Menu Gizi Gsc Kel Umanen Agustus 2015

8/16/2019 Menu Gizi Gsc Kel Umanen Agustus 2015

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II. KEBUTUHAN BAHAN MAKANAN DAN ANGGARAN BELANJA PMT PEMULIH

NONAMA BAHAN

JUMLAH BAHAN

MAKANAN

1beras 4 kg 90 HMA ! "#0 kg

$b%&'(s 1 kg) $ Kg "0 HMA !90 kg

"*+r,e- 1 kg ) 1 kg ) 1 Kg "0 HMA ! 90 kg

4ke&,a&g 1 kg ) 1 kg "0 HMA ! kg

aa2 ka23&g " ek+r "0 HMA ! 90 ek+r

# Ika& P+,+&g " kg "0 HMA ! 90 kg

Ta% " kg ) " kg "0 HMA ! 150 kg

56ag(&g sa3( " kg "0 HMA ! 90 kg

9Te23e " kg "0 HMA ! 90 kg

10 2(&ak b(2+-( $00 2- "0 HMA !51000 2-/000 -,r

11Baa2 10 (ka, "0 HMA ! "00 (ka,

1$Lab% Je3a&g 1 kg "0 HMA ! "0 kg

1" Jag%&g M%6a 10 3%-er "0 HMA ! "00 3%-er

143(sa&g a2b+& 4 s(s(r "0 HMA ! 1$0 s(s(r

1Pe3aa Masak " b%a "0 HMA ! 90 b%a

1#A3e- " kg "0 HMA !90kg

16a&'+* ba-(,a 400 gr 900 gr 90 HMA ! 51000 gr / 400 gr

157%s% e&ak k-&g "0 HMA ! 10 ka-e&g

19G%-a 3as(r 1440 gr "0 HMA8 4".$00 gr

$03(sa&g ka3+k $ s(s(r "0 HMA ! #0 7(s(r

$1,e3%&g ,er(g% 1. kg ) $ Kg "0 HMA ! 10 kg

$$,e-%r aa2 150 b,r ) 1#$0b,r ! 1500 b,r/"0 b,r ! 10

$" Eb( %6a&g ker(&g: 1 gr "0 HMA ! 4 gr

$4G%-a 2era 150 gr "0 HMA ! 400 gr

$Agar;agar 10 bks "0 HMA < "00 bks

$#Asa2 =a*a se'%k%3&a

$Ba*a&g Mera se'%k%3&a

$5Ba*a&g P%,( se'%k%3&a

$9Jae se'%k%3&a

"0Le&gk%as se'%k%3&a

"17era( se'%k%3&a

"$Da%& 7a-a2 se'%k%3&a

""Da%& 7e-e6r( se'%k%3&a


3/47

"4Gara2 se'%k%3&a

"Ke'a3 2a&(s se'%k%3&a

"#>er2(3a& se'%k%3&a

JUMLAH

7I7A

Surama, 11 Maret 2013

TPG Puskesmas Umanen

NIP: 19760511 199703 2 004

Yulana Pa!a


4/47

N

JUMLAH TOTAL TOTAL DANA

BAHAN MAKANAN

3"#0 kg 10000 "#00000

90 kg 1000 1"0000

90 kg $0000 1500000

kg $0000 100000

90 ek+r bsr 0000 #"00000

90 kg 4000 400000

150 kg 1000 $00000

90 kg 000 #0000

90 kg 1$00 11$000

1# =er(ge& #000 1040000

"00 (ka, $000 #00000

"0 kg 10000 "00000

"00 3%-er $000 #00000

1$0 s(s(r 1000 1500000

90 b bsr 1000 1"0000

90 kg "000 "10000

$0" bks "000 10000

10 ka-e&g 10000 100000

4". kg 1000 #$00

#0 s(s(r 10000 #00000

10 kg 10000 100000

# rak 4000 $9$000

4 kg 4000 $0$000

# kg 1000 90000

"00 bks 000 100000

$ kg 10000 $0000

10 kg $000 $0000

10 kg $000 $0000

4 kg $0000 50000

4 kg $0000 50000

"0 (ka, $000 #0000

"0 ,%s%k $000 #0000

"0 (k, $000 #0000

7ATUANBAHAN

HARGA7ATUAN


5/47

"0 bks $000 #0000

"0 b,- k'- 000 10000

"0 bks $00 000

##000

9$00

Men"eta#u


6/47


7/47


8/47

REN?ANAAN MENU MAKANAN PMT PEMULIHAN

UNTUK IBU MEN@U7UI

KELURAHAN TULAMALAE

BANTUAN G7?

U&(, '+s, 3er+ra&g /ar( %&,%k 1 ka-( 2aka& ! R3 1.000

J%2-a ar( 2aka& a&ak se-a2a 90 HMA T+,a- 6a&a a&g 6(b%,%ka& ! " (b% HMA R3 1.000

R3 ".#.000;

I. Me&% 2aka&a& s(k-%s 2e&% ar( 2aka&:

NO/Har( MENU BAHAN MAKANAN J-Gr2:

I &as( beras 10

Aa2 G+re&g Dag(&g Aa2

M(&ak B(2+-( 10

,a% ba'e2 ,a%

asa2 se'%k%3&a

g%-a 2era

2(&ak b(2+-( 10

s%3 sa%ra& b%&'(s 0

*+r,e- "0

ke&,a&g $0

P(sa&g Masak P(sa&g A2b+& 100

II &as( beras 10

erke6e- 6ag(&g 6ag(&g sa3(

,e-%r aa2 ;

ke&,a&g "0

2(&ak b(2+-( 10

Te23e g+re&g Te23e

2(&ak b(2+-( 10

Be&(&g baa2 Baa2 0

+r,e- $0

Lab% Je3a&g $0

Jag%&g M%6a $0

B%a a3e- A3e- 100

III &as( beras 10

Ika& G+re&g (ka& 3+,+&g

2(&ak b(2+-( 10

Ta% b%2b% ba-( ,a%

T+2a, $0

2(&ak b(2+-( 10

Ose&g ; +se2g B%&'(s B%&'(s 0

J%2-a sasara& (b% 2e&%s%( ! " (b%


9/47

+r,e- $0

U6a&g Eb(: $0

2(&ak b(2+-( 10

Pe3aa 2asak Pe3aa 100

IC &as( beras 10

7e2%r 6ag(&g sa3( 6ag(&g sa3( 2(&ak b(2+-( 10

Te23e Ba'e2 Te23e

asa2 se'%k%3&a

g%-a 2era

2(&ak b(2+-( 10

Orak;ar(k k+- 6a& *+r,e- K+- b%&ga 0

*+r,e- $0

2(&ak b(2+-( 10

,e-%r aa2 ;

P(sa&g Masak P(sa&g A2b+& 100

C &as( beras 100

O3+r Aa2 Dag(&g Aa2

sa&,a& $0 2-

2(&ak b(2+-( 10

Te23e g+re&g Te23e

2(&ak b(2+-( 10

Da%& s(&gk+&g 0

Da%& Pe3aa $0

M(&ak b(2+-( 10

Pe3aa 2asak Pe3aa 100

CI &as( beras 10

K%a Ika& (ka& 3+,+&g

7a2ba- g+re&g ,a%

T+2a, $0

2(&ak b(2+-( 10

T%2(s Ka&gk%&g Ka&gk%&g 100

2(&ak b(2+-( 10

b%a A3e- 100

CII &as( beras 10

Da6ar Te-%r Te-%r aa2 #0

2(&ak b(2+-( 10

Te23e b%2b% ba-( ,a%

T+2a, $0

2(&ak b(2+-( 10

T%2(s Da%& 7(&gk+&g )Da%& 3e3aa


10/47

B+b+r Baa2 Baa2 0

Lab% Je3a&g $0

7a&,a& $0

b%a 3(sa&g 2asak 100


11/47

TOTAL BAHAN UNTUK " IBU

$0 < Kg

$#$ < " ekr

"0 2-

$00 < " kg

se'%k%3&a

1 gr

"0 2-

10


12/47

00 < 1 kg

00 < 1 kg

"0 2-

"00 < 4 b%a bsr

$0 < Kg

$00 < " kg

$00 < " kg

1

"0 2-

10


13/47

10


14/47

II. KEBUTUHAN BAHAN MAKANAN DAN ANGGA

NO

NAMA BAHAN JUMLAH BAHAN

1beras kg HMA

$b%&'(s $ kg) $ kg

"*+r,e- 1 kg )1 kg ) 1 kg

4ke&,a&g 1 kg ) 1 kg

aa2 ka23&g " ekr )" ekr

# Ika& P+,+&g " kg " kg

Ta% " kg ) " kg ) " kg ) " kg56ag(&g sa3( " kg ) " kg

9Te23e " kg ) " kg ) " kg

102(&ak b(2+-( 15 ka-( 3aka( "0 2-

11Baa2 15 (ka, ) 15 (k,

1$Lab% Je3a&g 1 kg ) 1 kg

1"Da%& 7(&gk+&g $0 (k,

14Da%& Pe3aa (k,

1Ka&gk%&g "0 (k,1#Jag%&g M%6a 10 3%-er

1Ke-a3a Par%, 4 b%a

153(sa&g a2b+& 1$ s(s(r

19Pe3aa Masak 5 b

$0A3e- 5 kg

$1,e-%r aa2 4 b,r ) " b,r < "9 b,r

$$Eb( %6a&g ker(& 1 kg

$" G%-a 3as(r se'%k%3&a$4G%-a 2era 1 gr ) 1 gr < "0 gr

?abe Mera se'%k%3&a

$T+2a, $ kg

$#Asa2 =a*a se'%k%3&a

$Ba*a&g Mera se'%k%3&a

$5Ba*a&g P%,( se'%k%3&a

$9 Jae se'%k%3&a

"0Le&gk%as se'%k%3&a

"17era( se'%k%3&a

"$Da%& 7a-a2 se'%k%3&a

""Da%& 7e-e6r( se'%k%3&a

"4Gara2 se'%k%3&a

"Ke'a3 2a&(s se'%k%3&a

JUMLAH

7I7A

Surama, 2 $%rl 2013


15/47

TPG Puskesmas Umanen

NIP: 19760511 199703 2 004

Yulana Pa!a


16/47

AN BELANJA PMT PEMULIHAN

TOTAL DANA

R3

"9 kg 10000 "90000

4 kg 1000 #0000

". kg $0000 0000

$. kg $0000 0000

# ek+r bsr 0000 4$0000

# kg 4000 $0000

1$ kg 1000 150000# kg 000 40000

9 kg 1000 1"000

$ =er(ge& #000 1"0000

"# (ka, $000 $000

$ kg 10000 $0000

$0 (k, $000 40000

(k, $000 14000

"0 (k, $000 #000010 3%-er $000 $0000

4 b 4000 1#000

1$ s(s(r $0000 $40000

5 b bsr $0000 1#0000

5 kg 40000 "$0000

$ rak 4000 90000

1 kg 4000 4000

0. kg 1000 000. kg $0000 10000

1 kg "0000 "0000

$ kg 10000 $0000

1 kg 10000 10000

$ kg 40000 50000

$ kg 40000 50000

1 kg $0000 $0000

1 kg $0000 $0000

(ka, $000 14000

,%s%k $000 14000

(k, $000 14000

" bks $000 #000

" b,- k'- 000 1000

"9$00

5$00

Men"eta#u

TOTAL BAHAN

UNTUK " IBU7ELAMA HMA

7ATUANBAHAN HARGA7ATUAN


17/47


18/47


19/47


20/47

s

UNTUK BALITA GII KURANG DAN BURUK

KELURAHAN TULAMALAE

BANTUAN G7?

U&(, '+s, 3era&ak /ar( %&,%k $ ka-( 2aka& ! R3 ".000 J%2-a ar( 2aka& a&ak se-a2a 90 HMA

T+,a- 6a&a a&g 6(b%,%ka& ! 15 a&ak 90 HMA R3 ".000

R3 #.00.000;

I. Me&% 2aka&a& s(k-%s 2e&% " ar( 2aka&:

NO/ MENU BAHAN MAKANAN J-Gr2: - $ MAKAN

HARI

I &as( beras 100 $00

Aa2 ,e-%r Dag(&g aa2 10

Te3%2g Ter(g% 10 $0

Te-%r aa2

2(&ak b(2+-( 10

Baks+ Ta% ,a% 10

+r,e- $0 40

P%,(Te-%r 10

Ose&g;+se&g B%&'( B%&'(s 0 100

+r,e- $0 402(&ak b(2+-( 10 $0

b%a 3(sa&g a2b+& 100 $00

s%s% 6a&'+* ba-(,a $ 0

g%-a 3as(r 10 $0

s&a'k 3(sa&g g+re& 3(sa&g ka3+k 0 100

,e3%&g ,er(g% "0 #0

2(&ak b(2+-( 10 $0

eks,ra ,e-%r aa2 ,e-%r aa2 1 b,r 1 b,r

II &as( beras 100 $00

Ika& asa2 Ma&(s Ika& 3+,+&g 10

Te3%&g Ter(g% 10

Te3%&g 7ag% " #

J%2-a sasara& g(( k%ra&g ) b%r%k ! 15 a&ak


21/47


22/47

7a&,a& ke-a3a 10 $0

eks,ra ,e-%r aa2 ,e-%r aa2 1 b,r 1 b,r


23/47

TOTAL BAHAN

15 ANAK/HR

"#00 < 4 kg

$00 < " ekr s6g

"$0


24/47

"#0 2-

$00 < " kg

"#0 2-

1050 < 10 (ka,

$0 < 1 Kg

"#00 < " b%a s6g

900 gr

"#0 gr

40 < 10 bks

"#0 gr

"#0 gr< $ b%a

15 b,r

"#00 < 4 kg

$00 < " kg

"#0 2-

"# b,r

$00 < " kg11$0 < 1 Kg

"#0 2-

"#00gr < " b bsr

900 gr

"#0 gr

1500gr < $ kg

"#0 gr

40 gr

"#0 gr


25/47

$ b ke-3a ,%a

15 b,r


26/47

REN?ANAAN MENU MAKANAN PMT PEMU

UNTUK IBU MEN@U7UI

KELURAHAN TULAMALAE

BANTUAN G7?

U&(, '+s, 3er+ra&g /ar( %&,%k 1 ka-( 2aka& ! R3 $0.000 J%2-a ar( 2aka& a&ak se-a2a 90 HMA

T+,a- 6a&a a&g 6(b%,%ka& ! $4 (b% 40 HMA R3 $0.000


NO/Har( MENU BAHAN MAKANAN

I &as( beras

Aa2 G+re&g Dag(&g Aa2

M(&ak B(2+-(

,a% ba'e2 ,a%

asa2

g%-a 2era

2(&ak b(2+-(

s%3 sa%ra& b%&'(s

*+r,e-

ke&,a&g

P(sa&g Masak P(sa&g A2b+&

II &as( beras


,e-%r aa2

ke&,a&g

2(&ak b(2+-(

Te23e g+re&g Te23e

2(&ak b(2+-(

Be&(&g baa2 Baa2

+r,e-

Lab% Je3a&g

Jag%&g M%6a

B%a a3e- A3e-

III &as( beras

Ika& G+re&g (ka& 3+,+&g

2(&ak b(2+-(

Ta% b%2b% ba-( ,a%

T+2a,

2(&ak b(2+-(

B%&'(s

+r,e-

U6a&g Eb(:2(&ak b(2+-(

J%2-a sasara& (b% 2e&%s%( ! $4 (b%

Ose&g ; +se2gB%&'(s


27/47

Pe3aa 2asak Pe3aa


28/47

IHAN

R3 1.9$0.000;

J-Gr2:

10

10

se'%k%3&a

10

0

"0

$0

100

10

;

"0

10

10

0

$0

$0

$0

100

10

10

$0

10

0

$0

$010


29/47

100


30/47

REN?ANAAN MENU MAKANAN

UNTUK IBU

KELURAHAN

BANTUAN

U&(, '+s, 3er+ra&g /ar( %&,%k 1 ka-( 2aka& ! R3 $0.000

J%2-a ar( 2aka& a&ak se-a2a #0 HMA

T+,a- 6a&a a&g 6(b%,%ka& ! 19 (b% #0 HMA R3 $0.000


NO/Har( MENU BAHAN MAKANAN

1. &as( beras7e2%r 6ag(&g sa3( 6ag(&g sa3(

2(&ak b(2+-(

Te23e Ba'e2 Te23e

asa2

g%-a 2era

2(&ak b(2+-(

Orak;ar(k k+- 6a& *+r,e- K+- b%&ga

*+r,e-

2(&ak b(2+-(

,e-%r aa2

P(sa&g Masak P(sa&g A2b+&

$. &as( beras

O3+r Aa2 Dag(&g Aa2

sa&,a&

2(&ak b(2+-(

Te23e g+re&g Te23e2(&ak b(2+-(

Da%& s(&gk+&g

Da%& Pe3aa

M(&ak b(2+-(

Pe3aa 2asak Pe3aa

". &as( berasK%a Ika& (ka& 3+,+&g

J%2-a sasara& (b% 2e&%s%( ! 19 (b%

T%2(s Da%& 7(&gk+&g )Da%& 3e3aa


31/47

7a2ba- g+re&g ,a%

T+2a,

2(&ak b(2+-(

T%2(s Ka&gk%&g Ka&gk%&g

2(&ak b(2+-(

b%a A3e-


32/47

PMT PEMULIHAN

AMIL KEK

TULAMALAE

G7?

R3 $$.500.000;

J-Gr2:

10

10

se'%k%3&a

10

0

$0

10

;

100

100

$0 2-

10

10

0

$0

10

100

10


33/47

$0

10

100

10

100


34/47

s

UNTUK BALITA GII KURANG DAN BU

KELURAHAN TULAMALAE

BANTUAN G7?

U&(, '+s, 3era&ak /ar( %&,%k $ ka-( 2aka& ! R3 40.000

J%2-a ar( 2aka& a&ak se-a2a # HMA

T+,a- 6a&a a&g 6(b%,%ka& ! 9 a&ak # HMA R3 40.000

R3 $".400.000;


NO/ MENU BAHAN MAKANAN J-Gr2:

HARI

I &as( beras 100b%&'(s $0

aa2 s%*(r *+r,e- $0

ke&,a&g $0

6ag(&g aa2 ka23

2(&ak b(2+-(

,a% ba'e2 ,a%

asa2 se'%k%3&a

g%-a 2era 2(&ak b(2+-( 10

b%a 3(sa&g a2b+& 100

s%s% 6a&'+* ba-(,a $

g%-a 3as(r 10

s&a'k 3(sa&g g+re&g 3(sa&g ka3+k 0

,e3%&g ,er(g% "0

2(&ak b(2+-( 10

eks,ra ,e-%r aa2 ,e-%r aa2 1 b,r

II &as( beras 100


,e-%r aa2 ;

ke&,a&g "0

2(&ak b(2+-( 10

Te23e g+re&g Te23e 2(&ak b(2+-( 10

J%2-a sasara& g(( k%ra&g ) b%r%k ! 9 a&ak

s%3 sa%ra& F


35/47

Be&(&g baa2 Baa2 "0

+r,e- $0

Lab% Je3a&g $0

Jag%&g M%6a $0

b%a A3e- 100

s%s% 6a&'+* ba-(,a $

g%-a 3as(r 10

s&a'k 3%6(&g s%s% Agar;agar "0

7%s% 'a(r "0

G%-a 3as(r 10


III &as( beras 100

Perke6e- (ka& (ka& 3+,+&g

2(&ak b(2+-( 10

Te-%r aa2

Ta% b%2b% ba-( ,a%

T+2a, $0

2(&ak b(2+-( 10

Ose&g;+se&g B%&'(s B%&'(s 0

+r,e- $0

U6a&g Eb(: $0

2(&ak b(2+-( 10

b%a Pe3aa Masak 100

s%s% 6a&'+* ba-(,a $

g%-a 3as(r 10

k%e 6+&a, ,e3%&g ,er(g% 0

g%-a 3as(r 10

er2(3a& se'%k%3&a

2(&ak b(2+-( 10



36/47

RUK

J- $ MAKAN

$0040

40

40

10

10

10

se'%k%3&a

10$0

$00

0

$0

100

#0

$0

1 b,r

$00

10

;

#0

$0

10$0


37/47

#0

40

40

40

$00

0

$0

"0

#0

$0

1 b,r

$00

10

$0

10

40

$0

100

40

40

$0

$00

0

$0

100

$0

se'%k%3&a

$0

1 b,r


38/47

UNTUK BALITA GII BURUK

KELURAHAN UMANEN

BANTUAN G7?

J%2-a sasara& g(( b%r%k ! 1" a&ak

U&(, '+s, 3era&ak /ar( %&,%k 1 ka-( 2aka& ! R3 1.000

J%2-a ar( 2aka& a&ak se-a2a 90 HMA

T+,a- 6a&a a&g 6(b%,%ka& ! 1" a&ak 90 HMA R3 1.000 1.0.000 ;


NO/ MENU J-Gr2: J%2-a g(( B%r%k

I &as( beras 100 1"

b%&'(s $0 1"

aa2 *+r,e- $0 1"

ke&,a&g $0 1"

aa2 ka23%&g 1"2(&ak b(2+-( 1"

,a% ba'e2 ,a% 0 1"

asa2 se'%k%3&a se'%k%3&a

g%-a 2era 1"

2(&ak b(2+-( 10 1"

b%a 3(sa&g a2b+& 100 1"

N+g+sar( 3(sa&g ka3+k 0 1",e3%&g ,er(g% "0 1"

2(&ak b(2+-( 10 1"

II &as( beras 100 1"

erke6e- (ka& (ka& 3+,+&g 1"

,e-%r aa2 ; ;

ke&,a&g "0 1"

2(&ak b(2+-( 10 1"

Te23e g+re&g Te23e 0 1"

2(&ak b(2+-( 10 1"

Be&(&g baa2 Baa2 "0 1"

+r,e- $0 1"

Lab% Je3a&g $0 1"

b%a A3e- 100 1"

Ta-a2 g%r( Ma&(s Ub( =a-ar 40 1"

Te3%&g Beras 1 s62 1"

Te3%&g 7ag% 1 s62 1"

sa&,a& se'%k%3&aG%-a 3as(r 10 1"

III &as( beras 100 1"

6ag(&g sa3( 0 1"

2(&ak b(2+-( 10 1"

Te-%r aa2 1 b,r 1"

Ta% b%2b% 2era ,a% 1"

T+2a, $0 1"

2(&ak b(2+-( 10 1"

7%3 Ga2bas ) sa*( Ga2bas 0 1"

BAHAN MAKANAN

s%3 sa%ra& F

Te-%r 6a6ar s(ra26ag(&g '(&'a&g


39/47

7a*( $0 1"

b%a Pe3aa Masak 100 1"

B%b%r Ka'a&g Ka'a&g (=+ 0 1"

g%-a 3as(r 10 1"

Ke-a3a se'%k%3&a se'%k%3&a

Men"eta#u Umanen, 21 $"ustu

&e%ala Puskesmas Umanen Tena"a G' Puskes

(r) Menta Gntn"

NIP)196*05272009042001 NIP: 19760511 199

NO

Yulana Pa!a


40/47

TOTAL BAHAN gr:

T+,a- 7a,%a& ANAK/HR

1"00 1 kg

$#0 0 kg

$#0 0 kg

$#0 0 kg

9 1 kg# 0 2-

#0 # kg

# 0 gr

1"0 140 2-

1"00 1 s(s(r

#0 1 s(s(r"90 0 kg

1"0 140 2-

1"00 1 kg

9 1 kg

$ b,r

"90 0 kg

1"0 140 2-

910 1 kg

1"0 140 2-

"90 10 (ka,

$#0 0 kg

$#0 0 kg

1"00 1 kg

$0 1 kg

0 kg

0 kg

1 b,r1"0 0$ kg

1"00 1 kg

#0 1 kg

1"0 140 2-

b,r

9 1 kg

$#0 0 kg

1"0 140 2-

#0 $ ,%23%k


41/47

$#0 $ (ka,

1"00 1 b%a

#0 1 kg

1"0 0 kg

s'k3&a 1 b,r

s 2015

as

703 2 004


42/47

II) &+UTU-$N $-$N M$&$N$N .$N $NGG$/$N +$N$ PMT P+MUI

/%) 17)550)000

N N$M$ $-$N umla# -M$ ttal

1 !eras 1)5 90 135

2 !uns 0)5 10 5

3 rtel 1 30 30

4 kentan" 1 60 60

5 aam kam%n" 1 30 30

6 Ikan Ptn" 1)5 30 45

7 Ta#u 2 30 60

* (a"n" sa% 0)6 30 1*

9 Te-%r aa2 "0 *

9 Tem%e 1 30 30

10 mnak !ml 910 30 4

11 aam 6 30 1*0

12 a!u e%an" 0)5 30 15

13 U! alar 1 30 30

14 %san" am!n 1 30 30

15 Pe%aa Masak 1 30 30

16 $%el 1 30 30

1* Gula %asr 0)5 30 15

19 Te%un" eras 0)5 30 15

20 %san" ka%k 1 30 30

21 te%un" ter"u 0)5 30 1523 &aan" #au 1 30 30

24 Gula mera# 0)1 30 3

25 &ela%a 2 30 60

26 $sam aa seuku%na seuku%na 0)5

27 aan" Mera# seuku%na seuku%na 4

2* aan" Put# seuku%na seuku%na 4

29 a#e seuku%na seuku%na 2

30 en"kuas seuku%na seuku%na 1

31 Sera seuku%na seuku%na 2

32 .aun Salam seuku%na seuku%na 233 .aun Sele(r seuku%na seuku%na 2

34 Garam seuku%na seuku%na 3

35 &ea% mans seuku%na seuku%na 4

SIS$

Men"eta#u

&e%ala Puskesmas Umanen

(r) Menta Gntn"

NIP)196*05272009042001

umla# a#an %er#ar


43/47

$N

S$TU$N $-$N -$/G$ S$TU$N TT$ .$N$

k" 12,000 1,620,000

k" 15,000 75,000

k" 1*,000 540,000

k" 20,000 1,200,000

ekr s(" *0,000 2,400,000

k" 60,000 2,700,000

k" 15,000 900,000

k" 100,000 1,*00,000

rak 50,000 400,000

k" 15,000 450,000

er"en 75,000 300,000

kat 2,000 360,000

k" 15,000 225,000

k" 15,000 450,000

ssr 20,000 600,000

!# !sr 20,000 600,000

k" 45,000 1,350,000

k" 15,000 225,000

k" 10,000 150,000

ssr 10,000 300,000

k" 10,000 150,000k" 20,000 600,000

k" 10,000 30,000

!ua# 7,000 420,000

k" 24,000 12,000

k" 25,000 100,000

k" 20,000 *0,000

k" 20,000 40,000

k" 20000 20,000

kat 2000 4,000

tusuk 2000 4,000kt 2000 4,000

!ks 2000 6,000

!tl kl 5000 20,000

17,550,000

Surama, 21 $"ustus 2015

Tena"a G' Puskesmas

NIP: 19760511 199703 2 004

Yulana Pa!a


44/47

.$8T$/ /INI$N P+NG$.$$N S$/$N$ .$N $$T &+S+-$T$N &+U/$-$N

N U/$I$N ;UM+ S$TU$N

1 .s%!le 0,5 ml 2 (s

2 .s%s!el 0,05 ml 1 (s

3 .s%s!el 3 ml 1 (s

4 &a%as 3 !ks

5 $lk#l 3 !tl

6 Tens ."tal 3 !ua#

7 Tm!an"an nak 3 !ua#

* Mkrte 6 !ua#

9 Pa%an Ukur Panan" a(an 3 set

10 Termmeter 3 %aket

11 Su%lemen


45/47

/.$&+$M$T$N $T$MU$ $/$T

-$/G$ S$TU$N TT$ .$N$ >/%?

70000 140,000

70000 70,000

70000 70,000

35000 105,000

30000 90,000

750000 2,250,000

200000 600,000

150000 900,000

450000 1,350,000

50000 150,000

25,000 1,500,000

202,400

404,*00

7,*32,200

er(a, ul 2015

.!uat le#

lt#a enusu Mara G Tae

&etua P& en(a#ara P&


46/47

&+UTU-$N .$N$ UNTU& P+NG$.$$N P$&+T PMT UNTU& $IT$ GI@I &U/$NG &+U/

1. PAKET PMT UNTUK BALITA GII KURANG !

J%2-a ba-(,a g(( k%ra&g! 04 +ra&g

Pake, a&g aka& 6(ber(ka& ber%3a!

1. s%s% Da&'+* Ba-a(,a 400 gr seba&ak 1 k+,ak/ a&ak seka-( 3e2ber(a& ! 04 1 KO

$. Ka'a&g H(=a% 1$5 kg R3. $0.000; !

". G%-a Pas(r

T+,a- 6a&a a&g 6(b%,%ka& %&,%k PMT 3e&%-%a& G(( K%ra&g %&,%k 04 a&ak

Men"eta#u

&e%ala Puskesmas Umanen

(r) Menta Gntn"

NIP)196*05272009042001 NI


47/47

-$N UM$N+N&+$M$T$N $T$MU$ $/$T

AK < 40 K+,ak

! 04 k+,ak 40.000 < R3. $0. 1#0.000;

1$5 kg R3. $0.000; ! R3. $.#0.000;;

#4 kg R3. 1.000; ! R3. 9#0.000;;

! R3. $".#50.000;

urama, 21 $"ustus 2015

ena"a G' Puskesmas

P: 19760511 199703 2 004

Yulana Pa!a

Menu Gizi Gsc Kel Umanen Agustus 2015

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