MAKANAN
hati, ikan, telur, daging, tempe, tahu, kacang hijau,
kacang merah. Sayur dapat menggunakan bayam, labu
kuning, wortel, kangkung.
NAMA : ..........................................................................L/P
UMUR :.....................................................................tahun
PROGRAM STUDI NERS
Panjang Badan (PB) : …………...............................................…………… cm
FF FAKULTAS ILMU KESEHATAN
Berat Badan (BB) : ......................................................................... kg BASDJ
UNIVERSITAS ‘AISYIYAH YOGYAKARTA
2019/2020
TANGGAL : .................................................................................
ALAMAT : ..................................................................................
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