INSTALASI GIZI RUMAH SAKIT UMUM JAYAPURA

LAPORAN ORANG HARI MAKAN ( OHM ) PASIEN RAWAT INAP

BULAN JULI 2019

TANGGAL
JENIS DIET 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

MAKANAN BIASA
VIP 4 4 4 4 3 3 3 4 4 4 3 3 3 3 3 3 3 4 3
KLS I 5 5 5 4 3 2 2 5 3 3 7 2 2 2 2 2 4 6 4
KLS II 14 14 14 13 19 12 12 14 18 14 14 11 11 11 11 11 14 30 19
KLS III 49 49 49 43 43 35 35 60 63 67 58 56 56 56 56 56 60 45 49
MAKANAN LUNAK
VIP 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
KLS I 2 2 2 2 2 3 3 3 2 2 3 3 3 3 3 3 2 2 1
KLS II 4 4 4 7 3 7 7 4 2 11 10 4 4 4 4 4 10 13 8
KLS III 29 29 29 27 32 22 22 25 18 27 31 41 41 41 41 41 27 19 24
DIET KHUSUS
MAKANAN CINCANG 1 1 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0
MAKANAN SARING 5 5 5 5 3 2 2 2 1 2 2 2 2 2 2 2 8 6 10
MAKANAN CAIR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MLP 7 7 7 4 5 5 5 11 9 6 6 8 8 8 8 8 4 8 6
DIET LAMBUNG 1 1 1 1 1 1 1 2 3 3 3 2 2 2 2 2 0 0 3
DIET HATI 1 1 1 0 1 1 1 2 4 5 6 5 5 5 5 5 7 5 5
DIET RENDAH LEMAK 8 8 8 3 3 2 2 3 3 3 2 1 1 1 1 1 1 1 1
DIET RENDAH GARAM 7 7 7 15 12 9 9 17 16 12 12 14 14 14 14 14 8 4 6
DIET RENDAH PROTEIN 14 14 14 13 12 13 13 6 9 11 13 10 10 10 10 10 13 15 10
DIET HAEMODIALISA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DIET RENDAH PURIN 3 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
DIET DIABETES MELITUS ( DM) 14 14 14 11 12 8 8 10 9 11 12 16 16 16 16 16 14 13 14
DIET JANTUNG 12 12 12 14 13 13 13 10 6 9 9 9 9 9 9 9 10 13 14
DIET TINGGI SERAT 0 0 0 0 0 0 0 0 0 0 0 2 2 2 2 2 1 0 1
DIET RENDAH SISA 0 0 0 0 0 2 2 0 0 0 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 19
DIET T K T P B I A S A
VIP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kls I 0 0 0 0 0 0 0 1 3 2 3 3 3 3 3 3 2 1 4
Kls II 0 0 0 0 2 0 0 0 6 0 0 0 0 0 0 0 0 0 0
Kls III 31 31 31 27 19 24 24 35 27 29 24 22 22 22 22 22 30 22 25
DIET T K T P L U N A K
VIP 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kls I 3 3 3 2 2 3 3 4 2 3 1 2 2 2 2 2 0 0 0
Kls II 1 1 1 3 1 3 3 0 0 0 0 2 2 2 2 2 0 0 0
Kls III 30 30 30 20 28 23 23 22 27 25 34 29 29 29 29 29 26 28 27

BUBUR KECAP
JUICE PUTEL 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 2
SARI BUAH 2 2 2 8 7 7 7 5 4 5 8 5 5 5 5 5 13 12 10
TELUR BUTIRAN 12 12 12 19 12 12 12 20 14 11 28 16 16 16 16 16 25 23 19

JUMLAH 247 247 247 221 222 194 194 242 236 250 254 248 248 248 248 248 245 236 236

Mengetahui
Kepala Instalasi Gizi

FEMMY CAROLINA POTU, SKM. RD

NIP. 19600221 199203 2 006
PURA
AWAT INAP

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

3 3 3 3 3 3 2 2 2 4 3 2 98
4 3 5 5 4 5 4 3 3 5 5 6 120
19 12 25 26 19 15 12 14 14 13 18 22 485
49 55 45 38 47 42 44 42 42 49 45 45 1528

1 2 1 1 1 1 3 3 3 1 1 2 39
1 2 2 2 5 2 2 3 3 2 2 2 74
8 5 5 8 14 11 10 7 7 11 12 13 225
24 32 30 21 32 32 35 36 36 34 15 22 915

0 0 1 1 1 2 0 0 0 0 1 1 13
10 7 7 10 9 9 7 8 8 5 8 5 161
0 0 0 0 0 0 0 0 0 0 0 0 0
6 2 5 3 2 3 2 1 1 3 1 5 164
3 3 2 1 1 2 1 2 2 0 0 0 48
5 5 2 4 2 4 7 7 7 5 3 4 120
1 3 2 2 2 1 0 0 0 0 1 3 68
6 7 5 8 5 8 7 6 6 8 7 6 290
10 6 10 13 14 11 16 16 16 12 10 9 363
0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 1 0 0 1 1 1 1 0 16
14 13 18 16 14 16 14 11 11 12 8 9 400
14 13 14 11 13 13 8 8 8 9 12 18 346
1 0 0 0 0 0 1 1 1 0 0 0 16
0 0 0 1 1 1 2 1 1 0 0 0 11
20 21 22 23 24 25 26 27 28 29 30 31

0 2 0 1 0 0 0 0 0 0 1 1 5
4 3 2 4 3 3 0 0 0 0 0 0 50
0 0 0 1 0 3 0 0 0 0 0 0 12
25 21 29 35 32 26 26 23 23 27 29 24 809

0 0 0 0 1 0 0 0 0 0 0 0 6
0 1 4 0 2 5 3 2 2 3 1 2 64
0 0 1 0 0 2 0 1 1 0 0 0 28
27 27 21 27 24 29 31 31 31 30 29 32 857

2 1 1 0 1 0 0 6 6 0 0 0 25
10 0 14 14 18 8 14 8 8 15 15 14 255
19 3 22 17 15 17 22 12 12 23 16 23 512

236 227 239 242 252 249 237 229 229 234 213 233 7331

JAYAPURA, AGUSTUS 2019

PENANGGUNG JAWAB OHM

SITI CHAIRANI, SKM

NIP. 19720615 199602 2 001