INSTALASI GIZI RUMAH SAKIT UMUM JAYAPURA

LAPORAN ORANG HARI MAKAN ( OHM ) PASIEN RAWAT IN

BULAN MARET 2019

TANGGAL
JENIS DIET 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

MAKANAN BIASA
VIP 2 2 2 2 2 2 2 1 1 3 1 1 1 2 3 4 4 3
KLS I 4 3 3 4 2 4 5 5 4 4 5 4 6 5 4 5 5 6
KLS II 16 10 10 18 14 10 16 36 15 15 18 30 17 21 15 13 13 10
KLS III 61 64 64 63 74 66 50 28 42 57 47 35 47 53 38 41 41 57
MAKANAN LUNAK
VIP 1 1 1 2 1 1 2 2 2 2 1 1 1 1 1 2 2 1
KLS I 3 3 3 2 3 2 2 2 3 2 2 3 3 2 4 2 2 3
KLS II 4 13 13 7 9 7 8 13 11 13 7 15 3 5 9 15 15 4
KLS III 32 29 29 36 25 25 23 17 22 31 30 20 28 24 24 20 20 27
DIET KHUSUS
MAKANAN CINCANG 1 0 0 1 1 2 3 3 2 0 2 2 1 1 1 0 0 1
MAKANAN SARING 1 0 0 2 3 2 4 2 1 1 1 0 0 1 3 1 1 2
MAKANAN CAIR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MLP 3 2 2 2 3 4 3 4 0 2 1 2 2 3 7 7 7 3
DIET LAMBUNG 1 0 0 1 0 0 0 1 0 7 0 0 1 7 2 1 1 2
DIET HATI 3 4 4 2 2 3 3 5 3 3 6 4 4 2 1 2 2 1
DIET RENDAH LEMAK 3 2 2 5 4 4 3 2 3 1 3 4 1 2 0 0 0 0
DIET RENDAH GARAM 5 7 7 11 10 17 11 17 17 7 14 10 18 14 20 22 22 17
DIET RENDAH PROTEIN 15 11 11 12 13 12 13 14 9 8 16 18 15 14 11 8 8 11
DIET HAEMODIALISA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DIET RENDAH PURIN 1 0 0 2 2 2 1 1 1 1 2 2 2 1 1 1 1 1
DIET DIABETES MELITUS ( DM) 6 9 9 9 11 8 6 7 4 4 6 5 8 8 8 5 5 4
DIET JANTUNG 11 9 9 13 15 19 18 18 13 19 23 21 18 17 23 21 21 26
DIET TINGGI SERAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 2
DIET RENDAH SISA 2 1 1 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0
 JENIS DIET
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
DIET T K T P B I A S A
VIP 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0
Kls I 2 3 3 2 1 1 1 1 1 0 0 1 3 0 1 1 1 0
Kls II 2 0 0 5 8 3 0 0 0 0 0 0 2 1 5 0 0 0
Kls III 30 32 32 20 26 28 29 38 35 29 35 29 23 32 34 38 38 42
DIET T K T P L U N A K
VIP 0 2 2 1 2 3 3 2 2 1 2 2 1 1 0 0 0 0
Kls I 2 1 1 3 5 3 3 3 4 5 5 3 2 1 1 1 1 0
Kls II 0 2 2 4 5 11 0 0 0 0 0 0 0 0 0 0 0 1
Kls III 28 27 27 14 18 11 26 17 14 4 16 18 32 29 25 17 17 16

BUBUR KECAP 0 0 0 0 0 0 0 0 0 0 2 0 1 1 0 0 0 0
JUICE PUTEL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SARI BUAH 4 8 8 2 4 1 4 7 2 2 8 6 2 3 6 3 3 1
TELUR BUTIRAN 2 5 5 20 17 10 13 7 4 0 13 15 4 10 10 10 10 2

JUMLAH 239 237 237 245 261 251 236 239 210 220 243 230 239 247 242 228 228 240

Mengetahui
Kepala Instalasi Gizi

FEMMY CAROLINA POTU, SKM. RD

NIP. 19600221 199203 2 006
JAYAPURA
N RAWAT INAP

19 20 21 22 23 24 25 26 27 28 29 30 31 TOTAL

4 5 3 1 2 2 3 4 4 4 3 2 2 77
5 8 7 4 4 4 8 5 3 4 3 5 5 143
22 7 22 15 19 19 16 22 12 15 13 13 13 505
42 64 49 61 64 64 58 45 42 49 57 63 63 1649

3 1 1 2 2 2 1 1 1 1 2 2 2 46
5 4 5 3 4 4 2 2 4 4 2 3 3 91
10 4 5 2 2 2 10 17 2 11 5 8 8 257
18 26 27 28 20 20 22 10 23 26 32 29 29 772

1 1 1 0 0 0 1 0 0 0 0 0 0 25
1 2 2 3 1 1 0 1 2 4 1 2 2 47
0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 1 3 5 4 4 3 2 3 4 2 2 2 98
4 5 3 2 1 1 1 2 2 2 2 1 1 51
2 3 7 5 4 4 3 3 3 3 4 6 6 107
3 3 3 3 2 2 8 10 6 8 7 5 5 104
17 12 14 10 9 9 6 11 12 13 16 8 8 391
7 8 7 10 9 9 12 5 13 9 8 19 19 354
0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 1 1 1 1 1 1 1 1 2 0 0 34
6 8 7 6 5 5 3 2 5 4 3 4 4 184
24 23 18 17 21 21 16 21 19 20 16 15 15 560
1 1 1 0 0 0 0 0 0 0 0 0 0 8
0 0 0 0 0 0 0 0 0 0 0 0 0 9
19 20 21 22 23 24 25 26 27 28 29 30 31

0 0 0 0 0 0 0 0 0 0 1 1 1 6
4 3 2 1 2 2 4 2 3 1 2 1 1 50
2 2 0 0 0 0 0 0 0 0 0 0 0 30
34 42 37 33 35 35 41 37 34 26 26 24 24 998

0 0 0 0 0 0 0 0 0 0 0 2 2 28
0 0 0 2 2 2 4 4 2 2 2 3 3 70
0 5 0 0 0 0 0 1 0 0 0 3 3 37
22 18 22 21 23 23 20 20 25 31 32 24 24 661

0 0 0 0 0 0 0 0 0 0 0 0 0 4
0 3 1 1 1 1 0 0 0 0 0 0 0 7
5 3 3 6 5 5 5 9 6 7 3 3 3 137
22 2 10 13 7 7 12 15 7 9 16 0 0 277

244 257 247 235 236 236 243 228 221 242 241 245 245 7392

JAYAPURA, 01 APRIL 2019

PENANGGUNG JAWAB OHM

SITI CHAIRANI, SKM

NIP. 19720615 199602 2 001