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    Formulir Balita Kurus Mendapat Makanan Tambahan Di Wilayah Kerja Posyandu

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    prijurama
    This document is a form for collecting data on underweight children receiving supplemental food in a POSYANDU working area. It collects the child's name, address, date of birth, age, initial measurements, monthly weight and height measurements over 3 months, and nutritional status. A second section collects similar data on pregnant women with chronic energy deficiency receiving supplemental food. The form collects the women's names, addresses, ages, dates of birth, gestational ages, initial measurements, and monthly weight and arm circumference increases over 3 months.

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    Formulir Balita Kurus Mendapat Makanan Tambahan Di Wilayah Kerja Posyandu

    Uploaded by

    prijurama
    7 views7 pages
    This document is a form for collecting data on underweight children receiving supplemental food in a POSYANDU working area. It collects the child's name, address, date of birth, age, initial measurements, monthly weight and height measurements over 3 months, and nutritional status. A second section collects similar data on pregnant women with chronic energy deficiency receiving supplemental food. The form collects the women's names, addresses, ages, dates of birth, gestational ages, initial measurements, and monthly weight and arm circumference increases over 3 months.

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    This document is a form for collecting data on underweight children receiving supplemental food in a POSYANDU working area. It collects the child's name, address, date of birth, age, initial measurements, monthly weight and height measurements over 3 months, and nutritional status. A second section collects similar data on pregnant women with chronic energy deficiency receiving supplemental food. The form collects the women's names, addresses, ages, dates of birth, gestational ages, initial measurements, and monthly weight and arm circumference increases over 3 months.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    7 views7 pages

    Formulir Balita Kurus Mendapat Makanan Tambahan Di Wilayah Kerja Posyandu

    Uploaded by

    prijurama
    This document is a form for collecting data on underweight children receiving supplemental food in a POSYANDU working area. It collects the child's name, address, date of birth, age, initial measurements, monthly weight and height measurements over 3 months, and nutritional status. A second section collects similar data on pregnant women with chronic energy deficiency receiving supplemental food. The form collects the women's names, addresses, ages, dates of birth, gestational ages, initial measurements, and monthly weight and arm circumference increases over 3 months.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    Download as xlsx, pdf, or txt
    of 7

    FORMULIR BALITA KURUS MENDAPAT MAKANAN TAMBAHAN

    DI WILAYAH KERJA POSYANDU

    PUSKESMAS :
    POSYANDU :
    TAHUN :

    PENGUKURAN AWAL BULAN I BULAN KE 2 BULAN KE 3 STATUS GIZ


    jlh kenaikan
    BB (kg) TB (cm) kenaikan BB kenaikan BB kenaikan BB BB NORMAL
    NO NAMA ALAMAT TTL UMUR > -2 SD s/d 2 SD
    US MENDAPAT MAKANAN TAMBAHAN
    AYAH KERJA POSYANDU

    STATUS GIZI KET


    SANGAT
    KURUS KURUS
    < -2 SD s/d > -3 SD < - 3 SD
    FORMULIR IBU HAMIL KURANG ENERGI KRONIK
    o

    PUSKESMAS :
    POSYANDU :
    TAHUN :

    UMUR
    NO NAMA ALAMAT TTL/UMUR KEHAMILAN
    ANG ENERGI KRONIK (KEK) MENDAPAT MAKANAN TAMBAHAN
    o

    Pengukuran Kenaikan Berat Badan/LILA Jumlah Kenaikan


    Bulan I Bulan II Bulan III
    BB (kg) LILA (cm)
    BB LILA BB LILA BB LILA BB
    Jumlah Kenaikan

    LILA KET

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