tim,
Ikan Patin Suir Semur Ayam,
Sapo Tahu Sayur
Kukus Wortel Toge+Wortel
Pepaya Iris Tempe Dadu
Susu Bumbu
Kuning Kukus
Buah Jeruk
10.00 Bubur Kacang Susu Kedelai
Hijau
Siang Nasi Tim, Timlo Ayam
Sayur Bayam, Suwir,Sayur
Tahu Kukus, Labu Siam
Ayam Suwir Tempe Dadu
Buah Pisang Kukus
Buah Pepaya
16.00 Puding Mangga Bubur Candil
Ubi Jalar
Malam Nasi Tim, Nasi Tim,Sup
Sayur Kacang Bakso Ikan
Panjang Tenggiri,Sayur
+Wortel ,Ikan Buncis
Patin Saus Wortel.
Kecap Rolade Tahu
Iris Tempe Buah Papaya
Kukus
Buah Pepaya
 PEDOMAN MENU

Unit : Kelas III

Periode : 1-30 Maret 2017
Hari :1

Waktu BMS BMK BUMBU

Menu
Makan BM BB BK BM BB BK BM BB BK
Patin 40 g 50 g Beras 100 g 100 g Bawang putih 10 g 11 g
Nasi Tim,Ikan Patin Suir, Sapo Tahu, Tahu 110 g 110 g Susu bubuk 40 g 40 g
Pagi
Kukus Wortel, Pepaya Iris,Susu Wortel 100 g 113 g
Pepaya 110 g 147 g
10.00 Bubur Kacang Hijau Santan 40 g 40 g Kacang Hijau 20 g 20 g
Gula merah 13 g 13 g
Bayam 100 g 141 g Beras 100 g 100 g Bawang merah 10 g 11 g
Tahu 110 g 110 g
Nasi Tim, Sayur Bayam, Tahu Kukus,
Siang Ayam 40 g 68 g
Ayam Suwir, Buah pisang
Pisang 100 g 133 g
Wortel 100 g 113 g
16.00 Puding Mangga Mangga 90 g 138 g Agar-agar 45 g 45 g
Gula 13 g 13 g
Kacang panjang 50 g 67 g Beras 100 g 100 g
Nasi Tim, Sayur Kacang
Wortel 100 g 113 g Kecap 10 g 10 g
Malam Panjang+Wortel,Ikan Patin Saus Kecap,
Tempe 50 g 50 g
Iris Tempe Kukus, Buah Pepaya
Pepaya 110 g 147 g
 PEDOMAN MENU

Unit : Kelas III

Periode : 1-30 Maret 2017
Hari :2

Waktu BMS BMK BUMBU

Menu
Makan BM BB BK BM BB BK BM BB BK
Ayam 40 g 68 g Beras 100 g 100 g Cengkeh 5g 5g
Nasi Tim, Semur Ayam, Tauge 50 g 50 g Bawang Merah 5g 5g
Pagi SayurToge+Wortel, Tempe Dadu Wortel 50 g 62 g Bawang Putih 5g 5g
Bumbu Kuning Kukus, Jeruk Tempe 50 g 50 g Kunyit 5g 5g
Jeruk 50 g 69 g
10.00 Susu Kedelai Kedelai 50 g 50 g
Telur 50 g 55 g Jamur Kuping 50 g 50 g
Ayam 40 g 68 g Bihun 100 g 100 g
Wortel 50 g 62 g
Timlo Ayam Suwir,Sayur Labu
Siang Tahu 50 g 50 g
Siam, Tempe Dadu Kukus, Pepaya
Labu Siam 50 g 60 g
Tempe 50 g 50 g
Pepaya 110 g 147 g
Ubi Jalar Kuning 60 g 70 g Tepung Terigu 50 g 50 g
16.00 Bubur Candil Ubi Jalar
Santan 40 g 40 g Gula 13 g 13 g
Bakso Ikan Tenggiri 50 g 50 g Beras 100 g 100 g
Buncis 50 g 55 g
Nasi Tim,Sup Bakso Ikan
Wortel 50 g 62 g
Malam Tenggiri,Sayur Buncis Wortel,
Tahu 50 g 50 g
Rolade Tahu, Papaya
Telur 50 g 55 g
Pepaya 110 g 147 g
 TAKSIRAN BAHAN MAKANAN

Kebutuhan Kebutuhan Hari

Bahan Makanan Kebutuhan 10 Hari PPM 11% Total Kebutuhan
Triwulan Khusus
KH
= 25x100g x98 = 245.000 g x = 2.205.000g + = 5 x 100 g x 98 x 2 + = 2.447,55 + 108,78
= 245.000 g 9 242.550g 11% = 2.556,33 kg
Beras
= 2.205.000 g = 2.447.550 g = 108.780 g
= 2447,55 kg = 108,78 kg
= 3x100g x98 = 29.400 x 9 = 265.600 + 29.106 = 1 x 100 g x 98 x 2 + = 293,76 + 21,756
= 29.400 g = 265.600 g = 293.706 g 11% = 315,516 kg
Bihun
= 293,76 kg = 21.756 g
= 21,756 kg
= 2x100 g x98 = 19.600 x 9 = 176.400 + 19.404 = 195,804 kg
Kwetiaw = 19.600 g = 176.400 g = 195.804 g
= 195,804 kg
Tepung Terigu = 3x50 g x98 = 14.700 x 9 = 132.300 + 14.553 = 1 x 100 x 98 x 2 + = 146,853 + 21,756
= 14.700 g = 132.300 g = 146.853 g 11% = 168,609 kg
= 146,853 kg = 21.756 g
= 21,756 kg
Jagung = 1x50 g x98 = 4900 x 9 = 44.100 + 4.851 = 48,951 kg
= 4900 g = 44.100 g = 48.951 g
= 48,951 kg
Kentang = 2x130,95x98 = 25.666,2 x 9 = 230.995,8 + = 256,405338 kg
= 25666,2 g = 230.995,8 g 25.409,538
= 256.405,338 g
 = 256.405338 kg
Tepung Maizena = 1x20 g x98 = 1960 x 9 = 17.640 + 1940,4 = 19.580 kg
= 1960 g = 17.640 g = 19580,4 g
= 19.580 kg
Tepung Beras = 2x50 g x98 = 9800 x 9 = 88.200 + 9.720 = 97,902 kg
= 9800 g = 88.200 g = 97.902 g
= 97,902 kg
Roti = 2x70 g x98 = 13.720 x 9 = 123.480 + 13.582,8 = 136,063 kg
= 13720 g = 123.480 g = 136.063,8 g
= 136.063 kg
Talas = 2x58 g x98 = 11.368 x 9 = 102.312 + 11.254,32 = 113.56632 kg
= 11368 g = 102.312 g = 113.566,32 g
= 113.56632 kg
Ubi Jalar = 4 x 70 x 98 = 27.440 x 9 = 246.960 + 27.165,6 = 274.1256 kg
= 27.440 g = 246.960 g = 274.125,6 g
= 274.1256 kg
Ubi ungu = 1 x 117 g x 98 x 2 + = 2.52252 kg
11%
= 2.522,52 g
= 2,52252 kg
Singkong = 1 x 100 g x 98 = 9.800 g x 9 = 88.200 + 9.702 = 97.902 kg
= 9.800 g = 88.200 g = 97,902 g
= 97.902 kg
PROTEIN
HEWANI
Ikan Lele = 3 x 62 g x 98 = 18.228 x 9 = 164.052 + 18.04572 = 18.209,772 kg
= 18.228 = 164.052 g = 182.09772 g
= 18.209,772 kg
Ikan Patin = 5 x 65 g x 98 = 31.850 x 9 = 286.65 + 31.5315 = 1 x 62 g x 98 x 2 + = 3.181,815 kg +
=31.850 = 286.65 g = 318.1815 g 11% 12.15211 kg
= 3.181,815 kg = 12.152 + 11% = 3.193,96711 kg
=12.152,11 g
= 12.15211 kg
Ikan Gabus = 2 x 65 g x 98 = 12.740 x 9 = 112.23 + 12.3453 = 1.245,753 kg
= 12.740 = 112.23 g = 124.5753 g
= 1.245,753 kg
Ikan Tenggiri = 2 x 170 g x 98 = 33.320 x 9 = 299.88 + 32.9868 = 1 x 62 g x 98 x 2 + = 3.328,668 kg
 = 33.320 = 299.88 g = 332.8668 g 11% +12.15211 kg
= 3.328,668 kg = 12.152 + 11% = 1218.539,668 kg
=12.152,11 g
= 12.15211 kg
Telur Ayam = 3 x 55 g x 98 = 16.170 x 9 = 145.53 + 16.0083 = 1 x 55 g x 98 x 2 + = 1.615,383 kg +
= 16.170 = 145.53 g = 161.5383 g 11% 118.58 g
= 1.615,383 kg = 10780 + 11% = 1733,963 kg
= 118.580 g
= 118.58 g
Telur Puyuh = 3 x 25 g x 98 = 7.350 x 9 = 66.15 + 7.2765 = 734.265 kg
= 7.350 = 66.15 g = 73.4265 g
= 734.265 kg
Hati Ayam = 1 x 30 g x 98 = 2.940 x 9 = 26.46 + 2.9106 = 1 x 50 g x 98 x 2 + = 293.706 + 1.078
= 2.940 = 26.46 g = 29.3706 g 11% kg
= 293.706 kg =9800 +11% = 294.784 kg
= 1.078 kg

PROTEIN
NABATI
Tahu 16 x50 g x98 =78.400 78.400 x 9 705.600 + 77.616 3 x 270g x 98 x 2 + 783.216 kg +
= 705.600 g = 783.216 g 11% 15,876.011 kg
= 783.216 kg = 158.760,11 g = 16,659,227 kg
= 15,876.011 kg
Tempe 14 x 50 g x 98 = 68.600 68.600 x 9 617.400 + 67.914 2 x 100 g x 98 x 2 + 685.314 kg +
= 617.400 g = 685.314 g 11% 3,920.011 kg
= 685.314 kg = 39,200.11 g = 4,605,325 kg
= 3,920.011 kg
Kacang Hijau 1 x 20 g x 98 = 1.960 1.960 x 9 17.640 + 1940.4 1 x 40 g x 98 x 2 + 37.044 kg + 784.011
= 17.640 g = 37.044 g 11% kg
= 37.044 kg = 7,840.11 g =821,055 kg
= 784.011 kg
Kacang Kedelai 1 x 50 g x 98 = 4.900 4.900 x 9 44.100 g + 4.851 1 x 50 g x 98 x 2 + 48.951 kg + 980.011
= 44.100 g = 48.951 g 11% kg
= 48.951 kg = 9,800.11 g = 1,028,962 kg
= 980.011 kg
SAYURAN
Bayam =6 x 141 g x 98 = 82908 x 9 = 82908 + 746172 = 6 x 141 x 98 x 2 + 1013,13576 kg
 =82908 g = 746172 g = 829080 g 11%
= 829,08 kg = 184.005,76 g
= 184,05576 kg
Kangkung = 6 x 142 g x 98 = 8349 x 9 = 8349+751464 = 6 x 142 x 98 x 945,17412 kg
= 8349 g = 751464 g = 759813 g 2+11%
= 759,813 kg = 185.361,12 g
= 185,36112 kg
Kacang Panjang = 6 x 100 g x 98 = 58800 x 9 = 58800+529200 = 6 x 100 x 98 x 1110,144 kg
= 58800 g = 529200 g = 588000 g 2+11%
= 588 kg = 522.144 g
= 522,144 kg
Labu Siam = 1 x 120 g x 98 = 11760 x 9 = 11760+105840 = 1 x 120 x 98 x 143,7072 kg
= 11760 g = 105840 g = 117600 g 2+11%
= 117,6 kg = 26.107,2 g
= 26,1072 kg
Buncis = 1 x 25 g x 98 = 2450 x 9 = 2450+22050 = 1 x 25 x 98 x 2+11% 29,939 kg
= 2450 g = 22050 g = 24500 g = 5.439 g
= 24,5 kg = 5,439 kg
Jamur Kuping = 3 x 111 g x 98 = 32634 x 9 = 32634+293706 = 3 x 111 x 98 x 398,78748 kg
= 32634 g = 293706 g = 326340 g 2+11%
= 326,34 kg = 72.447,48 g
= 72,44748 kg
Sawi = 2 x 114 g x 98 = 22344 x 9 = 22344 + 201096 = 2 x 114 x 98 x 273,04368 kg
= 22344 g = 201096 g = 223440 g 2+11%
= 223,44 kg = 49.603,68 g
= 49,60368 kg
Jamur Putih = 2 x 50 g x 98 = 9800 x 9 = 9800 + 88200 = 2 x 50 x 98 x 2+11% 2132,088 kg
= 9800 g = 88200 g = 98000 g = 21.756 g
= 98 kg = 21,756 kg
Wortel = 7 x 56 g x 98 = 38416 x 9 = 38416 + 345744 = 7 x 56 x 98 x 2+11% 469,44352 kg
= 38416 g = 345744 g = 384160 g = 85.283,52 g
= 384,16 kg = 85,28352 kg
Toge = 3 x 27 g x 98 7.398 x 9 71.442 + 7.858,62 = 857,304 kg
= 7.938 = 71.442 g = 857.304 g
= 857,304 kg
SUSU
Susu Sapi = 2 x 100 x 98 = 19.600 g x 9 = 176.400 g + 19.404 = 195.804 kg
 = 19.600 g = 176.400 g = 195,804 g
= 195.804 kg
BUAH-BUAHAN
Pisang = 5 x 80 g x 98 = 39.200 x 9 = 352.800 g + 38.808 = 2 x 59 g x 98 x 2 + = 391.608 kg +
= 39.200 g = 352.800 g = 391,608 g 11% 2.54353 kg
= 391.608 kg = 23.128 +11% = 645.961 kg
= 2.543,53 g
= 2.54353 kg

Pepaya = 6 x 67 g x 98 = 39.396 g x 9 = 354.564 g + = 2 x 146 g x 98 x 2 + = 393.56604 kg

= 39.396 g = 354.564 g 39.002,04 11% +6.29552 kg
= 393.566,04 g = 57.232 + 11% = 39.986,156 kg
= 393.56604 kg = 6.295,52 g
= 6.29552 kg
Alpukat = 2 x 82 g x 98 16.072 x 9 144.648 + 15.991 = 160.639 kg
= 16.072 = 144.648 g = 160.639 g
= 160.639 kg
Mangga = 3 x 138 g x 98 40.572 x 9 365.148 + 40.166 1 x 138 x 98 x 2 + 405.314 kg +
= 40.572 = 365.148 g = 405.314 g 11% 2,704,811 kg
= 405.314 kg = 27,048.11 g = 3,110,125 kg
= 2,704,811 kg
Jeruk = 3 x 69 g x 98 20.286 x 9 182.574 + 20.083 = 202.657 kg
= 20.286 = 182.574 g = 202.657 g
= 202.657 kg
TANPA KALORI
Teh = 2 x 100 g x 98 = 19.600 g x 9 = 19.600 g + 19.404 = 1 x 2 x 98 x 2 + 11% = 39.004 kg + 2.156
= 19.600 g = 176. 400 g = 39,004 g = 196+ 11% kg
= 39.004 kg = 21.56 = 41.160 kg
= 2.156 kg

Agar-Agar = 3 x 135 g x 98 39.690 x 9 357.210 g + 39,293.1 1 x 45 x 98 x 2 + 11% 750.141 kg +

= 39.690 = 357.210 g = 750.141 g = 8,820.11 g 882.011 kg
= 750.141 kg = 882.011 kg = 1,632,152 kg
 PENENTUAN INDEKS MAKANAN
ANGGARAN BELANJA

A. Pasien Hari 1

No Bahan Makanan Jumlah Harga Satuan Harga/Kg Harga Total

1 Beras 300 g Rp. 12.000 Rp. 3600
2 Ikan patin 50 g Rp. 25.000 Rp. 1250
3 Ayam 68 g Rp. 27.000 Rp. 1836
4 Tahu 220 g Rp. 3000 Rp. 2200
5 Tempe 50 g Rp. 2000 Rp. 333
6 Kacang hijau 20 g Rp. 15.000 Rp. 300
7 Wortel 226 g Rp. 10.000 Rp. 2260
 8 Bayam 141 g Rp. 2000/ikat Rp. 1410
9 Kacang panjang 67 g Rp. 10.000 Rp. 670
10 Papaya 294 g Rp. 6.000 Rp. 1764
11 Pisang 133 g Rp. 10.000/sisir Rp. 1900
12 Mangga 138 g Rp. 30.000 Rp. 4140
14 Susu bubuk 40 g Rp. 1000 Rp. 1000
15 Gula 13 g Rp. 14.000 Rp. 182
16. Gula merah 13 g Rp. 25000 Rp. 325
16 Kecap 10 g Rp. 1000 Rp. 500
17 Santan 40 g Rp. 5000 Rp. 200
18 Agar-agar 45 g Rp. 4000 Rp. 3600
TOTAL Rp. 27475

B. Pasien Hari 2

No Bahan Makanan Jumlah Harga Satuan Harga/Kg Harga Total

1 Beras 200 g Rp. 12.000 Rp. 2400
2 Ubi jalar kuning 70 g Rp. 6000 Rp. 420
3 Tepung terigu 50 g Rp. 10.000 Rp. 500
4 Bihun 100 g Rp. 4000 Rp. 8000
5 Ayam 136 g Rp. 27.000 Rp. 3672
6 Telur 55 g Rp. 1500 Rp. 1375
7 Bakso Ikan tenggiri 50 g Rp. 15000 Rp. 3000
8 Tahu 100 g Rp. 3000 Rp. 1000
9 Tempe 100 g Rp. 2000 Rp. 1000
10 Kedelai 50 g Rp.12000 Rp. 600
 11 Toge 50 g Rp. 5000 Rp. 250
12 Wortel 62 g Rp. 10000 Rp. 620
13 Labu siam 60 g Rp. 6000 Rp. 360
14 Buncis 55 g Rp. 6000 Rp. 330
15 Jamur kuping 50 g Rp. 15000 Rp. 750
16 Jeruk 69 g Rp. 20000 Rp. 1380
17 Pepaya 294 g Rp. 6000 Rp. 1764
18 Gula 13 g Rp. 14000 Rp. 182
19 Santan 40 g Rp. 5000 Rp. 200
TOTAL Rp. 27803

C. Makanan Khusus
Makanan khusus = Makanan Lunak + 30%
= Rp 26.700,2 + Rp 8.010,06
= Rp 34.710,26
Harga rata-rata makan pasien :
harga makan biasa + harga makan khusus
=
2
Rp 26.700,2 + Rp 34.710,26
=
2
= Rp 61.410,46 (indeks makan pasien)
D. Pegawai

No Bahan Makanan Jumlah Harga Satuan (Rp) Jumlah Harga

1 Teh Celup Prendjak 1 kantong teh Rp 6.000/25 kantong Rp 240
2 Gula Pasir 25 g Rp 12.500/kg Rp 312,5
3 Telur Ayam Ras 1 butir Rp 38.000/30 butir Rp 1.266,67
TOTAL Rp 1819,17

E. USULAN BIAYA MAKAN (3 bulan)

1. PASIEN = Kapasitas TT x BOR x Indeks x 92 hari
= 150 x 65% x Rp 61.410,46 x 92
= Rp 550.847.700
2. PEGAWAI = Jumlah pegawai x indeks x 92 hari
= 20 x Rp 1.819,17 x 92
= Rp 3.347.272,8
TOTAL = Rp 554.194.972,8 + 5%
= Rp 581.904.721,5

- Dana bulan I : = X juta Rp

- Dana bulan II : Ti + 5% = 1,05 X juta Rp
- Dana bulan III : Ti + 5% = 1,1 X juta Rp +
3,15 X juta Rp

 Untuk bulan I = Rp 581.904.721,4 : 3,15

= Rp 184.731.657,6

 Untuk bulan II = Rp 184.731.657,6 x 1,05

= Rp 193.968.240,5

 Untuk bulan III = Rp 184.731.657,6 x 1,1

= Rp 203.204.823,4
Total dana belanja bahan makanan selama 3 bulan :
- Bulan I = Rp 184.731.657,6
- Bulan II = Rp 193.968.240,5
- Bulan III = Rp 203.204.823,4 +
Rp 581.904.721,5