Cm
Umur : .............................................................. BB................Kg
IMT (Indeks Masa Tubuh) :............................................................
Kementerian Kesehatan
Kebutuhan Gizi Sehari : RI 2011
Kalori : Kkal Lemak : gram
DIET
Protein: gram Karbohidrat : gram
Nasi /pengganti :
Berat(gr)
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* URT
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RENDAH
Hewani/nabati
Sayuran
Minyak
Gula pasir
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Pagi
Contoh Menu
Siang Malam
PURIN
Nasi Nasi Nasi
Selingan Jam 10.00 : Telur dadar isiIkan bakar saos kecapSemur daging wortel dan(1/2 potong)
................................................................................................................ Pepes tahu Tumis sawi dan tomat
tomat Teh manisTempe bacem (1 potongBuah kecil)pisang
Sayur ambon
sop
Siang Jam 12.00 – 13.00 : Buah jeruk
Nasi /pengganti: ...................... ....................... Jam 10.00
Hewani: ...................... ....................... (Selingan) Semangka
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Nabati: ...................... .......................
Sayuran: ...................... .......................
Buah: ...................... .......................
Minyak: ......................