\ Faggatian GR (Astessment Gini ). (a Liveyat Rersonal crt tet Pate Personal Nama: Ny Umwie 5 65 dean Cate Jens leelamin : Perempucn Cart Riwoyot Medic ws Rarien J Guim /kebarga . GH-2-t 1 Leclthan pasien tekait in | Kulihan winme fasion alert leah _kengeuke untae salt dan Nenleus Pardangan ganda Chalk foleer) dan fartangen seditet Keabur don real. (reagat Qeagalit hacen 2 gon Say bangen Ganen clean wremelublear rysei legate, Resing Mereimbengen besenggn . bake Curent wembuba vrata Clear~ jatuh ark alr reebales d 5s ited det (indie Sane tet bode ite pets: Sole ett CH.B.\\ Falelor Serial thencmi + Paren adalah seerang fedagerg dengcn agharilen the 2000-00 enn Pioghanlan Pe: te: Sedeng tan suonimye astaleh Wwirarwerte . Jeorany wires worker ; eta Potion Porren weamgulanis bipeteun Uengen aluhon yang Sirebutkan dintor —_Parghanlen fonien Sibwenh vMin, UME oho Fp. 183 —dlambah dengan wou porn apng baleeie sebagai wicoswatte dengan —firghantan diatas ume (te. 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Dar ele mobos Mesebt Lorruurs Perien Yong wenyuleat maleenan Trgereg Segre enyebableen eleenan ders inggi clan leslerbrol baile Gaga Sepak memtcn Akane Aarah seejnPh_asile . Hal tei page A qesien Cobembsh gers # sebtko Fa WIEN Asupan emengi ob a FH $231 Asupan Grotsin 4+ fate Sel Aree Ue tale APE Veaetieg Maken 24 Jom Tecklye, [Emage (teat) | Peten (30) [lara (rem) | Kernen Grd] tative “(Meat eeent | 532. eat 36 dem] 43,3 gem | 384.9 seow [P25 [pts leon [gas % | ssvsen | 8 [eters Te Deft ta cing ei Hh Gem) L wp Mekwen gen : Diatas Kerukupan + 207%. _Normat —« §0-103 7, Ochre AM ringsn 6 90-89% o Stdong s Qu-t9 = hunt > LOY Sumber: wpe 202 ) : _ Berdasarbar Gubitungar Haghat Kongucn i didapatiean baben kategeet Hin gph kensureri cng gaa enkegors dlefart du Wangan , Protein Nakegeri defin'd th berat, lewrale (29s Golegort any normal Kerbabede be [ ities | 133.904 | sven we Nata Leeeutupan den uratriue Bint Vecebupen Yang mengehabl en A Paren meng Seg bepel barene eelenie behehurgen Seagan khan baeal baggy fevers Wenrume yee phe Dp con geetben Yinmele Gard neler selvcgee Jon beng Maret wemanpe lebih hug tendale neGereny eben Sarak yong vena bie eegiy dh aban te enpheblan Vekanan Doral memingha b> oe__Antropemetri Data. (AD). AD: =} Komporios Peer’ ADL tit Tinggi badan . bes tated AD 1.2 Beat badan 1 66 ky . pitts bani 4. sp (16 - wo) - to (18-100) woo) - 1or% Ciso~tou) 2 50 - loys (50) ray nowy doy S key. CRumur Broce). Fs IMT = BB ky + COky 2 Gokg > 29-23 ko/ee TRA samt 2,152 ‘ : RB lnenag 9 418.5 a! Normals US 2 2n ig 8S Lobin + d2h0 = Dogon reeves + 23,024, 9 Ober tei ot as 29,9 ober tk Ze 2 30 _ Gounter + Atta Posigre ). Pend laian : Bed-awlean date han! pobihengas antrapemetes Codayeto BAt dan WAT Porien didapatia, o> .. B84 > BBI Aan = Fetepr WOT pale lealegor? ober te 2 menunah Asia Bri COAT Patien 2g ,35 kg/m). tenehssiti Sof Biko (Biochemie at Data) ae NT qabel 3 Onte Hasil Loboleteriuue y , \ “Vode Temlsildens Rerertsann! aril Reresk sein [oiekwnpen Poo tet fH WS Galo! 12-149 fa « Rerdah i ST Lewkeo ah. M49 t/u | 5 03 /ye Tihag NV [pot2-5 | Nebr] leg nels | 135-143 mmol/L | tings Sfp tet 2] eels Bro weal [3.525 mnol J, Fedak NJ [pont] Cewde No merel_[too- 106 wool Zu | Trggi ~_Liunber | Penuntun Diet Gigs Tebarw A Peeclaton: Bedarartan Qala hal Poneilesnans Lsedugban (eles, wabrinn San ale \eboratoriutn wennjubkan Wb dan kelow send iD Kinggi (Piotes normal Hb rendah dan. helaly Gefen gkinan’ behwa Pasven fuga engalen: anemia. | 4 Abegonleon guudeh sel durch suarah yong oerbaun “digas bene ~dari_dor mals Leuleosig Hinggi bérhemunghinan:babwa!-Pasiea. mendes “| shears sedanglan leadar netrinm, ggiMlorida hnggi ferta halfun enupkit «Yang Salen: Partn: yack ~ Heng vendah Gekattan cher emral Lersebut QMepetlen. Bort oruPen Wipertenniis Nilat-wlar bit + Bimann tegeSi Peningenken Leben Semh — /Biperennt Ieebike.. Sibeckan | ting: asupen uatcinm lowe sedanrgken keDar kalrum yang rendah Aehrbabman oleh redishsbart keatium elestraseluler ke Pala caiman Lnbetr hiker Dierennkan Gosre n Werdurita Qiperbenn . Mak tz tate — Goleh Srteiarken beras Cudaniut den hare Stgene deok ars Quad Kedab urvemparperel bed hea Josten. Date Fiske CPhywcal Data) et Penampilar Lerelurhan © KU lenah, Keragores Tita Tada ster vie 7 TT 4. Date Merl Receritgeen Kip “ [er Reese [than Reenter. Wilar Nero Maleamqansicis | Theran derah | (60/100 wis <0 mia (soni Hiportens: Terfremabar BESO 36-345 *¢ -| Normal tke 2 Neck Gox /meuit .| Go-toox Lect | DWormal RR LE tex /oseuit. | 16-20 Arent | | Normal ce Leese 2 RAPT emenkes (4 Ds ees ) A Geguat normal ius CM Cocupes mentss ) ole. ‘nasil Pameriksaan tisik didapaltzan behwe leaden wena lah: dan 7 Kemesstinen Bisel leh ¢ Jen Vdlaben feraalet esen asta Wipatean 7 Sdlangcon Pada feuneresaan esis dick plan. bent Permeriles mae 5 aya niet 7 NA tempinctaee (tube, SAB 2 2 HSS9 Cada7 aT s.to 2.9 Kelbifaw aruper wakriom berluiten Jenga paren’ yang se DIAGNOSIS Giz. Weelaguontunet “yckanen Aingsi mehten (hele ann) di ardel dyn th Monet cabin rates, ecnkupen ¢ hart! Gioliwia nakrine daeah Kaggi 212.1 Anupen oral tidak adtekuat beceactan dengan konrusn 4 n di RS nagsumatean yy turang baile an wakanan yong Abeikean och AS 4 Keategori cingkat Konrumsi: entra; paca kabogen lk_ringan, Protein pada lategr’ deprd buguat Geet ola. datas keeskupan . 2 A niles lab Lerkait giti berkaiten dengan penyalet Ng diderita Posten yaitu Chipetenri) dilanda! clengen aelanys hari! Pemerizsonn Hb lon Kealiune dibsurch Gadlar woreal Zrendah dan | Peorerkonen tanfrinnn, leleort dan Kida dscter braSler normal / i belathan + per tang Itiervewsi Gre Tyjuan Dick i 1 Membants maurunban befanan dark ogee yen j APai Roreal A Memagiatlen anapan wralan :Patitn . ; 4: Menguranss Veblornen seine fps Le Mertugiead ban Pengetahann bendang Aan gin u Mews peat es Baler menith jt ~ yy Salah Powne Diet te Eee culep Seryae Labubihen a Pron tadans a lentle dedleng 1 Meaeboledemt pale S$: Rerdeh Marian, 4se dict: Diet Dash. Buns tibet heck dept aa leh wot anareel eo doch mes =a pe fenderite ripeenei $009 lebih efeheg Karena siugy! bushy Sayer, Susu non (eee len cereal Vemele fla Sapak weemeninlnn Lleoran Dark cata? Gol wg hig. Beth Mh enan : Minkenan Giofa, Karena Parten fetch adle senqquan’ oral ” Fokeecri: 3x mekan ulema dan 2 x selingon ~Gpecot Dick “bug diburlen sesuat \eebubshan dengan cumar wigtlin sf geor dengan wee pebiler- Kea based, aldifles iste dan galehor sheet Emerg dibeiken ceheser ): 735-94 kal Sub OM 2. frokein 1 YEH IY, dari vader ghee Yong Sengahar rate _Bepkeda song mPAGuad Mengany Cub elena edeng 5 Ze dots TH gains te Naleclercl bathe + trengentel rare lypar De Jerky: Sanbe 4. learbel dead colop alta “Neo. < 09 fram Thick bay Gag beck Rin maya Sake OM _ so Eleiun Qbear ban seherer yrte 6502 Grae obs AK ys Baie a = wrevtinweattean fvodlubss \oreron shan enguren si rexslen penpals h 4gule grem wet ad ho tentale emer gah TP enwe Ubtgee stoo ne Mabk SOstE ken wabvtue tram Gora » Sunte Oo: “E Nekine AiGuckan terdeh Yoo my seruot gy precke oo Keb Onaate Perhitungan Kebutuhan Energi gat Gta s J 4 Pertangan kebubuhan enengi Agr” annus ~ Miglin Sti jee ts ie eh 1 BB Ge keg 2 Pr what ib 2TB #190 cw: U2 .65..tahun dk_* Pere wmpuan BEE = Crox pg ) + Corts ate) ~- Comv) ler: - 4 > Ltox co yt Corre x twl- GRES) -l6] 2 GGo + 933.5 - 425 — fc) 2 WLS Kkal — TEE 5 = BEB.» “Ap x fis pte fobs ue’ — iy : E Pe def tomy dee tea aevtpg gue t sae fe nen ot : — — 2 NF 35+ 94 kkal E Prokeiw = is Yo x TER De AS OK RN B'ST OY = 260,091 kal yea Gs, 02 -geam & Lewak = 254 x I}3s,9y Ui 433, 4es kal = 4G \6 Sean Kerbchidtat = 60 7. (T95 -94 = 10 go, 3h Kleal an 7 fh et EET age sets 231 260709 ‘gram Febuluhan’ dat Gizi? Mikro’ Vilawin A = GOO RE Yolrium : 1-200 09 ; Gitamin Cot BS mg dot esi: Boma Seok : 229 Noketum : 400 mg Chidal menggunaFan AKG kefepi dizesuarian Senza Poobkeps dbsetrys ).Form Menu MAKANAN SEHARI RAMA z UMURGS th | _65:66he _] TO150em | __TANGGAL, SH Aposn 2 nares [Peste® _T tema | MT cy [re [una ] or | c | ne | ser Fev aT tg twa fire| ao | cre fore mer | te Nasipath Beas as 42 | os vas | 09 oa [oo [ass | oa Site donna 8) agg i mn = a [aes oa [ao[as| oo Seropon minyak Margen 36 ie 04 [09 00 [oo [asa | oo Tenge oh Tempe del 7005 34 ms| 2 ooss[ o | 45 | a7 Serapan minyak Minyatlapa a0 20 [00 ‘a0 [oop ae | oo Sayur being Bayar segor 80 03 8 030 20 | 04 ‘Bua eel Ey 04 6 | 03 208 20 | 26 idangan a Makanan/tenu = 4) ‘Soin ah pel 08 03 rear 02 i elon 04 02 Yeurhurt 7 008 Nasi uth Boras cing 03, ‘Ayam asam mans nam 08) Gahangkung Stege | _Kangtune sear ry Toge 8 Minyakklapa sowie m7 Tahu blade Tah 7 Serapanminyek__|_Mlnvak heap svt @ sen keto 04 “Gulamevah Nasi path Bera ling Semurtahutclor | Tabu pathmentah Telur pat Tumisfacang panne [__ Kacang panang Minyakkelapa ‘Bua Fotong Malon= Ansaens Balape a ooo Te he | [Ete TT a = Bist Berge | tee) etl akenen|Beoh(g) | BOO Cy) kotor ©g) | Sebran Ceq)| Merge Co) 4 4 Beres Ging | Iso Tentasl| “Lever ale droaoifes -f:cBena, Tt = [osing eatin se sito | so "| ty-eeu/Kt| (e000 3 Ayers dada So: soo] se 2.0m / leg | (e000 eo [tele Pafvh: | .-s0, ag | _us iromfia | ome See Tah [too s| to | bogs toe/sh | 2000 6 peep 50 foo we fooc/bes | loco dies a pKompkung.! | Bo 9e ae__| tme/Ikct | to i qeuje || 20 [eo go "| sus 2080 [oy scan RSJ} tos q° Wa _[ doe Ztker | 2500 ©: Bayon =| 00. 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